MARCH 2018 
From the desk of Jackie Lane, Executive Director  NAMI CC&I 


WE'RE PUBLISHED!! You Are Not Alone: A Primer on Mental Illness, which has been in development for the past 18 months, is now available. (Call or email the office to make arrangements for your personal copy or copies for your organization.) It is also online on our NAMI CC&I web site. The production and publication of this 88-page booklet was made possible by generous support from the Cape Cod Healthcare Community Benefits Fund, The Kelley Foundation, Inc. and The Cape Cod Five Foundation.
 
The topics for this primer, a tool for families and friends of those suffering from mental health disorders, were chosen based on the questions most often asked and the issues presented in our support calls at the office. It became evident that there was a need to supply some basic information and make it available to the community.
 
Judson Phelps, MS, LADC I, our NAMI CC&I Director of Client Services, proposed the idea of a "primer" addressing the most common mental health issues facing our clients, and took on the management of the project as a part of his mission of client support. An important part of our mission at NAMI CC&I is to connect people with services. In an area as demographically diverse and geographically challenging as the Cape and Islands, access to services can be confusing and difficult, and we are here to try to help people navigate a fragmented system which unfortunately describes the state of mental health services in our country as a whole.
 
In using this primer, it is important to keep an open mind. It is not meant to be a diagnostic tool but rather a guideline. The purpose of the booklet is to acquaint "newcomers" to mental illness and to give them information they may need to feel empowered to advocate for friends and/or family members who are experiencing mental health issues. It is important to remember that every individual is different, thinking and moods fluctuate, and often diagnoses overlap. Again, this booklet is a guide and there is still much to be learned about the brain, our most complex organ.
 
In addition to Jud Phelps and Atty. Mary Zdanowicz of our staff, we wish to thank Sarah Stanley of DMH for her significant time and effort. We also want to thank members of the Behavioral Health Centers team at CCHC for their suggestions, input and guidance. And finally, this project could not have been completed without the editing skills of Arlene Hoxie, our office administrator a NAMI CC&I.
 
I hope that you will find this effort a useful and educational tool as you find yourself working to help those with mental health issues. We at NAMI CC&I believe "It Takes a Community" to address the mental health issues facing our society.

NAMI CC&I Annual Meeting

Tuesday, April 17, 2018
4:00 pm
The Cape Codder Resort & Spa
1225 Iyanough Road (Route 132), Hyannis

You must be an active member in good standing to vote at the Annual Meeting.  
You do not need to be a member to attend the program.

PROGRAM at 4:30
Proposed Changes to DMH Services
Panel to include:  Commissioner Joan Mikula, Tony Wolf, Brooke Doyle, Scott Taberner from the Department of Mental Health
and
Cheri Andes, Executive Director, NAMI Mass

Proposed Changes to
MassHealth and Department of Mental Health Services
 
The proposed changes to DMH services are intended to integrate mental health care with other health care needs. This approach is oriented to clinical needs that are not being addressed in the current system.
 
DMH representatives will be present at the NAMI CC&I Advocacy Meeting on March 8, 2018 at 4:30 pm at The Cape Codder Resort & Spa, 1225 Iyanough Road (Route 132), Hyannis (see announcement).
 
DMH representatives will explain the changes to the DMH community services and how they relate to changes in MassHealth services. DMH representatives will be discussing a number of new and old programs and will likely use new and old acronyms during the discussion.
 
In preparation for the meeting, we are providing the following information so that participants will be familiar with the plethora of acronyms and names that will be important to the discussion: DMH, CBFS, ACCS, MassHealth, PCC Plan, MCO, PCC, OneCare, ACO, CP, LTTS CP, BH CP, MRC.
 
DEPARTMENT OF MENTAL HEATH (DMH)
DMH is the state mental health authority responsible for assuring and providing access to services and supports to meet the mental health needs of individuals of all ages; enabling them to live, work and participate in their communities.
 
