The Lowdown on Alcohol Addiction Treatment

From NewBridge:

September is National Recovery Month

 PEQUANNOCK TWP. (Sept. 22, 2020) — You’ve told yourself dozens of times it’s time to cut back on alcohol, yet there you are popping into a liquor store again. You know drinking too much is harmful to your health, and that you’re not fully present in your life when you’re buzzed. You’re tired of waking up groggy. You’re afraid to tally up how much you’ve spent on booze. But still…

“When you want to stop drinking and have made the decision to stop drinking, but are still drinking, it’s time for treatment,” NewBridge Services Director of Addiction Services Derk Replogle. “The first step is often is the hardest, and that’s asking for help.”

For National Recovery Month, Replogle offers insight into the various types of treatment.

Sobering Statistics

Alcohol abuse has increased significantly during the COVID-19 pandemic, with people imbibing more frequently at home out of stress, anxiety, or even boredom, Replogle said. When drinking becomes a habit or a means of suppressing emotions, it can indicate addiction. Replogle said people in recovery have relapsed over the past six months.

Addiction statistics were already worrisome before the pandemic. According to the most recent National Survey on Drug Use and Health, conducted in 2018, more than 21 million people in the U.S. aged 12 or older — one in 13 —needed substance use treatment. Only 11% received treatment at a specialty facility, the report said.

Heavy drinking — that’s having more than four drinks on a single day or 14 a week for men and more than three drinks in a day or seven a week for women — has serious health ramifications, raising risks for liver disease, heart disease, a number of cancers, and accidents. Because alcohol suppresses the immune system, drinkers are more susceptible to contracting COVID-19, and experiencing more severe effects of the virus, Replogle said.

Abusing alcohol can also damage close relationships, affect careers, and result in costly legal problems, he said.

Self-Assessment

You likely have a drinking problem if you answer yes to two or more of the following questions, taken from the National Institute on Alcohol Abuse and Alcoholism website. In the past year, have you…

  • Had times when you ended up drinking more, or longer than you intended?
  • More than once wanted to cut down or stop drinking, or tried to, but couldn’t?
  • Spent a lot of time drinking? Or being sick or getting over the aftereffects?
  • Experienced a strong need, or urge, to drink?
  • Found that drinking — or being sick from drinking — often interfered with taking care of your home or family? Or caused job troubles? Or school problems?
  • Continued to drink even though it was causing trouble with your family or friends?
  • Given up or cut back on activities that were important or interesting to you, or gave you pleasure, in order to drink?
  • More than once gotten into situations while or after drinking that increased your chances of being harmed?
  • Continued to drink even though it was making you feel depressed or anxious or adding to another health problem? Or after having had a memory blackout?
  • Had to drink much more than you once did to get the effect you want? Or found that your usual number of drinks had much less effect than before?
  • Found that when the effects of alcohol were wearing off, you had withdrawal symptoms, such as trouble sleeping, shakiness, irritability, anxiety, depression, restlessness, nausea, or sweating? Or sensed things that were not there?

The NIAAA website, Rethinking Drinking, offers a wealth of resources for gauging your situation and figuring out the best treatment approach for you.

Treatment Options

If you are ready for treatment or have questions about treatment, contact 1-844 ReachNJ (1-844-732-2465). Alternatively, start by speaking to your primary physician, who can help you develop a plan of action and make referrals. Professional treatment for alcohol addiction begins with a clinical assessment. Treatment needs to be tailored to the individual to be successful, Replogle said. Treatment will likely involve a combination of approaches.

Detoxification, the process of eliminating alcohol or other drug from the body, is a pre-treatment step that can take several days to more than a week. People whose brain and central nervous system have developed a dependence on alcohol may experience severe withdrawal symptoms and need to detox under medical supervision due to the risk of seizures and/or possible death, Replogle said.

Outpatient Treatment

Outpatient treatment is most appropriate for people who have a stable home environment and are willing and able to attend counseling sessions. NewBridge Services provides this type of treatment, with clients attending one-on-one and/or group sessions two to three hours a week, Replogle said. NewBridge uses evidence-based practices to help clients alter harmful behaviors and prevent relapse. Individuals can continue working and living at home. Medication and support groups may be part of outpatient treatment.

