Mental Health, Mental Illness, on Block Island

bringing services and support for those who are ill and education for mental health to all on Block Island

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Join in the conversation

As a community we can learn from each other, share experience. Any one of us might be a “first responder” to someone who lives here and suffers illness. If you have something to say, join in the Community Conversations. Look at “Can You Help“. Come to the BI NAMI events that are advertised in The Block Island Times and on the Block Island Bulletin Board. Make contact or comment in these community posts. Scroll down below. Write a post – please ask. You might have found an article of interest – please send.


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Shame/ Pain/ What do we do?

This is an article where every sentence is worth reading, e.g. “Shame may be lived as a state of loneliness, or addiction or felt as numbness and chronic pain.” There are also two very good videos included, making sense of the ways we function.

Empathy, shame and medical professionals

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Is doing the numbers enough?

TelemedicineA Post from Board Member Socha Cohen, published in the BI Times

Is Doing the Numbers Enough?

Since its inception, the Tele-Medicine program provided on Block Island has serviced 29 patients, three of whom were escorted off-island by the case worker, Tracy Fredericks. Butler Hospital and Brown University offer the services of a psychiatric intern free of charge under the condition that Block Island pay for the salary of a case worker who receives an hourly wage: the more patients she helps, the higher her wage. In conjunction with a large donor, and the financial support of the Town, NAMI-BI has been raising funds to support Tracy’s salary which ranges from year to year depending upon her case load. “We are providing services to a community where there had been none in the past,” says Gloria Redlich, coordinator of the Coalition for Seniors. “Inherent in mental illness is that for many there are obstacles to reaching out for care.”

National data support Dr. Brownstein, NAMI-BI largest donor, stating, “it’s estimated that 30% of people will have a mental health problem at some point in their lives.  In all populations studied, 1% suffer from schizophrenia, and 5% have major depression.  9.3% of people 12 and over needed treatment for illicit drug or alcohol use in 2009.  Things have gotten worse since then.  So whether they’re taking advantage of the telemedicine program or not, it seems likely that a significant fraction of folks on the island are likely to need it sooner or later, and when the population swells to 10,000 or more in the summer months, the need expands markedly.”

Elspeth Crawford, board member of NAMI-BI and leader in Emotional Education, adds, “Provision of health service of any kind is not about monetary capital, e.g. what you get when you re-model the pavilion, it is about social capital, what a healthy community looks like in the future. Not providing the service has hidden costs on the future that affect us all. There would more disruption and expenditure in relation to other community services, and also, each person who is ill is not a lone person, but may have family and others, all of whom, including the ill person, are less able to contribute to our community and economy if their energy has to be directed in countless ways keeping stability.”

“In short, the bad news is that we’re still not serving as many people as we probably should be”, continues Dr. Brownstein, “and we need to figure out how to “market” the program better. The good news is that we have a program to market–one that probably saves lives.  What’s a life worth?







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Brought by NAMI RI, on February 6 2017, two programs took place in BI school: “Inside Mental Illness” for High School Students and “Parents and Teachers as Allies” to which all in the community were invited. Click here to access the slides that accompanied these interactive events.

Articles in BI Times report the activities of NAMI BI. From the search using “NAMI”, see these recent items:

  • NAMI-BI plans funding, programs for 2017

    Posted: Fri, 12/23/2016, 7:30am By Pat Tengwall
    NAMI-BI). Board members committed to renewing their request to the Town … the summer, Fredericks said. The NAMI-BI affiliate persuaded the Town … professional help,” according to NAMI-BI’s annual appeal letter. NAMI-BI obtained …

  • NAMI to expand educational role

    Posted: Sun, 01/22/2017, 10:15am By Gloria Redlich
    Executive Director of the NAMI state chapter, who is emphasizing the … The next NAMI-BI meeting is scheduled for Feb. 23 at 9 a.m. at the Harbor Church. Gloria Redlich NAMI to expand educational role …

  • NAMI to focus on heroin and opioid use

    Posted: Fri, 10/14/2016, 9:45am By Gloria S. Redlich
    opioids on Block Island NAMI caseworker Tracy Fredericks acknowledged that … NAMI-BI should sponsor a panel discussion with national experts and members of the local community. NAMI Chair Steve Hollaway suggested that …

  • NAMI-RI director vows assistance

    Posted: Sun, 11/13/2016, 8:00am By Gloria S. Redlich
    The Block Island affiliate of NAMI (the National Alliance on Mental Illness) recently hosted Cindy Elder, Executive Director of the NAMI state … recently taking up the post at NAMI-RI, Elder has identified several goals …


see also letters from Vin Carlone and Mark Clark on the Opioid Crisis.

