FROM TOUCHSTONE ME NTAL HEALTH
Kind Words VOLUME 6 ISSUE 1 SPRING 2006
HEALING WITH EXPRESSIVE ARTS THERAPY By Kathie Bailey, LICSW
Inside this issue Winning With Endowments
Wish List: Clients
Quilting for Life
In My Groups
Donors 2005—march 2006
Wish List: Program and Staff
Kathie Bailey is a therapist in private practice in Minneapolis and a member of the Healing Practices Consortium that Touchstone Mental Health sponsors. She has presented her work at the Consortium. Several of our clients participate in expressive therapy groups that she leads. She starts new groups the ﬁrst week of April. You can reach her at 612-870-6127.
I dream that I am outside with a group of people, holding up a huge mural that I had painted. We place the mural over the land, which is hilly with some lakes, wooded in places and sloping up to mountains at the top. The mural covers most of the land that I can see. It is a painting of the land, but a little different– deeper blues and greens, pearlescent snow, lakes reﬂecting a pink sunrise. The painting accentuates the curves and valleys; the whole thing is more beautiful. When we lay the mural out over the land, it helps to form the landscape. My dream captures the essence of expressive arts therapy. The land and its transformation serve very well as an allegory for the changes that expressive therapy can foster in everyone. The land itself represents the given in our lives–the cliffs and lakes are like our genes and like the family, culture, and ﬁnancial conditions into which we were born. We can’t change this foundation, but we can paint murals that shift our perceptions and experience of our lives.
What Is Expressive Arts Therapy?
2 8 2 9 U N I V E R S I T Y AV E N U E S E SUITE 400 MINNEAPOLIS MN 55414
This therapy uses the creative arts for the purpose of healing. The artistic mode can be painting, drawing, or sculpture; movement
or dance; writing; music; or drama. I ﬁnd that using all of these modes, shifting back and forth between them, seems to help the most. Responding to a painting with a poem enhances our emotional participation and understanding of the image. Music restores our natural rhythms of life. Awareness of the body and movement help us connect at a deeper level, opening consciousness beyond what the mind already knows. Most often, therapeutic creations are spontaneous and unplanned, allowing us to bring forth what is inside without censorship. Expressive therapy can occur in individual sessions or in groups that a therapist leads. Groups are very effective because they support creative expression and sharing. We receive feedback that encourages our self-acceptance and deeper exploration, and we realize how valuable our responses are to others in the group.
How Does the Therapy Help? Expressive therapy helps us accept our wounded and blocked places and then transform them through creative expression. Continued on page 4
WINNING WITH ENDOWMENTS By Helen Raleigh, LICSW, Executive Director
Board Members Kelly Robert, Chair Jonathan Burris, J.D. Bill Cochrane Michaela Diercks Sharon Toll Johnson, LICSW Merrie Kaas, Ph.D. Liz Sjaastad
Administrative Team Helen Raleigh, LICSW Executive Director Glen Albert, LICSW Director of Supportive Housing Birgit Kelly, LICSW Program Director Margo Cohen, LICSW Treatment Director Lynette Anderson Finance and Beneﬁts Director Peggy Wright Communications and Development Director Gabriel Bain Technology Coordinator
Editorial Staff Helen Raleigh Peggy Wright
Have you ever wondered what would you do if you won the lottery? Do you know anyone who has won a big sum in Las Vegas? We all daydream sometimes about the fun we could have spending unexpected wealth. Last summer I received a small inheritance from my parents. I considered paying off my car loan, helping our adult children with their student loans, or taking a trip to Africa. Instead, I donated $25,000 in December 2005 to start the Ceil Raleigh Endowment Fund for Touchstone Mental Health. So often people wait to make large gifts to nonproﬁt organizations until they die. I decided that I would like to make a donation to start a permanent endowment fund now and be able to watch it grow while I am still alive. Donor-restricted gifts typically start endowment funds to provide income for the maintenance of a nonproﬁt organization, and the donor usually limits use of the funds to a purpose that he or she speciﬁes. Maya Angelou inspires us to tell stories about heroes in our families, and I want to tell you Ceil’s story. In dedicating the fund to my Aunt Ceil, I want to recognize her as a hero in my family.
