Hello and Happy Halloween from the New Mexico Department of Health-Celia Fisher here from the Overdose Prevention Program (OD2A) team as the SENM Overdose Prevention Coordinator.

Good afternoon from Oklahoma! Sean Couch, National Center on Substance Abuse and Child Welfare (NCSACW)/ Children and Family Futures

Good morning from San Diego! Rachel Wegner, San Diego County Office of Education

Hello everyone. My name is Emily and I provide Trauma-Informed Community Care for staff and clients of Winnebago County Health Department

Aloha from Kapolei Hawaii. Linda Kim, APRN from Hale Ho'omalu Juvenile Detention Facility Medical Unit.

Good morning from Arizona. Cori Wilson, Pinal County Public Health

Good afternoon from Northern Missouri at Preferred Family Healthcare. Kathy Rogers, RN

Good afternoon from the Atlanta Regional Commission/Area Agency on Aging. My name is Mary Newton and I am the coordinator fr our Behavioral Health Coaching Service.

good morning everyone, Kathy Sisneros (she/her/s) from SummitStone Health Partners in Fort Collins, CO. I serve as the director for Diversity, Equity and Inclusion...a newly created role.

Hello from St. Louis! Rapheal Ingram Account Manager at BHR.

Good Afternoon. Ichaun Knowles, CRPS, The Village South Inc

Hello, Happy Halloween from Chicago, IL. Tanya R. Sorrell, PhD, PMHNP-BC Rush University Substance Use Disorder- Center of Excellence!

Hello everyone, Kabrina Bland from Beacon Community Connections in Lafayette, Louisiana.

Hello Kalamazoo Michigan

Good Afternoon from Owensboro, KY. Karyleen Irizarry-Forensic & Community Health Liaison for RiverValley Behavioral Health.

Hello from Illinois! I'm Jane Lindsey, grant manager with the Illinois Dept. of Human Services-Division of Mental Health.

Hi Everyone, Jenny Mathai, from Summit Community Care in Arkansas

Hello from PA Dept. of Drug & Alcohol

Buenos Dias! Good morning from the unceded lands of the Fernandeno Tataviam Band of Mission Indians in what some call Los Angeles. National Disability Rights Network

Hello! Denver, CO WellPower (DEI Team)

Good afternoon! My name is Donna Nesbitt from Joplin MO. I am a Substance Use Counselor with Ozark Center at our adult outpatient program. Pronouns are she/her.

Hi from Columbus, OH! I work for the Ohio Association of County Behavioral Health Authorities :)

Hi! Sue Mulhern from NAMI Delaware

Hi everyone. Glendean Burton- MCH Nurse Consultant with Illinois MIECHV Home Visiting and SIDS of Illinois

Hi all, Amira Caluya from WA Department of Health, 988 program

Good afternoon from East Bay Community Action Program in East Providence, RI!

Hello/ya'ah'teeh, and Happy Halloween from the Community Opioid Intervention Pilot Project Indian Health Services Headquarters Rockville, Maryland.

Good Morning, Fernando Granados with Sierra Vista Child & Family Services Merced CA

Hello from Washington State! My name is Kerstin Springgay and I am a recent graduate and dietetic internship candidate with an interest in supporting people who are neurodivergent in all settings and in my future practice.

Good morning everyone! Calling in from Kaiser Permanente Washington

Hi, from Akron, Ohio! I am with Community Support Services.

Hello from Montgomery County, PA!

26% said no!!!! How!!!???

Hello from Boston Mass and more specifically Spectrum Health Systems DOC division!

Hello from Hampton Roads, Virginia area. Mission and Ethics leader for an acute and ancillary care health system.

My name is Mariah Samuels I am the residential clinician at CMHA

Melvin Lunkins, He, Him, HIS- Macomb County Community Mental Health, DEI Administrator

Hey there everyone! Im with The Mental Health Center of Greater Manchester!!!

Greetings from Storrs, Connecticut!