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Cannabise Use and Psychosis

An article here on research regarding the link between cannabis use and psychosis. It is from a group of scientists working in UK who say that cannabis use can lead to psychosis in certain people. the risk may be greater if use begins early, during adolescence. It may not be a risk to other people, but it needs to be taken seriously.

More research is needed to clarify strength and vulnerability factors in individuals, but that there is a link for some, and a loss of life potential, is already clear.

[This study is from the Guardian and reflects UK statistics, but recognizes trends elsewhere. Far more teenagers seek treatment in the UK for cannabis use than for any other drug including alcohol.]

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Community Conversations – Summer 2015

NAMI BI thanks Block Island Times for publishing the letter below as “Featured Letter” on 9/18/15.

In June I wrote to say that NAMI Block Island [National Alliance on Mental Illness] would be taking up the challenge from SAMSHA [the national Substance Abuse and Mental Health Services Administration of the US department of Health and Human Services] to create community conversations about Mental Health. We were aware that this is a frequently taboo topic that can affect anyone, anywhere, and that has impact of some kind on us all. I am writing now to say how wonderfully those to whom we have spoken so far have been responding, how much we appreciate their time and thoughtfulness, and also to let everyone know that we are learning a lot, how much we don’t know as well sharing together much that is already understood. As community conversations develop, we hope we will achieve our aim: That the various responses to behavioral health issues on the island issues can be addressed in ways that complement existing local activities, are better coordinated, consistent, and in the best interests of all.

We don’t know, yet. But, we are hopeful and invite everyone who wishes to join in. Briefly, an outline of what we have heard in talking with more than 20 people representing different island groups: the people here care, and are aware, and as might be expected, each of us sees a different bit of this elephant. We have raised some awareness of each other’s “bits”.

In considerable detail, we found many frustrations, often systemic in origin (rather than negativity). That is, organizations, local or national, may enable individuals to act in their own sphere of authority, but because the nature of mental illness crosses so many boundaries the right kind of action can be difficult to find, and frustration follows. Important matters such as confidentiality, trust, and rights of both family and ill person have to be protected. There were many suggestions about the right kind of “go-to” person or facility that we all know our island does not have, or cannot afford. We heard imaginative ideas for addressing the gaps. We will soon be talking with our community organizations for help in finding ways to develop protocols, say for emergency responses, or prevention of fragmented care, as are appropriate to each organization’s first area of responsibility. We also ask individuals to think about taking part in the programs and trainings that hope to continue bringing to the island, for example our mental health discussion meetings and possibly a repeat of the praised Mental Health First Aid course brought by the school and the library last winter?

Can we improve communication and co-ordination, so that we all feel more competent, whether we should happen to be the “first responder”, or whether we have a particular duty of care? We think that we can, but it will be a developing process. There is work to do in factual research and sharing of information, and finding how lines of communication will work with accountability and confidentiality dilemmas.

Another discovery has been that there is even more confusion and difference in perceptions than we knew. We ourselves in NAMI BI are equally unsure, e.g. there is no accepted definition of Mental Health, and no consensus on “best treatment”. Or, what is the difference between NAMI BI and Block Island Wellness Coalition (working to prevent of substance abuse and create wellness)? We know there is overlap, but what is it? Is NAMI BI a Harbor Church group? [No, it is not, it is a separate 501c organization that is grateful to the church for providing a meeting place.]

We plan a series of communications on specific topics that have arisen as well as more meetings. In the meantime, remember that there is a free telemedicine service provided by psychiatrist residents from Butler Hospital. Phone the Case Manager, Tracy Fredericks [CSP certified], 207 229 6349. Also, see some summaries of issues and suggestions, and previous articles in the BI Times on

We found a very clear sense that Community Conversations are worthwhile and should be continued. We do have a very special place here, thank you Block Island people.

Yours sincerely, Elspeth Crawford