ASSISTED LIVING APARTMENTS 7376 Bass Lake Road New Hope, MN 55428-3861 (763) 536–8134 firstname.lastname@example.org CASE MANAGEMENT SERVICES 2829 University Avenue SE, Suite 400 Minneapolis, MN 55414-3230 (612) 874–6409 email@example.com INTENTIONAL COMMUNITY 3223 East 25th Street, Apt. 5 Minneapolis, MN 55406
She turned 90 years old in December 2005, is in good
As she wrote in a recent birthday card to me, she feels a special empathy for the clients that Touchstone Mental Health serves. Starting in her late 20s, she experienced some episodes of severe depression, required hospitalization, and received electroconvulsive treatments. A nursing student at St. Joseph’s Hospital in St. Paul in the 1930s, she became a Registered Nurse and eventually taught nursing at St. Joseph’s. Later she worked in industrial nursing at the Burlington and Great Northern Railroad. She never married nor had any children, but she is a doting aunt to all her nieces and nephews. She had long periods of stability, and her last episode of depression occurred during her 50s. Her strength and courage have always inspired me, and I want to honor her by naming the endowment fund for her. Please consider making a donation to the Ceil Raleigh endowment fund and/or including Touchstone Mental Health in your estate planning. Our Board wants to invest this money until it grows to $100,000. Then the agency can use the interest earned on this investment to start new services in the future.
RESIDENTIAL TREATMENT 2516 E. 24th Street Minneapolis, MN 55406-1209 (612) 722–1892 firstname.lastname@example.org
TOUCHSTONE MENTAL HEALTH
health, lives independently, and still drives her own car. Very devout in her religious faith, she volunteered for years at the Good Shepherd Care Center and still plays cards frequently.
PAG E 2
QUILTING FOR LIFE By Peggy Wright Quilting makes me mellow. The voices that I hear don’t bother me when I’m quilting. Gay enjoys sewing, and Renee, a nurse from Case Management Services, thought that quilting might allow her to attain a goal she set herself and build her self-esteem. Renee, a quilter herself, ﬁnds that quilting is the kind of project that gives individuals with serious and persistent mental illness a break from some of the negative thoughts they have. Quilting and other arts give individuals who practice them a chance to learn new things and feel a sense of accomplishment. Renee says, “When I quilt, I ﬁnd it very meaningful as I think of the person to whom I am gifting the quilt. It requires a great deal of concentration to make quilts. Quilting is therapeutic because you must focus when doing it.” Renee started using quilting therapeutically when her own quilting group helped make quilt blocks for clients at a group home where she worked previously. The women living in the home selected their blocks, and Renee worked with them to put the quilts together. Each person in the group received a quilt. Renee collected many touching comments from those women. One recipient said, “This quilt is the most precious thing I own.” The women took the quilts with them when they left the home. Renee believes that the quilt became a reminder of what they are able to achieve. Gay and Renee began the quilt in about 2003 and worked on it for about 10 months. Gay has found quilting to be fun and knows that she has learned a lot. She made her ﬁrst quilt as a gift to her daughter. Renee helped her pick out fabric and patterns. She says, “I expected her
to complete the project, and she did. We worked on it together. Now she is able to do it on her own.” Gay’s progress with the quilt paralleled her growth and recovery from serious mental illness. She has worked with Case Management Services for eleven years, and for the past six months, she has been practicing DBT (Dialectical Behavioral Therapy). DBT helps individuals learn alternate behaviors that support recovery and growth. Gay has learned to distract herself from her negative thoughts by doing something else. Her quilting keeps her busy on weekends, which tend to be difﬁcult for her. Gay decided to set herself some other challenges, one of which was decreasing services from Touchstone Mental Health. Slowly, she has reduced the number of monthly visits she receives. She also has worked to achieve other goals. With the help of her daughter Tia, Gay found an apartment in Chaska that is closer to her daughter and that also meets her dream of living in the suburbs while retaining access to services. She had been looking for an apartment for 2 years. She ﬁnally found one and moves there on April 1.
WISH LIST Clients
PERSONAL CARE ITEMS OR SERVICES
• • • • • • • • • • • •
• • • • • • • • • • • •
The growth she achieved as part of her journey to her new life was frustrating at times, but she learned many things along the way and is grateful to Touchstone Mental Health for helping her.
• • • • • •
Gay also knits and hooks rugs to relax and now wants to teach her daughter to quilt.