Community Based Flexible Supports (CBFS)
CBFS is the cornerstone of the DMH's community mental health system for adults. CBFS services provide rehabilitative interventions and supports in partnership with clients and their families to promote and facilitate recovery. Services include interventions and supports that manage psychiatric symptoms in the community, restore or maintain independent living in the community, restore or maintain daily living skills, promote wellness and the management of medical conditions and assist clients to restore or maintain and use their strengths and skills to undertake employment. CBFS will be replaced by ACCS.
 
Adult Community Clinical Supports (ACCS)
Starting July 1, 2018 ACCS will replace CBFS as the cornerstone of DMH's Community mental health system for adults.*

Some Key Features include:
  • Clinical Focus to integrate clients' mental health care with their other health care needs (primary and specialty care, hospital, long-term services and supports, etc
  • Requires a family focus
  • Responsive to the treatment needs for individuals with co-occurring addiction
  • Coordinate access to Mass Rehab Commission (MRC) and other available employment resources
 
* DMH will continue to provide Clubhouse and case management services.
 
 
MASSACHUSETTS MEDICAID (MassHealth)
MassHealth is Massachusetts' Medicaid program and pays for health care for certain low and medium income people living in Massachusetts, including individuals with disabilities. MassHealth
 
Managed Care Organization (MCO)
MassHealth contracts with MCOs to provide care through their own provider network that includes primary care providers or PCPs, specialists, behavioral health providers, and hospitals. MCOs provide care coordinator staff. There will be fewer MCOs as a health plan choice after the introduction of ACOs (see below).
 
Primary Care Clinician Plan (PCC Plan)
PCC  Plan is an existing managed care health plan for MassHealth members. Members select or are assigned a PCC from a network of MassHealth providers. Primary care providers are called primary care clinicians (PCCs).
 
One Care
One Care is an existing integrated care option for adults age 21 to 64 who have both MassHealth and Medicare ("dual eligibles"). One Care plans cover all Medicare and MassHealth benefits, including primary, acute, and specialty care, behavioral health, prescription drugs, dental and vision services, and additional community support benefits, at no cost to the member. Every member gets a Care Team that will work with them to create a Personal Care Plan to address their individual health and support needs and goals.
Accountable Care Organization (ACO)
Starting March 1, 2018 ACO is a new managed health plan option offered by MassHealth. ACOs are groups of primary care and other providers who work together to integrate physical and behavioral healthcare.
 
Community Partners (CP)
Starting June 1, 2018 MassHealth will introduce Community Partners. ACOs and MCOs will work with Community Partners to serve MassHealth members with complex needs. Community Partner care teams will include clinicians, social workers, nurses, community health workers, and peer supporters. They will provide enhanced care coordination, health and wellness coaching, and system navigation for eligible members.
                 Long Term Services and Supports (LTSS) Community Partners (CP)
Starting June 1, 2018 LTSS CPs support adults with complex long term support needs, including people with physical, neurological, and developmental disabilities.
 
Behavioral Health (BH) Community Partners (CP)
Starting June 1, 2018
BH CPs are community behavioral health organizations with experience providing services and supports to MassHealth members with serious mental illness and/or addiction. The BH CP care team may include Registered Nurses, licensed BH clinicians, social workers, community health workers, care coordinators, peer support specialists and recovery coaches. BH CPs will help navigate medical, behavioral health, disability and social services. ACOs and MCOs can use BH CPs to leverage the expertise and capabilities of existing community-based organizations serving populations with BH needs.
 
MASSACHUSETTS REHABILITATION COMMISSION (MRC)
MRC provides vocational rehabilitation services to assist individuals with disabilities -- including individuals with mental illness -- in securing, maintaining, or advancing in competitive employment .
Prepared by Mary Zdanowicz, Esq.   Feb.2018

                                          

ADVOCACY NEWS...

From the desk of Mary Zdanowicz, Esq.

National Association of State Mental Health Program Directors (NASMHPD)sponsored a webinar this month entitled Myths and Reality: The HIPAA Privacy Rule. Ron Honberg, J.D. NAMI's Senior Policy Advisor, gave the presentation. Mr. Honberg is a national expert on the Health Insurance Portability and Accountability Act (HIPAA).

