Community Conversations About Mental Health

The 20-page discussion guide, Community Conversations About Mental Health (2013)was sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA), an agency of the U.S. Dept of Health and Human Services. This guide was prepared for SAMHSA by Abt Associates and its subcontractors, the Deliberative Democracy Consortium and Everyday Democracy. In the guide are instructions for hosting and facilitating community dialogues around mental health issues today and especially for young people; how to identify challenges and what ways to support youth mental health. The beginning of the toolkit includes an Informational Brief section with facts regarding mental health, then there is a Discussion Guide section and finally, a Planning Guide section with facilitator tips.

Below is an excerpt of the guide and it can be found in full for free download, in both English and Spanish at the bottom of the page. To view the original posting on SAMHSA’s site, click here.

From the guide…

us_mental-health_-logoOn January 16, 2013, President Barack Obama directed Secretary Kathleen Sebelius of the U.S. Department of Health and Human Services and Secretary Arne Duncan of the U.S. Department of Education to launch a national conversation on mental health to reduce the shame and secrecy associated with mental illness, encourage people to seek help if they are struggling with mental health problems, and encourage individuals whose friends or family are struggling to connect them to help.

Mental health problems affect nearly every family. Yet as a nation, we have too often struggled to have an open and honest conversation about these issues. Misperceptions, fears of social consequences, discomfort associated with talking about these issues with others, and discrimination all tend to keep people silent. Meanwhile, if they get help, most people with mental illnesses can and do recover and lead happy, productive, and full lives.

This national conversation will give Americans a chance to learn more about mental health issues. People across the nation are planning community conversations to assess how mental health problems affect their communities and to discuss topics related to the mental health of young people. In so doing, they may also decide how they might take steps to improve mental health in their families, schools, and communities. This could include a range of possible steps to establish or improve prevention of mental illnesses, promotion of mental health, public education and awareness, early identification, treatment, crisis response, and recovery supports available in their communities.

Goals and Objectives of the Toolkit for Community Conversations About Mental Health
The Toolkit for Community Conversations About Mental Health is designed to help individuals and organizations who want to organize community conversations achieve three potential objectives:

– Get others talking about mental health to break down misperceptions and promote recovery and healthy communities;
– Find innovative community-based solutions to mental health needs, with a focus on helping young people; and
– Develop clear steps for communities to address their mental health needs in a way that complements existing local activities.

The Toolkit includes:
1. An Information Brief section that provides data and other facts regarding mental health and mental illness and how communities can improve prevention of mental illnesses, promotion of mental health, public education and awareness, early identification, treatment, crisis response, and recovery supports available in their communities.
2. A Discussion Guide section that is intended for use in holding community conversation meetings of 8-12 people each. (In a community forum with more participants, the audience would divide into groups of this size for much of their time together.) It provides discussion questions, sample views, ideas, and an overall structure for dialogue and engagement on mental health issues.
3. A Planning Guide section that describes a variety of ways in which people can facilitate their community conversations and take next steps at the local level to raise awareness about mental health and promote access to mental health services.

Mental health issues in our communities—particularly for our youth—are complex and challenging; but, by coming together and increasing our understanding and raising awareness, we can make a difference.

To download the guide in full click the link below.

About SAMHSA
The Substance Abuse and Mental Health Services Administration (SAMHSA) is the agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation. SAMHSA’s mission is to reduce the impact of substance abuse and mental illness on America’s communities.

Follow on Twitter: @samhsagov

Resource Link [in English]: community_conversations_about_mental_health

Resource Link [in Spanish]: dialogos_comunitarios_acerca_de_la_salud_mental

 

Ben Franklin Circles

The Ben Franklin Circles (BFC) is a collaborative project of 92nd Street Y (92Y), the Hoover Institution, and Citizen University. BFC reflects a shared commitment to fostering civic participation, open dialogue, and ethics-based leadership. Ben Franklin Circles are based on the idea of a mutual improvement club started by Benjamin Franklin. Franklin gathered a group of peers once a week to hash out projects to improve their community and also, to discuss and debate 13 virtues that Franklin saw as the basis of personal improvement and civic life — qualities like justice, humility and resolution. This mutual improvement club became the jumping off point for projects like the post office, the volunteer fire department and the lending library.