PAG E 3
Dental ﬂoss Dental work Deodorant Donations for medication copays Facial tissue Gift certiﬁcates for new shoes, clothing Hair care Multivitamins Shampoo & conditioner Toilet paper Toothbrushes & tooth paste YM or YWCA or health-club memberships
Art supplies Bedroom Rugs (approx. 3x5) Bus passes Craft kits Dish soap Gift cards or certiﬁcates to coffee shops, McDonald’s, Target, Cub Lamp shade for large ﬂoor lamp Laundry baskets with handles (net type to carry with one hand) Laundry soap and antitstatic sheets for the dryer Long-distance phone cards Magazine subscriptions Microwave, small, digital, for the countertop Movie tickets Paper towels Pillows, ﬁrm Scrabble game Table lamps TV, portable, with built-in VCR/DVD VCR tapes/DVDs
TO U C H S TO N E M E N TA L H E A LT H
HEALING WITH EXPRESSIVE ARTS, Continued IN MY GROUPS By Kathie Bailey, LICSW An expressive therapy group begins with a brief time for sharing, giving participants the opportunity to bring up any questions and concerns about the group and to share any expressive artwork that they have created at home since the last session. Then I guide the group’s members in centering themselves through paying attention to breath and bodily sensations and through simple physical movement. The group next uses simple art materials to paint or draw spontaneously their emotions or inner imagery. Rhythmic music or drumming helps the participants stay focused and spontaneous while they are painting. Participants work further with their paintings, either:
Imagining a dialogue with their pictures and writing it down or
Writing a story or poetry about the pictures or
Expressing the paintings with free-form physical movements, sometimes imagining becoming the painting and expressing it through their bodies. Usually once in a series of a group’s sessions, people work with costumes and simple ritual to express more deeply the feelings and personalities coming through the paintings. Often each person partners with another group member to share feedback and impressions of their creations. Then the group’s members share their work at the end of the session, discussing their paintings, insights, and experiences with the group.
Comments by some participants in my groups show its beneﬁts: “I have been so energized and excited to see things from a different view. I have found parts of myself that were difﬁcult to tap with traditional talk therapy.” “Wow. Put me in touch with feelings in a powerful way. It gave me another tool as a parent as well.” “I found a place with other caring people where I can express parts of myself safely. I feel more relaxed.” With spontaneous expression, we learn to make changes as we go, following inner instincts and feelings and becoming more ﬂexible and able to adapt to unplanned situations in our lives. Shifting our personal stories, images, and conversation changes how we perceive the world. For example, in one of my groups, a woman made a drawing of her heart, which brought her to an important insight and gave her the courage to pursue a new relationship: “I’ve been assuming my heart is broken forever. Suddenly I realized it has healed, and I am ready to go on with my life.” Research shows that we learn better and retain our knowledge longer when physical movement accompanies learning. When focusing on sensations in the body and on emotions, we move out of our heads and feel more whole, joined with all the parts of ourselves. We become more connected with others and our environment. For example, in another of my groups, a woman
TOUCHSTONE MENTAL HEALTH
PAG E 4
struggling with an eating disorder was able to pay attention to parts of her body other than her belly for the ﬁrst time. Sometimes, as group members, we support others physically or help each other balance during movements. From this experience, we begin to accept emotional support and connection. The arts are expressions of the soul, and the work can affect us in profound ways. Unleashing creativity increases vitality, and allows us to respond more creatively to all areas of our lives, giving us the fuel we need for the hard work of growth and change. When creating a picture, dance, or drama, we experience our inner selves making an impact on external reality. We empower ourselves.
Who Can It Help? Anyone. Everyone. Expressive arts help us express emotion, relieve stress, know ourselves better, and become more creative. We can beneﬁt if we struggle with mental health issues and with physical problems. If our work is in the helping professions, we can experience renewal and recovery from burnout. If we are artists, we can overcome blocks and free up creative expression. If we don’t think of ourselves as artists, we can discover our creative gifts and apply them to other areas of life. Expressive arts therapy can help resolve conﬂicts among individuals, families, and groups, and improve the culture of any workplace.
Conclusion At an expressive therapy workshop that I attended, small groups were practicing movements and Continued on page 5
DONORS, DECEMBER 2005—MARCH 2006 Individuals Nancy Abramson Anonymous (1) Marie and Dick Barron Sarah Brew and Denny Draghiciu Rhonda Simpson Brown Jonathan Burris Bill Cochrane Casey and Mishele Cunningham Michaela Diercks Signe Dysken Marilyn Ehline Lyn and Michael Gerdis Judi Gordon Greg and Janet Johnson Sharon Toll Johnson Merrie Kaas Birgit Kelly Dick and Madeleine Linck David and Karen Miller Jeannette Nelson Mary Ann and Dick Papke Katherine Pollock
Helen Raleigh Margaret and Carl Roser Mary Ellen Ross David Sagula Linda Silver and David Ramp Liz and John Sjaastad Karla Swiggum Bev and Earl Thompson Ron Villejo Carol Williams Claire Wright
In Honor of Anonymous in honor of Bob Marion Anonymous in honor of Helen Raleigh Susan Armstrong in honor of Peggy and Milton Wright Holly and Tim Cashin in honor of Kathy Cashin Bruce Freidson in honor of Helen Raleigh
Lorrie and Marlyn Johnson in honor of Marnie Johnson Connie Mortensen-Long in honor of her parents
In Memory of Cynthia Riggs Larry and Susan Bourgerie Ronald and Martha Hammer Jennie Leskela, Douglas Choate, and Aidan Connie and Bill Riggs Mike and Carolyn Spence
Businesses and Organizations Osseo Lions Club
In Kind Donations Individuals
Ron Bell Emily Benson Mary Blegen et al at U.S. Bank Michaela Diercks Hanna Miller Barry Nienstadt Lori Peiffer Barbara Radke Helen Raleigh Julie Ryan Mark Smith Gretchen Zunkel et al at Maplewood Health Partners Behavioral Health
By Sima Seaver, M.A., LMFT Clinical Supervisor In May 2005, Gary spent the night in jail. He claimed he had a nervous breakdown on his way to treatment. Thinking he was a “bad karate guy,” he choked his van driver for no apparent reason. Then remorseful, he cried for an hour. Because of his aggressive behavior, the police arrested him for disorderly conduct. The next day he moved to the Veterans Administration Medical Center (VAMC).
