





2025 Redefining Crazy: Rewriting the Rules
Join us as we continue to challenge perceptions and inspire change in mental health at our annual RCC conference.
About the Conference
The Mental Health Association of San Francisco proudly presents our fifth annual conference: “2025 Redefining Crazy: Rewriting the Rules”. The Redefining Crazy Conference is a gathering focused on challenging traditional perceptions and approaches to mental health. It aims to explore innovative strategies, empower individuals with lived experience, and foster collaboration among mental health experts, advocates, and policymakers to create positive change in the field.
Registration includes: breakfast, lunch, and an evening reception with food and drinks.
MAY 14-16, 2025
The Grand Hyatt Hotel
345 Stockton St
San Francisco, CA 94108
Keynote Speakers
We are honored to announce our main keynote speakers for this year's RCC!
Angela Davis
Through her activism and scholarship over many decades, legendary Angela Davis has been deeply involved in movements for social justice around the world. Her work as an educator – both at the university level and in the larger public sphere – has always emphasized the importance of building communities of struggle for economic, racial, and gender justice.





Angela Davis
Through her activism and scholarship over many decades, legendary Angela Davis has been deeply involved in movements for social justice around the world. Her work as an educator – both at the university level and in the larger public sphere – has always emphasized the importance of building communities of struggle for economic, racial, and gender justice.
Angela Davis
Through her activism and scholarship over many decades, legendary Angela Davis has been deeply involved in movements for social justice around the world. Her work as an educator – both at the university level and in the larger public sphere – has always emphasized the importance of building communities of struggle for economic, racial, and gender justice.





Jenny Yang
Named one of Variety's Top Ten Comics to Watch and New York Magazine’s Vulture Comedians You Should Know, comedian Jenny Yang tours her unique blend of personal storytelling and social commentary through her standup comedy and hit monthly stage show SELF HELP ME, a competitive self-care comedy show. She has been featured at Just For Laughs Montreal, headlined at San Francisco Sketchfest, and has shared the stage with such legendary comedians as Maria Bamford and Margaret Cho.
Jenny Yang
Named one of Variety's Top Ten Comics to Watch and New York Magazine’s Vulture Comedians You Should Know, comedian Jenny Yang tours her unique blend of personal storytelling and social commentary through her standup comedy and hit monthly stage show SELF HELP ME, a competitive self-care comedy show. She has been featured at Just For Laughs Montreal, headlined at San Francisco Sketchfest, and has shared the stage with such legendary comedians as Maria Bamford and Margaret Cho.
Jenny Yang
Named one of Variety's Top Ten Comics to Watch and New York Magazine’s Vulture Comedians You Should Know, comedian Jenny Yang tours her unique blend of personal storytelling and social commentary through her standup comedy and hit monthly stage show SELF HELP ME, a competitive self-care comedy show. She has been featured at Just For Laughs Montreal, headlined at San Francisco Sketchfest, and has shared the stage with such legendary comedians as Maria Bamford and Margaret Cho.
Presentations
Recovery: Is Sharing Our Lives, Voices, and Experiences
by Avonelle Hanley Mills & SOLVE Team
Recovery: Is Sharing Our Lives, Voices, and Experiences
by Avonelle Hanley Mills & SOLVE Team

The Role of Scarcity and Frugality in Hoarding Behaviors
by Susie DuBois

The Role of Scarcity and Frugality in Hoarding Behaviors
by Susie DuBois

Navigating the Workforce as a Peer: Realities of the Job Market and Best Practices
by Mae Cusack & Ed Woo

Navigating the Workforce as a Peer: Realities of the Job Market and Best Practices
by Mae Cusack & Ed Woo
Intergenerational Trauma, Resilience, and Collective Healing
by Kini Chang
Intergenerational Trauma, Resilience, and Collective Healing
by Kini Chang
Reentry Works in Community
by Nikki Roberts
Reentry Works in Community
by Nikki Roberts

Access Granted: Best Practices for Virtual Training
by Rafi Tarantino

Access Granted: Best Practices for Virtual Training
by Rafi Tarantino

Peer Support: Embracing the Power of Your Story
by Jaelen Valdez

Peer Support: Embracing the Power of Your Story
by Jaelen Valdez
Housing Law and Eviction Prevention
by Ora Prochovnick & Tom Drohan
Housing Law and Eviction Prevention
by Ora Prochovnick & Tom Drohan
Advocating for an inclusive Community Program Planning (CPP) Process
by Jerry Hall
Advocating for an inclusive Community Program Planning (CPP) Process
by Jerry Hall

The Paradox of Exceptional: Crazy, Gifted, or Both?
by Dr. Ryan Kelly

The Paradox of Exceptional: Crazy, Gifted, or Both?
by Dr. Ryan Kelly

Organizing from Within: Empowering Individuals with Hoarding Disorder through Self-Management Tools
by Nicole Malik, Genny Pinzon, & Carla Thomas Cavalier