Following are a couple of vignettes he used to illustrate what is allowed under HIPAA:

Scenario 1:
Dr. Freud, a psychiatrist from Falls Church, contacts Dr. Kildare, a primary care physician in Fredericksburg. Dr. F. has begun treating Sally, a woman with schizophrenia, who is a long-time patient of Dr. K. Dr. F. requests information from Dr. K. about her medical history.
Dr. F. does not include a signed consent form with this request.
May Dr. K. provide Dr. F. with the requested information?

Answer:
Yes.   Dr. Freud could consult with Sally's primary care physician.
Signed consent would not required in this case because at the beginning of a treatment relationship, patients generally sign a Notice of Privacy Practices, which allow doctors to share information for purposes of treatment.

Scenario 2:
Charlie Jones, who has a long history of bipolar disorder, was hospitalized 10 days ago after a suicide attempt. Tomorrow, Charlie is being discharged from the hospital and will be moving in with his brother, Brian. Although Brian knows about his brother's history of bipolar disorder, he is not aware of the recent suicide attempt. The psychiatrist who has treated him at the hospital feels that he is ready for discharge, but knows that he is still struggling with symptoms.  
Can the psychiatrist inform Brian about the suicide attempt and the need for follow-up care and monitoring?
 
Answer:
 
Maybe. HIPAA gives health care providers discretion to share information with caregivers in certain circumstances.
 
I. Disclosure is permitted if the psychiatrist believes that it is necessary to prevent or lessen a serious or imminent threat to the health or safety of the person or the public.
 
II. Disclosure is permitted when the person is present, has capacity to make health decisions, and does not object.
The psychiatrist may:
  1. ask Charlie for permission;
  2. give Charlie an opportunity to agree or object; or
  3. may infer from circumstances that Charlie does not object.
 
III. Disclosure is permitted when the person is not present or is incapacitated and the health care provider determines, based on professional judgment, that doing so is in the best interests of his/her patient;
 
What is incapacity?
 
A formal determination of incapacity by a court is not required for a provider to share information about a patient he/she believes is incapacitated.
Examples may include "circumstances in which a patient is suffering from temporary psychosis or is under the influence of drugs or alcohol."
 
But, the provider must believe that disclosure is in patient's best interests. In determining "best interests," provider should consider patient's prior expressed preferences regarding disclosures of their information.
 
The exceptions, illustrated in Mr. Honberg's vignettes, are included in Cape Cod Healthcare, Inc.'s Notice of Privacy Practice.

Section III. ALLOWABLE USES AND DISCLOSURES WITHOUT YOUR WRITTEN AUHTORIZATION 
CCHI's policy reads, in part,

A. Uses and Disclosures For Treatment, Payment and Health Care Operations.
We may also share your Protected Health Information with other health care providers (whether on Cape Cod or not) involved in your treatment.
C. Disclosure to Relatives, Close Friends and Other Caregivers.  
 
We may use or share your PHI with a family member, other relative, a close personal friend or any other person identified by you when you are present for, or otherwise available prior to, the disclosure if we (1) obtain your agreement; (2) provide you with the opportunity to object to the disclosure and you do not object; or (3) reasonably understood that you have no objection to the disclosure. 
 
If you are not present, or the opportunity to agree or object to a use or disclosure cannot reasonably be provided because of your incapacity or an emergency circumstance, we may exercise our judgment to determine whether a disclosure is in your best interests.  If we disclose information to a family member, other relative or a close personal friend, we would disclose only that amount of information we believe is directly related to that person's involvement with your health care or payment related to your health care.  We also may disclose your PHI in order to notify (or assist in notifying) such persons of your location, general condition or death. 
 
Mr. Honmberg concluded that treatment providers have much more discretion to share information than is commonly believed. He attributed this in part to the fact that after HIPAA was enacted, a group of lawyers went around the country and provided training in HIPAA, warning "when in doubt, don't disclose." But that was the wrong message. He has not yet seen a case in which a provider suffered any consequence, provided a disclosure was made "in good faith."
 
