NAMI Family-to-Family is a free, 8-session educational program for family and other caregivers of people living with mental illness. The course is taught by NAMI-trained family members who have been there, and includes presentations, discussion and interactive exercises. In the program, you will learn about:

-How to manage crises, solve problems and communicate effectively
-Taking care of yourself and managing your stress
-Developing the confidence and stamina to provide support with compassion
-Finding and using local supports and services
-Up-to-date information on mental health conditions and how they affect the brain
-Current treatments, including evidence-based therapies, medications and side effects
-The impact of mental illness on the entire family

**Please note the time commitment required to participate in the Family-to-Family program. It is important that participants show up each week over the 8 week period. If you will miss more than 1 or 2 classes, consider waiting until the next class to see if it better fits with your schedule.

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* 1. First Name

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* 2. Last Name

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* 3. Phone Number

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* 4. Email Address

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* 5. Mailing Address

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* 6. What is your relationship to your loved one with mental illness?

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* 7. Will someone else be joining you? (spouse, child, etc.)

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* 8. If yes, what is their full name and email address?

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* 9. If yes, what is their relationship to your loved one with mental illness?

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* 10. What is your loved one's primary diagnosis?

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* 11. Is your loved one a Veteran who is receiving services from VHA?

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* 12. Why do you want to participate in the Family-to-Family class?

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* 13. Are you able to make the time commitment to attend each class over the course of 12 weeks?

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* 14. How do you feel your family member is doing right now?

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* 15. How do you feel you are doing right now?

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* 16. Do you feel you can participate in a modeled or structured program? Do you understand the role of the facilitators is not to give medical advice to anyone participating?

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* 17. Are there any special needs or considerations we should know about when considering your application? (lack of transportation, handicapped, other limiting concerns)

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* 18. Do you have your own transportation? If no, do you use public transportation?

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* 19. Do you feel comfortable reading out loud to others from written text?

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* 20. Additional comments:

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