Organizing from Within: Empowering Individuals with Hoarding Disorder through Self-Management Tools
by Nicole Malik, Genny Pinzon, & Carla Thomas Cavalier
Tech@Hand: Bridging the Digital Divide in San Francisco with Compassion
by Stephanie Milius & Nathan Torento
Tech@Hand: Bridging the Digital Divide in San Francisco with Compassion
by Stephanie Milius & Nathan Torento
The Peer Support Perspective: Post Incarceration Peer Services & Care Court
by Sergio Alexander Alas, Alessandra Mowry, & Shaween Sullivan
The Peer Support Perspective: Post Incarceration Peer Services & Care Court
by Sergio Alexander Alas, Alessandra Mowry, & Shaween Sullivan

MHASF’s California Peer Run Warm Line 101
by Brittany Schroeder, Bianca Vann, & Kayla Nguyen

MHASF’s California Peer Run Warm Line 101
by Brittany Schroeder, Bianca Vann, & Kayla Nguyen

Culturally and Linguistically Specific Warm Line Services
by Felipe Granados

Culturally and Linguistically Specific Warm Line Services
by Felipe Granados
The California Peer Run Warm Line’s Unique Peer Staffing Model
by Brittany Schroeder, Felipe Granados, & Sherrel Cross
The California Peer Run Warm Line’s Unique Peer Staffing Model
by Brittany Schroeder, Felipe Granados, & Sherrel Cross
You Might Be Wrong About Warm Lines: Demystifying the Crisis Continuum
by Sarah Jean Flynn, Felipe Granados, & Sherrel Cross
You Might Be Wrong About Warm Lines: Demystifying the Crisis Continuum
by Sarah Jean Flynn, Felipe Granados, & Sherrel Cross

Remixing Your Mind: An Intro to Hip Hop based Mental Health Practices
by Hip Hop for Change

Remixing Your Mind: An Intro to Hip Hop based Mental Health Practices
by Hip Hop for Change

San Francisco's Mental Health System: The Good, The Bad, The Fixable
by David Elliott Lewis, Ph.D, Sara Shortt, & Kara Ka Wah Chien, JD

San Francisco's Mental Health System: The Good, The Bad, The Fixable
by David Elliott Lewis, Ph.D, Sara Shortt, & Kara Ka Wah Chien, JD
Mastering the Daunting Life with a Catastrophic Medical Diagnosis
by Julie Browne, LCSW
Mastering the Daunting Life with a Catastrophic Medical Diagnosis
by Julie Browne, LCSW
Presentations
Recovery: Is Sharing Our Lives, Voices, and Experiences
by Avonelle Hanley Mills and SOLVE Team
MHASF SOLVE (Sharing Our Lives, Voices, and Experiences) is a peer-led education campaign and speaker bureau. SOLVE Peer Educators share their powerful mental health journeys, challenging societal stigmas including public, structural, and self-stigma. SOLVE Peer Educators share their personal stories of resilience and recovery, fostering understanding, promoting mental health as an essential part of one's overall well-being. The stories shared will affirm mental health challenges do not define a person's worth and recovery is possible.
The Role of Scarcity and Frugality in Hoarding Behaviors
by Susie DuBois
Uncertainty about life's stability often triggers a protective response: clinging tighter to our possessions. "I might need it someday" becomes a powerful mantra for those with hoarding tendencies, revealing the underlying scarcity mindset that drives accumulation. This presentation explores the critical distinction between problematic scarcity thinking and healthy frugality, examining their origins and specific connections to hoarding behaviors. Discover practical, evidence-based approaches to challenge these limiting beliefs, make confident discarding decisions, and create space—both physical and mental—for what truly matters in your life.
Navigating the Workforce as a Peer: Realities of the Job Market and Best Practices
by Mae Cusack and Ed Woo
This workshop will provide attendees with practical insights and strategies for navigating the workforce as a peer professional in the mental health field. Drawing on real-world experiences, the session will cover the realities of the job market, best practices for working with peers, and how to thrive in peer support roles. Attendees will leave with actionable tools to enhance their career development and build meaningful connections in the workplace.
Intergenerational Trauma, Resilience, and Collective Healing
by Kini Chang
This dynamic workshop offers a clear roadmap through the complex landscape of intergenerational trauma—from its origins to practical pathways for healing. Participants will discover how trauma transcends generations through cultural, familial, historical, and racial channels, gaining valuable insights grounded in both cutting-edge research and proven clinical practice. Join us to explore effective strategies for breaking destructive cycles and building resilience that can transform not just individual lives, but entire family legacies.

Reentry Works in Community
by Nikki Roberts
Reentry is a community effort, not just an individual journey. This workshop highlights how arts-based engagement, peer support, and vocational development create sustainable pathways for justice-involved individuals. As a Black queer, justice-involved employment specialist, national reentry advocate, and writer, I’ll share proven strategies for building support systems that reduce recidivism and empower returning citizens. Attendees will explore the role of creative expression, soft skills training, and career/college peer mentorship in developing long-term success and social belonging.

