montco memo · inside of the Germantown Recovery Community, a non-profit mental health program in...
Transcript of montco memo · inside of the Germantown Recovery Community, a non-profit mental health program in...
Night at the Movies on March 30th at MCCC
HOLLYWOOD BEAUTY SALON portrays life at an intimate beauty parlor
inside of the Germantown Recovery Community, a non-profit mental health program
in Northwest Philadelphia, where staff and clients alike are in the process of recovery.
By gathering together to get their hair done, share stories, and support one another,
they find a way to rebuild their lives. The documentary—which was work-shopped at
the Salon over the course of four years—is also part of the recovery process, and the
subjects of the film played an active part in shaping their own narratives and deter-
mining their unique individual styles.
A truly beautiful film about mental health recovery and hope. It's an uplifting tes-
tament to the strength, creativity, and capacity for healing that each of us possesses...
a vibrant and touching celebration of the recovery movement. Recovery is possible... Hollywood Beauty Salon is proof.
-- Arthur C. Evans Jr., Ph.D., Commissioner
Department of Behavioral Health and Intellectual disAbilities City of Philadelphia
From Director Glenn Holsten, who brought us the internationally acclaimed film OC 87.
Join us for a night at the movies followed by a panel discussion with some of
the film’s participants.
Location: Montgomery County Community College
Blue Bell Campus
Science Center, Auditorium
Date: March 30, 2016
Time: 7 PM – 9 PM
Light refreshments will be provided
The film runs 90 minutes and will be followed by Q & A and a panel discus-
sion. This event is free of charge and open to the public. However an RSVP is
appreciated by March 28 (215-361-7784)
.
montco memo Montgomery County, PA March 2016 Volume XXXV Issue 7
NAMI Pennsylvania Charter Pulled
NAMI (national) has pulled the charter for our state organization.
This means that the organization formerly known as NAMI of Pennsyl-
vania no longer exists, and a new entity will either have to be developed
or the charter will be transferred to an existing affiliate or affiliates.
NAMI intends to hold meetings with the Pennsylvania affiliates to
decide what course to take.
This will not affect local affiliates such as ours. We will continue to
provide support, education and advocacy services to all in need at no
cost. This does, however, leave us without a unified state voice on
mental health concerns. We will work to strengthen our (local) voice to
our legislators, and work with other PA affiliates as well. We encourage
you to do the same: To get to know your state legislator and have him/
her get to know you and your concerns about our mental health system
of care for you or your loved one.
Also in This Issue
Calendar 2
Message from Our Executive Director
3
Arrested? 3
Integrated Care Program for Seniors Has Promising Results
4
Why You Should Never Use the Term ‘The Mentally Ill’
5
Book Review 6
Resource Library Available 6
MONTCO Peer Support Groups 6
9th Annual NAMIWalks 7
Tributes and Donations 7
March 2016 Page 2
montco memo Volume XXXV Issue 7
the montco memo is published monthly by
NAMI of PENNSYLVANIA
MONTGOMERY COUNTY
Board of Directors
President Beth Milton First Vice-President Dawn Hogan Second Vice President Dave Davis Secretary Lauren Centola Treasurer Past President Neen Davis
Victoria Bright Armand DiYenno Rhea Fernandes Precious Graham Laura Longstreet Tricia Malott Alan McDaniel Donna McNelis Jerry Rudakevich Mike Solomon
Executive Director Carol Caruso Editor Beulah Saideman Co-Editor Mary Schuck Editor Emeritus Maryella D. Hitt Office Manager Debra Herbut Bookkeeper Jane Polto Walk Manager Danielle Blanchard
Support Group Facilitators Coordinator Carol Caruso
Abington Presbyterian Church Joan Kozlowski Corinne Smith
Lansdale Rich Kelble Anne Magowan
Lower Providence Presbyterian Church Neen Davis Sue Soriano
Pottstown Nina & Alan McDaniel
NAMI of PA Montgomery County
100 W. Main Street Suite 204
Lansdale, PA 19446 Phone: 215-361-7784 FAX: 215-361-7786
Email: name: [email protected] Web page: www.nami-montcopa.org
Letters to the Editor and other articles and contributions are welcome. Send them
to the NAMI Office or by Email to [email protected]
by the 15th of the preceding month.