The federal government provides numerous HIPAA guidance documents at:
 

Monthly Book Review

              
  Grief Works
Stories of Life, Death and Surviving

by Julia Samuel
 
       
The author, Julia Samuel, is a psychotherapist specializing in grief. She draws upon her twenty-five years of working with bereaved families, and through descriptions of specific clients' experiences she examines the very hard work of grief. She states that, "The fear that surrounds death and grief is largely caused by lack of knowledge, and the aim of this book is to address this fear and to replace it with confidence."
       The book is divided into five sections. Each section addresses a specific relationship to the dying person. She looks at when a partner dies, when a parent dies, when a sibling dies, when a child dies, and facing one's own death. Each section then describes two or three clients and their specific grieving experience. This aspect of the book makes it a difficult and sad read. The experience of each client, or couple or family is real. Following these descriptions the author reflects upon their experience and the specific grieving relationship.
       In the course of the book Samuel describes grief as a natural and necessary process that needs to be faced. As each person and relationship is different so is each experience of grief. She writes, "I have regularly seen that it is not the pain of grief that damages individuals....and even whole families, sometimes for generations, but the things they do to avoid that pain." She further discusses the difference between men's and women's experience of grief and touches on the role of anger in our grief.
       Samuel discusses supporting bereaved children. She talks about the importance of being honest with children and including them in the grieving process. The author is founder of Child Bereavement UK and you can find additional material and advice at their website https://childbereavementuk.org .
       The section on when a sibling dies includes a discussion of suicide. Grieving in the face of suicide is often much more complex and prolonged.
       Samuel concludes with a description of "pillars of strength." These are "the key structures that support us and enable us to rebuild our lives." Some of these include our relationship with the deceased, our relationship with ourselves (and the need to show ourselves compassion, kindness and to avoid self-criticism), expressing our grief, setting limits, having structure, and caring for our mind and body. She includes ways friends and family can help including listening, acknowledgment, and being present for the long haul. "Love from others is key in helping us to survive the loss of a particular love. With their support, we can endeavor to find a way of bearing the pain."

Written by Dr. George Vitek, retired pediatrician who practiced for 28 years in Wilbraham, MA.   Married father of four and grandfather of 9.                                                                                  
       
       
                                                                        
Suzanne Fronzuto
NAMI on Nantucket Program Coordinator

Crocuses are in bloom giving us hope on the windy isle of Nantucket that spring is finally here!

The NAMI On Nantucket mental health marketing campaign "Mental Health Matters" is in the early planning stages with events scheduled on Nantucket for April and May to introduce the campaign to providers of behavioral health services on Nantucket. The campaign with culminate in August with the introduction of the live interface so callers seeking information for a wide spectrum of behavioral health services can speak with a live person who will provide information and follow up based on the initial inquiry.

Working with the Nantucket Behavioral Task Force we hope to have an informative array of activities and events planned in May to highlight Mental Health Awareness month.


 And From NAMI on Martha's Vineyard 



Many of you have voiced interest in having NAMI become more present on MV.  Behind the scenes we are working to make that happen. We have applied for some local grants to increase funding that can be used for additional programming and service for our island community. 
 
Attendance at our monthly support groups (held first Sunday of month at 6:00 pm at IWYC) is up by more than 50%.   A Family-to-Family 12-week session began March 5 led by Megan Grennan and Katharine Neadow with over 20 participants.
 
Now I would like to ask for your help. Please consider making a donation specifically to NAMI Cape Cod and Islands and earmark it specifically to Martha's Vineyard. You can do this by clicking on the link below, make your donation, and mention specifically for MV in the comments section.  Or simply write a check to NAMI CC&I and put MV in the memo section and send to NAMI CC&I,
5 Mark Lane Hyannis MA 02601-3792
 
 
With this increased funding we can increase our outreach efforts and family support. 
 
 
Cecilia Brennan
NAMI CC&I   
MV Representative

Please contact Cecilia at 201-981-5123 with questions or interest in becoming involved. 
   


            Research Roundup     

Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about serious mental illness and summarizes recently published research reports or developments.