Reentry Works in Community
by Nikki Roberts
Reentry is a community effort, not just an individual journey. This workshop highlights how arts-based engagement, peer support, and vocational development create sustainable pathways for justice-involved individuals. As a Black queer, justice-involved employment specialist, national reentry advocate, and writer, I’ll share proven strategies for building support systems that reduce recidivism and empower returning citizens. Attendees will explore the role of creative expression, soft skills training, and career/college peer mentorship in developing long-term success and social belonging.
Access Granted: Best Practices for Virtual Training
by Rafi Tarantino
In our increasingly digital world, virtual learning transforms peer support training—but who gets left behind? Join us as we explore the balance between technological innovation and digital equity. Discover how APPT is revolutionizing virtual support while tackling digital literacy barriers, access inequities, and engagement challenges. This dynamic session provides actionable strategies for creating virtual training that's truly inclusive and engaging. From conquering Zoom fatigue to ensuring meaningful participation across digital environments, you'll gain practical tools to transform your virtual programs.

Peer Support: Embracing the Power of Your Story
by Jaelen Valdez
As a peer-run agency, our diverse lived experiences shape both our roles and the programs we offer to support a wide range of communities. Discover how our peer-run agency transforms personal stories into powerful tools for connection and growth. This session unveils the key elements of APPT's "Share Your Story" program that create safe, empowering environments where diverse lived experiences become strengths. We'll reveal the specific classroom practices—developed through student feedback, online learning best practices, and peer support research—that foster community and authentic connection. Learn how providers can cultivate inclusive online storytelling spaces that equip peer support specialists with the confidence and skills their roles demand.

Peer Support: Embracing the Power of Your Story
by Jaelen Valdez
As a peer-run agency, our diverse lived experiences shape both our roles and the programs we offer to support a wide range of communities. Discover how our peer-run agency transforms personal stories into powerful tools for connection and growth. This session unveils the key elements of APPT's "Share Your Story" program that create safe, empowering environments where diverse lived experiences become strengths. We'll reveal the specific classroom practices—developed through student feedback, online learning best practices, and peer support research—that foster community and authentic connection. Learn how providers can cultivate inclusive online storytelling spaces that equip peer support specialists with the confidence and skills their roles demand.
Housing Law and Eviction Prevention
by Ora Prochovnick & Tom Drohan:
This workshop will examine how hoarding disorders intersect with housing law and options to avoid terminations of tenancies and displacement.

Advocating for an Inclusive Community Program Planning (CPP) Process
by Jerry Hall
The Department of Health Care Services (DHCS) mandates a Community Program Planning (CPP) process to ensure consumers and other stakeholders are meaningfully engaged in the planning process of how their county's Behavioral Health System intends to spend Behavioral Health Services Act (BHSA) funds each year. Beginning Fiscal Year 2025-25, that cycle will change to a tri-annual CPP process. There are concerns that stakeholders are not authentically engaged in the CPP, and as a result, counties are not adequately addressing the concerns and issues that consumers and stakeholders prioritize. We will discuss a recent survey of all counties, at least one county's CPP approach, and contrast that with what an ideal CPP process looks like from a consumer and advocate's perspective.

Advocating for an Inclusive Community Program Planning (CPP) Process
by Jerry Hall
The Department of Health Care Services (DHCS) mandates a Community Program Planning (CPP) process to ensure consumers and other stakeholders are meaningfully engaged in the planning process of how their county's Behavioral Health System intends to spend Behavioral Health Services Act (BHSA) funds each year. Beginning Fiscal Year 2025-25, that cycle will change to a tri-annual CPP process. There are concerns that stakeholders are not authentically engaged in the CPP, and as a result, counties are not adequately addressing the concerns and issues that consumers and stakeholders prioritize. We will discuss a recent survey of all counties, at least one county's CPP approach, and contrast that with what an ideal CPP process looks like from a consumer and advocate's perspective.
The Paradox of Exceptional: Crazy, Gifted, or Both?
by Dr. Ryan Kelly
What does it mean to be exceptional—and at what cost? This presentation explores the complex relationship between neurodivergence and exceptional abilities. It examines how individuals whose brains function differently are often labeled negatively as "crazy" or "disordered," while simultaneously possessing remarkable talents and insights. The talk challenges traditional deficit-focused frameworks and advocates for a strengths-based approach that recognizes both the gifts and challenges of neurodivergent individuals. Drawing from case studies, lived experiences, and research, it aims to help professionals and allies better support these individuals by appreciating their differences rather than trying to normalize them. Ultimately, the presentation questions our conventional understanding of what constitutes "normal" cognitive functioning.

Organizing from Within: Empowering Individuals with Hoarding Disorder through Self-Management Tools
by Nicole Malik, Genny Pinzon, Carla Thomas Cavalier
Experience a preview of our evidence-based Chronic Disease Self-Management Program (CDSMP) specially adapted for individuals dealing with hoarding disorder. Developed by Stanford University's Self Management Resource Center, this six-week program builds self-efficacy—empowering participants to discover their own solutions and capabilities. Our interactive presentation includes the program's history, workshop structure, and powerful participant testimonials that demonstrate real-world success. Witness firsthand how structured brainstorming, systematic problem-solving, confident decision-making, and strategic goal-setting create practical pathways to managing possessions. Join us to explore proven techniques that transform overwhelming spaces into manageable environments through the power of self-management.

