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of NAMI Homefront

Live Online Program

A NAMI peer education program for families of military Service


Members and Veterans with mental health conditions

Developed by Teri S. Brister, Ph.D. and Suzanne Robinson, MSW

Participant Manual
Acknowledgements
The development of this curriculum and the launch of NAMI Homefront would not have been
possible without support from the Bristol-Myers Squibb Foundation, Universal Health Services,
Inc., Janssen Research & Development, the Cigna Foundation, and the Harry and Jeanette
Weinberg Foundation. NAMI also thanks the team at Dale Carnegie Digital for curriculum design
services and training related to the online version of NAMI Homefront.

Numerous people and organizations contributed to the development of this program including
Veterans, active duty military personnel, family members and people in recovery. Special
appreciation goes out to the members of the Expert Advisory Committee convened specifically
for this project. These individuals came from across the country to meet and lay out the initial
groundwork for development of the NAMI Homefront curriculum. Committee members
included:

Ann Canastra, MS, NCC, LMHC, ACS, Recovery Coordinator


Syracuse VA Medical Center, NAMI Syracuse, NY
Leisa Easom, PhD, RN, Executive Director
Rosalynn Carter Institute for Caregiving, Georgia Southwestern State University, Americus, GA
Gini Haffner, Mother of a Veteran, NAMI Teacher and Trainer
NAMI Ohio (Ret) and NAMI Calhoun County, MI
Andrew Laning, CMSgt, USAF (Ret), Divisional Director of Military Programs
United Health Services, Colorado Springs, CO
Susan J. McCutcheon, RN, EdD, National Mental Health Director of
Family Services, Women’s Mental Health and Military Sexual Trauma
U.S. Department of Veterans Affairs, Washington, DC
Brenda Piper, Mother of active duty military, Affiliate Development & Programs Director
NAMI North Carolina, Raleigh, NC
Michelle Ready, Wife of a Veteran, Assistant Program Director
NAMI South Carolina, Columbia, SC
Michelle Sherman, PhD, Clinical Psychologist and Behavioral Health Coordinator
University of Minnesota N. Memorial Family Medicine Residency Program, Minneapolis, MN
Terri Tanielian, MA, Senior Analyst
RAND Corporation, Washington, DC
Candace True, DMA, US Army (Ret)
NAMI Veterans and Military Council, NAMI South Carolina, Columbia, SC

This program is a cultural adaptation of the NAMI Family-to-Family program developed by


psychologist and family member Dr. Joyce Burland. NAMI Family-to-Family was designated as an
evidence-based practice in May 2013 and is listed on the National Registry of Evidence-based
Programs and Practices (NREPP). We respectfully acknowledge the early work of Dr. Burland in
the development of that pioneering program.

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NAMI, the National Alliance on Mental Illness, is the nation’s largest grassroots mental health organization
dedicated to building better lives for the millions of Americans affected by mental illness.

What started as a small group of families gathered around a kitchen table in 1979 has grown into the
nation's leading voice on mental health. Today, we are an association of hundreds of local affiliates, state
organizations and volunteers who work in your community to raise awareness and provide support and
education that was not previously available to those in need. http://www.nami.org

A toll-free NAMI HelpLine is available Monday – Friday, 10a.m. – 6p.m. ET. 1-800-950-6264 or info@nami.org

Additional Resources for NAMI Homefront can be found at www.nami.org/HomefrontResources

Access to NAMI national education programs and materials


NAMI Homefront is a NAMI national education program and as such is the intellectual property of NAMI.
NAMI grants access to program manuals and other program materials to NAMI State Organizations who
have sought and obtained permission from NAMI to bring a NAMI program to their state. NAMI Affiliates
are granted access to these intellectual properties via their NAMI State Organization. NAMI national
education programs are only available through NAMI State Organizations and NAMI Affiliates. In return
for access to the NAMI national education programs, the NAMI State Organization and NAMI Affiliates
are expected to maintain the fidelity of the programs. All NAMI national education programs are free to
participants. Participants will not be charged a fee of any kind for enrolling and/or participating in any
NAMI national education program. NAMI neither requires nor recommends payment of any type for
program leaders of any NAMI program. The NAMI National Education Programs Code of Conduct can be
found in the handouts for Class 1 of the NAMI Homefront course materials.