Intensive Outpatient

An intensive outpatient program is geared for people who need more supervision in their recovery. It provides at least nine hours of service a week, usually broken into three-hour sessions. It can be a stepping stone from inpatient treatment to outpatient care.

Residential Treatment

Residential treatment is suitable for individuals who face a host of drinking triggers at home and need a more structured living environment. Providing 24-hour supervision, residential treatment is an option for those who were not successful in outpatient programs. People in short-term facilities typically stay for one to three months. Long-term residential treatment is more intense, with residents enrolled for up to a year. In addition to addiction treatment, they learn skills to manage day-to-day life and participate successfully in their community.

Addiction and mental illness often go hand-in-hand, Replogle noted. About a third of people who have a mental illness also have a substance abuse problem, according to the National Alliance on Mental Illness. Among people living with a severe mental illness, the rate of co-occurring disorders is 50%. Those statistics are mirrored among people with substance abuse problems, NAMI reported.

Medication-Assisted Treatment is a growing field for treating alcohol abuse as well as other addictions, Replogle said. Medications approved by the Food and Drug Administration can be used in conjunction with evidence-based treatment options to reduce the likelihood of drinking alcohol. Naltrexone, for example, blocks the euphoric effects and feelings of intoxication, according to the Substance Abuse and Mental Health Administration. Another, Disulfiram, causes a person ill effects if they consume alcohol.

No matter the treatment option, all require follow-up care to prevent relapse. Peer support groups such as Alcoholics Anonymous and other 12-step programs can play an important role.

“People can and do recover from addiction,” Replogle said. “If you are struggling, start the process of recovery now. The future you will thank you.” To schedule an evaluation with NewBridge, call (973) 316-9333.

“Open Minds” Watch Party with Harmonium Choral Society

From Harmonium Choral Society:

Harmonium Choral Society invites you to a free watch party of Open Minds, on Sunday, September 13, 2020 at 7 pm on YouTube. Composed by Rob Redei with poetry by Deborah Kennedy, Open Minds gives voice to people with mental health challenges and those who love and care about them. The video is from the live concerts right before quarantine, in the gorgeous acoustic of the Presbyterian Church in Morristown. This virtual premiere will include an introduction by Artistic Director Dr. Anne Matlack, and a post-concert interview with both the composer and the poet. Watchers can comment in the chat. Link to the performance from Harmonium’s YouTube Channel.

During the stream, there will be an opportunity to donate to The Mental Health Association in New Jersey, the non-profit that has supported the care and recovery of people with mental health and substance use disorders for over 75 years. Our goal is to raise awareness of those coping with mental health challenges, especially now during the disruptions and isolation of Covid-19, and to make more people aware of this important new choral work as a means of bringing discussion of mental health into the open without stigma.

Visit Open Minds Saves Lives  for more information and to view the score.

The Mental Health Association in New Jersey (MHANJ) strives to help people achieve victory over mental health and substance use disorders through its advocacy, education, training, and services. MHANJ’s vision is a community in which children and adults with behavioral health disorders can achieve full potential, free from stigma.

COVID-19 has left many feeling anxious or isolated. Many benefit greatly from virtual support groups and individual emotional health sessions sponsored by MHANJ. Visit MHANJ for more information.  HOTLINE 866-202-HELP (4357).

COVID-19: Tips for Morris County’s Older Residents on Dealing with Pandemic Isolation

By NewBridge Service CEO Michelle Borden

While the COVID-19 pandemic continues to impact our communities, physical distancing remains the order of the day — especially for older adults.

But socializing is a basic human need, and studies show it contributes to better physical and emotional health. Isolation, on the other hand, is linked to depression, anxiety, cognitive decline, a weakened immune system, and high blood pressure, among other maladies.

Seniors must seek out ways to connect with others while minimizing their exposure to the coronavirus.

Michelle Borden, CEO of Parsippany based NewBridge Services, a nonprofit partner of Morris County government that offers counseling services, housing and educational programs in North Jersey, offers the following

Use Technology

Video conferencing, using FaceTime, Zoom and other programs on smartphones, tablets or computers, has become a popular way to “gather” with family and friends. Getting started on the programs may be challenging for seniors new to technology; call a tech-savvy neighbor, friend or family member to coach you through the process.

Phones, whether ‘smart’ or landline, are also excellent for staying in touch; some people feel more comfortable conversing without being on camera. People can call in to join a Zoom conversation.