Organizing from Within: Empowering Individuals with Hoarding Disorder through Self-Management Tools
by Nicole Malik, Genny Pinzon, Carla Thomas Cavalier
Experience a preview of our evidence-based Chronic Disease Self-Management Program (CDSMP) specially adapted for individuals dealing with hoarding disorder. Developed by Stanford University's Self Management Resource Center, this six-week program builds self-efficacy—empowering participants to discover their own solutions and capabilities. Our interactive presentation includes the program's history, workshop structure, and powerful participant testimonials that demonstrate real-world success. Witness firsthand how structured brainstorming, systematic problem-solving, confident decision-making, and strategic goal-setting create practical pathways to managing possessions. Join us to explore proven techniques that transform overwhelming spaces into manageable environments through the power of self-management.
Tech@Hand: Bridging the Digital Divide in San Francisco with Compassion
by Stephanie Milius and Nathan Torento
Tech@Hand creates connections to devices, internet, resource navigation, and digital mental health support through compassionate, participant-centered, peer learning experiences. We serve socially isolated transgender and queer older adults and transitional-aged youth in San Francisco facing technological barriers to essential services. The digital divide represents a major obstacle preventing our most vulnerable community members from accessing public services and progressing toward their life goals. Through our program, participants gain critical digital literacy skills while receiving peer-led emotional support from those with shared lived experiences, empowering them to navigate both technology and community resources with greater confidence and independence.

The Peer Support Perspective: Post Incarceration Peer Services & Care Court
by Sergio Alexander Alas, Alessandra Mowry, Shaween Sullivan
At the Mental Health Association of San Francisco, peers with lived experience are transforming justice system outcomes through two innovative programs. Our Post-Incarceration Peer Services (PIPS) specialists meet individuals at the critical moment of release, offering trusted guidance through reentry challenges while reducing incarceration stigma. Through Care Court, peers create a lifeline for those with severe mental illness facing court proceedings—helping divert them from incarceration toward treatment and community support. Their unique perspective ensures a more dignified, empowering approach to justice. Working in strategic partnership with the District Attorney's Office, Public Defender, SF County Jail, Courts, and community organizations, MHASF demonstrates how lived experience creates more humane, effective pathways through the justice system.

The Peer Support Perspective: Post Incarceration Peer Services & Care Court
by Sergio Alexander Alas, Alessandra Mowry, Shaween Sullivan
At the Mental Health Association of San Francisco, peers with lived experience are transforming justice system outcomes through two innovative programs. Our Post-Incarceration Peer Services (PIPS) specialists meet individuals at the critical moment of release, offering trusted guidance through reentry challenges while reducing incarceration stigma. Through Care Court, peers create a lifeline for those with severe mental illness facing court proceedings—helping divert them from incarceration toward treatment and community support. Their unique perspective ensures a more dignified, empowering approach to justice. Working in strategic partnership with the District Attorney's Office, Public Defender, SF County Jail, Courts, and community organizations, MHASF demonstrates how lived experience creates more humane, effective pathways through the justice system.
Presentations
Recovery: Is Sharing Our Lives, Voices, and Experiences
by Avonelle Hanley Mills and SOLVE Team
MHASF SOLVE (Sharing Our Lives, Voices, and Experiences) is a peer-led education campaign and speaker bureau. SOLVE Peer Educators share their powerful mental health journeys, challenging societal stigmas including public, structural, and self-stigma. SOLVE Peer Educators share their personal stories of resilience and recovery, fostering understanding, promoting mental health as an essential part of one's overall well-being. The stories shared will affirm mental health challenges do not define a person's worth and recovery is possible.
The Role of Scarcity and Frugality in Hoarding Behaviors
by Susie DuBois
Uncertainty about life's stability often triggers a protective response: clinging tighter to our possessions. "I might need it someday" becomes a powerful mantra for those with hoarding tendencies, revealing the underlying scarcity mindset that drives accumulation. This presentation explores the critical distinction between problematic scarcity thinking and healthy frugality, examining their origins and specific connections to hoarding behaviors. Discover practical, evidence-based approaches to challenge these limiting beliefs, make confident discarding decisions, and create space—both physical and mental—for what truly matters in your life.
Navigating the Workforce as a Peer: Realities of the Job Market and Best Practices
by Mae Cusack and Ed Woo
This workshop will provide attendees with practical insights and strategies for navigating the workforce as a peer professional in the mental health field. Drawing on real-world experiences, the session will cover the realities of the job market, best practices for working with peers, and how to thrive in peer support roles. Attendees will leave with actionable tools to enhance their career development and build meaningful connections in the workplace.
Intergenerational Trauma, Resilience, and Collective Healing
by Kini Chang
This dynamic workshop offers a clear roadmap through the complex landscape of intergenerational trauma—from its origins to practical pathways for healing. Participants will discover how trauma transcends generations through cultural, familial, historical, and racial channels, gaining valuable insights grounded in both cutting-edge research and proven clinical practice. Join us to explore effective strategies for breaking destructive cycles and building resilience that can transform not just individual lives, but entire family legacies.

