"Find Help. Find
Hope."
|
|
Motto
|
"You
are not alone"
|
Founded
|
1979
|
Founder
|
Harriet
Shetler and Beverly Young
|
Type
|
Non-Profit
501c3
|
Area served
|
United
States
|
Method
|
Support,
Education, Awareness, Advocacy and Research
|
Improving
the lives of individuals and families affected by Mental Illness
|
National Alliance on Mental Illness
The National Alliance On Mental Illness (NAMI) is a nationwide grassroots advocacy group, representing
families and people affected by mental disorders in
the United States. NAMI provides psychoeducation, research and support for people
and their families impacted by mental illness through various public education
and awareness activities. The National NAMI organization is
based out of Arlington, Virginia. NAMI is organized further into State and
Local affiliates, all operating mainly with the work of thousands of
volunteers. Members of NAMI are typically consumers of mental health services,
family members, and professionals working together toward common goal.
There are over 1,000 NAMI chapters,
represented in all 50 states. NAMI has 9 signature programs,
many which have been shown to be efficacious in research studies.
History
NAMI was founded in Madison, Wisconsin
by Harriet Shetler and Beverly Young. The two women cared for sons diagnosed
with schizophrenia, and were tired of their sons being
blamed for their mental illness. Unhappy with the lack of services available
and the treatment of those living with mental illness, the women sought out
others with similar concerns. The first meeting held to address these issues in
mental health was much larger than expected, and eventually led to the
formation of the National Alliance on Mental Illness.
Mission
NAMI works to keep family safety nets in place, to
promote recovery and to reduce the burden on an overwhelmed mental health care
delivery system. The organization works to preserve and strengthen family
relationships challenged by severe and persistent mental illness. Through
peer-directed education classes, support group offerings and community outreach
programs, NAMI's programs and services draw on the experiences of mental health
consumers and their family members. They learned to manage mental illness
successfully and are trained by the organization to help others do the same. In
addition, NAMI works to eliminate pervasive stigma, to effect positive changes in the mental health system
and to increase public and professional understanding about mental illness.
Structure
The National Alliance on Mental Illness is organized into
state and local city or county wide affiliates in an attempt to more accurately
represent those in the surrounding communities. National and State NAMI
Organizations function to provide Governance, Public Education, Political
Advocacy, and management of NAMI's Educational Programs. Providing support
for mental
health consumers occurs at more local
levels, and typically involving assistance in obtaining mental health
resources, scheduling and administration of NAMI's programs, and local meetings
and events for NAMI members in the community.
Programs
The National Alliance on Mental Illness offers an array of
support and education programs at no cost for individuals and families. The
programs are set up through local NAMI Affiliate organizations, with different
programs varying in their targeted audience.
The NAMI Programs address multiple
components of the psychiatric needs facing people who struggle with mental
illness. Those needs can be visualized as a "three-legged stool" with
access, diagnosis, and treatment as the three legs. The first leg is lack of
access: sixty-seven percent of people with a DSM-IV diagnosis are not in any
type of treatment, according to a 2005 article in the New England Journal of Medicineby Kessler and colleagues. Second is a
need for correct diagnoses: fifty percent of people who received mental health
treatment, in any setting, had no psychiatric diagnosis, according to Kessler
and colleagues. The third issue is lack of effective treatment practices: over
the last fifteen years, the field made great advances in reaching out and
effectively treating people with mental illness. Kessler and colleagues showed
that the treatment rate for people with serious mental disorder rose from 24.3
percent in 1990–1992 to 40.5 percent in 2001–2003.
NAMI Family-to-Family
The NAMI Family-to-Family Education
Program is a free 12-week course targeted toward family and friends of
individuals with mental illnesses. The courses are taught by a NAMI-trained
family member of a person diagnosed with a psychiatric disorder. Family-to-Family
is taught in 44 states, and two provinces in Canada. The program was developed
by Clinical Psychologist Joyce Burland, PhD.
Purpose
The Family-to-Family program provides general information
about mental illnesses and how they are currently treated. The programs cover
mental illnesses including Schizophrenia, Depression, Bipolar Disorder, etc.), as well as the benefits and side effects of
medications. Family-to-Family, like the rest of NAMI programs, take a
biologically-based approach to explaining the mental illnesses and treatments.
In addition to providing information on mental illness, the
Family-to-Family program teaches coping skills and the power of advocacy to
students. Empathy is hoped to be gained by students' better understanding of
the subjective experience living with a mental illness entails. Special
workshops also teach problem solving, listening, and communication techniques.
In regards to advocacy, Family-to-Family provides family members with guidance
on locating support and services within surrounding areas and information on
current advocacy initiatives dedicated to improving available services.