Copyright
• All NAMI national education program material is copyrighted. Permission to use any material in a
setting other than a NAMI national education program must be sought from and given by NAMI in
advance. In every case where permission is granted, NAMI must be referenced as the source of the
material
• No portions of any NAMI national education program may be used as a component of any other kind
of program development or presentation
• No group or individual outside of NAMI can rewrite any of the NAMI national education program
material

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NAMI National Education Programs Code of Conduct, 2017
NAMI national education programs are built around the principles of mutual trust and respect among
participants and leaders. Certified program leaders are representatives of NAMI and NAMI holds these
leaders to certain standards of conduct during the provision of NAMI services. This Code of Conduct is
covered during leader trainings and is included in all NAMI program manuals so that participants also
know what to expect from NAMI programs.

What we ask of you as a NAMI national education program participant:


• Attend programs with an open mind and open heart
• Maintain the confidentiality of all participants by not discussing personal topics outside the program
• Take from the program the information that you believe is most helpful for you
• Find an atmosphere of support in the program that enables you to feel comfortable sharing with
others, knowing that what you share will be respected and held in confidence by the other participants

What we ask of you as a NAMI national education program leader:


• Provide a safe and respectful environment for program participants
• Prepare for each class, presentation or support group meeting and conduct yourself, to the best of
your ability, with courteous and respectful behavior
• Actively pursue maintaining your own wellness and respect your own emotional and physical resources
and limitations
• Understand the difference between peer support and therapy and do not act in the capacity of a
therapist or mental health professional. Offer only the services that you have been trained to provide
and ask for assistance as needed.
• Respect the cultural differences of program participants
• Respect the privacy of program participants by creating an environment of confidentiality in the
program setting and by holding in confidence sensitive, private and personal information. As a NAMI
program leader, you must also be prepared to break confidentiality when you believe there is a danger
of harm to a participant or others.
• Maintain appropriate boundaries by not engaging in romantic, physical or sexual relationships with
participants in the NAMI program you are leading. Recognize that it is best practice for participants to
attend a class or support group not led by someone with whom they are in a relationship, to avoid
potential conflict and the discomfort of other participants.
• Refrain from promoting your own personal or spiritual beliefs
• Do not endorse/promote any individuals, groups or businesses in which you have a personal or
financial interest
• Remain accountable for your own behavior and keep personal opinions and actions separate from
those made as a representative of NAMI. Understand that your actions and behaviors reflect on the
integrity of NAMI national education programs and impact the public perception of NAMI as an
organization.

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NAMI Homefront: Live Online Training Program

Learning Objectives for all Classes


On completion of this program, you will be able to:

Class 1: Introduction to NAMI Family Education


1. Recognize NAMI’s mission and the goals of the NAMI Homefront Program
2. Recognize that the terms mental health conditions, mental illness and mental health disorders are
used interchangeably throughout the NAMI Homefront course to refer to biologically-based
conditions such as depressive disorders, bipolar disorder, post-traumatic stress disorder and anxiety
disorders
3. Identify the stigma surrounding mental health conditions, specifically in the military
4. Recognize the bio-psycho-social dimensions of mental health conditions
5. Identify the predictable stages of emotional reaction to mental health conditions
6. Explain the double-edged sword of positive and negative symptoms of mental health conditions

Class 2: The Biology of Mental Health Conditions & Getting a Diagnosis


1. Recognize that mental health conditions/mental illnesses are biologically-based physical conditions
2. Recognize the complexity of the brain and how mental health conditions can have an impact on
brain development and functioning
3. Identify how genetics, heredity, trauma and the environment are thought to be involved in the
development of mental health conditions
4. Explain the critical periods in mental health conditions related to obtaining a diagnosis,
stigma/discrimination, aggressive or challenging behaviors, as well as common myths and facts
5. Recognize they are not alone in this journey having heard the personal stories of the others
attending the course

Class 3: Understanding Trauma & Overview of the Diagnoses


1. Recognize the impact that trauma (both physical and psychological) can have on people in general
and on Service Members and their families specifically
2. Identify various forms of collateral damage and the challenges related to adapting combat readiness
training (Battlemind Skills) to civilian life
3. Identify symptoms and behaviors associated with various common diagnoses including mood
episodes/disorders, schizophrenia, PTSD, anxiety disorders, obsessive compulsive disorder (OCD),
borderline personality disorder, substance-related and addictive disorders