NAMI of Pennsylvania Montgomery County is an approved Donor Choice Agency of the United Way of Greater Philadelphia and
Southern New Jersey
United Way Agency Code # 5076
Calendar
Peer Support
Mar. 10/24 Apr. 14/28
Hearing Voices Support Groups are for people who hear, see or sense things that other people don’t and want to learn and grow together. They are run by CIC (Creating Increased Connec-tions). See schedule on Page 6 or for more information call Berta Britz at 484-681-9432, Ext. 203. Support, Study and Skype Hearing Voices Groups are for people who hear, see, or sense things that other people don’t and want to learn and grow together. Also run by CIC, they offer mutu-al support on the 2nd Thursday (6-7:30 PM) using books and workbooks, and Skype with Ron Coleman on the 4th Saturday of every month (9-10:30 AM) at CIC, 18 East 4th St., Bridgeport, PA. For more information call Berta Britz at 484-681-9432, Ext. 203.
WRAP (Wellness Recovery Action Plans) is a way to plan and monitor what you need to do to stay both mentally and physically healthy. Also run by CIC. See schedule on Page 6. For more in-formation call 484-681-9432.
New Directions Bipolar & Depression Support Group, 2nd & 4th Thursday, 10:00 AM, Giant Food Store, 315 York Rd, Wil-low Grove
NAMI Connection Groups are peer run support groups for individuals living with mental illness. See Page 6 for schedule.
Mar. 1 Apr. 5
Lansdale Family Support Group at St. John’s United Church of Christ, Main Street and Richardson Avenue, Lansdale. First Tuesday, 7:00 PM.
Mar. 1/15 Apr. 5/19
New Directions Bipolar & Depression Support Groups (2) one for Consumers & one for Family/Caregivers — 1st & 3rd Tuesday, Abington Presbyterian Church, 1082 Old York Road, Abington — 7:30 PM. Call 215-659-2366.
Mar. 7 Apr. 4
Pottstown Family Support Group, 1st Monday at Creative Health Services, Consumers Library, 11 Robinson Court,, 7-8:30PM.
Mar. 7 Apr. 4
Lower Providence Family Support Group, Lower Providence Presbyterian Church, 3050 Ridge Pike, Eagleville, Library. 7 PM. First Monday except on holidays
Mar. 10 Apr. 14
Glenside Family Support Group, Abington Presbyterian Church, 1082 Old York Road, Abington — 2nd Thursday, 7:30 PM.
Mar. 17 Apr. 21
Montgomery County CSP (Community Support Program), 3rd Thursday,12-2 PM, Montgomery County Library, 1001 Powell St., Norristown.
Mar. 17 Apr. 21
Board of Director’s Meeting, 3rd Thursday, Lansdale Office, 6:30 PM.
A Note About Our Meetings
Although some of our meetings are held at religious institutions, they are non-denominational and open to people of all beliefs.
March 2016 Page 3
montco memo Volume XXXV Issue 7
ARRRESTED? YOU OR SOMEONE YOU LOVE?
You can change the outcome of the case. YOU HAVE THE POWER. COME LEARN.
Participatory Defense Initiative
Family Justice Hubs
Community Initiative of the Montgomery County Public Defender’s Office and CADCOM
Every Monday 6 PM- 8PM
Community Action Development Commission (CADCOM)
113 East Main Street
Norristown PA 19401
Families and friends encouraged to attend.
Learn how to navigate the courts for your son, husband, brother, daughter, wife
or sister. Be empowered to step further into the court process and build a strong case.
Receive great support from our community.
Questions?
Contact Herb Morris—610-277-6363 X167- [email protected]
Message from Our Executive Director As we head into spring we see some changes to our system of
care here in Montgomery County. Our mental health emergency
center had its in-patient license pulled at the beginning of Janu-
ary, and has since had it restored on a limited basis. Involuntary
Commitments can be evaluated there but must be transferred for
treatment. There is more of an emphasis on dealing with mental
health crises on an out-patient basis, including crisis hot lines and
family and individual support. This may well change the focus of
emphasis here in Montgomery County, as more providers and
families look for ways (alternative to in-patient treatment) to deal
with getting help for those in need.
Our advocacy efforts are needed now more than ever to as-
sure that those in need, both families and loved ones, have ade-
quate supports and resources available. Our current Family to
Family class (our free 12 week course for family members and
caretakers of adults living with mental illness) is the largest we
have had in years (23 registered). This is a testament to the tre-
mendous need in the community.