Happy Halloween from Child & Adolescent Behavioral Health in Canton, OH

Good afternoon! Beverly Holland of Metro East Recovery Council in Madison/St. Clair Counties in Illinois.

Ancestral land of Piscataway (Rockville, MD)

Hello,

Hello from Charlotte, NC! I'm Carolina (not pronounced like the state) and I work at Camino Health Center.

Is there a gender/ethnicity/race brakedown of that survey? You cant look at data in such a way

Hello, from East Bay Community Action Program in Barrington RI!

Hi, from Riverside Community Care in Dedham, MA. I'm the dir of training for our community MH outreach program

Good afternoon, New Concepts, Toledo Ohio

Good afternoon, greetings from Big D, Texas. Mae Frances Rowlett, US Dept of HHS/Administration for Children & Families/Region 6

Those survey results are very scary! And not just bc is almost Halloween!

This is along the lines of what I provide to our staff here. I am available to staff for debriefing after an escalated situation or support on a crisis situation for secondary trauma

Communities of Color reminds me of how some folks still call me "colored"

For communities of color we constantly are having to be resilient when we experience racism, ableism, colorism, and stigma.

Say the word "Racism"

For American Indian & Indigenous folks its more than decades! Its actually centuries!

Genocide

Thanks, Hector. White Privilege feels alive and quite active in America.

Adrienne Macri here

Hi Cassandra! Yes, the slide deck will be emailed out to all attendees following the webinar and additionally posted on our SJLA website, linked here: https://www.thenationalcouncil.org/event/health-equity-workshop-series-part-1-understanding-the-landscape-of-mental-health-and-substance-use-challenges/

Holocaust

Prisoners of war

9-11

Indian Boarding Schools

Systemic racism

Illegal overthrow of the Hawaiian Kingdom

911

Colonization

The War on Drugs

Slavery and Jim Crow

Colonization

Apartheid

World War one and two, immigrants relocating to America

Ableism and mental health stigma attitudes that carry on in families.

loss of language because of racism and actual repercussions for speaking one's native language

War and refugees seeking safety in America

capitalism is killing us all

removing men from the homes of families on welfare.

Yes - I saw someone call it "end stage capitalism" - feels accurate to me

Veterans of the wars for the past 120 years

Racism is the oldest, deadliest, and most costly public health issue in American. But its not talked about. We have to use words like equity and wellness and not talk about how racism is alive and thriving.

Yes, the mental health sigma against veterans.

We need to talk about the root cause of racism - white supremacy

Mental health stigma across all demographics

Equity is the word we have to use instead of racism. We cant use the word racism and instead we have to use things like equity. One is the problem and the other is the solution or tool to solve the problem. But if we cant call out the problem for what it is that is NOT equity.

Poverty is also trauma

So true Violeta!

Yes

Are we addressing the intentional fomentation of chaos and crisis of our public health?care systems through through the furtherance of a false medical model for behavioral health ?

Unchecked Broken Foster care system

Thank you, Hector, for having the courage to call it out for what it really is.

Yes, Jacqueline! So true about foster care system.

That is why Cultural Proficiency is so much better than cultural competence and what ever cultural humulity is.

How can we get to a safe place when so many of us remain in our information bubbles and retreat to our "tribes" after 5pm every day and remain there on the weekends?

"normalizes" that is ableist language, can we really "normalize" things

What would you use instead, Hector?

Yes, thanks Ami, becoming curious about our own cultural feels hugely important. Feels hard for those of us with European ancestry who are disconnected from our families and ancestors too.

Richard it's important for everyone in the workplace to be cognizant of the language used and actively work to change the working environment to be more equitable. It starts from the top down, but also has to be done by each individual of the organization

🙌

Violeta, there are great examples of how to avoid ableist language by using Plain Language in academia and presentations. That is both an accessibility consideration but also a trauma informed approached to cultural proficiency practices

What about when we feel like we're part of the system that's causing that violence and trauma?

So true Ami, just thinking of what has happened with Twitter, and also the horrible violence.

Arrrrggggghhhhh. Too true!