Movie buffs with Netflix accounts can set up ‘watch parties’ using a free Google Chrome extension, which can be downloaded at netflixparty.com. Click here for step-by-step instructions.

The Art of the Letter

If tech is not your thing, consider making connections the way people have for centuries: through letter-writing. Handwriting (or typing) letters allows you to process thoughts and feelings and create a bond with the recipient. Mailing or delivering ‘thinking of you’ cards is a thoughtful way to remind recipients they are not forgotten.

Join an Online Class or Group

Many social groups, including religious communities, are hosting online gatherings. An organization called Senior Planet offers free access to virtual exercise classes. Online learning opportunities also abound. Platforms such as coursera.org and edX.org offer both free and fee options. Courses, which may be live-streamed, self-paced, or some combination, are taught by university professors.

The Osher Lifelong Learning Center at Rutgers University is running more than 30 online courses during its summer session, and registration will begin soon for the fall. Anyone age 50 and over can study areas of interest with no assignments or grades.

The Virtual Senior Center run by the nonprofit Selfhelp Community Services is an online community of seniors who take courses, enjoy cultural experiences and discuss topics of interest in real time over their home computers and tablets. While volunteer opportunities are harder to come by during the pandemic, some organizations are seeking virtual helpers. The nonprofit Points of Light maintains a list of virtual volunteer opportunities.

Get Together In Person

Seniors can socialize in person, as long as you take precautions. Walking, running or biking with a friend is a great way to stay both fit and connected. Keep at least a six-foot distance, and wear a mask if you’re unable to maintain that distance. Some senior citizen groups offer fitness classes either outdoors or indoors, with participants well spaced and other safety measures in place.

Picnicking with a couple of friends or family members is a fun way to spend the day, but be sure to wear masks when not eating. Use hand sanitizer, especially if you’re sharing any utensils.

Struggling?

The pandemic is taking a toll on us all. To get through it, we have to make self-care part of our daily routine, and that includes staying connected with others. If you are struggling, contact NewBridge Services at 973-316-9333 to schedule a telehealth counseling session.

The Institute on Aging has a Friendship Line at 1-800-971-0016 that is both a crisis intervention hotline and a non-emergency warmline for emotional support. Check out NewBridge’s summer newsletter created specifically for seniors for more information and advice.

FCC Designates ‘988’ as 3-Digit Number for National Suicide Prevention Hotline

From the Federal Communications Commission (FCC):

The Federal Communications Commission adopted rules to establish 988 as the new, nationwide, 3-digit phone number for Americans in crisis to connect with suicide prevention and mental health crisis counselors.  The rules require all phone service providers to direct all 988 calls to the existing National Suicide Prevention Lifeline by July 16, 2022.  During the transition to 988, Americans who need help should continue to contact the National Suicide Prevention Lifeline by calling 1-800-273-8255 (1-800-273-TALK) and through online chats.  Veterans and Service members may reach the Veterans Crisis Line by pressing 1 after dialing, chatting online at www.veteranscrisisline.net, or texting 838255.

The new rules will apply to all telecommunications carriers as well as all interconnected and one-way Voice over Internet Protocol (VoIP) service providers.  They provide for a two-year transition, reflecting the real challenges of this nationwide effort, including the need for widespread network changes and providing time for the National Suicide Prevention Lifeline to prepare for the expected increase in the volume of calls.  Under these rules, calls to 988 will be directed to 1-800-273-TALK, which will remain operational during the 988 transition and after it is completed.  To ensure that calls to 988 reach the National Suicide Prevention Lifeline, all covered providers will be required to implement 10-digit dialing in areas that both use seven-digit dialing and use 988 as the first three numbers in seven-digit phone numbers.

Since 2008, suicide has ranked as the tenth leading cause of death in the United States.  Suicide claimed the lives of more than 48,000 Americans in 2018, resulting in about one death every 11 minutes.  An FCC staff report to Congress in 2019 proposed establishing 988 as an easy to remember three-digit code for the National Suicide Prevention Lifeline.  Staff analyzed various options and determined 988 was the best option for increasing access to crisis resources and ensuring the fastest possible transition.  Establishing the easy-to-remember 988 as the “911” for suicide prevention and mental health services will make it easier for Americans in crisis to access the help they need and decrease the stigma surrounding suicide and mental health issues.