92Y – in partnership with Stanford’s Hoover Institution and Citizen University — is now reviving this idea. We’ve created the tools and resources any community will need to start their own Ben Franklin Circle, with the goal of creating a network of Circles dedicated to hosting conversations about what matters most. The Ben Franklin Circles are a fun, innovative way to build and strengthen community in an increasingly disconnected and digital world. They are about asking two simple questions:

  1. How can I improve myself?
  2. How can I improve the world?

Please contact Julie Mashack, senior producer at 92Y’s Belfer Center for Innovation & Social Impact: jmashack[at]92y[dot]org.

About 92Y
The organization, founded in 1874, is a center for innovation and the visual and performing arts; a convener of both people and ideas; and an incubator for creativity. 92Y is built on a foundation of Jewish values: the unparalleled capacity of civil dialogue to change minds; the unlimited potential of education and the arts to change lives; and the eternal commitment to welcoming and serving people of all races, religions and ethnicities.

About Hoover Institution
BFC is a program within the Mary Jo and Dick Kovacevich Initiative at the Hoover Institution, Educating Americans in Public Policy, that seeks to provide citizens with accurate facts, information, and an analytic perspective to enable them better perform their civic duties, hold their elected leaders accountable, and, as expressed in the Constitution, “secure the blessings of liberty to ourselves and our posterity.” Founded in 1919, the Hoover Institution, Stanford University, is a public policy research center devoted to the advanced study of economics, politics, history, domestic and foreign political economy, and international affairs.

About Citizen University
Citizen University is a national nonprofit based in Seattle that works to help Americans cultivate the values, systems knowledge, and skills of powerful citizenship. Programs and initiatives include the Civic Collaboratory, a civic leadership network; Sworn-Again America, a project on civic rituals; programs and resources to teach civic power; and a new initiative, the Joy of Voting, that aims to reinvigorate a culture of participation and engagement around voting. The Citizen University National Conference features hundreds of change makers, activists, catalysts, and students from across the country, an annual civic gathering unlike any other. This is a time when citizens are solving problems in new ways,

Resource Link: http://benfranklincircles.org/

This resource was submitted by Julie Mashack, the Senior Producer at 92nd Street Y via the Add-a-Resource form.

The Compost of Disagreement: Creating Safe Spaces for Engagement and Action

The 6-page article, The Compost of Disagreement: Creating Safe Spaces for Engagement and Action (2014), by Michele Holt-Shannon and Bruce Mallory, was published in Journal of Public Deliberation: Vol. 10: Iss. 1. The authors describe the experience coordinating the New Hampshire Listens campaign to address the growing concern around aggressive and combative many public events were becoming from mid-1990s and on. Over years of experience, they found that the more diverse and varied the participants and experiences, the richer the conversation that would emerge. And in order to do so, it is vital to create spaces that are safe for all parties involved, in order for transformative dialogue to take place.

Find the PDF available for download from the Journal of Public Deliberation site here.

From the article…

We understand that one of the most important contributions we can make to public life is to create safe spaces where diverse points of view can be expressed, deeply held differences can be explored, and the potential for discovering common ground amidst the cacophony can be nourished. The work runs counter to the natural tendency to want to “manage difference” or find “consensus” or help everyone to “just get along.” Paradoxically, we use the tools of deliberation to uncover those things that divide in order to find a shared path forward.

We could think about this uncovering and exploration as working the community compost. Taking the raw ingredients of values, beliefs, attitudes, cultural norms, local history, municipal policies and practices, traditional and social media, and the multifaceted personalities of local actors, we strive to create a space that allows for heat, conflict, and the transformation of old patterns and approaches to new kinds of rich, nuanced, adaptive solutions. Believing that knowledge and action are co-constructed in the milieu of community, it is logical that listening to and considering a range of perspectives can give rise to feasible, practical approaches.