DATAPOINT of the Month
  • Only 14% of funding for state psychiatric hospitals comes from Medicaid dollars.   

    Due to an antiquated law that excludes Medicaid from paying for inpatient services in a psychiatric hospital that has more than 16 beds --- otherwise known as the IMD exclusion --- states are required to foot the majority of the bill for state psychiatric hospital funding. According to the Substance Abuse and Mental Health Services Association, only 14% of funding for state psychiatric hospitals came from Medicaid dollars in 2016. As a result, 76% of such funding came from state budgets.
RESEARCH of the Month
  • Longer untreated psychosis leads to brain matter loss 

    A longer duration of untreated psychosis has been known to be associated with worse outcomes for patients with schizophrenia. New research published this month in JAMA Psychiatry suggests this association may be due to brain matter loss in the hippocampal region of the brain. The hippocampus is a region in the central part of the brain that is important for learning, memory and emotion.

    Patients with first-episode psychosis who have gone untreated for a long period of time have more hippocampal brain matter loss, according to the study. The authors suggest this brain matter loss may be the reason why there are often poor outcomes seen in schizophrenia patients. The authors point to increasing actions for early intervention in first-episode psychosis patients.

    Goff, D. (2018, February). "Association of hippocampal atrophy with duration of untreated psychosis and molecular biomarkers during initial antipsychotic treatment of first-episode psychosis." JAMA Psychiatry.
     
  • Serious mental illnesses share similar molecular abnormalities 

    The way genes express themselves, called transcriptional regulation, have commonalities between varieties of different neuropsychiatric disorders, according to new research. This translates to a shift in the fundamental nature of how we view psychiatric illnesses. For example, bipolar disorder, a mood disorder that is considered to share commonalities of other mood disorders such as depression, actually shares more brain molecular activity with schizophrenia. Understanding the molecular similarities and differences between psychiatric illnesses will help in developing better treatments for individuals who suffer from these disorders.

    Gandal, M. J. et al. (2018, February). "Shared molecular neuropathology across major psychiatric disorders parallels polygenic overlap." Science.
     
  • Crisis intervention team training results in increased linkage to treatment 

    After 10 years with a statewide crisis intervention team (CIT) program, Colorado has seen dramatic reductions of arrests and increasing linkage to treatment for individuals with psychiatric illnesses, according to new research published this month in Psychiatric Services. The study found that individuals with psychiatric illnesses or who had a suicide attempt or threat were almost three times more likely to be transferred to a clinical facility instead of jail by a trained CIT officer. Conversely, substance use and the presence of a lethal weapon increased the likelihood of an individual being transported to a jail.

    Harir-Mandir, K. et al. (2018, February). "Specialized police-based mental health crisis response: The first 10 years of Colorado’s crisis intervention team implementation." Psychiatric Services.
  
Elizabeth Sinclair
Director of Research

 
Questions? Contact us at  orpa@treatmentadvocacycenter.org   
 
Research Weekly is a summary published as a public service of the Treatment Advocacy Center and does not necessarily reflect the findings or positions of the organization or its staff. Full access to research summarized may require a fee or paid subscription to the publications.  








 
FREE WEBINAR
Coping with Stress and Depression:
Strategies for Families

Tuesday, April 10
7 PM (ET) / 4 PM (PT)

REGISTER NOW:


We know you love your family. Even so, family life can be stressful- and that's normal.

It's natural for family caregivers to feel the burden of stress. This stress can intensify when a family member is deployed, traveling for work, or struggling with a health condition. Do you spend so much time taking care of others that taking care of yourself isn't a priority?

Just as family demands often generate stress, families can also work to manage stress. This upcoming webinar is all about you and stress management practices you can use with your family.

Our presenter, Dr. Liza Zwiebach, will share
  • how families can manage stress
  • ways to support a service member or veteran
  • how to know when it's more than stresswhat resources are available t o you and your family
The webinar is free and registration is now open!
Can't watch the live broadcast?
Register and watch it on demand after it airs.