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Class 4: Treatment Services & Crisis Management
1. Identify the general components of the Department of Defense Military Health System
2. Identify the general components of the Department of Veterans Affairs Health System
3. Recognize the framework of civilian mental healthcare systems; public and private
4. Identify the various types of therapeutic interventions and treatment providers involved in mental
healthcare
5. Explain how psychiatric medications work and the role they play in treatment

Class 5: Crisis Preparation & Communication Skills


1. Recognize and accept the difference between the mental health symptoms and the person
2. Understand the mechanisms of a psychiatric crisis and learn to develop plans to be prepared
3. Demonstrate effective communication skills that can assist in crisis situations, and day to day
relationships

Class 6: Family Roles, Recovery & Self-Care


1. Identify effective problem solving skills that will increase collaboration within the family
2. Recognize the importance of self-care for the family caregiver
3. Identify the varying ways that mental health conditions impact individuals based on their role in the
family
4. Explain the importance of seeing recovery as a process for the individual and the family; this course
is the beginning

Target Audience
NAMI Homefront is designed specifically for spouses/partners, parents, siblings, adult children and other
loved ones of military personnel/Veterans dealing with the complex challenges presented by symptoms of a
mental health condition. This includes Service Members who have been formally diagnosed and those who
are experiencing symptoms but may not have received a diagnosis. All NAMI programs are provided without
regard to race, ethnicity, religion, sexual orientation and other potentially discriminating factors.

Delivery Methods
 Live online delivery with Adobe Connect and integrated audio (VOIP or telephone TBD)
 Webcam required for Participants
 Video and audio clips
 Activities between classes

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Program Length
Total = 12 hours Live online; Pre-work/Homework = 2 – 4 hours
 Each class is 2 hours long

Pre-requisite Learning and Homework Assignments


Before Class 1: Review the NAMI Homefront Education Program Belief System and Principles
Before Class 2: Prepare to share your personal story regarding your Service Member in Class 2
Before Class 3: Review the Crisis File and complete as much as possible
Before Class 4: Review material in Class 3 titled Homework to Review for Class 4 which includes information
on:
1. Department of Defense Mission & History
2. DoD Military Health Systems
3. VA Healthcare
4. Principles that Guide VA Healthcare
5. Federal Benefits for Veterans, Dependents & Survivors
Before Class 5: Pay attention to any communications or conversations with your Service Member that may
make you feel awkward or uncomfortable.
Before Class 6: Review the information about Collaborative & Proactive Solutions in the Class 5 of the
Participant Manual. Research CPS online at www.livesinthebalance.org

Teacher Information
Name(s): Contact Info:

Teacher Name One: ____________________________ email address: ______________________

Teacher Name Two: ____________________________ email address: ______________________

Producer Name (if needed): ______________________ email address: ______________________

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NAMI Homefront
Live Online Program

Participant Manual
Class 1
Class 1: Introduction to NAMI Family Education

Class Objectives
By the end of this class, you will be able to:
1. Recognize NAMI’s mission and the goals of the NAMI Homefront Program.
2. Recognize that the terms mental health conditions, mental illness and brain disorders are used
interchangeably throughout the NAMI Homefront course to refer to biologically-based conditions
such as depressive disorders, bipolar disorder, post-traumatic stress disorder and anxiety disorders.
3. Identify the stigma surrounding mental health conditions, specifically in the military.
4. Recognize the bio-psycho-social dimensions of mental health conditions.
5. Identify the predictable stages of emotional reaction to mental health conditions.
6. Explain the double-edged sword of positive and negative symptoms of mental health conditions.

About NAMI
Notes:

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NAMI Education Program Belief System and Principles

We believe:
You are the expert. We honor the fact that you and your loved one are the best judges of what will and
won’t work in your situation. No one expects you to become a perfect caregiver because of this program.
There will be no pressure to follow any of the suggestions we offer or for you to share anything you don’t
want to talk about. We want you to learn to trust your own instincts and take from this program whatever
you find helpful.

You don’t need to know everything. NAMI programs are not designed for you to learn or remember all this
information. Our goal is for you to develop a critical skill: being able to find what you need. At the end of this
program, we want you to know where to find the information you need and how to find it when you need it.
We want to build a compassionate learning community where we strengthen each other.

