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First Steps.

What questions should I ask about my insurance plan's mental health benefits?

Where do I go for help if I don't have enough medical insurance, income or hospitalization coverage?

Where can I find self-help and support groups for clients, caregivers, and family members?

Understanding mental illness, treatment and wellness/recovery.

Understanding mental illness, treatment and wellness/recovery
This section provides information about diagnosis and treatment, and how to use mental health services.

Understanding the symptoms of mental illness

Understanding severe mental health symptoms

How to talk with your mental health clinician

Learning about diagnosis

Learning about medications

Dual diagnosis: When alcohol and drugs compound mental illness

Understanding wellness and recovery

First Steps

  • Call your health insurance plan and find out if you have a mental health benefit and what kinds of services are covered.
  • Find out if your health insurance plan has a toll-free number you can use to access mental health care services.
  • Talk with your primary care physician about your concerns. Your doctor may able to suggest services or supports that will be covered under your insurance.
  • Find out if your employer or your spouse's employer has an Employee Assistance Program (EAP). EAPs are designed to respect confidentiality while providing support for people going through hard times. Many EAPs provide mental health services, including individual psychotherapy, family counseling, and assistance with substance abuse problems.
  • Find out if your health insurance plan or EAP has a Web site where you can get information about your mental health benefit and a list of approved mental health providers.

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What questions should I ask about my insurance plan's mental health benefits?

  • For answers to your questions about managed care and for tips on how to choose a provider, explore "What to Look For, What to Ask," produced by the U.S. Mental Health Information Center.
  • The "Facts for Families" series by the American Academy of Child and Adolescent Psychiatry includes questions you can ask in order to help you understand your mental health coverage and rights.

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Where do I go for help if I don't have enough medical insurance, income or hospitalization coverage?

  • Look in the Yellow Pages® of your telephone book and make a list of local mental health clinics, family service agencies, mental health self-help groups, private psychiatric hospitals, private clinics and private practitioners. Call and ask if sliding-scale or sliding-fee payments are accepted. Descriptions of services offered through some community agencies can be found on the Web pages of two state trade organizations:
    California Council of Community Mental Health Agencies
    California Association of Social Rehabilitation Agencies
  • Call your county mental health 24-Hour Multilingual Crisis Intervention and Assessment number to find out if you are eligible for county mental health services. Ask them for referrals to providers with sliding-fee scales.
  • Locate self-help organizations or mental health clinics that operate drop-in centers and that sponsor support groups for clients and family members. Community self-help organizations will be familiar with the mental health services available in your community. Staff and volunteers who have shared your experiences may be able to answer questions about finding affordable services and supports.

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Where can I find self-help and support groups for clients, caregivers, and family members?

Thoughts about wellness and recovery from clients and family members

"...Believe in yourself. Take control of your life. Whether you are immobilized by depression or suffer the symptoms of schizophrenia, your diagnosis does not have to be your destiny. If you decide to use medications as part of your recovery, learn as much as you can about your diagnosis and your medications. Find other clients who have traveled your life path and find out what worked for them. Remember the experiences that make you feel good and what you need for comfort when life is hard. Take small steps forward and be patient if symptoms return..."

Support groups can give people a place to safely talk about issues that many people are facing during a mental health crisis: mourning a death, suicide, spouse and child abuse, sexual abuse, rape, coping with the problems of aging parents, drugs and alcohol. These support groups also talk about mental health illnesses and symptoms, including depression, anxiety, phobias, panic disorder, obsessive-compulsive disorder, schizophrenia, and eating disorders (bulimia, anorexia nervosa, obesity).

Contact the Mental Health Association in California (MHAC) chapter in your community.
The MHAC sponsors support groups for clients and family members and provides information and referrals. MHAC chapters represent diverse viewpoints on mental health issues.

Contact the National Alliance for the Mentally Ill (NAMI) chapter in your community.
NAMI - California sponsors support groups and training for clients and family members. NAMI chapters generally view mental illness as a "brain disorder."

