1. Re-writing of DSM V Criteria in
Thoughtful Consideration of
SQ21(Spiritual Intelligence) on Behalf
of a Highly Diverse Populace
Department of Developmental Services, US Department of Labor,
Title 22

2. What Would You Do If the Mountain Man
Declared Martial Law
• The social climate today amongst individuals with "mental disorders" or
"developmental disabilities" for the forthcoming case scenario to take place.
It could be in your state where such an event takes place. A middle aged
gentleman walks into the capitol seemingly entirely harmless though a little
off kilter. In one arm he carries a huge folder overflowing with papers and in
the other a baseball. At about every ten paces he stops, puts down the folder,
quivers the baseball in his hands, throws it up in the air, claps then catches it.
Finally he reaches his destination which happens to be the Department of
Developmental Services. In a rage he walks slowly towards the desk of the
media contact and vigorously throws his folder on the floor. As the papers
scatter he screams, "My dreams I take with me to the grave!!! I do not
approve of the way you people operate here!!1 I'm through getting the brunt
of the low standard of living downstream from you. I'm through catering to
your dearly beloved psych techs!! I will manage this joint around here. I am
the Mountain Man and I look after my people!!" He is given a drink of water
as he is instructed to calm himself down so calling the police would be
premature. The question is what were on those papers and seriously like
Dennis Hopper said when he was on speed in every sense of the word what do
you do.

3. Historic Moments in Proportion to What
Exactly is Wrong With this Picture
• As well as World Wrestling Federation another favorite show amongst
Cedars population would be Star Trek the Next Generation. Of course
the enterprise is always portrayed as a very serene environment
except in one such episode in which the enterprise is under
investigation just like at a state licensing inspection. Apparently there
is something very wrong in this environment and the more challenged
the communication skills the greater the likelihood of something
being wrong. Then again there was Michele Piefer in the film
dangerous minds. In the opening scene the classroom is in total chaos
and the teacher goes to the principle in a total rage. "I take it the
teacher whom preceded me left with a nervous breakdown." Over
time this teacher was able to find the redeeming qualities in her
students. Which only goes to show that within an environment which
is optimal could truly have something really profoundly wrong and an
environment of total bedlam could be full of redeeming qualities of
great potential. A day in hte life under DSM V.

4. The Mountain Man's Audit
• As you investigate this further you learn that this will not be
straightforward as contacting the care provider and having him
brought home. Not only does he claim to be staff but ups the
ante that he is the most qualified to manage the entire operation
throughout the state if not the nation or general assembly for
that matter. Then you learn that he is sophistocated enough to
get in contact with the United Nations requesting to renunce his
citizenship while encouraging others amongst his peer support
to do the same. Whatever was in those scattered papers though
became a highly valuable learning experience though and were
the catalyst to a happy ending. You learn that there are a great
deal of others like him with the capacity to achieve, with real
dreams even if it is not always in a conventional sense of the
word. What also comes out of this is the Mountain Man's Audit
as well as the Seventh Day Method.

5. Disclaimer
• For those of us whom spent our lives working with individuals with dispositions
which fit the criteria of DSM V it is well documented that this population is doing
milestones in learning new skills in self advocacy levels fours included. As all
professionals are well aware, every individual is a citizen of the free world before
being a certified disabled individual and citizens of the free world take priority over
psych techs and psychiatric nurses. The consensus is growing at a record rate (just
because I am bi-polar, autistic, etc. does not mean that I don't have places to go and
people to see) For the population these are very exciting times whereas for the
professionals their lives are becoming far more complicated. This information herein
is being made available in the best interest of the population and not for the reading
pleasure of professionals. There is a growing consensus amongst primary clients, the
more vocal of the population, as well as amongst concerned citizens that only one in
four psych techs is actually committed to the livelihood of the population. The author
of this power point has survived four times the ratio with well recieved fruitful
results. There is a growing consensus of self advocacy which which makes reference
to the radio announcer during the Oakland fire which is that unless you have real
genuine business here do not come to this neck of the woods. Do not tresspass on my
world solely because you need a job. While the professionals themselves have no
authority to deny their population information which would be condusive to their
development the clients themselves do reserve the right to respectfully decline any
information offered in this power point

6. A Standard of Living
Modeled After the Mainstream
• The time would have been sometime between 1999 and 2003.
The assignment was at the Cedars of Marin as it had been since
1992. By this time I had cultivated a strong constructive working
relationship with the majority of their level four population. The
setting was in a kitchen. While the center referred to it as
homemaking the group process fit perfectly the profile of a
culinary skills group. Everyone in that group was either a level
four or level three. Also the assignments in that group were very
tangible with receptive individuals at the other end. An autistic
gentleman would makes sandwiches to be put into lunches for
the next day. Other individuals would bag vegetables for the
same lunches and in turn someone would put the lunches
together. To up the ante their work assignments were congruent
with their individual service plans and the lunches were for
groups going out into the community on work assignments for
the next day.