The National Suicide Prevention Lifeline is a national network of approximately 170 crisis centers.  The centers are supported by local and state, and public and private sources, as well as by Congressional appropriations through the Department of Health and Human Services’ Substance Abuse and Mental Health Services Administration (SAMHSA).  The National Suicide Prevention Lifeline is the access point for the Veterans Crisis Line, which is managed by the United States Department of Veterans Affairs.

Action by the Commission July 16, 2020 by Report and Order (FCC 20-100).  Chairman Pai, Commissioners O’Rielly, Carr, Rosenworcel, and Starks approving and issuing separate statements.

Freeholders and Mental Health Association Announce “Team Up” Suicide Prevention Partnership

Focus on Morris County Adults and Youths Affected by Pandemic

Suicide prevention during this high-stress COVID-19 crisis will be the focus of a new Team Up partnership between the Morris County Department of Human Services and the Mental Health Association of Essex and Morris.

The joint effort, which is being funded by county government, will deal with increased mental health issues caused by a host of factors, from loss of jobs and businesses, to isolation and fear of an uncertain future.

It will employ social services, mental health, and education professionals to reach out to Morris County residents in need of help.

“Many residents are dealing with issues that are pushing them beyond the limits of their ability to cope, and to deal with life stresses that are far beyond the norm,’’ said Freeholder Kathy DeFillippo. “We want to reach out to them – young and old – and give them some help and assurance, and resources to get through this difficult time.’’

The Freeholder Board last night approved a $22,160 expenditure to fund a 22-week Team Up program, running from Aug. 1 to Dec. 31, that will offer in-person and virtual help for residents, and online training for educators and professionals to deal with mental health issues during this crisis.

“We look forward to working with Morris County on this  innovative effort, and we appreciate their leadership,’’ said Mental Health Association Executive Director Bob Davison. “ As a community, we must address the issues of suicide prevention and mental health out in the open; as a partnership , families, government and agencies working together.”

To reduce the spread of COVID-19, stay-at-home orders, self-quarantines, and social distancing have been employed. While these practices are helpful in dealing with the virus, this isolation from family, friends, and community have induced anxiety, depression, fear, and loneliness – all factors that can lead to suicide, according to mental health experts.

The new five-month Morris County and MHAEM program will focus on both adult and youth populations.

Adult population

Mental Health Association of Essex and Morris (MHAEM) professionals will ride along with Morris County’s Navigating Hope mobile social services van one day each week throughout the county. While on Navigating Hope they will educate residents on signs of suicide, assist persons in immediate crisis, and refer residents to available mental health services.

The MHAEM also will address the adult population by providing virtual 90-minute presentations on suicide prevention to Morris County residents.

They also plan to reach consumers through social media and various programs the agency offers, while the county will help publicize the dates of MHAEM presentations and disseminate information to towns and agencies across Morris County.

Youth Population

The Mental Health Association will work with school districts across Morris County to educate faculty, staff, and students on the signs of suicide. All school districts will be invited to participate in an overview of the components of the Signs of Suicide (SOS) program.

MHAEM will offer training — in-person or virtual –on the implementation of the SOS program in schools.

More information on COVID-19 and mental health:

Morris County Stigma-Free: https://morriscountystigmafree.org/covid19/

MHAEM: https://www.mhaessexmorris.org/covid-19/

NewBridge Services: https://newbridge.org/

CDC: https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/managing-stress-anxiety.html

“We are in this Together” Virtual Concert, Stories, Community Dinner — June 10

Mental Health Especially Challenged During Current Health Crisis

As the COVID-19 pandemic has taken lives and created economic chaos, it has created great stress on the mental health of many of our residents — an issue that will be part of the focus of the “Break the Stigma Virtual Music and Community Dinner” planned for all Morris County residents on Wednesday June 10.

The virtual event will featuring more than a dozen performers, story tellers, and featured speakers starting at 3 p.m.

The goal of this countywide event is to help lift the stigma of mental illness and substance use disorder, while building a strong and healthy community. It is particularly aimed at county residents may be struggling through this COVID-19 crisis.

If you are struggling with mental health issues, please visit the Morris County Stigma-Free website and check for COVID-19 resources.

