Suicide Prevention



We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals.



Suicide Prevention Center


Improve your knowledge and skills in suicide prevention with SPRC’s self-paced online courses. They are designed for clinicians and other service providers, educators, health professionals, public officials, and members of community-based coalitions who develop and implement suicide prevention programs and policies.

All courses are free of charge and open to anyone.

Emergency Contacts

North Bay 1 -855 -587 -6373

National 1-800-273-8255  

Peer Support



24-hour Suicide Prevention

(855) 587-6373

24-Hour Crisis Services

(707) 576-8181

24-hour Access Line

(707) 565-6900
(800) 870-8786

Petaluma Peer Recovery Center


Peer run, mental health, self-help recovery, drop in center located 5360 Old Redwood Highway, Suite 600, Petaluma. 

Contact: Carol West (707) 565-1299



The mission of interlink self-help center is to provide a safe environment in which those of us facing our mental health challenges can improve our quality of life through self-help, mutual support and empowerment. Located at 1033 Fourth St. Santa Rosa, CA 95404

Contact: Sean Kelson (707) 546-4481

Wellness and Advocacy Center


 Our center is a non-profit Mental Health consumer-operated self-help center located at  2245 Challenger Way #104 Santa Rosa, Ca 95407  Contact Manager Sean Bolan, (707) 565-7804 or



Our Programs in Sonoma

The Sonoma County Independent Living (SCIL) Program

Transition Age Youth (TAY)

 Advocates for Youth (SAY), 

 The Family Service Coordinator 

Suicide Prevention


The Petaluma Education and Support Group 

This group meets the 2nd Thursday of every month.

 4:00 PM - 5:30 PM at 

939 B Street, Petaluma, First Presbyterian Church, Fireside Room. 


The Resource Clinic that meets every Tuesday, except the 4th Tuesday of the month, from 3:00 to 4:30 PM is back! The Resource Clinic meets at Buckelew Programs Sonoma, 2300 Northpoint Pkwy, Santa Rosa. 

Peer Support

 Peer support is the “process of giving and receiving encouragement and assistance to achieve long-t

 Peer support is the “process of giving and receiving encouragement and assistance to achieve long-term recovery.” Peer supporters “offer emotional support, share knowledge, teach skills, provide practical assistance, and connect people with resources, opportunities, communities of support, and other people” (Mead, 2003; Solomon, 2004).

Peer Support CA



 PEERS is a diverse community of people with mental health experiences.  Our mission is to promote innovative peer-based wellness strategies. We create culturally-rich, community-based mental health programs that honor diverse experiences and eliminate stigma and discrimination.


333 Hegenberger Road,
Oakland CA 94621

(510) 832-7337

Mon - Fri 8:30am - 5:00pm 




The film highlights the inspirational stories of Markeeta Parker, 23, who for the first time publicly shares her story of overcoming sexual abuse and managing PTSD and depression; Arthur Renowitzky, 24, who was paralyzed after being shot and robbed while leaving a nightclub and now educates youth on gun violence; and Brianna Williams, 23, who opens up about feeling different as an adolescent and the importance of peer support.

In sharing their highly personal journeys, the cast shows that even in life’s darkest moments no one can take your shine.

Shine was honored with an honorable mention from the SAMHSA Voice Awards and was an official selection of the 2014 Oakland International Film Festival.

<iframe width="800" height="450" src="" frameborder="0" allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe> 

Sunrays of Hope Murdoc CA


Sunrays of Hope 

 1) Drop-In Center

.2) Wellness Center

  • A) Peer Support Groups-
  • B) Wellness Library
  • C) Computer Assistance


Kitchen Area
Meeting Room
TV viewing Area
Lounge Room
Recreation Room (including Pool and Puzzles Work Area)
Great selection of materials for Arts & Craft activities
Internet Acces / Printers
Movie to view or check-out
Wii Games and Activities
Local Calls - Long Distance Calls
Other Activities (ask for details) 

Promote current deals


Running a holiday sale or weekly special? Definitely promote it here to get customers excited about getting a sweet deal.

Share the big news


Have you opened a new location, redesigned your shop, or added a new product or service? Don't keep it to yourself, let folks know.