In addition, we have witnessed explicit attempts to shut down deliberation and essentially block action by elected and appointed officials. Using audio and video recording devices in ways that are felt as intimidating or harassing, and occasionally displaying side-arms, these vocal few make it hard for others to feel that their views will be heard or respected. We are not suggesting this has become the norm, but the frequency has increased since we began this work. Our response has been to engage these voices as much as possible, both in focused conversations to hear directly their concerns and by welcoming them as participates in public deliberations. With some exceptions, we have found that the use of clear, agreed-upon ground rules; facilitators capable of fostering a respectful, honest, safe conversation; surfacing and recording the disagreements as well as common ground; and close scrutiny of participant evaluations regarding their experiences are all necessary for creating safe spaces for disagreements.

In the end, welcoming the most skeptical voices into the conversation is fundamental to the integrity of the process, creates a richer mix of perspectives and ideas, and helps us learn how to create conditions that maximize both safety and disagreement. The challenges described here have made us better. Balancing the sometimes competing constructs of safety and strong disagreement, we are able to be more transparent, we are clearer about digging into disagreements, and we are more skilled at setting boundaries that are legal and effective. Over many years, we have learned from those who have taken issue with the fundamental tenets of deliberative democracy, from the everyday citizens who want to make their communities better in some way, and from the various public and private stakeholders who are directly affected by engaged deliberations. The most important lesson, perhaps, has been that the richer the compost mix, the better the result. The complementary lesson is that strong disagreement requires a safe space if shared understanding and action are to be achieved.

Download the case study from the Journal of Public Deliberation here.

About the Journal of Public Deliberation
Journal of Public DeliberationSpearheaded by the Deliberative Democracy Consortium in collaboration with the International Association of Public Participation, the principal objective of Journal of Public Deliberation (JPD) is to synthesize the research, opinion, projects, experiments and experiences of academics and practitioners in the emerging multi-disciplinary field and political movement called by some “deliberative democracy.” By doing this, we hope to help improve future research endeavors in this field and aid in the transformation of modern representative democracy into a more citizen friendly form.

Follow the Deliberative Democracy Consortium on Twitter: @delibdem

Follow the International Association of Public Participation [US] on Twitter: @IAP2USA

Resource Link: www.publicdeliberation.net/jpd/vol10/iss1/art22/

Racial Dynamics to Watch For

The two-page tip sheet from Everyday DemocracyRacial Dynamics to Watch For, was published April 2010. The tip sheet gives pointers on how to keep racial dynamics in mind, in order to design better and more inclusive programs/events. The tip sheet gives advice for three categories: Planning and organizing, Dialogues and facilitation, and Working on Action. Below is an excerpt from the tip sheet and it’s available on Everyday Democracy’s site here.

From Everyday Democracy…

As you approach a large community-change initiative, pay attention to racial dynamics. Consider the following examples. Talk about how you might prevent or correct these situations.

Planning and organizing
– The organizing committee recruits one person of color to “represent” the African American / Latino / or Asian “community”.

-The chair of the group selects a large, prosperous, white church – or another venue frequented by whites – a a regular meeting site for the organizing team.

-The group decides to rotate meeting sites between a prosperous white church and a local black church. White attendance is very low when the meeting takes place as the black church.

Dialogues and facilitation
– The white facilitator seems to lead most of the times; the person of color who is co-facilitating tends to do more note-taking.

– The white organizer checks in with the white facilitator about how things are going.

– One or two people or color in a circle or 10 are asked to speak for their whole group.

Working on Action
– Action groups are often dominated by whites. While people of color may be invited to participate, they are more “for show”. Old habits and behaviors continue, and whites stay in the lead.

– As people form new partnerships to address problems in the community, they hesitate to include people from different racial groups.

– People who are most affected by new policies are shut out. They have no voice in the policy making.

This is a condensed version of Racial Dynamics to Watch For, the original can be found in full on Everyday Democracy’s site here.