Yesireee, Ami

Internal Institutional Stigma in our systems of care are a very big issue! Particularly around mental health conditions

Trusted adults can and should include our caregivers, doctors, therapists, etc. However, doctors remain the most undereducated regarding behavioral health in the world imo.

I fly off the handel all the time when I experience racism, stigma, discrimination.

I was a few minutes late to logging in, did anyone mention if we will be able to access and share the recording of this session?

Yes we will Emory

Thank you!

You're welcome

The Root of Hypocrisy in America is how undereducated our doctors are in the nervous system and restorative sleep education.

in my opinion

Great presentation Ami. You gave me so much to think about today.

Face to face, smiles, and tone in emails are all so important with colleagues

Encouraged to use sick, vacation, and PTO without gatekeeping.

Our organization struggles. Some staff will not even respond if you say good morning. They will just look right through you and walk right you as if you aren't even there.

monthly therapist supervision/support meetings

Inclusive ARGs, Pride, POC, BEN, PAC

I let people know how much I appreciate not only them and what they do for the org but who THEY ARE and the perspectives they bring to the table.

My organization hired me to provide Trauma-Informed Care to our staff to help with crisis situation, distress, and secondary trauma. I have office hours specifically for staff 3 times a week

I have had supervisors who have been excessively racist, homophobic/transphobic, and just overall incompetent when it came to the various aspects of culture while working in MH as well as SUD but voicing those concerns resulted in being dismissed as "too sensitive" or berated for speaking up. However, my current organization does an excellent job with trying to be more inclusive as well as affirmative, ensuring we're all supported while supporting our clients. I'm currently on the Diversity committee and just recently did a training on working with LGBTQI+ clients.

Our employer provides and actively engages in accessibility to People with Disabilities

Addition of "mental health days" that are separate from sick days or other PTO to encourage caring for wellbeing regularly

using PTO and supervisions

Compassion Responders Team

weekly team meetings on Teams for 30-minutes for our team to just chat...no shop-talk. It's a check-in and we are expected to attend most sessions. very supportive across the team

Utilize "breathe sessions" to promote open conversation in small groups.

face to face group meetings on at least a monthly basis to share and listen

How can people know they have not done harm if folks are not allowed to say they are being harmed. Lets remember what happened to Georged Floyd. There was a leg on his neck, he was saying he cant breath. When we don't talk address the harm w/o blaiming/scapegoating the folks who are hurt we just cant breath.

Cultural Competency Training's

directing with empathy and curiosity

new paternity leave policy at my organization

My organization has EAP (employee assistance programs) 6 free counseling sessions for employee and their families.

TIC

An individual in our department regularly holds "Courageous Conversations" where we are open to discuss work and non-work issues. We've utilized these meetings to discuss social and political unrest and social justice issues as they are happening. It is helpful to discuss this with our team rather than avoid it.

We often have pot luck luncheons to celebrate holidays, including other cultures.

we encourage time off, encourage constant communication (we have an open door policy and encourage individuals to join conversations that they hear if they're interested), we have weekly staff meetings so individuals are able to join projects they're interested in,

outings for staff

trainings; BH clinical sessions; EAP

Monthly on-site presence of counselor/therapist rounding in departments and available for one-to-one "walk-in" sessions

EAP

We practice cultural humility. We continue to build a shared language with staff on how to hold BRAVE space conversations and we host monthly opportunities to have open discussions on the "isms" (racism, ageism, sexism, etc) as well as any topics under the JEDI umbrella. We also have Cultural Bulletin boards that get updated each month to spot light cultures from around the world.

We have a 3 by 3 rule. When you are within 3 yards of someone you acknowledge them and then you are within 3 feet, you engage with them (hello, etc.). Our boss asks for our thoughts, opinions, and ideas and actually uses them. They also encourage us to use our PTO and expects us to fully step away from work when we take time off.

The organization provides training and continually engages in diversity elements to address equality.

my boss is very successful in isolating our team from office drama. very straight about what is going on and gets it out of the way

On-site Tranquility Room available 24/7 with additional resources posted therein

I started a nurses supporting nurses group . a 45 min TEAMS mtg where nurses can discuss anything they may be experiencing. ALL CONFIDENTIAL. The group is going well.