7. Living and Working Like the Mainstream
• Within this same kitchen setting clean up would be equally
constructive in that clean up assignments were congruent with
individual service plans and objectives. Likewise throughout the
day the music player played a steady stream of uplifting music.
While opportunities were made available for participants to
expand on their musical horizons and the rules were for any
song of six minutes or less the be played to its' finish they were
their own DJs. You could tell when they liked the song because
they would be singing enthusiastically right along with the
music. Once again these were level fours with very limited
attention spans and verbally very limited as well. Very likely the
very spontaneous constructive social interaction between them
could have been attributed to consistent reinforcing of focused
intent. For example several of the participants became very
good at bringing notes up to the kitchen and returning to
homemaking with requested items.

8. An Entirely New Kind of a Curiculum
• The time would be around 1993. The day was segregated by what
was termed community challenges and community living skills.
Community challenges had been designed to the benefit of the
more severely challenged of the population namely the level
fours. Community living skills was designed to benefit higher
functioning individuals all the way up to individuals on their last
stop to graduating to assisted living. The ratio for community
challenges was one to four while the ratio for community living
skills was one to six. Learning opportunities in both programs
were limited basically going to different worksites in the
community in the interest of cultivating work skills. At our
groundbreaking staff meeting in 1993 instructors had the
opportunity of applying their creativity in devising an entirely
new curriculum which integrated though was not limited to
creative writing, janitorial skills, art therapy, music therapy,
culinary skills, while sustaining certain work sites

9. Creative Writing
• I haven't forgotten how one midstream of my creative
writing groups a supervisor with whom I had a strong
working relationship referred to my creative writing
groups as the intake. That was what the creative writing
was for a great many of the participants was a process of
journaling. It was an opportunity for them to account for
their day, their week, their month, what was going on for
them. Yet a great deal of creativity was cultivated in these
creative writing groups. For example two gentleman with
moderate literary and writing skills would write down
words in a dictionary. The next step of that process would
be as a group to come up with a story. One individual with
moderate literary and writing skills had an objective of
writing a story which identified the who what where when,
why, and how.

10. Art Therapy
• With regards to a certain grant proposal to build art centers on behalf of the
population nationwide, the perfect disclaimer would be that such a center would
resemble more of an art store and coffee shop by the disabled and to the benefit of the
mainstream, community participation at its' most optimal and an opportunity for
participants to live fruitfully from what they could call their own. Basically art
therapy became far more than just art therapy rather quickly. Participants were truly
cultivating their inherent creativity with marketable results and loving every minute
of it. One artistic style would be macrocosmic while another would be molecular.
Working very closely with the level fours, the art groups I facilitated were
collaborative in nature. Four example one gentleman loved both sketching and loved
to paint. Another individual would might have an objective to sit down for four
minutes and draw with a selection of pastels. Or for example one individual would be
really good and sketching with markers the foundation while another would be really
good at filling it in with crayons and pastels the outer membrane with watercolors as
the back drop. With regards to the proverbial art center this type of creativity can also
be explosive in that an individual with a real appreciation for art can go on all day
creating one masterpiece after another. A consumer has the option of doing an art
project at home as part of their recreation and at the day program maybe one art
project for an hour.

11. Ever Hear the One About the Six Dollar An
Hour Miracle Worker
• At least within one therapeutic community it has been said that the miracle is
in fact the natural flow of things. However within this context we can open
around six thirty AM in North Santa Rosa within the walls of a six bedroom
sattlelite group home for six residents. All of the residents are under eight
teen youngest four the oldest eight teen. They all have both ambulatory as
well as behavior issues. This is an exceptionally hectic morning as staff are
mobilized to get everyone up in time to go to their day program at the same
time residents are acting out. Then as breakfast is being served the live in
says to the lead, "Why do we do this to ourselves, it not about the money."
The year would be 1990, twenty seven years since the passing of the
Community Mental Health Centers Act and the hourly wage at a group such
as this would six dollars an hour as was the hourly wage at Growth
Opportunities. While psychiatric technicians earn right around five thousand
a month for exactly the same kind of work. Realistically any efforts at
mainstreaming could be construed as exploitation with any efforts at
mainstreaming discredited by such allegations. None of the organizations
serving such populations within the community based sector were able to pay
anymore than six dollars an hour in 1990.