Display their FAQs


Customers have questions, you have answers. Display the most frequently asked questions, so everybody benefits.

FAQ about Peer Support


Who are Peer Providers? 

Roles of Peer Providers in Integrated Health

Billing for Peer Provided Services

Strengths Peer Providers Add to the Integrated Health Workplace

Tips for Promoting Roles of Peer Providers in Integrated Health

Sample Job Descriptions

Whole Health Action Management Training

General Resources

Read More

Peer providers bring unique strengths and qualities to the integrated care team. These strengths include:

  • Personal experience with whole health recovery that includes addressing wellness of both mind and body
  • Insight into the experience of internalized stigma and how to combat it
  • Compassion and commitment to helping others, rooted in a sense of gratitude
  • Can take away the “you do not know what it’s like” excuse
  • Experience of moving from hopelessness to hope
  • In a unique position to develop a relationship of trust, which is especially helpful in working with people in trauma recovery
  • A developed skill in monitoring their illness and self-managing their lives holistically


Alternatives Conference 2019

Additional Information

HAND OUTS and Presentations available 


From July 8-11, 2019, peers from across the United States and around the world gathered at the Alternatives Conference in Washington DC to share their lived experience and celebrate their wellness. Beginning in 1985, the Alternatives Conference grew from the roots of the Psychiatric Survivors movement and is the oldest peer-run mental health conference in the US. Jules Plumadore and Zakiya Johnson, both PEERS staff and members of POCC, represented Alameda County at this year’s conference.

This year’s theme of Standing Together, Celebrating Our Gifts, Raising Our Voices was relevant and meaningful for the peers who attended, many of whom travelled hundreds or even thousands of miles to the Catholic University of America campus where the conference took place.

The week started off with an advocacy workshop, which was only slightly dampened by the flash floods that raged through DC that day. Over 3 inches of rain fell in 2 hours; but that didn’t stop the peers who attended from discussing national mental health policy priorities and practicing their advocacy skills. They were able to put those skills into action the next day during Hill Day by visiting their congressional representatives; Jules and Zakiya met with staffers for Senator Kamala Harris and Congresswoman Barbara Lee to discuss legislative issues that affect people with mental health challenges, as well as the positive impact that PEERS and POCC are having on community mental health in Alameda County.

On July 10-11, the conference kicked into high gear with a variety of workshops covering everything from mental health social justice to peer workforce development to innovative wellness supports. Keynote highlights included Celia Brown of the Office of Consumer Affairs at the New York State Office of Mental Health; Caroline Mazel-Carlton of the Western Mass Recovery Learning Community; and John Herold of Puget Sound Hearing Voices. Each speaker shared their own lived experience in a way that was motivating and empowering to other peers.

The 2019 Alternatives Conference may be over, but the coordinators are already thinking ahead to next year and looking for volunteers to join their team. If you’re interested in helping to organize the next Alternatives 

Conference, please contact the National Coalition for Mental Health Recovery for more information: 

 Alternatives Conference Announcements Facebook group 

Learn More

National Coalition for Mental Health Recovery  


National Coalition for Mental Health Recovery

Additional Information

 National Coalition for Mental Health Recovery for more information: 

Learn More or 202-642-4480. 

Future Planning Resources

Community Network for Appropriate Technologies


Community Network for Appropriate Technologies

Susan Keller, MA, MLIS, Executive Director

PO Box 2331, Santa Rosa, CA 95405

(707) 539-2364—an online resource for people thinking about, planning for or living with serious illness and end-of-life issues. This site was developed and is maintained by the Journey Project, a program of the Community Network for Appropriate Technologies, a nonprofit educational and charitable organization serving the Sonoma County, California region since 1978. Read more about the Community Network. “Making A Plan & Thinking Ahead” Workbook and Forms may also be accessed on this site along with other resources helpful for people living with mental health challenges and others. 



Wellness Recovery Action Plan (WRAP)  or advanced directives; you choose who  makes decisions on your behalf and what happens to you  when you are not able to  do so 

Whole Health Action Management (WHAM)



The Whole Health Action Management (WHAM) peer support training is an in-person, 2-day group training that equips peer providers to help the people they serve set and achieve whole health goals to improve chronic health and behavioral health conditions.  The WHAM training is also available in Spanish.