Invest in ways to have fun with colleagues in a virtual space. Virtual happy hour/ talent show, slack for employee pets...

Sensory room for staff

we have a moral team and a self care team. we implemented self care into our annual supervision and our supervisors have one on one check ins to make sure people are following their selfcare plans

we have also done a lot of trainings around self care and Suicide awareness and prevention.

Monthly "engagement" activities for all staff to foster "fun": Most recent, Pumpkin decorating contest!

One of the leading reasons why so many highly marginalized and disenfranchised communities have had the worst health outcomes to COVID19 is the racial/ableist/heterosexist disparities that drive mental health conditions

Yes, thanks Aaron, high numbers and go along with an intentional fomentation of crisis and chaos thanks to pharmaceutical and other special interests imo running their game plan through our public systems and the Biden administration imo.

Hopping Aaron will say the word

Hearing a lot of background noise -anyone else?

I am too Maria

I am too!

A lot of background noise is distracting.

Me too

Sorry about that everyone 🙏

So true about safe spaces. In Los Angeles County all of our public operated mental health clinics have armed security guards and armed LA County sheriff. For so many of our communities that is retraumatizing to go to heal at places where we don't feel safe.

Hector, that sounds awful :-(

Sorry for the background noise, all - Aaron has some construction going on in his background

I personally dread announcements of group pumpkin decorating events/ happy hours/ talent show etc, and other creative bonding times. Personally as a parent I have a large commitment to those activities outside of work. For me building culture is about nurturing professional grow up me. My lived experience is that these events often conflict with me getting things done that move us towards making the mission come alive. I appreciate many of the suggestions posted in this chat but wanted to convey in practice these special staff events usually lead to staff having to commit time to planning, implementing, and cleaning in their work schedule. I feel like it is disconnected from my work life balance. I bond better with my peers through creative works that lead us to gain new ideas for how we can grow as professionals. My current Ed has included interactive introspective activities as part of our monthly staff meetings which has helped me better understand my coworkers. I felt we grew in emotional intimacy.

Los Angeles County has the largest number of people with mental health conditions (mental illnesses/mental brain disorders/psychiatric disabilities). The majority are in Jails or unhoused out on the streets. Not because they don't seek services but bc things like fear/stigma/biases :-(

I heard someone use the term "lived expertise" in addition to "lived experience". It was a presentation on peer certification in California

@Angela - thank you for sharing. We host monthly offerings DURING the work day for this very reason. Staff stay on the clock and it's 100% voluntary to join in.

Thanks @Jacquilyn Davis for sharing that clarification. It's the same for our "engagement activities" as well. Hope that helps, @Angela Campos.

"Uncomfortable Spaces and Uncomfortable Conversations” sounds like my next presentation proposal

Hector, I love the term "lived expertise" (I'm a professional with my own lived expertise & have the Certified Recovery Support Specialist --CRSS-- credential in IL)

Wish our smaller worksite would make a private space for staff to go to meditate, decompress when needed. Sign ups for such a space would always be full!

here is that article with the diagrams: https://focus.psychiatryonline.org/doi/epdf/10.1176/appi.focus.20150017

Thanks for the article, Martie!

Very helpful your earlier share, Angela. Thank you. Feels like our organizations locally have become siloed purposefully with varying missions that have ended up detracting from accomplishing true behavioral and mental health wellbeing within organizations and collectively with other county organizations.

What really is a "stakeholder"? This is also a big problem in our systems of care, who is really being engaged as authentic stakeholders? This goes to the "Nothing About Us With Out Us" issue.

Thanks for this presentation

agree on Parks and Recreation. Their teams are being asked to address homelessness issues and low-barriered services with scholarships for youth and families. Can have gym and fitness, showers, pool.

we need more partners that are available after the 9:00 to 5:00 workday and weekends.

@Jacqueline....yes, i agree!