12. Neglect by Incentive
• It would be right around the time of 1993 around the same an
entirely new curriculum was constructed that the team players
at the Cedars of Marin initiated an emergency with regards to
quality of pay. Remember the hog whom they fed would lead you
to believe that they were all just six dollar an hour miracle
workers, supposedly holy innocents who'd just as well do gods
work for free out of the kindness of their heart. In that meeting
one of the team players comments and the people in the
trenches have never made much money oblivious of the monthly
$5000 for exactly the same work in proportion to Universal
Humanitarian Law which guarantees equal pay for the same
work. Especially right around this time a great deal of time was
spent feeding the hog over financial woes which was not being
spent tending to active treatment, logistics basic in that you get
what you pay for.

13. But What About the Opportunity to Apply
Our Newly Found Sills
• This would be the perfect opportunity for expert opinions, primary clients, concerned
citizens, as well as the consumers themselves to remind the actual team players
exactly what they are getting paid for, why the state hospitals would hire them, and
why there are group homes and centers. First of all the state hospitals are responsible
for the health, well being, and development of the individual. There are the
contingencies of DSM V which offer guidelines as to disposition of a patient. Likewise
there are countless documented cases of persons with addiction, bi-polar disorder or
psychosis which end tragically when they don't maintain their program in the
community. Likewise when someone say with mental retardation graduates into the
community this individual is still in need of a great deal off support while a critical
variable which would bring them amongst the mainstream would be meeting their
objectives succesfully. Individual service plans do not stop upon release into the
community and without the opportunity to cultivate their skills to the fullest then to
apply those skills meaningfully then individual service plans are entirely redundant.
The success of any population of such vulnerability would be contingent upon a
concerted team effort between the state hospitals and the community based sector. As
to the mechanics of why the pay is so different between the state hospital and the
community based sector would be that they get their funding from different sources

14. Working and Living Like the Mainstream
Sattlelite Style
• During my thirteen year assignment at the Cedars of Marin my primary
assignment was at the day program and after about 2000 I had the
opportunity of working countless shifts at their sattlelite group homes which
in a normalization sense of the word were tokens of role model living. The
residents their work really well. Throughout my tenure a Cedars i utilized a
developmental model of normalization which acted along the theory that the
majority of citizens work nine to five shifts and that when they get home it
would be time to rest and do fun stuff. However when I get home I do need to
do my part in keeping the house clean or my firends might wonder about be
and after all it could very possibly be my own son or daughter who gives me
the big 51/50. It was for this reason that during the day program I was
diligent about the upkeep of their individual service plans while making
innumerable opportunities available to them to cultivate their skills. Any
time I did a shift at any of their sattlelite group homes, The residents and I
did have our share of fun together at meal prep and dinner clean. However
once a resident was done with their shift they were free to go watch their
show, play their music or whatever their choice of recreation.

15. Ushering in the United Underdogs
• In case the mountain man's audit brings shame this organization's
reputation United Underdogs would be the perfect far better trademark.
Think about it was just a stupid Life Boat. If it were a Life House I would
understand but Life Boat, give me a break. The planet is way too big for that.
This would be my very previous assignment under the umbrella of
California's Department of Developmental Services. Where the higher
functioning of the population was concerned, the more vocal as well as their
folks in assisted living programs they were very helpful to these individuals,
consumers holding down jobs at places such as Safeways. However as i took
my assignment at Stonehaven, only one resident vocal in the least and all of
them with ambulatory issues it was obvious that the organization new
nothing of the mechanics of cultivating proper active treatment. However the
Mountain Man's audit would not recommend just blatantly shutting them
down. The team players get gold stars for outstanding effort and the sense of
family there is really strong. It is not recommended that these two homes
Stonehaven be shut down. They are just in in need of cohesive technical
support in the intesest of cultivating better founded active treatment though
for philanthropic reasons this household could very possibly split into three
households.

16. When the Expert Opinion Does the
Monsoon
• Where the name United Underdogs would come from would be
that this organization Drifting Life Boat were extremely
professional in making the best of a bad situation. The problem
is they were obviously oblivious that with better technical
support from the nation and state far better opportunities
would be on the horizon. Organizationally they fit perfectly the
profile of an addict in about the fifth year of sobriety. Activity
supplies were not age appropriate in total insult to the life
quality outcome of the residents. With residents whom had the
capacity to research and cultivate their interests no adaptive
methods were made available. Compact discs were on the floor
like they were frisbees and staff were seemingly oblivious that
the same cds were being purchased over and over in total insult
to their self advocacy. It is not appropriate to just expect an
expert opinion from the National Association of Disability to
just come barreling in there and save the day for these lost souls