You can’t know what no one has told you. As you learn new facts in this program, you may feel that you
should have already known some of this information, or that you should have found it on your own. We ask
you to remember that you can’t possibly know what no one has told you. None of us knew any of this
information until someone told us.

Mental health conditions are no one’s fault. Because of stigma, many families are wrongly blamed for their
loved one’s difficulties. Such blame is devastating. Psychiatrist Dr. Ken Terkelson has said, “The thought of
having brought harm to a loved family member, intentionally or unintentionally, consciously or
unconsciously, causes intolerable guilt.” We address those feelings of guilt by insisting that these conditions
are no one’s fault.

Mental health conditions are biological. We recognize that the stigma surrounding these conditions and even
the terms—like diagnosis, mental illness, brain condition—adds to the difficulties families face. Stigma is
caused by misunderstanding—many people don’t know that mental illnesses are biological conditions like
any other physical illness. We recognize that this stigma makes families’ experiences even more difficult. In
this program, we refer to various mental illness diagnoses collectively as “mental health conditions.”

Mental health conditions share universal characteristics. Rather than talking about specific diagnoses, we
focus on the symptoms and challenges presented by the conditions—regardless of the diagnosis. This will be
helpful for you since the diagnosis can change over time. Because many of the conditions have similar
symptoms, and they all present challenges for our loved one and for us, we can learn from each other’s
experiences, regardless of what diagnosis our loved one may have.

We offer you:
Current information. The material shared in NAMI programs is the most current information possible. We
review the curriculum on a regular basis to reflect scientific advances in the field.

A variety of solutions. It’s natural to look for quick solutions to the difficulties we and our loved one face.
There is no magic formula that will fix everything, and no treatment approach guaranteed to work for
everyone; but we know it’s possible to live well with mental health conditions. This can be a lifelong journey,
and challenges tend to come in cycles. Because knowledge is powerful, we believe that by helping you
understand as much as possible about these conditions and their treatment, you’ll be better able to find
options that will work best for you and your family.

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Empathy and understanding. When we understand how our loved one experiences their life, communicating
and solving problems with them gets easier for us. NAMI programs aim to help you understand what your
loved one may need to function better in the world, and what you can do to help. As you gain insight, you
will learn what you can realistically expect from your loved one and from yourself.

Information about resources in your community. Throughout the program, we’ll provide you with information
about the community services in your area. We also consider each of you a valuable resource because of
your experience dealing with mental health providers, service systems and other community resources.

Mental health conditions are physical illnesses that result when one of the many
mechanisms of the brain is not adequately doing its job.

Notes:

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Let’s Meet!

Note: Teacher and Producer contact information on page v.

1) Tell us the Branch of service your Service Member is/was part of.

2) What is your relationship to the Service Member (spouse/partner, parent, sibling, etc.)?

3) Provide the diagnosis or symptoms of your Service Member.

4) What is the most pressing issue you are dealing with right now? In 50 words or less.

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Stigma

Notes:

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The Aftermath of Ten Years of War

2013 Department of Defense (DoD) = 3.6 million individuals

• 42,000 Coast Guard


• 1.1 million Ready Reserve
• 215,000 Retired Reserve
• 21,000 Standby Reserve
• 921,000 Civilian personnel
• 1.4 million Active duty military
➢ 40% Army
➢ 23% Navy
➢ 23% Air Force
➢ 14% Marines

2013 DoD Families by the numbers

• 56.6% of active duty Service Members (all services) are married


• 5.3% are single with children
• 38.9% are married with children

Totals 2003 – 2013

• 2,000,000 Service Members deployed


• 800,000 experienced multiple deployments
• 300,000 live with PTSD or Major Depression
• 44,000 amputations, burns, gunshot or shrapnel wounds
• Traumatic Brain Injury (TBI)—signature wound—estimates range from 10-20% of returning Service
Members

1.4 million Service Members


726,000 spouses
+ 1.4 million children (77% 12 years of age or younger)

A lot of lives impacted by service to our country

Office of Deputy Under Secretary of Defense (Military Community and Family Policy)

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Bio-Psycho-Social Dimensions of Mental Health Conditions

The three dimensions of mental health conditions—bio-psycho-social—are interdependent.

• No one dimension can ignore the knowledge base of the other two.
• Focusing on one dimension alone is not sufficient for recovery.