Reentry Works in Community
by Nikki Roberts
Reentry is a community effort, not just an individual journey. This workshop highlights how arts-based engagement, peer support, and vocational development create sustainable pathways for justice-involved individuals. As a Black queer, justice-involved employment specialist, national reentry advocate, and writer, I’ll share proven strategies for building support systems that reduce recidivism and empower returning citizens. Attendees will explore the role of creative expression, soft skills training, and career/college peer mentorship in developing long-term success and social belonging.

Reentry Works in Community
by Nikki Roberts
Reentry is a community effort, not just an individual journey. This workshop highlights how arts-based engagement, peer support, and vocational development create sustainable pathways for justice-involved individuals. As a Black queer, justice-involved employment specialist, national reentry advocate, and writer, I’ll share proven strategies for building support systems that reduce recidivism and empower returning citizens. Attendees will explore the role of creative expression, soft skills training, and career/college peer mentorship in developing long-term success and social belonging.
Access Granted: Best Practices for Virtual Training
by Rafi Tarantino
In our increasingly digital world, virtual learning transforms peer support training—but who gets left behind? Join us as we explore the balance between technological innovation and digital equity. Discover how APPT is revolutionizing virtual support while tackling digital literacy barriers, access inequities, and engagement challenges. This dynamic session provides actionable strategies for creating virtual training that's truly inclusive and engaging. From conquering Zoom fatigue to ensuring meaningful participation across digital environments, you'll gain practical tools to transform your virtual programs.

Peer Support: Embracing the Power of Your Story
by Jaelen Valdez
As a peer-run agency, our diverse lived experiences shape both our roles and the programs we offer to support a wide range of communities. Discover how our peer-run agency transforms personal stories into powerful tools for connection and growth. This session unveils the key elements of APPT's "Share Your Story" program that create safe, empowering environments where diverse lived experiences become strengths. We'll reveal the specific classroom practices—developed through student feedback, online learning best practices, and peer support research—that foster community and authentic connection. Learn how providers can cultivate inclusive online storytelling spaces that equip peer support specialists with the confidence and skills their roles demand.

Peer Support: Embracing the Power of Your Story
by Jaelen Valdez
As a peer-run agency, our diverse lived experiences shape both our roles and the programs we offer to support a wide range of communities. Discover how our peer-run agency transforms personal stories into powerful tools for connection and growth. This session unveils the key elements of APPT's "Share Your Story" program that create safe, empowering environments where diverse lived experiences become strengths. We'll reveal the specific classroom practices—developed through student feedback, online learning best practices, and peer support research—that foster community and authentic connection. Learn how providers can cultivate inclusive online storytelling spaces that equip peer support specialists with the confidence and skills their roles demand.
Housing Law and Eviction Prevention
by Ora Prochovnick & Tom Drohan:
This workshop will examine how hoarding disorders intersect with housing law and options to avoid terminations of tenancies and displacement.

Advocating for an Inclusive Community Program Planning (CPP) Process
by Jerry Hall
The Department of Health Care Services (DHCS) mandates a Community Program Planning (CPP) process to ensure consumers and other stakeholders are meaningfully engaged in the planning process of how their county's Behavioral Health System intends to spend Behavioral Health Services Act (BHSA) funds each year. Beginning Fiscal Year 2025-25, that cycle will change to a tri-annual CPP process. There are concerns that stakeholders are not authentically engaged in the CPP, and as a result, counties are not adequately addressing the concerns and issues that consumers and stakeholders prioritize. We will discuss a recent survey of all counties, at least one county's CPP approach, and contrast that with what an ideal CPP process looks like from a consumer and advocate's perspective.

Advocating for an Inclusive Community Program Planning (CPP) Process
by Jerry Hall
The Department of Health Care Services (DHCS) mandates a Community Program Planning (CPP) process to ensure consumers and other stakeholders are meaningfully engaged in the planning process of how their county's Behavioral Health System intends to spend Behavioral Health Services Act (BHSA) funds each year. Beginning Fiscal Year 2025-25, that cycle will change to a tri-annual CPP process. There are concerns that stakeholders are not authentically engaged in the CPP, and as a result, counties are not adequately addressing the concerns and issues that consumers and stakeholders prioritize. We will discuss a recent survey of all counties, at least one county's CPP approach, and contrast that with what an ideal CPP process looks like from a consumer and advocate's perspective.
The Paradox of Exceptional: Crazy, Gifted, or Both?
by Dr. Ryan Kelly
What does it mean to be exceptional—and at what cost? This presentation explores the complex relationship between neurodivergence and exceptional abilities. It examines how individuals whose brains function differently are often labeled negatively as "crazy" or "disordered," while simultaneously possessing remarkable talents and insights. The talk challenges traditional deficit-focused frameworks and advocates for a strengths-based approach that recognizes both the gifts and challenges of neurodivergent individuals. Drawing from case studies, lived experiences, and research, it aims to help professionals and allies better support these individuals by appreciating their differences rather than trying to normalize them. Ultimately, the presentation questions our conventional understanding of what constitutes "normal" cognitive functioning.