About Everyday Democracy
Everyday Democracy
Everyday Democracy (formerly called the Study Circles Resource Center) is a project of The Paul J. Aicher Foundation, a private operating foundation dedicated to strengthening deliberative democracy and improving the quality of public life in the United States. Since our founding in 1989, we’ve worked with hundreds of communities across the United States on issues such as: racial equity, poverty reduction and economic development, education reform, early childhood development and building strong neighborhoods. We work with national, regional and state organizations in order to leverage our resources and to expand the reach and impact of civic engagement processes and tools.

Follow on Twitter: @EvDem

Resource Link: http://everyday-democracy.org/resources/racial-dynamics-watch

5 Ways to Overcome Barriers to Youth Engagement

The article, 5 Ways to Overcome Barriers to Youth Engagement by Rebecca Reyes and Malana Rogers-Bursen was published in 2016 on the Everyday Democracy site. The authors shared 5 common challenges to getting youth to participate and offer solutions to address each of these challenges. These tips are helpful when designing events that are more inclusive for youth and also good to keep in mind for other groups of people. Read a condensed version of the article below and find it in full on Everyday Democracy’s here.

From Everyday Democracy…

Challenge #1: Scheduling conflicts
Everyone is busy, including young people. They have packed schedules with school, extracurricular activities, work, and helping out at home. Some may be responsible for caring for younger siblings, or they may have young children of their own. If they are going to be giving up some of their time, they need to know it will be time well spent.

Possible solutions:
Recognize that “young people” as a group are very diverse – they have different levels of education, racial/ethnic backgrounds, and lifestyles. Think about the group you’re trying to reach and the scheduling challenges they might face. Evenings and/or weekends might be the best time to meet for many people. But, it depends on the group.

Challenge #2: Experience barriers
It is often assumed that more experience is always better. In addition, certain types of experiences like attending certain schools or working in a particular profession tend to be valued more than others. These values and assumptions privilege only certain types of experiences and they don’t leave room for young people. We need to recognize that young people do have valuable skills and knowledge and make room for different kinds and levels of experience.

Possible solutions:
– Aim to include people with a range of skills and knowledge in your group, instead of focusing only on those with many years of experience.
– Acknowledge that young people do have knowledge and skills to contribute, even if they don’t have related professional experience.

Challenge #3: Young people have a limited voice in meetings
As a young person, it can be intimidating to speak up in a group of adults, especially since young people are often outnumbered in meetings. Once they are at the table, it’s important to create an environment of respect that allows their voice to be heard.

Possible solutions:
-Set ground rules that you agree on as a group. Make sure the rules will make space for a respectful conversation.
-Practice active listening. As a group, talk about what it means to be an active listener. Consider doing a listening activity during one of your meetings. Continue reading

10 Ways to Make Your Materials More Inclusive

The article, 10 Ways to Make Your Materials More Inclusive, from Everyday Democracy provide tips to make your materials (and events) more inclusive when engaging the community. These guidelines recommend ways to take into consideration diverse human experiences and expressions, in order to have better designed dialogue and deliberation processes. You can find the article below and in full on Everyday Democracy’s site here.

From Everyday Democracy…

As diverse as we are racially, ethnically and culturally, we are also very diverse in how we learn. When we train, facilitate or write guides, we should pay attention to different learning styles. For example, some people need graphs and charts to understand information, and others need a written explanation. Still others need to hear a presentation. Some people thrive in a group setting, while others need time for self-reflection. There may also be various levels of literacy or English-language skills within groups.

To develop discussion materials that will make your dialogues more inclusive of varying learning styles and literacy levels:

1. Add color and graphics to highlight important information.

Your materials are probably filled with a lot of text, so using color and graphics can help highlight the important points. Also, plenty of white space can help people digest the information more quickly.

2. Use simple language.

It’s always good practice to avoid run-on sentences, but you should also watch out for difficult terms and jargon. Think to yourself, “How would I explain this to my 10-year-old neighbor?” Using simple language will help everyone better understand the process, especially people with lower literacy levels or for whom English is not their first language.

3. Define vocabulary.

If you can’t avoid using certain terms, create a glossary or define difficult words in the sidebars. For concepts that may be hard to define or that may have multiple definitions, you can invite dialogue participants to have a discussion about the terms if there is disagreement among the group.