Biological/Physical Psychological/Emotional Social/Occupational


Medical Dimension: Personal Dimension: Psychology- Rehabilitation Dimension:
Science-based knowledge based knowledge Services-based knowledge

Focus: Medical aspects of the Focus: Emotions and feelings Focus: Re-establishing connection
condition
The inner experience of mental Definition and testimonials of
Symptoms; Diagnosis health conditions recovery

Future course of illness Normative family responses to Principles of rehabilitation


(prognosis) the stresses of mental illness
Vocational challenges
Acute care in critical periods Telling our stories; validating (acquiring skills via training or
family strengths school)
Medications and side effects
Coping strategies used to Sources of system/community
Adherence to treatment protect self-esteem in mental support
health conditions
Scientific advances in Restoration of social ties
medications Empathetic listening and
responding skills Rebuilding after transitions
Early warning signs of relapse (hospitalization, incarceration,
Challenges of different relative relocation, deployment,
Impact of mental health on roles in the family separating from the military)
overall health
Handling anger, frustration, and Long-term care
Insight into clinical realities of feelings of confinement
brain disorders Increased self-determination
Coming to terms with
Best medical strategies to “shattered dreams” Maximum personal fulfillment
maximize recovery and quality of life
Self-care skills; keeping our lives
Current research on brain going Problem solving skills
disorders
Value of peer understanding and Communication skills
support
Advocacy for better services and
fair policies

Celebrating our progress

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Predictable Stages of Emotional Reactions among Family Members

I. Dealing with the catastrophic event

Crisis/chaos/shock: Feeling overwhelmed and dazed, not knowing what to do

Denial: Protecting ourselves by believing the situation is not as serious as we fear. Looking for
explanations that don’t involve mental health. Believing that the situation is just a phase and will pass.
Resisting what is happening.

Hoping-against-hope: Beginning to realize that the situation is more serious than we thought, and that
we can’t ignore it. Hoping that this is a temporary event and that somehow everything will go back to
normal.

Needs: Support, comfort, empathy for confusion, help finding resources, early intervention, prognosis,
empathy for pain and NAMI

II. Learning to cope

Anger/guilt/resentment: Blaming the person with the mental health condition. Believing the person has
control or is doing this on purpose. Insisting the person change and stop behaving abnormally. Feeling
deep guilt and fear that their condition is really our fault. Blaming ourselves.

Recognition: Realizing that this is really happening and is our new reality. Recognizing that it will change
our lives forever.

Grief: Deeply feeling the tragedy of what has happened to our loved one. Grieving the ideas and hopes
we have about their future as we’d imagined it. This sadness does not go away.

Needs: Vent feelings, self-care, education, skill training, networking, cooperation from the system, let go,
keep hope and NAMI

III. Moving into advocacy

Understanding: Gaining a solid sense of what our loved one’s experience is like and feeling empathy for
them. Developing respect for the courage it takes for our loved one to cope with this illness.

Acceptance: Finally accepting that this has happened to our family (“bad things happen to good people”)
and that it’s no one’s fault. Recognizing that we can continue to cope and live through this sad and
difficult life experience.

Advocacy/action: Using our anger and grief productively. Advocating for others and fighting
discrimination. Joining public advocacy groups or getting involved in the cause in other ways.

Needs: Restoring balance in life, activism, responsiveness from system and NAMI

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Important points to emphasize about the stages
1. None of these stages are “wrong” or “bad.”

2. This process is ongoing—for most of us it takes years to navigate.

3. Different family members are often at different places in the cycle.

4. This cyclical process is not about expectations.

5. With time, you will begin to recognize these stages and emotional reactions.

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Understanding Mental Health Symptoms as a Double-Edged Sword

Mental health conditions can strike from two sides like a double-edged sword.
When a person has a mental health condition, symptoms cause changes in their
personality and behavior. They will gain some new behaviors and lose habits and
abilities they used to have. In the (+) column, below, are positive symptoms
(which are added). The (-) column describes the behaviors that are taken away
or lessened. The absence of these behaviors is called the negative symptoms.