Organizing from Within: Empowering Individuals with Hoarding Disorder through Self-Management Tools
by Nicole Malik, Genny Pinzon, Carla Thomas Cavalier
Experience a preview of our evidence-based Chronic Disease Self-Management Program (CDSMP) specially adapted for individuals dealing with hoarding disorder. Developed by Stanford University's Self Management Resource Center, this six-week program builds self-efficacy—empowering participants to discover their own solutions and capabilities. Our interactive presentation includes the program's history, workshop structure, and powerful participant testimonials that demonstrate real-world success. Witness firsthand how structured brainstorming, systematic problem-solving, confident decision-making, and strategic goal-setting create practical pathways to managing possessions. Join us to explore proven techniques that transform overwhelming spaces into manageable environments through the power of self-management.

Organizing from Within: Empowering Individuals with Hoarding Disorder through Self-Management Tools
by Nicole Malik, Genny Pinzon, Carla Thomas Cavalier
Experience a preview of our evidence-based Chronic Disease Self-Management Program (CDSMP) specially adapted for individuals dealing with hoarding disorder. Developed by Stanford University's Self Management Resource Center, this six-week program builds self-efficacy—empowering participants to discover their own solutions and capabilities. Our interactive presentation includes the program's history, workshop structure, and powerful participant testimonials that demonstrate real-world success. Witness firsthand how structured brainstorming, systematic problem-solving, confident decision-making, and strategic goal-setting create practical pathways to managing possessions. Join us to explore proven techniques that transform overwhelming spaces into manageable environments through the power of self-management.
Tech@Hand: Bridging the Digital Divide in San Francisco with Compassion
by Stephanie Milius and Nathan Torento
Tech@Hand creates connections to devices, internet, resource navigation, and digital mental health support through compassionate, participant-centered, peer learning experiences. We serve socially isolated transgender and queer older adults and transitional-aged youth in San Francisco facing technological barriers to essential services. The digital divide represents a major obstacle preventing our most vulnerable community members from accessing public services and progressing toward their life goals. Through our program, participants gain critical digital literacy skills while receiving peer-led emotional support from those with shared lived experiences, empowering them to navigate both technology and community resources with greater confidence and independence.

The Peer Support Perspective: Post Incarceration Peer Services & Care Court
by Sergio Alexander Alas, Alessandra Mowry, Shaween Sullivan
At the Mental Health Association of San Francisco, peers with lived experience are transforming justice system outcomes through two innovative programs. Our Post-Incarceration Peer Services (PIPS) specialists meet individuals at the critical moment of release, offering trusted guidance through reentry challenges while reducing incarceration stigma. Through Care Court, peers create a lifeline for those with severe mental illness facing court proceedings—helping divert them from incarceration toward treatment and community support. Their unique perspective ensures a more dignified, empowering approach to justice. Working in strategic partnership with the District Attorney's Office, Public Defender, SF County Jail, Courts, and community organizations, MHASF demonstrates how lived experience creates more humane, effective pathways through the justice system.

The Peer Support Perspective: Post Incarceration Peer Services & Care Court
by Sergio Alexander Alas, Alessandra Mowry, Shaween Sullivan
At the Mental Health Association of San Francisco, peers with lived experience are transforming justice system outcomes through two innovative programs. Our Post-Incarceration Peer Services (PIPS) specialists meet individuals at the critical moment of release, offering trusted guidance through reentry challenges while reducing incarceration stigma. Through Care Court, peers create a lifeline for those with severe mental illness facing court proceedings—helping divert them from incarceration toward treatment and community support. Their unique perspective ensures a more dignified, empowering approach to justice. Working in strategic partnership with the District Attorney's Office, Public Defender, SF County Jail, Courts, and community organizations, MHASF demonstrates how lived experience creates more humane, effective pathways through the justice system.
Presentations
Recovery: Is Sharing Our Lives, Voices, and Experiences
by Avonelle Hanley Mills and SOLVE Team
MHASF SOLVE (Sharing Our Lives, Voices, and Experiences) is a peer-led education campaign and speaker bureau. SOLVE Peer Educators share their powerful mental health journeys, challenging societal stigmas including public, structural, and self-stigma. SOLVE Peer Educators share their personal stories of resilience and recovery, fostering understanding, promoting mental health as an essential part of one's overall well-being. The stories shared will affirm mental health challenges do not define a person's worth and recovery is possible.
The Role of Scarcity and Frugality in Hoarding Behaviors
by Susie DuBois
Uncertainty about life's stability often triggers a protective response: clinging tighter to our possessions. "I might need it someday" becomes a powerful mantra for those with hoarding tendencies, revealing the underlying scarcity mindset that drives accumulation. This presentation explores the critical distinction between problematic scarcity thinking and healthy frugality, examining their origins and specific connections to hoarding behaviors. Discover practical, evidence-based approaches to challenge these limiting beliefs, make confident discarding decisions, and create space—both physical and mental—for what truly matters in your life.
Navigating the Workforce as a Peer: Realities of the Job Market and Best Practices
by Mae Cusack and Ed Woo
This workshop will provide attendees with practical insights and strategies for navigating the workforce as a peer professional in the mental health field. Drawing on real-world experiences, the session will cover the realities of the job market, best practices for working with peers, and how to thrive in peer support roles. Attendees will leave with actionable tools to enhance their career development and build meaningful connections in the workplace.
Intergenerational Trauma, Resilience, and Collective Healing
by Kini Chang
This dynamic workshop offers a clear roadmap through the complex landscape of intergenerational trauma—from its origins to practical pathways for healing. Participants will discover how trauma transcends generations through cultural, familial, historical, and racial channels, gaining valuable insights grounded in both cutting-edge research and proven clinical practice. Join us to explore effective strategies for breaking destructive cycles and building resilience that can transform not just individual lives, but entire family legacies.