Find NAMI-sponsored "Family-to-Family" classes in your community.
These classes are taught by family members and share ways to take care of yourself while supporting family members experiencing psychiatric symptoms.

Find client-run drop-in centers and groups.
For many clients, an important part of mental health recovery is sharing experiences. Drop-in centers and organizations found on the California Network of Mental Health Clients (CNMHC) Web site are managed by clients and provide a range of peer support services for clients who experience severe and persistent symptoms. The CNMHC is an advocacy organization that also supports the development of client-managed self-help centers. CMNHC programs support client rights and freedom of choice.

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Understanding Mental Illness, Treatment and Wellness/Recovery
This section provides information about diagnosis and treatment, and how to use mental health services.

Understanding the symptoms of mental illness

People have a hard time seeing the difference between a rough patch and the start of mental health symptoms. When do problems become too difficult for you to handle alone?

Finding help for yourself
Part of the Mental Health Association in California's web series Reaching for the Light, this Web page "How Do You Know When You Need Help?" lists signs and symptoms to look for that signal the need for help.

When mental illness is in your family
This factsheet from the National Mental Health Association "Mental Illness in the Family -- Recognizing the Warning Signs and How to Cope" explains what mental illness may "look like" in adults and youth and offers suggestions for family members on how to recognize and cope with mental illness in the family.

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Understanding severe mental health symptoms

In the Mental Health Association in California's (MHAC) Web series Reaching for the Light, the page "Severe Mental Disorders" provides descriptions of some severe mental illnesses: schizophrenia; mood disorders; anxiety disorders; obsessive/compulsive disorders; eating disorders; personality disorders.

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How to talk with your mental health clinician

Finding a clinician
The MHAC booklet, "Finding Help," suggests questions that will help you decide if a mental health provider is the right one for you. The Mental Health Association in California (MHAC) sponsors support groups for clients and family members and provides information and referrals. MHAC chapters represent diverse viewpoints on mental health issues.

Building a relationship with your clinician
The Mental Health Matters article "Looking for a Therapist" includes suggestions about how to talk with your mental health clinician. The Mental Health Matters web site was founded by a client to bring technical information and resources to clients, students and professionals.

Collaborating with psychiatrists to find the right medication
The National Empowerment Center is a SAMHSA (Substance Abuse and Mental Health Services Administration) Technical Assistance Center. Its mission is to carry a message of recovery, empowerment, hope and healing to people who have been diagnosed with mental illness. The article, "Reclaiming Your Power During Medication Appointments With Your Psychiatrist," written by Pat Deegan, Ph.D., talks about how to structure your medication evaluation and follow-up appointments in order to cultivate collaboration between you and your psychiatrist.

Tell me about licensed mental health professionals in California
This one page document describes services provided by different kinds of mental health professionals. The Mental Health Association in California (MHAC) sponsors support groups for clients and family members and provides information and referrals. MHAC chapters represent diverse viewpoints on mental health issues.

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Learning about diagnosis

Diagnosis is a tool used by clinicians to summarize symptoms and life stressors. The following sites might help you understand how the many mental illnesses are defined.

  • The Mental Health Association in California (MHAC) Web site offers information about diagnoses written by mental health professionals. MHAC sponsors support groups for clients and family members and provides information and referrals.
  • The Mental Health Matters Web site was founded by a client to bring technical information and resources to clients, students and professionals. This Web page link to "Demystifying the Diagnosis" is a one page description of the language used by clinicians to describe mental illness -- the DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, 4th Edition). This is just one of many technical briefs offered by this Web site on a wide range of mental health issues, ranging from treatment to self-help to advocacy to research.
  • Diagnosis and treatment links from a client-managed Web site. The California Association of Mental Health Patient's Rights Advocates promotes public policy to further the rights and well-being of mental health consumers.
  • The Mental Health Matters Web site was founded by a client to bring technical information and resources to clients, students and professionals. Find technical briefs on a wide range of mental health issues, ranging from treatment to self-help to advocacy to research as well as summaries of major diagnoses.
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Learning about medications

With recent advances in science and technology, clients now have more and better psychotropic drug options than in previous generations. Finding the right balance in medication can be a lengthy process for some clients. Here are resources that will help you understand how medications work, written by mental health professionals from organizations representing families, clients and researchers.