We will continue to be available with our monthly support
groups and our office’s warm line. Could this be the start of a
trend to work more towards engagement of those needing but
refusing to get help? Peer support is needed now more than ever,
as the most successful way to connect is by someone who has
“walked the walk” and has experienced being involuntarily com-
mitted for treatment. It’s time to support these individuals as well
as those who care for them, and advocate for the needed supports
and services to help avoid forced treatment whenever possible as
well as the stigma associated with having a mental illness.
Carol Caruso
March 2016 Page 4
montco memo Volume XXXV Issue 7
Integrated Care Program For Seniors Reveals Promising Results
Mental Health Weekly, February 2, 2016
When it comes to addressing mental health concerns with old-
er adults, many may shy away from such discussions or are often
in denial of having any issues in the first place. That’s the premise
program leaders of a Niagara Falls, N.Y.– based medical center
used when establishing an integrated care program expressly for
seniors.
Get Well/Stay Well, a program of the Niagara Falls Memorial
Medical Center, a not-for-profit community- owned hospital,
serves adults ages 55 and older.
The program is based on IMPACT (Improving Mood —
Providing Access to Collaborative Treatment) and integrates de-
pression treatment into primary care and other medical settings.
The evidence-based depression care model was developed by
Jürgen Unützer, M.D., M.P.H., and a team of researchers at the
University of Washington AIMS Center.
“Most patients are in denial if you tell them they need to see a
psychiatrist,” Sanjay Chadha, vice president of service line opera-
tions at the Niagara Falls Memorial Medical Center, told MHW.
“They say, ‘I’m fine.’ Through this program a primary care physi-
cian (PCP) can introduce a therapist as part of the team. We call
this a ‘warm handoff.’”
The Get Well/Stay Well program offers seniors behavioral
health services and senior support services in an integrated prima-
ry care setting at Memorial’s Summit Family Health Center. “Our
program commenced about 20 months ago out of a need for what
we saw in the community,” Chadha said.
Elderly patients are also concerned about stigma, said Chadha.
“It’s hard for them to get away from that stigma of being referred
to a mental health clinic or a psychiatrist,” he said. The behavioral
health services conveniently offered onsite help alleviate those
fears and concerns, Chadha said.
Teaching residents
The location is ideal, says Chadha, because the family center
also has a teaching residential program, which provides “a great
opportunity to train residents” as part of their three-year residency
program. “They practice in the community. They’re assured how
to discuss these issues with seniors and how to treat them,” he
said. “It’s a great skill set.”
At the center, patients are screened via three tools — the Pa-
tient Health Questionnaire, a depression module; Generalized
Anxiety Disorder Assessment; and Alcohol Use Disorders Identi-
fication Test — to determine if a patient may be at risk for an
alcohol abuse problem.
“These screenings are done in the waiting room or during the
exam,” David Spagnolo, project manager, told MHW. “If the
scores are positive, we discuss the patient’s options. The whole
program is based on the patient’s trust of the PCP. That trust is
what we use to help connect patients to behavioral health special-
ists.”
The program includes a licensed clinical social worker and a
psychiatrist, and depending on their schedules as well as the pa-
tient’s, can begin a session following their physical treatment.
“Primary care still takes the lead; it’s the base on the spine,”
Chadha said.
Sharing records
Patients’ behavioral health and physical health are contained
within one system, Chadha said. When the therapists document
the session outcomes and treatment plan, the physician can view
those recommendations with the patient to ensure he or she under-
stands what’s going on, and determine short-term and long-term
goals, he noted.
Conversely, therapists when in session can see what the pri-
mary care recommendations are for the patient, Chadha noted.
Physicians and therapists can view one another’s notes without
playing phone tag or faxing information. “We can communicate
through one common system,” said Chadha.
One-stop shop
“This is a seamless one-stop shop,” said Chadha. “Our focus is
on seniors and being able to provide them a comfortable environ-
ment, and [one that’s] more amicable to discuss not only their
physical care needs, but their mental health needs also.” Memori-
al’s local affiliate, Dale Association Inc. in Lockport, N.Y., is a
senior services organization. “We contracted with a senior advo-
cate as part of the team when they’re in need of certain services,
such as Meals on Wheels, or legal services,” Spagnolo said. The
advocate is available for any type of community outreach need, he
added. “The senior advocate connects those patients to those types
of resources,” he said.
