Serious Mental Illness (SMI)

Serious Mental Illness (SMI) refers to a mental, behavioral, or emotional disorder that substantially interferes with or limits one or more major life activities. Conditions such as bipolar disorder, major depressive disorder, and schizophrenia are examples of SMI. Adults with SMI may experience significant challenges in daily living without appropriate support and treatment. Early diagnosis and consistent care can improve outcomes and quality of life (Substance Abuse and Mental Health Services Administration [SAMHSA], n.d.).

Substance Use Disorders (SUD)

A Substance Use Disorder (SUD) is a treatable mental health condition that affects a person’s brain and behavior, resulting in an inability to control the use of substances such as alcohol, prescription medications, or illegal drugs. Symptoms may range from mild to severe and often disrupt a person’s ability to function at work, school, or within relationships (National Institute of Mental Health [NIMH], n.d.). Please note that the Program does not certify individuals recovering from caffeine or tobacco misuse.

Recovery

Recovery is a personal, ongoing process of change through which individuals improve their health and wellness, live self-directed lives, and strive to reach their full potential. Recovery emphasizes hope, resilience, and meaningful participation in community life (SAMHSA, n.d.).

SAMHSA identifies four major dimensions of recovery:

  • Health - Managing symptoms and making informed choices that support physical and emotional well-being.
     
  • Home - Having a stable and safe place to live.
     
  • Purpose - Engaging in meaningful daily activities such as work, education, or volunteerism.
     
  • Community - Building relationships and social networks that provide support, friendship, and hope.

The NC Division of Mental Health, Developmental Disabilities, and Substance Use Services (DMH/DD/SUS) in the State Peer Support Service definition states, "Recovery is a process of change through which an individual improves their health and wellness, lives a self-directed life and strives to reach their full potential; to live, work, learn, and participate fully in their communities." The State also defines the following concepts relevant to recovery:

  • Clinical Pathways - Recovery procedures are supported by the expertise of a healthcare provider, clinician, or other qualified professionals.
    • Medication Therapy
    • Medication Assisted Treatment (MAT)
    • Counseling
       
  • Non-Clinical Pathways - Recovery procedures are peer-supported and frequently based in the community but do not include a licensed clinician.
    • Faith-Based recovery
    • Peer-Support services
       
  • Self-Management – Recovery processes may be considered "natural recovery" because they do not involve conventional services. However, this process requires substantial resources.

Peer Support and Recovery Support Services

Peer support services are delivered by individuals with lived experience of mental health and/or substance use challenges who are trained to support others in their recovery journeys. Certified Peer Support Specialists promote self-determination, self-advocacy, and connection to community-based supports (North Carolina Department of Health and Human Services [NCDHHS], n.d.).

References

National Institute of Mental Health. (n.d.). Substance use and co-occurring mental disorders.
https://www.nimh.nih.gov/health/topics/substance-use-and-mental-health
North Carolina Department of Health and Human Services. (n.d.). Certified peer support specialists.
https://www.ncdhhs.gov/divisions/mental-health-developmental-disabilities-and-substance-use-services/certified-peer-support-specialists
Substance Abuse and Mental Health Services Administration. (n.d.). About recovery.
https://www.samhsa.gov/substance-use/recovery/about 
Substance Abuse and Mental Health Services Administration. (n.d.). Serious mental illness and serious emotional disturbances.
https://www.samhsa.gov/mental-health/serious-mental-illness/about