Reentry Works in Community
by Nikki Roberts
Reentry is a community effort, not just an individual journey. This workshop highlights how arts-based engagement, peer support, and vocational development create sustainable pathways for justice-involved individuals. As a Black queer, justice-involved employment specialist, national reentry advocate, and writer, I’ll share proven strategies for building support systems that reduce recidivism and empower returning citizens. Attendees will explore the role of creative expression, soft skills training, and career/college peer mentorship in developing long-term success and social belonging.

Reentry Works in Community
by Nikki Roberts
Reentry is a community effort, not just an individual journey. This workshop highlights how arts-based engagement, peer support, and vocational development create sustainable pathways for justice-involved individuals. As a Black queer, justice-involved employment specialist, national reentry advocate, and writer, I’ll share proven strategies for building support systems that reduce recidivism and empower returning citizens. Attendees will explore the role of creative expression, soft skills training, and career/college peer mentorship in developing long-term success and social belonging.
Access Granted: Best Practices for Virtual Training
by Rafi Tarantino
In our increasingly digital world, virtual learning transforms peer support training—but who gets left behind? Join us as we explore the balance between technological innovation and digital equity. Discover how APPT is revolutionizing virtual support while tackling digital literacy barriers, access inequities, and engagement challenges. This dynamic session provides actionable strategies for creating virtual training that's truly inclusive and engaging. From conquering Zoom fatigue to ensuring meaningful participation across digital environments, you'll gain practical tools to transform your virtual programs.

Peer Support: Embracing the Power of Your Story
by Jaelen Valdez
As a peer-run agency, our diverse lived experiences shape both our roles and the programs we offer to support a wide range of communities. Discover how our peer-run agency transforms personal stories into powerful tools for connection and growth. This session unveils the key elements of APPT's "Share Your Story" program that create safe, empowering environments where diverse lived experiences become strengths. We'll reveal the specific classroom practices—developed through student feedback, online learning best practices, and peer support research—that foster community and authentic connection. Learn how providers can cultivate inclusive online storytelling spaces that equip peer support specialists with the confidence and skills their roles demand.

Peer Support: Embracing the Power of Your Story
by Jaelen Valdez
As a peer-run agency, our diverse lived experiences shape both our roles and the programs we offer to support a wide range of communities. Discover how our peer-run agency transforms personal stories into powerful tools for connection and growth. This session unveils the key elements of APPT's "Share Your Story" program that create safe, empowering environments where diverse lived experiences become strengths. We'll reveal the specific classroom practices—developed through student feedback, online learning best practices, and peer support research—that foster community and authentic connection. Learn how providers can cultivate inclusive online storytelling spaces that equip peer support specialists with the confidence and skills their roles demand.
Housing Law and Eviction Prevention
by Ora Prochovnick & Tom Drohan:
This workshop will examine how hoarding disorders intersect with housing law and options to avoid terminations of tenancies and displacement.

Advocating for an Inclusive Community Program Planning (CPP) Process
by Jerry Hall
The Department of Health Care Services (DHCS) mandates a Community Program Planning (CPP) process to ensure consumers and other stakeholders are meaningfully engaged in the planning process of how their county's Behavioral Health System intends to spend Behavioral Health Services Act (BHSA) funds each year. Beginning Fiscal Year 2025-25, that cycle will change to a tri-annual CPP process. There are concerns that stakeholders are not authentically engaged in the CPP, and as a result, counties are not adequately addressing the concerns and issues that consumers and stakeholders prioritize. We will discuss a recent survey of all counties, at least one county's CPP approach, and contrast that with what an ideal CPP process looks like from a consumer and advocate's perspective.

Advocating for an Inclusive Community Program Planning (CPP) Process
by Jerry Hall
The Department of Health Care Services (DHCS) mandates a Community Program Planning (CPP) process to ensure consumers and other stakeholders are meaningfully engaged in the planning process of how their county's Behavioral Health System intends to spend Behavioral Health Services Act (BHSA) funds each year. Beginning Fiscal Year 2025-25, that cycle will change to a tri-annual CPP process. There are concerns that stakeholders are not authentically engaged in the CPP, and as a result, counties are not adequately addressing the concerns and issues that consumers and stakeholders prioritize. We will discuss a recent survey of all counties, at least one county's CPP approach, and contrast that with what an ideal CPP process looks like from a consumer and advocate's perspective.
The Paradox of Exceptional: Crazy, Gifted, or Both?
by Dr. Ryan Kelly
What does it mean to be exceptional—and at what cost? This presentation explores the complex relationship between neurodivergence and exceptional abilities. It examines how individuals whose brains function differently are often labeled negatively as "crazy" or "disordered," while simultaneously possessing remarkable talents and insights. The talk challenges traditional deficit-focused frameworks and advocates for a strengths-based approach that recognizes both the gifts and challenges of neurodivergent individuals. Drawing from case studies, lived experiences, and research, it aims to help professionals and allies better support these individuals by appreciating their differences rather than trying to normalize them. Ultimately, the presentation questions our conventional understanding of what constitutes "normal" cognitive functioning.