An 80-year-old male or female may have issues with depres-
sion and diabetes along with a need to find a place to live, for
example, said Chadha. “All of these issues can be addressed in a
primary care setting,” he said. Chadha added, “This is what makes
the program unique. Seniors do not have to make three different
trips to address [these issues].”
Award winner
Since the program commenced in May 2014, the center has
conducted more than 3,100 screenings and provided 950 counsel-
ing appointments, said Spagnolo.
These impressive outcomes have no doubt contributed to their
recognition by the National Council on Behavioral Health for its
Inspiring Hope Awards. Niagara Falls Memorial Medical Center
will receive its award during the National Council’s annual con-
ference March 7–9 in Las Vegas.
The integrated care program for seniors can be easily replicat-
ed, noted Chadha. In fact, the program leaders plan to expand Get
Well/Stay Well to another one of its primary care locations. “We
have the recipe for success now,” Chadha said.
Added Spagnolo, “If you’re taking an existing practice and
making the conversion to collaborative care, you want all staff to
be involved the whole way through. We kept them involved. They
gave input and we made alterations to help with the flow of the
program.”
March 2016 Page 5
montco memo Volume XXXV Issue 7
By Jeff Grabmeier, MedicalXpress.com, January 26, 2016
Even subtle differences in how you refer to people with
mental illness can affect levels of tolerance, a new study has
found. In a first-of-its-kind study, researchers found that par-
ticipants showed less tolerance toward people who were re-
ferred to as "the mentally ill" when compared to those referred
to as "people with mental illness."
For example, participants were more likely to agree with
the statement "the mentally ill should be isolated from the
community" than the almost identical statement "people with
mental illnesses should be isolated from the community."
These results were found among college students and non-
student adults - and even professional counselors who took
part in the study.
The findings suggest that language choice should not be
viewed just as an issue of "political correctness," said Darcy
Haag Granello, co-author of the study and professor of educa-
tional studies at The Ohio State University. "This isn't just
about saying the right thing for appearances," she said. "The
language we use has real effects on our levels of tolerance for
people with mental illness."
Granello conducted the study with Todd Gibbs, a graduate
student in educational studies at Ohio State. Their results ap-
pear in the January 2016 issue of The Journal of Counseling
and Development.
The push to change how society refers to people with men-
tal illness began in the 1990s when several professional publi-
cations proposed the use of what they called "person-first"
language when talking about people with disabilities or chron-
ic conditions.
"Person-first language is a way to honor the personhood of
an individual by separating their identity from any disability or
diagnosis he or she might have," Gibbs said. "When you say
'people with a mental illness,' you are emphasizing that they
aren't defined solely by their disability. But when you talk
about 'the mentally ill' the disability is the entire definition of
the person," he said.
Although the use of person-first language was first pro-
posed more than 20 years ago, this is the first study examining
how the use of such language could affect tolerance toward
people with mental illness, Granello said. "It is shocking to me
that there hasn't been research on this before. It is such a sim-
ple study. But the results show that our intuition about the im-
portance of person-first language was valid."
The research involved three groups of people: 221 under-
graduate students, 211 non-student adults and 269 professional
counselors and counselors-in-training who were attending a
meeting of the American Counseling Association.
The design of the study was very simple. All participants
completed a standard, often-used survey instrument created in
1979 called the Community Attitudes Toward the Mentally Ill.
The CAMI is a 40-item survey designed to measure people's
attitudes toward people with diagnosable mental illness. Par-
ticipants indicated the degree to which they agreed with the
statements on a five-point scale from 1(strongly disagree) to 5
(strongly agree).
The questionnaires were identical in all ways except one:
Half the people received a survey where all references were to
"the mentally ill" and half received a survey where all refer-
ences were to "people with mental illnesses."
The questionnaires had four subscales looking at different
aspects of how people view those with mental illnesses. The
four subscales (and sample questions) are:
Authoritarianism: "The mentally ill (or "People with men-
tal illness") need the same kind of control and discipline as a
young child." Benevolence: "The mentally ill (or "People with mental
illness") have for too long been the subject of ridicule." Social restrictiveness: "The mentally ill (or "People with
mental illness") should be isolated from the rest of the commu-
nity." Community mental health ideology: "Having the mentally
ill (or "people with mental illness") living within residential
neighborhoods might be good therapy, but the risks to resi-
dents are too great."