Businesses and Organizations
Gary’s symptoms of mental illness began when he was about 14 years old. His admission to VAMC was his second in a short period of time. Both hospitalizations were due to Gary’s becoming manic and delusional. In part, his symptoms had increased as a result of sleep deprivation.
ADJ & CFO #268 MN Fast Print
dramatic enactments for the larger group. One woman sat quietly on the edge of a low platform and began cutting up the painting she had made that day.
By Elena Walker, M.A., Mental Health Counselor
I found it a little horrifying to watch. What was she doing? She kept cutting, making small pieces, trimming off edges. As others in her group wound down, she began to lay out the pieces she had cut. They were letters. She put down the last letter at the same moment the rest of her group ﬁnished. The letters spelled WELLNESS.
Mental health practitioners widely recognize that physical activity can improve overall mental health and well-being and alleviate symptoms such as depression and anxiety. At Touchstone Residential Treatment, we encourage clients to get regular exercise but often are unsuccessful. Last fall, we stepped up our efforts by implementing a weekly Mindful Movement Group that draws upon an ancient form of Chinese exercise called Qigong. Integrating a quality of mindfulness with breathing and movement, Qigong promotes relaxation, concentration, and vitality. It’s gentle, easy to learn, and requires little space and no special equipment. Residents who attend ﬁnd the movement to be enjoyable and calming. Individuals can continue to practice it on their own after they leave our 90-day program. Several participants have asked for handouts of the exercises so they can do them on their own. PAG E 5
Touchstone Residential Treatment admitted Gary in July 2005. Sometimes, he would not sleep at night or would get very limited amounts of sleep. With our staff ’s help, Gary began to manage his symptoms with medication and the appropriate amount of sleep. Our staff established the restriction that he needed to be home by 10 p.m. and in bed soon thereafter. When he woke up at night and came down for a smoke, staff prompted him to return to his room for additional sleep. They also prodded him to decrease the amount of stimuli that he received during the evening hours. Too much stimuli wound him up to the point where he was unable to go to sleep. Soon he was actively involved in his treatments and able to engage other residents and staff socially. He attended most groups, participated in numerous recreational activities, completed his household chores as scheduled, and also frequently volunteered to do other people’s chores when they were unable to do them. The staff ultimately discharged him to the Veterans’ Home in October 2005. TO U C H S TO N E M E N TA L H E A LT H
ROOMMATES WANTED WISH LIST Programs and Staff • • • • • • • • • • • •
Copier paper, white Diskettes, blank IBM Furniture dolly Garbage bags (40 gal & 12 gal) Laundry soap, dryer sheets Laser Printer, new Monitors, ﬂat-panel Mouse, Cordless (1 or more) Pens, black Paper shredder, new Services from a print shop Snow Removal for Residential Sites
2 8 2 9 U N I V E R S I T Y AV E N U E S E SUITE 400 MINNEAPOLIS MN 55414-3230
Touchstone Assisted Living Apartments is developing a waiting list of adult women with serious and persistent mental illness to share a large, three-bedroom town home. This town home is separate from our main building in the same complex of town homes. Residents walk across a courtyard to get medications, eat congregate meals that our staff prepares, and attend program meetings. They must be able to walk up stairs unassisted, handle a stove safely, and if they smoke, smoke safely. Since they will share this housing, all candidates must be able to live with others. Each resident
has her own bedroom and shares a bathroom, living room, kitchen, and dining room. Staff is on duty 24 hours a day, 7 days a week and provides a wide range of assistance with living skills such as housekeeping, budgeting, personal care, and recreational or social activities. Nurses assist residents with health care and are on-call around the clock. If you know someone who might beneﬁt from the housing and services at Touchstone Assisted Living Apartments, please contact the staff listed below. They would be glad to talk with you in detail about the services and the resident’s required qualiﬁcations. Claire Wright, Director of Resident Services Kari Baune, Mental Health Coordinator Telephone: 763-536-8134 Fax: 763-536-8893