What is a formulary?
It is often difficult to discern whether certain medications are covered by insurance. The California Internet Formulary Reference guide, created by Citizens for the Right to Know and linked from the Mental Health Association of California, helps consumers research coverage.

Fact sheets about medications from NAMI
Each fact sheet on this "Information about illnesses and treatments" webpage includes links to organizations that provide support for people with specific diagnoses. The National Alliance for Mental Illness (NAMI) is a national research and advocacy organization that views mental illness as a "brain disorder."

Links about medications -The Mental Health Association of California
This is a portal to information on the Web about mental health medications. This page provides links to resources about medications, adverse reactions, California's formulary, and information from the Food and Drug Administration.

A booklet about medications from the National Institute of Mental Health
This resource provides easy-to-understand information about medications used for treating mental health problems. The site describes what different medications are used for, what their effects are and which medications are used for specific groups, and it offers an alphabetical index of medications. Included is information about effects on children, the elderly and women of childbearing years.

A self-help resource to assist you with medications
The U.S. Mental Health Information Center is an information clearinghouse that is part of the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA). The brochure, "A Self-Help Guide to Using Medications," was written for clients and family members. Included is a list of questions to help you develop a collaborative relationship with your clinician.

Working with your psychiatrist
The National Empowerment Center is a SAMHSA Technical Assistance Center. Its mission is to carry a message of recovery, empowerment, hope and healing to people who have been diagnosed with mental illness. Find information on how to structure medication evaluation and follow-up appointments in order to cultivate collaboration between you and your psychiatrist.

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Dual diagnosis: When alcohol and drugs compound mental illness

Without diagnosis and treatment, many people with mental illness use alcohol and other substances to control symptoms, and they sometimes become addicted. Alcohol and drug dependence can exacerbate mental illness, resulting in some clients having "dual diagnosis" or "dual recovery," as they attempt to recover from both symptoms of mental illness and addiction. Here are some resources for treating dual-diagnosis.

  • Find treatment in your community. The SAMHSA, in collaboration with the state of California, has a service locator that will identify programs in your community for alcohol and substance abuse. The site will tell you if these programs have a dual recovery emphasis, what languages are spoken and what forms of payment are accepted.
  • Through this link, you can find sources for information on being in recovery from mental illness and alcohol/substance abuse, like the Dual Diagnosis Recovery Network.
  • Find peer support groups for individuals facing recovery from psychiatric symptoms and alcohol/substances. Dual Recovery Anonymous is a 12-step program for individuals facing recovery from psychiatric symptoms and alcohol/substances.
    Northern California meetings
    Southern California meetings
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Understanding wellness and recovery

According the U.S. Surgeon General's report on mental health, recovery is a journey hallmarked by hope and expansion, despite the day-to-day challenges of having mental health symptoms. Recovery is about understanding and managing these symptoms and regaining one's sense of self. It's also about recovering from the stigma of having a mental illness. Clients view the process of recovery as unique for each person, depending on their strengths, life situations and culture...The guides listed below will explain the many different paths that lead towards recovery.

  • The U.S. Mental Health Information Center is an information clearinghouse that is part of the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA). The site includes nine downloadable how-to publications about mental health recovery. Topics include dealing with trauma, speaking out for yourself, making friends, building self-esteem, self-help, client rights, and action-planning for recovery.
  • Mary Ellen Copeland's Web site provides various methods for nurturing wellness/recovery, including an explanation of Wellness Recovery Action Planning (WRAP). Resources include seminars, correspondence courses, workbooks, videos, publications, and newsletters. Copeland used her experience with manic depression to develop the WRAP tool, which aims to bring insight into staying well and what to do when symptoms become difficult.
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