Results showed that each of the three groups studied
(college students, other adults, counselors) showed less toler-
ance when their surveys referred to "the mentally ill," but in
slightly different ways.
College students showed less tolerance on the authoritari-
anism and social restrictiveness scales; other adults showed
less tolerance on benevolence and community mental health
ideology subscales; and counselors and counselors-in-training
showed less tolerance on the authoritarianism and social re-
strictiveness subscales.
However, because this was an exploratory study, Granello
said it is too early to draw conclusions about the differences in
how each group responded on the four subscales. "The im-
portant point to take away is that no one, at least in our study,
was immune," Granello said. "All showed some evidence of
being affected by the language used to describe people with
mental illness."
One surprising finding was that the counselors - although
they showed more tolerance overall than the other two groups
- showed the largest difference in tolerance levels depending
on the language they read.
"Even counselors who work every day with people who
have mental illness can be affected by language. They need to
be aware of how language might influence their decision-
making when they work with clients," she said.
Granello said the overall message of the study is that eve-
ryone - including the media, policymakers and the general
public - needs to change how they refer to people with mental
illness.
Why You Should Never Use the Term 'The Mentally Ill'
Research News You Can Use
March 2016 Page 6
montco memo Volume XXXV Issue 7
Montgomery County Peer Support Groups
NAMI Connection
1st Monday at 6:15 PM at William Jeanes Memor ial Library,
4051 Joshua Rd, Lafayette Hill, PA 19444
Monday
WRAP – Lower Merion Area 12:00 – 1:30 PM, Ludington
Library, 5 S. Bryn Mawr Ave, Bryn Mawr
VOICES – Pottstown 12:00 – 1:30 PM, Trinity Reformed
Church of Christ, 60 N. Hanover Street, Pottstown
WRAP – Abington Area 3:00 – 4:30 PM, Faith Community
Church, 1200 Easton Rd, Roslyn
VOICES – Norristown 3:00 – 4:30 PM, Friends Meeting, 20
E. Jacoby St, Norristown
Dual Recovery Anonymous (DRA) – Norristown 6:00 – 7:00
PM, Friends Meeting House, 20 E. Jacoby St (corner of Swede
St and Jacoby St), Norristown
VOICES – Willow Grove 7:00 – 8:30 PM, Giant Food Store,
2nd Floor Meeting Room, 315 York Rd, Willow Grove
Tuesday
WRAP – Pottstown 3:00 to 4:30 PM, Trinity Reformed
Church of Christ, 60 N. Hanover St, Pottstown
VOICES Young Adults – Hatboro 7:00 – 8:30 PM, Braccia
Building, 2935 Byberry Rd, 1st Floor (across from Dance Arts),
Hatboro
Wednesday
WRAP – Lansdale 1:30 – 3:00 PM, Public Library, 301 Vine
Street, Lansdale
VOICES – Lower Merion Area 3:30 – 5:00 PM, The
Middleton Center, Bryn Mawr Presbyterian Church, Room 203,
625 Montgomery Ave, Bryn Mawr
WRAP – Norristown 6:00 – 7:30 PM, HopeWorx, 1210
Stanbridge St, Suite 300, Norristown
WRAP – Montgomery County Prison (closed to the public)
12:30 – 2:00 PM
Book Review: Hidden Victims, Hidden Healers It's been five years since my son was diagnosed with
schizoaffective disorder. This past Christmas I received a gift in
the mail from a caring relative, a book: Hidden Victims, Hidden
Healers by Julie Tallard Johnson.
I immediately related to the people in the stories, feeling as if
I was sharing my secret pain with someone who completely un-
derstood. Each story seemed to validate what I had been feeling
for so long, but what I rarely shared with others; what about my
life? How do I live with this? How do I move forward with my
life with all of this uncertainty and guilt? Will it ever get easi-
er? Of course I will do everything I can to take care of my son,
but it's taking a toll on me. It's wearing me down.
This is an invaluable tool for families whose lives have been
disrupted while they care for their loved ones who have a mental
illness. I felt like the author really understood what my family
was going through and helped put into words some of the pain
and hopelessness I was feeling. She provides practical advice
and concrete steps to help family members begin to heal their
relationships with the mentally ill person and within the family
unit. She gently encourages us to look past the illness and clearly
define the problems we face so that we may open ourselves up to
creative solutions where each person involved has their needs
met with dignity for everyone.
