Table of Contents

1. Summary
2. Literature Review
   1. The Facts
   2. Gap between perceived and actual literacy skills of mental health clients
   3. Decoding or Reading with Understanding
   4. Becoming an Adult literacy Learner
   5. Additional Literacy Programs
   6. Basic Skills for Learners with Mental Health Difficulties
   7. Just Ask!
   8. References
3. Analysis of Information from Focus Groups and Interviews
   1. Key Findings
   2. Best Practices
      1. Recognizing that clients have literacy Issues
      2. Talking about literacy Issues
      3. Readiness – preparation by mental health workers
      4. Types of literacy programs
      5. Referrals to literacy programs
      6. Intake
      7. Communication between mental health workers, literacy staff and learners
      8. Initial meeting with teacher, mental health worker and client/learner
      9. Attendance
      10. Medications
      11. Dealing with Issues
      12. Memory
      13. Concentration
      14. Social Situations
      15. Teaching
      16. Dealing with Issues – literacy program staff
      17. Support for literacy staff
      18. Support for mental health workers

1. Recommendations from the Feasibility Study on Literacy and Mental Health
2. Appendix 1: REALM
3. Appendix 2: Freedom to Learn
4. Literacy and Mental Health Working Group