Positive Symptoms (+) Negative Symptoms (-)


Behavior changes that appear Behavior changes or losses the person experiences
because of the illness because of the illness
Feeling constantly tense or nervous Being able to express joy
Being irritable, critical, or abusive Having a sense of humor
Behaving in inappropriate and bizarre ways Expressing warmth and thoughtfulness in relationships
Being rude and hostile Enjoying family, friends, school
Being extremely stubborn (obstinate) Feeling eager about new events and experiences
Being afraid and intensely aware of possible threats Being able to be emotionally or physically intimate
(hypervigilant) Being able to focus and concentrate
Expressing rage or having extreme temper tantrums Being able to control themselves
Over-reacting to things in an unpredictable way Being able to cope with minor problems
Speaking and responding in irrational ways
Being emotionally flexible and able to recover from
Obsessing over their own activities and interests
being upset (resilient)
Having unreasonably grand idea of themselves
Understanding what is happening to them (having
(inflated self-concept)
insight)
Wanting to be withdrawn and isolated
Having optimism, faith or belief in the future
Being overwhelmingly sad and crying uncontrollably
Being able to appreciate people and accept help
Lacking interest in things (being indifferent)
Being able to see someone else’s point of view
Being devastated by their peers’ disapproval
Feeling pride about taking responsibility
Having difficulty making decisions
Taking care of their appearance and personal hygiene
Easily forgetting or losing things
Injuring themselves (cutting, scratching, picking)

Notes:

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Class 1 Wrap Up
• Commit to participating in the next five classes
• Keep any personal disclosures shared in class confidential
• Additional Resources for Class 1 available online at http://www.nami.org/HomefrontResources
• The NAMI Homefront General Resources, Glossary and References are available for download if you
didn’t receive them

Class 2 Information:
• DATE ______________ TIME _________________

Class 1 – Homework:
• Prepare to share your personal story about you and your Service Member in Class 2
• Each of us will have 3 minutes to discuss our Service Member’s situation in more detail:
o What branch of the military are they serving in or did they serve in?
o What are their symptoms (diagnosis if they have one)?
o How long they have been dealing with symptoms?
o How are they doing now?
o How are you doing?

Optional Research Study Participation


Overview: There are two parts to the study, we are recruiting people for Part 1. It’s voluntary to participate,
the activities are simple and you can earn up to $80. The research is confidential and will not affect families’
or Veterans’ involvement with NAMI or military service. The study includes taking an online survey
(approximately 40 minutes) before you attend Class 2 of NAMI Homefront. The link to the survey is below.
First the link will direct you to an online consent form, which you must to read and agree to before taking
the survey. The Study Coordinator (Morgan Haselden) will send you $20 in the mail when you complete the
first survey. She will follow up with you in 6 weeks (when you’ve finished the course), as well as 3 months
after completion of the program, to take a shorter version of the survey. She will send you $20 for each
survey you complete in the process for a maximum of $80. For confidentiality purposes, surveys will be
identified by a number not by name. If you want to do a brief phone interview at the completion of the
program to discuss your experience, you can earn an additional $20 for this activity (which is Part 2 of the
study).

The link to the study is: http://tinyurl.com/namihomefront

Please contact the Study Coordinator if you have any questions! Thanks!

Morgan Haselden, B.A.


Research Project Manager, New York State Psychiatric Institute
Email: Morgan.Haselden@nyspi.columbia.edu
Work Phone: 646-774-8045
Version 4/5/17 • NYSPI IRB Protocol#: 6979

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Helpful Websites
Search by suggested keywords

Center for the Study of Traumatic Stress (USU – Department of Psychiatry)


Search: resources, courage to care, joining forces, joining families
http://centerforthestudyoftraumaticstress.org/

Defense Centers of Excellence


Search: psychological health, TBI, service members, families
http://www.dcoe.mil/

Deployment Health and Family Readiness Library


Search: family readiness, when your son or daughter is deployed
http://deploymenthealthlibrary.fhp.osd.mil/Home

Justice for Vets


Search: find a Veterans Treatment Court
http://www.justiceforvets.org/

NAMI (National Alliance on Mental Illness)


Search: mental illness, NAMI Homefront, Veterans & Military Resource Center
http://www.nami.org/

PTSD: National Center for PTSD (VA)


Search: PTSD and trauma, PTSD coach online, About Face, testimonials
http://www.ptsd.va.gov/

SAMHSA (Substance Abuse & Mental Health Services Administration)


Search: conditions, disorders, substances, treatment, prevention, recovery, behavioral health issues
among Afghanistan and Iraq U.S. war veterans
http://store.samhsa.gov/home

VA (U.S. Department of Veterans Affairs)


Search: veterans services, health & well-being, a-z health topic finder
http://www.va.gov/

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