I understand that we have to be conscious of time...And speaking only for my self, these slides are flying by a little too quick for me to have an opportunity to absorb the "Meat & Potatoes" of the mort informative and impactful slides.

*more

I think that there are missed opportunity for partners, many of our partnerships are transactional while they could certainly be more transformational like what Amy was discussing with parks

Hi Danny! A PDF of the slide deck and a recording of today's webinar will be emailed to all attendees and additionally posted on our SJLA website linked here: https://www.thenationalcouncil.org/event/health-equity-workshop-series-part-1-understanding-the-landscape-of-mental-health-and-substance-use-challenges/ if you would like to go back and review the slides at a later time :)

Oh Awesome...Thank you so much. Glad I said something, now!! LOL👌🏽

Meetings

monthly meetings

Regular scheduled meetings within the work day

Weekly meetings

Cultural events

I don't meet with stakeholders

call to set up meetings, email, health fairs

We host kids' carnivals and family events

community dinners monthly

Social media

with childcare!

Regular phone contact and some face to face meetings

We have a community coalition that meets bi-monthly on a larger level, and the board meets weekly.

Forums; Social media; Attending/participating in City Council meetings; HOA meetings; Civic League meetings; Allowing our meeting space for free to local orgs for the their meetings.

We are re doing our stakeholder engagement spaces. Trust building is big element. We are focusing on Reconsiliation and Healing

Really focusing on racial justice framing

The loneliest part of the day is in the evening when professionals are not available.

This was great! Thank you so much

Thank you

There are 24/7 Hotline and Helplines for those lonely times where providers are not available

Thank you for the great information.

Thank you !!!!!

Thank you

Is there any talk about addressing addiction through social justice reform on crime.

thank you

Thank you for the information.

Great presentation! I feel like I am back in grad school and I really appreciate the knowledge

Use white priviledge to uplift and amplify marginalize communities.

Somatic awareness and humbling of the white body?

affinity spaces are important too!

Thank you!

Great Presentation! It was reaffirming and uplifting!

Thank you!

Become an ally, become a partner, become a sibling, become an accomplice in solidarity!

Thank you for the presentation and information

DEI is from the last decade. Its now DEIA bc it included "Accessibility"! :-)

Thank you so much for this informative session.

Our organization uses DEIB with B standing for "belonging"

Accessibility seems to have a different meaning for political operatives imo

thanks so much awesome training

@Denise how so?

https://www.unison.org.uk/content/uploads/2017/11/UNISON-tackling-hate-a-workplace-issue-Nov2017.pdf

I would think about policies around microaggressions- both for staff and clients

The name of the book again please

What was the name of the book again? Thank you.

The Sum of Us - great book!

U.S. Access Board Releases Diversity, Equity, Inclusion, and Accessibility (DEIA) Strategic Plan https://www.access-board.gov/news/2022/08/17/u-s-access-board-releases-diversity-equity-inclusion-and-accessibility-deia-strategic-plan/

The Sum of Us by Heather McGhee

The Sum of Us is good on audiobook too!

Thank you

Book information: The Sum of Us: What Racism Costs Everyone and How We Can Prosper Together by Heather McGhee

From Homefront/Veteran's Plaza , Fresno Ca.

We just had the decriminalization of some folks who have been convicted bc of cannabis/marijua charges

Needs a lot more work

In my state we at the state level and Harm reduction and Overdose Prevention we have talks to our law enforcement and judicial systems to looking into that further and getting them treatment instead of criminalization love what you said!

Register for part two of our workshop series here: https://thenationalcouncil-org.zoom.us/webinar/register/WN_cDI5XY1HT_q4714vVp9u5Q

Grateful to NCMW, the panelists, and participants sharing today. Always lots to learn, and grateful to be among people who really want to engage in that as well. Have a lovely week all :)

Thank yoU!

Thank you!

Thank you!

thank you

https://www.surveymonkey.com/r/SLJASession7

Thank you!

Gracias!

Thank you!

Thank you all so much!

Thank you!

Thank you!!