Evidence Basis
The NAMI Family-to-Family program has
shown to improve family empowerment, the way family members problem solve
internal problems, and reduced the anxiety of participants in randomized
controlled trials; A finding which was shown to
persist 6 months later. These studies confirm preliminary
findings that Family-to-Family graduates describe a permanent transformation in
the understanding and engagement with mental illness in themselves and their
family. Because a randomized controlled trial is at risk of poor external validity by
mechanism of a Self-selection,
Dixon and colleges sought out to strengthen the evidence basis by confirming
the benefits attributed to Family-to-Family with a subset of individuals who
declined participation during initial studies.
The NAMI Family-to-Family program was
found to be effective in increasing Schizophrenia patient caregivers'
self-efficacy while reducing a subjective burden and need for information. In light of recent research,
Family-to-Family was added to the SAMSHA National Registry of Evidence-Based Programs
and Practices (NREPP).
NAMI Peer-to-Peer
The NAMI Peer-to-Peer is a 10-week educational program
aimed at adults diagnosed with a mental illness. The NAMI Peer-to-Peer program
describes the course as a holistic approach to recovery through lectures,
discussions, interactive exercises, and teaching stress management techniques.
The program provides a "toolkit" of information, teaching about the
various mental disorders' biology, symptoms, and relation to personal
experiences. The program also teaches about interacting with healthcare providers
as well as decision making and stress reducing skills. The Peer-to-Peer
philosophy is centered around certain values such as individuality, autonomy, and unconditional
positive regard.
Preliminary studies have suggested
Peer-to-Peer provided many of its purported benefits (e.g. self-empowerment,
disorder management, confidence).Peer interventions in general have
been studied more extensively, having been found to increase social
adjustment
NAMI In Our Own Voice
The NAMI In Our Own Voice (IOOV) program started as
a mental
health consumer education program for
people living with schizophrenia in 1996. The program was based on the idea
that those successfully living with mental illness were experts in a sense, and
sharing their stories would benefit those with similar struggles. The program
approached this by relaying the idea that recovery is possible, attempting to
build confidence and self-esteem. Because of the initial success of the and
positive reception, NAMI In Our Own Voice also took on the role of public
advocacy.
NAMI In Our Own Voice involves two
trained speakers presenting personal experiences related to mental illness in
front of an audience. Unlike the majority of NAMI's programs, In Our Own Voice
consists of a single presentation educating groups of individuals with the
acknowledgement many are likely unfamiliar mental illness. The program's aims
today include raising awareness regarding NAMI and mental illness in general,
addressing stigma, and empowering those affected by mental illness.. Other than those directly affected
by mental illness, In Our Own Voice often educates groups of individuals like
law enforcement, politicians, and students.
In Our Own Voice has been shown to be
superior at reducing self stigmatization of families when compared to clinician
led education. Research into the effectiveness of
the NAMI In Our Own Voice program has shown the program also can be of benefit
to Graduate level therapists and adolescents.
NAMI Basics
The NAMI Basics Program is a six-session course for parents or
other primary caregivers of children and adolescents living with mental
disorders. NAMI Basics is conceptually similar to NAMI Family-to-Family in that
it aims to educate families, but recognizes providing care for a child living
with mental illness presents unique challenges in parenting, and that mental
disorders in children typically manifest differently than in adults. Because of
the development of the brain and nervous system throughout childhood and
adolescence, information regarding mental illness biology, presentation, is
fundamentally different than with adults. The NAMI Basics program has a
relatively short time course to accommodate parents' difficulty in attending
because of their caregiver status.
NAMI Connection
The NAMI Connection Recovery Support Group Program is a
weekly support group connecting adults living with mental illness in a
structured setting. The program is reserved for adults living with mental
illness in order to promote self-disclosure by maintaining a confidential and relaxed
environment. The support groups are led by trained facilitators who are
considered to be "living in recovery" themselves.
NAMI On Campus
Students promoting a university affiliated NAMI On Campus
organization
NAMI On Campus is an initiative for
university students to start NAMI On Campus organizations within their
respective universities. NAMI On Campus was started to address the mental
health issues of college aged students. Adolescence and early adulthood are
periods where the onset of mental disorders are common, with 75 percent of
mental disorders beginning by age 24. When asked what barriers, if any,
prevented them from gaining support and treatment, surveys found stigma to be the number one barrier.
Funding.
NAMI receives funding from both private
and public sources, including corporations, federal agencies, foundations and
individuals. NAMI maintains that it is committed to avoiding conflicts of
interest and does not endorse nor support any specific service or treatment. Records of NAMI's quarterly grants
and contributions since 2009 are freely available on its website.
Criticism
The funding of NAMI by multiple
pharmaceutical companies was reported by the investigative magazine Mother Jones in 1999, including that an Eli Lilly & Company executive was then "on
loan" to NAMI working out of NAMI headquarters.
During an investigation into the drug
industry’s influence on the practice of medicine U.S. Senator Chuck Grassley (R-IA)
sent letters to NAMI and about a dozen other influential disease and patient
advocacy organizations asking about their ties to drug and device makers. The
investigation confirmed pharmaceutical companies provided a majority of NAMI's
funding, a finding which led to NAMI releasing documents listing donations over
$5,000.