4. Include an audio option as a guide supplement.

Since some people absorb information more quickly through hearing the information instead of reading it, you might want to consider including an audio CD or links to podcasts with your guide. The entire guide doesn’t need to have an audio component, but having an audio component for the introduction and key concepts for each session would be a useful addition to your guide.

5. Use an animated visual, like a comic strip, to explain the process.

This helps visual learners to quickly understand key concepts and helps cut down the time needed for explanations.

6. Provide alternatives for visual information.

Whenever you present a graph or chart, also include a verbal explanation for the information you are presenting. This allows people to absorb the information in a way that’s easiest for them.

7. Translate materials.

In your dialogue groups you may have people who don’t speak any English. If you have the resources, consider translating materials into the most widely used language(s) in your community. If you can’t translate the entire discussion guide, another option is to create handouts for each session that could be translated into other languages.

8. Include activities that allow for physical movement.

This increases interactivity, but also helps take into consideration learning styles that call for more physical interaction.

9. Include activities in which participants can role play/switch roles.

These activities not only help make the discussions more interactive, but they also help participants experience an issue from a different perspective.

10. Allow time for reflection.

Set aside a few minutes at the end of a session for journaling or self-reflection for those people who need a few moments to process information.

About Everyday Democracy
Everyday Democracy
Everyday Democracy (formerly called the Study Circles Resource Center) is a project of The Paul J. Aicher Foundation, a private operating foundation dedicated to strengthening deliberative democracy and improving the quality of public life in the United States. Since our founding in 1989, we’ve worked with hundreds of communities across the United States on issues such as: racial equity, poverty reduction and economic development, education reform, early childhood development and building strong neighborhoods. We work with national, regional and state organizations in order to leverage our resources and to expand the reach and impact of civic engagement processes and tools.

Follow on Twitter: @EvDem

Resource Link: http://everyday-democracy.org/tips/10-ways-make-your-materials-more-inclusive

Dialogues Across Differences: An Introduction to Reflective Structured Dialogue

This partial-day workshop, Dialogues Across Differences: An Introduction to Reflective Structured Dialogue, from Public Conversation Project and has been developed over the last two decades. The dialogue process established in this training creates an opportunity to transform communication between participants who have conflict. Below is the description from Public Conversations Project and check out if there are upcoming workshop dates here on their site.

About the workshop…

Summary:
25 years ago, Public Conversations Project created a unique approach to dialogue that promoted connection and curiosity between those who saw one another as the enemy. Our approach has transformed conflicts across the country and the world – but its principles are widely applicable for everyday conversation. An intentional communication process can help individuals, organizations and communities build trust, enhance resilience for addressing future challenging issues, and have constructive conversations with those they otherwise “wouldn’t be caught dead with.”

Learning Objectives:

  • Learn basic theory and practice of Public Conversations’ relationship-centered approach to better communication and dialogue.
  • Achieve shared, clear, and mutually understood purpose in a conversation.
  • Design a framework for a constructive conversation that will encourage people to participate fully, listen actively, and enhance empathy.
  • Stimulate self-discovery and curiosity about the “other” through questions that promote connection, curiosity and caring.

Results:
As a result of this workshop, you will be equipped to:

  • Communicate with self-confidence about difficult or divisive topics.
  • Break destructive communication habits like avoidance, silence, or reactive responses, enabling those in a conversation to feel truly listened to.
  • Design conversations, dialogues, or meetings with clear purpose, full participation, and a structure for moving forward.
  • Employ effective and satisfying communication exercises in a broad range of personal and professional settings.

Who might participate:

  • Executives in the nonprofit, public, or private sectors interested in shifting the culture of communication in their workplace.
  • Managers seeking to lead more constructive conversations with a divided, frustrated, or distracted team.
  • Clergy looking to broach a challenging concept with their congregation or internal leadership.
  • Consultants in strategic communications, strategic planning, or organizational development exploring new ways to improve client relations.
  • Administrators seeking to encourage collaboration between departments.