17. They Had Been Getting the Runaraound for So
Long that to Give Them Would Be Disorienting
• With regards to whom has actually been getting the runaround as any top dog would ask well for one
the staff, conservators, residents and family members with their resources invested in the best interest
of the residents of Stonehaven. To identify the most vulnerable would be the staff and family members
with the residents being the one's losing out. Any expert opinion would definitely be sympathetic to the
staff in that their efforts were definitely truly honest with what resources were available to them. With
what resources were available to them family members very definitely wanted the very for their loved
ones. Family members would not hesitate to express their concerns on a given issue and to a point staff
would make every effort to address the matter. Administration did have a point in that family members
would scrutinize the household with a microscope on every little issue which would saturate the
professionalism of the staff then the administration would come back along the lines that other
services were available throughout California. However a certain expert opinion would add that with
regards to the quality of active treatment as it was coordinated organizationally team effort would seem
really redundant to just about any registered voter. The mountain man's audit would be likely to
change this which would be that state licensing inspections were merely an annual big production
merely to the benefit of Sacramento. In a bigger picture sense of the word it has been forty years since
the passing of the Community Mental Health Centers Act of 1963 and if this is the seventh day of the
seventh day method it might be a good time for concerned individuals everywhere to make a list of
their most pressing of concerns. Where our diligent team players are concerned it would be a perceft
page in history to cultivate all of your professional intuition towards the cultivation of far more
wholistic individual service plans then to expect recognition for them

18. A Word of Self Advocacy From Those
Whom Would Get Away From You
• Where art therapy was concerned it became far more than
just art therapy. There artwork was being sold at fairs and
put up for displays in public establishments. These "level
fours with autism and or mental retardation" were creating
artwork which would have widespread appeal as coffee
cups such as on the shelves of Starbucks where a certain
cross section of higher functioning populations would
qualify as employees. Autism and mental retardation
would be classified under DSM V. If such examples were
accomplished by level fours what may be accomplished by
individuals with the capacity of far greater strides of
independence.

19. DSM V as Merely a Guideline Both For the
Population As Well As for Those Whom Serve
Them
• It would be DSM V which would be utilized to classify the
characteristics, dispositions as well as behaviors of
individuals with disabilities and mental disorders. For
example it is DSM V which determines if an individual's
behavior is the manifestation of a psychosis or
classification of bi-polar disposition. However fifty years
since the passing of the Community Based Centers Act of
1963 it would be the perfect page in history to integrate
DSM V into a developmental model with more effective
tools and guideline towards daily maintenance and self
cultivation such as with SQ 21 which is a developmental
model for spiritual intelligence. There is evidence that
mental health is moving into a page in history when
populations will be able to begin managing their disorders
well before they begin to disrupt their lives.

20. Before Anyone Even Begins to Size Up My
Disorder On Certain Days of the Week What
Would You Do
• On certain days of the week I get very ambitious and psyched up about
all the great things I may accomplish in life then as I hit a big barrier I
go into a depression because my goals weren't realistic to begin with.
Perhaps I should stay in my lane where I can focus and accomplish
what I may accomplish for today. Perhaps the left lane would be
where I get the opportunity to shoot past those barriers whereas in
the left lane I get to get off the highway all together to take a well
deserved break.
• On certain days of the week my monkey brain really gets the best of
me and I become overwhelmed by my racing thoughts then I realize it
would be a great time to reach out to supportive others, to get
involved in a focused activity, perhaps even to take a quick inventory
of how many people are in the room before my entire equilibrium
becomes entirley indiscriminate about fantasy and reality then the
universe will become really overwhelming. I can't afford to process
more information than I can handle

21. Whatever Became of the Mountain Man's
Audit
• What a state licensing inspection does is audit a site usually
on an annual basis. What it does mainly is seek out
deficiencies to be corrected. The Mountain Man's audit on
thee other hand is much more sociable, is always a surprise
inspection and is namely in the interest of catching red
handed the courageous doing it right in the interest of
creating model programs. Likewise as this population
reclaims the self respect they never had a great many
amongst the population are expressing a strong interest in
better self determination in selecting whom looks out in
their best interest. This could be done adaptively on a
computer with pictures of social workers and their
credentials and philosophy.

22. Could You Elaborate On the Seventh Day
Method
• Never again will the seventh day be so explosive. At any rate
many would agree that fifty years was way too long to wait to
apply such a method. The mechanics of the seventh day method
is that on the day after the seventh day everyone comes away
with a framework by which to do daily maintenance while
striving to improve surrounding conditions. Any time the
seventh day comes around would be the opportunity to take an
inventory to evaluate how far I have gone or we have gone and
along with it comes the opportunity to remobilize resources.
• At a record rate underrepresented populations are reclaiming
the self respect they never had. Their standard of living is going
up along with the rest of the planet. What seemed normal in a
previous era is coming up as neglect today. They are being
neglected at the top of Maslow's hierarchy