About Our Presenter

Liza Zwiebach, Ph.D., is Associate Clinical Director of Emory Healthcare  Veterans  P rogram  and an Assistant Professor in the Department of Psychiatry and Behavioral Sciences at Emory University School of Medicine. Her primary clinical interests are trauma and post-traumatic stress disorder (PTSD), military cultural competence, and dissemination of evidence-based treatment to community providers. Dr. Zwiebach earned her Ph.D. at the University of Massachusetts Boston, where she first discovered her passion for working with veterans and their families. 


This webinar is designed for family caregivers, human resource managers, Employee Assistance Program professionals, and adults concerned about themselves or others. Although clinicians are welcome to register, the program is intended for a general audience.

If you know someone who would benefit from this program, please spread the word!

Mental Health First Aid

Thanks to a generous grant from Cape Cod Healthcare Community Benefits, NAMI CC&I will be offering Mental Health First Aid, a national program which teaches skills to respond to the signs of mental illness and substance abuse.  This program will teach 30 caregivers of adults, especially targeting the elderly and shut-in, to teach mental health first aid to others in their agencies thus continuing our focus on proactive programming.  We will be recruiting caregivers from agencies across Cape Cod for this valuable one-day program and hope to schedule the program in May.  If you would like more information, call the NAMI CC&I office.


Think:
Kids UPDATE

NAMI CC&I held a 2 1/2-day Tier 1 Training for 150 educators who had taken one of the Introductory Information programs on Collaborative Problem Solving with Dr. Stuart Ablon of Mass General Hospital Department of Psychiatry and wanted to proceed to the next level Think:Kids leader Jordan Spikes kept the participants thoroughly involved with examples, exercises and  role-playing along with his great sense of humor.  After six months of practicing these skills, participants will increase their proficiency with Tier 2 Training.

We will be offering another Introductory Information session in October 2018 for educators from the Mashpee, Monomoy district and Wareham school systems.  The last Introductory session, held in October 2017  included over 1,000 educators and others from the Barnstable school system.

We are able to offer Think:Kids thanks to a generous 3-year grant from the Peter and Elizabeth C. Tower Foundation.

Brazilian Portuguese Language Programming Update

My name is Raffaella Almeida.  I am MA licensed LCSW and work as a school  and outpatient clinician.  

The lack of cultural awareness and knowledge severely affects the ability of immigrant communities to receive the services available to them. Even worse, the inability to communicate culturally and in the native language prevent the community to act or be aware of the current risk factors and community support and this lack of information could lead to tragic consequences affecting not just the immigrant population but also the community as a whole. I have been trying to implement new projects and also complement existing efforts and improve the educational information to target the needs of the Portuguese Brazilian Community on the Cape.

I am working with NAMI CC&I  and the Brazilian churches to present educational, supportive and preventive modules in Portuguese to the Brazilian community related to mental illness at all ages. To date, we have served over 150 people in the community with specially designed modules and support groups. The objective is to address mental health needs and prevention services by providing informational modules and educational strategies to improve community engagement, implement support, and to treat symptoms presented in these families that are at a disadvantage because of their inability to speak the language and their immigrant status. This program and  the need for these services are urgent and have been extremely well received.  

Note:  We are grateful to Cape Cod Healthcare Community Benefits for a grant to help support this program.  With additional funding, we will be able to expand this program to meet the increasing need,


                                     
 ANGST:
Documentary Film 
& Panel Discussion
Raising Awareness Around Anxiety
 

Two Showings:
HARWICH:  Thursday, April 12, 6:30 pm Monomoy Regional High School

FALMOUTH:  Thursday, April 5, 6:30 pm
Morse Pond School


Dance In The Rain 

Dance in the Rain Whole Person Approach is a non-profit organization that supports peers who struggle with mental illness. Located in the heart of Hyannis, we provide this population with an opportunity to expand their lives, despite their condition, to grow, engage and heal. The staff, from executive director to volunteers, live with a history of mental illness as well. Our staff is well vetted to work with other peers who wish grow and seek to define themselves beyond mental illness. We are the only program in New England to have an organization that is conceived, developed and designed by peers for peers. Daily programs are offered to enhance self-esteem and positive identity.