What skills are peer providers are taught in the Whole Health Action Management (WHAM)  training to become whole health coaches?

  • Engage in person-centered planning to identify strengths and supports in 10 science-based whole health and resiliency factors
  • Write an achievable whole health goal and weekly action plans
  • Participate in peer one-to-one and peer support groups to create new health habits
  • Elicit the Relaxation Response to manage stress
  • Engage in cognitive skills to avoid negative thinking
  • Know basic whole health prevention screenings and how to prepare for them
  • Use shared decision-making skills for more engaging meetings with doctors and other health professionals

10 science-based whole health and resiliency factors



Helping elderly caregivers plan for the future care of a relative with mental illness


Helping elderly caregivers plan for the future care of a relative with mental illness

Hatfield, Agnes B. Lefley, Harriet P.


Hatfield, A. B., & Lefley, H. P. (2000). Helping elderly caregivers plan for the future care of a relative with mental illness. Psychiatric Rehabilitation Journal, 24(2), 103-107.


Older caregivers, aged 65 yrs and older, were surveyed to determine the degree to which they had completed future plans for relatives with serious psychiatric disabilities and to identify barriers that interfered with the planning process. 

Only 18% of the 210 respondents had completed plans for their relative. Intense anxiety about the future of their relative, lack of knowledge about how to plan, and limited finances were perceived to be obstacles to planning. Their relative's resistance to change and refusal to use available resources were also obstacles reported by caregivers. 

Suggestions are made for ways professionals can help families cope with these challenges of their older years. (PsycINFO Database Record (c) 2016 APA, all rights reserved)

© 2019 American Psychological Association.

750 First Street NE, Washington, DC 20002-4242

Telephone: 202-336-5650; 800-374-2722

Models of advance directives in mental health care


Models of advance directives


Models of advance directives in mental health care

Springer Link  References Social Psychiatry and Psychiatric Epidemiology 

August 2004, Volume 39, Issue 8, pp 673–680 J. M. AtkinsonEmail authorH. C. GarnerW. H. Gilmour


Scottish Executive (2001a) Report on the Review of the Mental Health (Scotland) Act 1984. Edinburgh: Scottish Executive

Google Scholar


Scottish Executive (2001b) Renewing Mental Health Law Policy Statement. Edinburgh: Scottish Executive

Google Scholar


Department of Health (1999) Report of the Expert Committee, Review of the Mental Health Act. London: Department of Health

Google Scholar


Department of Health and Home Office (2000) Reforming the Mental Health Act.London: Department of Health and Home Office 2000

Google Scholar


Curran C, Grimshaw C (1999) Advance Directives. OpenMind 99 Sept/Oct pp 24

Google Scholar


Rethink (2000) Policy Statements 25 & 26 http://www.rethink. org/news + campaigns/policies/

Google Scholar


Manic Depression Fellowship (2001) Planning ahead for people with manic depression. London: Manic Depression Fellowship

Google Scholar


Papageorgiou A, King M, Janmohamed A, Davidson O, Dawson J (2002) Advance directives for patients compulsorily admitted to hospital with serious mental illness. Br J Psychiatry 181:513–551

CrossRefPubMedGoogle Scholar


Sutherby K, Szmukler GI, Halpern A, Alexander M, Thornicroft G, Johnson C, Wright S (1999) A study of ‘crisis cards’ in a community psychiatric service. Acta Psychiatr Scand 100:56–61

PubMedGoogle Scholar


Scottish Parliament (2002) Official Report Health and Community Care Committee, Friday 4th October 2002 Edinburgh: Stationery Office

Google Scholar


Scottish Parliament (2002) Official Report Health and Community Care Committee, Wednesday 30th October 2002 Edinburgh: Stationery Office

Google Scholar


Scottish Parliament (2003) Mental Health Care and Treatment (Scotland) Act 2003 Edinburgh: Stationery Office

Google Scholar


Department of Health (2002) Draft Mental Health Bill London: HMSO

Google Scholar


Dobson R (2003) Mental health bill will be subject to pre-legislative scrutiny Br Med J 327:1304