Healing is an ongoing process and we may move in and out of
the phases of crisis and coping, with the many ups and downs
that mental illness brings. This is a book I will keep and re-visit
frequently as our family's needs change over the years. I've
learned that I cannot change the mental illness (or the ill person)
but I can change the way that I react. For the first time in a long
time I am hopeful that my family will move beyond "just coping"
and feel happy and optimistic about our future.
Wendy Bryson
We have a wealth of information on various mental health
disorders, both for adults and for children, in our resource library
which is housed at our office in Lansdale. NAMI MontCo mem-
bers are invited to take books out for up to 2 weeks at a time,
while non-members are invited to use books in our office during
business hours. We also have CDs of workshops from our
national conventions. For more information please call
215-361-7784.
Resource Library Available
March 2016 Page 7
montco memo Volume XXXV Issue 7
The Tribute Fund is a good way to mark anniversaries, weddings and other special occasions, and to express sympathy for the loss of a loved
one. We will send a note of appreciation to anyone you designate. Send your check to NAMI of Pennsylvania, Montgomery County office, 100 W.
Main Street, Suite 204, Lansdale, PA 19446. When designating NAMI in an obituary notice, please specify NAMI of Pennsylvania Montgomery
County.
Tributes
In Memory of Kate LeBlanc Anonymous
In Memory of Joseph Komarnicki, son of Helen Komarnicki Richard Brash, Jr.
Corporate Matching Gifts
Thelma Fretz, Teleflex Foundation
Angela Vitola-Langtry, Johnson & Johnson
Individual Donations
Aidan Altenor Gail Beidler
Catherine Keim Anne Sage
Tributes and Other Contributions
GREATER PHILADELPHIA NAMIWALKS
May 14th is right around the corner! Register today!
2016 Greater Philadelphia NAMIWalks Saturday, May 14, 2016
Montgomery County Community College Blue Bell Campus
www.namiwalks.org/greaterphiladelphia
Kick-Off Luncheon Calling all Sponsors and Team Captains!
Mark your calendars! March 16, 2016 will be the Kick-Off Luncheon, 12:30 pm – 3:30 pm at Maggiano’s,
King of Prussia. Please RSVP to the Walk Manager.
If you have any questions or would like more information about the Walk (sponsorship, walkers or become a volunteer), the Walk Manager can be reached at 215-361-7784 or email [email protected].
We are on Facebook and Twitter! Please like our Facebook pages and follow us on Twitter so that you are informed of the latest news and events from NAMI PA Montgomery County
and the Greater Philadelphia NAMIWalks
https://www.facebook.com/NAMIMontCoPA
https://www.facebook.com/namiwalksgreaterphiladelphia
Twitter: @NAMIMontCoPa
PENNSYLVANIA MONTGOMERY COUNTY
Dues are for one year and are Tax Deductible. Donations are welcome and are also Tax Deductible.
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Make check payable and return to: NAMI of Pennsylvania Montgomery County
100 W. Main Street, Suite 204
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Or join or renew on our website: http://www.nami-montcopa.org/joinrenew/
Double or triple the impact of your donation at no additional cost! Please check with your employer’s Human Resources Department to
see if your donation can be matched through a company matching gift program.
NAMI of Pennsylvania Montgomery County is also an approved United Way Donor Choice Agency - Code #5076.
NAMI of Pennsylvania Montgomery County is open to all individuals subscribing to its purpose. All members receive NAMI newsletters and are automatically affiliated with NAMI PA and
the National Alliance on Mental Illness (NAMI). NAMI is a non-profit organization under Section 501(c)3 and all dues and donations are tax-deductible. Official registration and financial
information of NAMI PA Montgomery County may be obtained from the PA Department of State by calling toll free within PA 1.800.732.0999. Registration does not imply endorsement.
The official registration and financial information of NAMI PA Montgomery County can be obtained from the Pennsylvania Department of State by calling toll-free within Pennsylvania:
1-800-732-0999. Registration does not imply endorsement.
PENNSYLVANIA
MONTGOMERY COUNTY
100 W. Main Street, Suite 204
Lansdale, PA 19446