“We are in the Together’’ is a coordinated effort of numerous organizations from across Morris County who are members of the county’s Stigma-Free Communities Initiative, which focuses on issues of mental health and substance use.

Included are Morris County’s LIFE Center Stage, Prevention is Key, Community Coalition for a Safe and Healthy Morris, Pequannock Township Coalition, and the Center for Addiction Recovery Education and Success (CARES).

June 10 Events:

3 p.m.: Concert/Stories– Visit PreventionisKey.CARES Facebook page.

5 p.m.,  Zoom Breaking Bread & Breaking Stigma panel discussion and Q & A. You must register for the panel event.

The 3 p.m. event will feature the following Breaking Stigma performers:

COVID-19: Help Available to Morris Residents for Anxiety and Stress Due to Current Crisis

May is Mental Health Month — Please Seek Help If You are Experiencing Difficulty

As Morris County residents continue to deal with the COVID-19 crisis, with many workplaces and all schools closed, anxiety continues to rise. The Essex and Morris Mental Health Association contends it is vitally important during this very unusual time to take care of ourselves physically and mentally.

It is especially appropriate to raise this issue as we enter May, which is Mental Health Month across our county, state and nation.

Please, don’t try to go it alone. 

New Jerseyans feeling the emotional and mental toll of COVID-19 can call 1-866-202-HELP (4357), for free, confidential support. NJMentalHealthCares will be answered by live trained specialists 7 days a week, 8am – 8pm.

Also, the Substance Abuse and Mental Health Services or SAMHSA Disaster Distress Helpline at 800-985-5990 provides 24/7, 365-day-a- year crisis counseling and support.

The MHA of Essex and Morris has compiled a list of tips and resources to assist individuals and families with self-care.

Ways to Cope

  • Connect with family and friends by phone, e-mail, or social media.
  • Partake in activities that are soothing: take a warm bath; practice deep breathing; cook comfort foods.
  • Distract yourself by doing activities that keep you busy: gardening; doing artwork. Listen to music and watch comedy movies that will make you laugh and lighten your mood.
  • Limit your news and media intake.
  • Go out in the fresh air and take a walk. Walking is one of the best exercises to help mitigate anxiety.
  • Keep a schedule and stay as close to your typical routine as possible. This will help you to have a sense of control and bring some normalcy to your day.
  • Remember that THIS WILL COME TO AN END as every other pandemic that has ever happened in history has and that your lives will return again to normal.

Mental Health and COVID-19 Resources

  1. Talking to Kids about the Coronavirus
  2. Mental Health Resources
  3. Online Recovery Meetings
  4. Resources for Arts & Entertainment
  5. Educational Resources
  6. Resources for Health & Wellness
  7. Faith Based Resources
  8. Building Resilience Now and Beyond COVID-19

Visit Mental Health America for more guidance for yourself or loved ones during this pandemic.

COVID-19: Mental Health Support is Available — Talk to Professionals for Free

Don’t Go It Alone!

The stress of dealing with the COVID-19 crisis, whether it be medical, economic, or familial, is taking a toll on the mental health of many Morris County residents.

Mental health experts say that everyone reacts differently to stressful situations. How you respond to the outbreak can depend on your background, the things that make you different from other people, and the community you live in.

If you are concerned about the mental health of someone you care about, NJ. Mental Health Cares offers free telephone counseling, emotional support, information, and assistance — all confidential.

Morris County residents can call 866-202-HELP (4357) to speak to a trained specialist from 8 a.m. to 8 p.m. seven days a week.

Also, the Substance Abuse and Mental Health Services or SAMHSA Disaster Distress Helpline at 800-985-5990 provides 24/7, 365-day-a- year crisis counseling and support. The Mental Health Association of Essex and Morris has compiled a list of tips and resources to assist with self-care.

  • Connect with family and friends by phone, e-mail, or social media.
  • Partake in activities that are soothing: a warm bath; deep breathing; cook comfort foods.
  • Distract yourself with activities that keep you busy: gardening; artwork; music and comedy movies to make you laugh and lighten your mood.
  • Limit news and media intake.
  • Get outside and take a walk. Walking is one of the best exercises to help mitigate anxiety.
  • Keep a schedule and stay as close to your typical routine as possible.
  • Remember that THIS WILL COME TO AN END and that your lives will return again to normal.