Accreditation:
This workshop is approved for 6 clock hours for national certified counselors, Massachusetts licensed mental health counselors, MA licensed marriage and family therapists, and New Hampshire pastoral psychotherapists. Credits are accepted by the NH Board of Mental Health Practice for all licensed NH mental health professionals. For more information, please see our workshop policies. Public Conversations Project is an NBCC-Approved Continuing Education Provider (ACEP™) and may offer NBCC-approved clock hours for events that meet NBCC requirements. The ACEP solely is responsible for all aspects of the program.

For more information, please contact us at training[at]publicconversations[dot]org or 617-923-1216 ext. 10.

About Public Conversations ProjectPCP_logo
Public Conversations Project fosters constructive conversation where there is conflict driven by differences in identity, beliefs, and values. We work locally, nationally, and globally to provide dialogue facilitation, training, consultation, and coaching. We help groups reduce stereotyping and polarization while deepening trust and collaboration and strengthening communities.

Follow on Twitter: @pconversations

Resource Link: www.publicconversations.org/workshop/dialogue-across-differences-introduction-reflective-structured-dialogue

Activity to Explore Community Demographics

This two-page activity from Everyday Democracy, Activity to Explore Community Demographics, is to improve efforts to be inclusive when creating a team or coalition. This exercise gives prompts for a group brainstorming activity, suggests doing previous research, and utilizing resources to find information on the community to build a diverse group of people. Read the activity below or find the original and download for free from Everyday Democracy’s site here.

explore-community-demographicsFrom the activity…

Purpose of activity: Use this exercise to help your coalition make a list of the diverse people and groups in your community.

This list is helpful for recruitment and communications purposes, to help your efforts be inclusive.

Materials needed:
Flip chart
Markers

Part 1: Brainstorm activity
Brainstorming is a creative way for a group to come up with lots of ideas in a short amount of time.

As a large group, brainstorm responses to these questions:

Who makes up our community?

What kinds of people live, work and go to school here?

Make sure to think about ALL the different kinds of people who make up your community. Think about race and culture, economic background, religious or spiritual background, political background, profession, age, gender, etc.

Capture each response on a flip chart.

Part 2: Research the demographics of your community
Have some volunteers do research about who makes up the community. Bring the information back to the group at the next meeting. Or, you can prepare the information ahead of time to continue the conversation immediately after the brainstorm.

Compare the list you brainstormed with the information the volunteers researched. As a group, discuss these questions:

Are there any groups that we missed in our brainstorm? Why?

Is there any information you find surprising?

As you continue your work, keep these observations in mind so you can be sure to reach out to all groups in your community.

Resources for finding community information
The town hall or clerk’s office in your community might have data on what kinds of people are in the community.

Look up your community using one of these online resources:

American FactFinder is a Census Bureau tool that offers statistics on different areas of the country. You can view the available Census data (including the American Community or other available survey’s) for your town. This data may be older. There is “Guided Search” feature that allows you to look in depth at available data.

DiversityData lets you customize reports with the specific information you’re looking for. You can print or email them and convert them to a PDF document. The information is only available for large metropolitan areas.

ZipSkinny offers a simple layout of Census Bureau results with a quick search of a zip code. You can view the results in chart form or compare zip codes.   

County Business & Demographic Map is interactive and lets you explore different types of statistics throughout the U.S. Choose the statistics you’re interested in such as race, ethnicity, population, housing status, etc., search any county, city, etc., and compare it with another location.

About Everyday Democracy
Everyday Democracy
Everyday Democracy (formerly called the Study Circles Resource Center) is a project of The Paul J. Aicher Foundation, a private operating foundation dedicated to strengthening deliberative democracy and improving the quality of public life in the United States. Since our founding in 1989, we’ve worked with hundreds of communities across the United States on issues such as: racial equity, poverty reduction and economic development, education reform, early childhood development and building strong neighborhoods. We work with national, regional and state organizations in order to leverage our resources and to expand the reach and impact of civic engagement processes and tools.

Follow on Twitter: @EvDem

Resource Link: http://everyday-democracy.org/resources/activity-explore-community-demographics