CrossRefGoogle Scholar


Szasz TS (1982) The Psychiatric Will: a New Mechanism for Protecting Persons Against ‘Psychosis’ and Psychiatry. Am Psychol 37:762–770

PubMedGoogle Scholar


Appelbaum PS (1991) Advance Directives for Psychiatric Treatment. Hosp Comm Psychiatry 42:983–984

Google Scholar


Kapp MB (1994) Implications of the Patient Self-Determination Act for psychiatric practice. Hosp Comm Psychiatry 45:355–358

Google Scholar


Backlar P (1997) Ethics in Community Mental Health Care: Anticipatory Planning for Psychiatric Treatment Is Not Quite the Same as Planning for End-of-Life Care. Comm Ment Health J 33:261–268

CrossRefGoogle Scholar


Atkinson JM, Garner HC, Patrick H, Stuart S (2003) Issues in the development of advance directives in mental health care. J Ment Health 12:463–474

Google Scholar


Atkinson JM, Garner HC, Stuart S, Patrick H (2003) The development of potential models of advance directives in mental health care. J Ment Health 12:575–584

CrossRefGoogle Scholar


Institute of Healthcare Management Yearbook 2000/2001 Stationery Office 2000

Google Scholar


Atkinson JM (2004) Ulysses’ crew or Circe? – the implications of advance directives in mental health for psychiatrists. Psychiatr Bull 28:3–4

Google Scholar


Sutherby K, Szmukler GI (1998) Crisis cards and self-help crisis initatives. Psychiatr Bull 22:4–7

Google Scholar


Winston ME, Winston SM, Appelbaum P, Rhoder N (1982) Can a Subject Consent to a ‘Ulysses Contract’? Case Study Commentary. The Hastings Center Report, University of Toronto Faculty of Law Review 12:26–28

Google Scholar


Dresser R (1984) Bound to Treatment: The Ulysses Contract. The Hastings Center Report, pp 13–16

Google Scholar


Somerville MA (1985) Changes in mental health legislation as indicators of changing values and policies. In: Roth M, Bluglass R (eds.) Psychiatry, human rights and the law. Cambridge: Cambridge University Press, pp 156–214

Google Scholar


British Medical Association (1995) Advance Statements about Medical Treatment. London: BMJ Publishing Group

Google Scholar


Humphreys M (1998) Consultant psychiatrists’ knowledge of mental health legislation in Scotland. Med Sci Law 38:237–241

PubMedGoogle Scholar


Peay J, Roberts C, Eastman N (2001) Legal knowledge of mental health professionals: Report of a national survey. J Ment Health Law, pp 44–55

Google Scholar


Sales GN (1993) The health care proxy for mental illness: can it work and should we want it to? Bull Am Acad Psychiatry Law 21(2):161–179

PubMedGoogle Scholar


Scottish Parliament (2000) Adults with Incapacity (Scotland) Act 2000 Edinburgh: Stationery Office

Google Scholar

Copyright information




Some Basics About Menopause

Menopause is the time when a woman’s menstrual periods stop permanently. It usually occurs naturally, at an average age of 51, but surgery or the use of certain medications can make it happen earlier. During the years around menopause (a time called perimenopause or menopausal transition), some women have hot flashes, night sweats, difficulty sleeping, or other troublesome symptoms.

Groups, Strength Training Enhance Health for Older Women

By Laura Newman

North American Menopause Society 

Mood Swings


Treatments for PTSD Pharmacologic and Nonpharmacologic

Brief May 14 2019 on Post Traumatic Stress Disorder


Groundwork for a Publicly Available Repository of Randomized Controlled Trial Data

TECHNICAL BRIEFMay 14, 2019 Download PDF1.5 MB

Related Files

Download Final Appendix E[XLSX · 271.6 KB]Download Final Appendix F[XLSX · 556.2 KB]

This report is available in PDF and XLSX only (Final Report [PDF, 1.5 MB]; Final Appendix E [XLSX, 271.6 MB], Final Appendix F [XLSX, 556.2 MB]). People using assistive technology may not be able to fully access information in these files. For additional assistance, please contact us.


The purpose of this project was to identify and abstract data from randomized controlled trials (RCTs) of posttraumatic stress disorder (PTSD) interventions to support the development of a publicly accessible data repository by the National Center for Posttraumatic Stress Disorder.