For more information, contact:
Mary E. Munsell
Founder/Executive Director/Peer
Dance in the Rain Whole Person Approach
Peer to Peer Mental Health Center
501 c 3 Non Profit Public Charity
508-364-4045

   Transportation Services....

  The Cape Cod Regional Transit Authority provides a daily general public demand service called Dial-A-Ride Transportation (DART) that is a door-to-door ride by appointment transportation service.  It is available to all 15 Cape towns, runs from 7:00 am to 7:00 pm on weekdays and more limited hours on weekends.  It is easy to access and use.  

For more information, call them at 800-352-7155 or visit their website at:

http://www.capecodtransit.org/b-bus.htm




Tidbits...
 
If you shop at the Orleans Stop & Shop, take a closer look at your shopping cart.  NAMI CC&I will have its signature sunset ad posted on the cart.  We hope this will bring more
awareness of NAMI to that area.


Mark Your Calendars: 

Family-to-Family and 
Family Connections for Borderline Personality Disorder
New Family-to-Family class will begin in Harwich on Wednesday evenings starting April 25.  New Family Connections for Borderline Personality Disorder class will begin Wednesday, April 11 in Barnstable.  If you are interested, or know someone who could benefit from this course, call Kim Lemmon at 508-778-4277 or email klemmon@namicapecod.org
 

Don't Forget Knitting For Nami
Panels are needed by April 23 to submit to
A Great Yarn of Chatham to be made into blankets for the homeless and newly rehomed.

If you have any questions, contact Arlene Hoxie at ahoxie@namicapecod.org or 508-778-4277.
          


NAMI National Convention

For more information, go to the nami.org website

FROM NAMI MASS:

ADVOCACY Day, April 9, 2018 at the State House in Boston
WALK for NAMI, Saturday, May 19, 2018
For these events, go to namimass.org

BRIDGING THE DIVIDE:  MENTAL HEALTH AND CANCER CARE
2nd Annual Bridging the Divide Symposium--a 2-day event
      Friday, May 11 and Saturday, May 12 at The Starr Center,
       185 Cambridge St, Boston.  To register:  we.bridge.the.divide@gmail.org

SUICIDE AWARENESS WALK:  END THE SILENCE
  Saturday, April 28, 2018 at 10 am at Eldredge Park, Orleans
   Register online at SharingKindness.org

Grandparents Raising Grandchildren Legal Advice
Grandparents with questions about guardianship/options can visit the Probate Court on the 3rd Thursday of the month between 8:30 AM-1:00 PM.
They can also call the Bar Association (508-362-2121) or Susan at the courthouse (508-375-6730) for an appointment with Kathleen Snow on  Mondays between 10:00 AM-1:00 PM.
There is no fee for either of these consultations.

 
Lawyer For A Day--Free Legal Advice
Held daily at the Barnstable Probate Court.  It is advisable to arrive promptly when it opens at 9:00 am as it is first come, first served and fills up quickly.
 
 
I nclusions in the Newsletter
We have recently been asked for last minute inclusions of events in our newsletter.  We have instituted a new policy:  It is at the discretion of the Executive Director to determine whether content being submitted for distribution to the membership is aligned with our mission.  If the content is determined to be appropriate, it may be included in the monthly e-newsletter if it is submitted prior to the first of the month.

 
 

 
When  shopping on Amazon, think NAMI CC&I and Amazon Smile.
 Every dollar you give to NAMI CC&I goes to help support, educate and advocate for the residents of Cape Cod, Nantucket and Martha's Vineyard.  



AmazonSmile is a simple way to give when you are shopping on Amazon

Amazon donates 0.5% of your eligible purchases. 
It's so easy, you can still use your Amazon Prime and you still collect points.  All you need to do is:  When you are going to make a purchase on Amazon, first enter
in your internet browser. On your first visit to AmazonSmile, you will be prompted to select a charitable organization .  
Select NAMI Cape Cod Inc.
Thank You!