Mental Health and COVID-19 Resources

  1. Talking to Kids about the Coronavirus
  2. Mental Health Resources
  3. Online Recovery Meetings
  4. Resources for Arts & Entertainment
  5. Educational Resources
  6. Resources for Health & Wellness
  7. Faith Based Resources

Also, NewBridge Services offers excellent advice. Visit them online to get help on how not to panic during this crisis.

How Not To Panic

  • Take deep calming breaths and exhale slowly
  • Limit your exposure to graphic news stories
  • Get accurate, timely information from reliable sources
  • Maintain your normal routine as much as possible
  • Eat well and rest
  • Stay active physically and mentally
  • Stay in touch with family and friends
  • Find comfort in spiritual and personal beliefs
  • Keep a sense of humor
  • Share concerns with others
  • Avoid excessive alcohol consumption

COVID-19: Caring for Your Mental Health During This Unprecedented Crisis

MHA of Essex-Morris and NewBridge Services Offer Assistance

As the number of cases of COVID-19 continues to climb and with workplaces and schools closed, anxiety is on the rise. It is important during this time, to take care of ourselves physically and mentally. As New York Gov. Andrew Cuomo said this week, “we have to find some peace” in dealing with this situation for an extended time.

For those who are struggling, you can find assistance online site or by phone. For example, NJ Mental Health Cares, the state’s behavioral health information and referral service, has set up a helpline for people dealing with anxiety and worry.

Morris County residents can call 866-202-HELP (4357) for free, confidential support.  NJ Mental Health Cares will be answered from 8 a.m. to 8 p.m. seven days a week by live trained specialists.

Also, you can Contact the Substance Abuse and Mental Health Services or SAMHSA Disaster Distress Helpline at 800-985-5990 that provides 24/7, 365-day-a- year crisis counseling and support to people experiencing emotional distress related to natural or human-caused disasters.

The Mental Health Association of Essex and Morris has compiled a list of tips and resources to assist individuals and families with self-care.

Ways to Cope

  • Connect with family and friends by phone, e-mail, or social media.
  • Partake in activities that are soothing: take a warm bath; practice deep breathing; cook comfort foods.
  • Distract yourself by doing activities that keep you busy: gardening; doing art work. Listen to music and watch comedy movies that will make you laugh and lighten your mood.
  • Limit your news and media intake.
  • Go out in the fresh air and take a walk. Walking is one of the best exercises to help mitigate anxiety.
  • Keep a schedule and stay as close to your typical routine as possible. This will help you to have a sense of control and bring some normalcy to your day.
  • Remember that THIS WILL COME TO AN END as every other pandemic that has ever happened in history has and that your lives will return again to normal.

Mental Health and COVID-19 Resources

  1. Talking to Kids about the Coronavirus
  2. Mental Health Resources
  3. Online Recovery Meetings
  4. Resources for Arts & Entertainment
  5. Educational Resources
  6. Resources for Health & Wellness
  7. Faith Based Resources

Also, NewBridge Services is offering some excellent advice on dealing with the situation. Visit them online  to get help on how not to panic during this crisis. Some tips from NewBridge:

How Not To Panic

  • Take deep calming belly breaths and exhale slowly for a minute
  • Limit your exposure to graphic news stories 
  • Get accurate, timely information from reliable sources 
  • Maintain your normal routine as much as possible 
  • Eat well and rest 
  • Stay active both physically and mentally 
  • Stay in touch with family and friends 
  • Find comfort in your spiritual and personal beliefs
  • Keep a sense of humor 
  • Share your concerns with others 
  • Avoid excessive alcohol consumption

COVID-19 And Mental Illness, NAMI Releases Important Information

From NAMI:

The National Alliance on Mental Illness (NAMI), the nation’s largest grassroots mental health organization, released a guide to answer frequently asked questions regarding the intersection between Coronavirus, or COVID-19, and people affected by mental illness, their caregivers and loved ones.  Read the guide!

“We recognize that people living with mental illness face additional challenges dealing with COVID-19, as do their caregivers and loved ones,” said NAMI CEO Daniel H. Gillison, Jr. “That’s why we are releasing an information and resource guide with FAQs on a variety of topics from managing anxiety and social isolation to accessing healthcare and medications. NAMI is here to help.”

For more updates on mental illness and COVID-19, visit NAMI’s regularly updated webpage.