Key Messages

  • We abstracted data from 318 RCTs, including psychotherapeutic interventions (55%), pharmacologic interventions (30%), and complementary and integrative or nonpharmacologic biological treatments (15%).
  • Studies included community (57%) and military/veteran (43%) populations.
  • Less than half of the studies reported on the loss of PTSD diagnosis or clinically meaningful response/remission of symptoms. Reporting was incomplete for many data elements.
  • Information on gaps in the evidence may inform future research.

Structured Abstract

Background. Posttraumatic stress disorder (PTSD) reduces quality of life and functioning. People with PTSD have symptoms such as intrusive thoughts, nightmares, flashbacks, avoidance of trauma-related stimuli, negative beliefs about themselves and/or others, and hypervigilance. The symptoms may be due to direct or indirect exposure to trauma, such as witnessing actual or threatened death, injury, or violence, including sexual violence and threats of harm. Although recent clinical practice guidelines and reviews exist, providing a single, updatable source of PTSD treatment trials would be useful for clinicians, researchers, and policymakers.

Purpose. To provide detailed information on PTSD treatment research, we systematically abstracted data from randomized controlled trials (RCTs) of PTSD interventions. The National Center for Posttraumatic Stress Disorder (NCPTSD) intends to use the data to develop a publicly available data repository. The NCPTSD is part of the U.S. Department of Veterans Affairs.

Data sources. We searched PTSDpubs (formerly PILOTS), Ovid® MEDLINE®, Cochrane CENTRAL, PsycINFO®, Embase®, CINAHL®, and Scopus® for eligible RCTs and reviewed reference lists of selected systematic reviews and clinical practice guidelines.

Methods. In consultation with NCPTSD, we established inclusion criteria for RCTs and specific data elements to be abstracted. We dually reviewed citations from the literature search, and then the full text of potentially includable articles for eligibility, resolving any disagreements using consensus. One team member abstracted data from included RCTs into evidence tables, and a second reviewer checked abstracted data for accuracy and completeness. The primary publication for each RCT was abstracted; data and citations from any secondary publications (i.e., companion papers) appear in the same record.

Findings. We identified 318 RCTs of PTSD interventions for abstraction (106 pharmacologic studies and 212 nonpharmacologic studies) published from 1988 to 2018, with a peak number of publications (31) in 2015. Psychotherapeutic interventions were the most commonly studied (55%), whereas 30 percent evaluated pharmacologic interventions. Most studies were conducted in the United States (61%), and most had sample sizes in the range of 25 to 100 participants (60% of studies), with a relatively small number of studies enrolling fewer than 25 participants (18%). More studies enrolled participants from a community population (57%) than from a military, veteran, or other population, and the majority of studies were conducted in the outpatient setting (67%). Studies most often enrolled participants with a mix of trauma types (51%), followed by studies of participants with combat-related trauma (20%).

Although there was wide variation, the most commonly used PTSD assessment methods were the Clinician-Administered PTSD Scale (CAPS) and the Structured Clinical Interview for DSM (SCID). Less than half of the studies reported loss of PTSD diagnosis or clinically meaningful response/remission of symptoms. Several other data elements were infrequently reported, including the number of participants with a history of traumatic brain injuries and the number of trauma types.

Conclusions. The data abstracted from 318 RCTs of treatments for PTSD can be used to create a publicly available data repository. By identifying important gaps in the research, such a data repository can inform future study design and conduct.


Suggested citation: O'Neil M, McDonagh M, Hsu F, Cheney T, Carlson K, Holmes R, Ramirez S, Hart E, Murphy K, Graham E, Chou R. Pharmacologic and Nonpharmacologic Treatments for Posttraumatic Stress Disorder: Groundwork for a Publicly Available Repository of Randomized Controlled Trial Data. Technical Brief No. 32. (Prepared by the Pacific Northwest Evidence-based Practice Center under Contract No. 290-2015-00009-I.) AHRQ Publication No. 19-EHC018-EF. Rockville, MD: Agency for Healthcare Research and Quality; May 2019. Posted final reports are located on the Effective Health Care Program search page. DOI: to Exit Disclaimer.