Organizing from Within: Empowering Individuals with Hoarding Disorder through Self-Management Tools
by Nicole Malik, Genny Pinzon, Carla Thomas Cavalier
Experience a preview of our evidence-based Chronic Disease Self-Management Program (CDSMP) specially adapted for individuals dealing with hoarding disorder. Developed by Stanford University's Self Management Resource Center, this six-week program builds self-efficacy—empowering participants to discover their own solutions and capabilities. Our interactive presentation includes the program's history, workshop structure, and powerful participant testimonials that demonstrate real-world success. Witness firsthand how structured brainstorming, systematic problem-solving, confident decision-making, and strategic goal-setting create practical pathways to managing possessions. Join us to explore proven techniques that transform overwhelming spaces into manageable environments through the power of self-management.

Organizing from Within: Empowering Individuals with Hoarding Disorder through Self-Management Tools
by Nicole Malik, Genny Pinzon, Carla Thomas Cavalier
Experience a preview of our evidence-based Chronic Disease Self-Management Program (CDSMP) specially adapted for individuals dealing with hoarding disorder. Developed by Stanford University's Self Management Resource Center, this six-week program builds self-efficacy—empowering participants to discover their own solutions and capabilities. Our interactive presentation includes the program's history, workshop structure, and powerful participant testimonials that demonstrate real-world success. Witness firsthand how structured brainstorming, systematic problem-solving, confident decision-making, and strategic goal-setting create practical pathways to managing possessions. Join us to explore proven techniques that transform overwhelming spaces into manageable environments through the power of self-management.
Tech@Hand: Bridging the Digital Divide in San Francisco with Compassion
by Stephanie Milius and Nathan Torento
Tech@Hand creates connections to devices, internet, resource navigation, and digital mental health support through compassionate, participant-centered, peer learning experiences. We serve socially isolated transgender and queer older adults and transitional-aged youth in San Francisco facing technological barriers to essential services. The digital divide represents a major obstacle preventing our most vulnerable community members from accessing public services and progressing toward their life goals. Through our program, participants gain critical digital literacy skills while receiving peer-led emotional support from those with shared lived experiences, empowering them to navigate both technology and community resources with greater confidence and independence.

The Peer Support Perspective: Post Incarceration Peer Services & Care Court
by Sergio Alexander Alas, Alessandra Mowry, Shaween Sullivan
At the Mental Health Association of San Francisco, peers with lived experience are transforming justice system outcomes through two innovative programs. Our Post-Incarceration Peer Services (PIPS) specialists meet individuals at the critical moment of release, offering trusted guidance through reentry challenges while reducing incarceration stigma. Through Care Court, peers create a lifeline for those with severe mental illness facing court proceedings—helping divert them from incarceration toward treatment and community support. Their unique perspective ensures a more dignified, empowering approach to justice. Working in strategic partnership with the District Attorney's Office, Public Defender, SF County Jail, Courts, and community organizations, MHASF demonstrates how lived experience creates more humane, effective pathways through the justice system.

The Peer Support Perspective: Post Incarceration Peer Services & Care Court
by Sergio Alexander Alas, Alessandra Mowry, Shaween Sullivan
At the Mental Health Association of San Francisco, peers with lived experience are transforming justice system outcomes through two innovative programs. Our Post-Incarceration Peer Services (PIPS) specialists meet individuals at the critical moment of release, offering trusted guidance through reentry challenges while reducing incarceration stigma. Through Care Court, peers create a lifeline for those with severe mental illness facing court proceedings—helping divert them from incarceration toward treatment and community support. Their unique perspective ensures a more dignified, empowering approach to justice. Working in strategic partnership with the District Attorney's Office, Public Defender, SF County Jail, Courts, and community organizations, MHASF demonstrates how lived experience creates more humane, effective pathways through the justice system.
Past Year Themes & Tracks





RCC 2024
RCC 2024
RCC 2024
Theme: It’s the System, Not the People
Theme: It’s the System, Not the People
Theme: It’s the System, Not the People
Tracks
Hoarding Disorder & Collecting Behaviors
Peer to Peer - Weaving Our Own Safety Net
Fostering Peer Success - Tools for Every Industry
Peer Responses - Models for Prevention, Crisis & Recovery
Our 2024 Conference: “Redefining Crazy: It’s the System, Not the People,” was truly a powerful mental health community experience. April of 2024 marked MHASF’s first in-person conference in five years—and it was overwhelming to bring together peer leaders, advocates, community-based providers, stakeholders, tech innovators, and government officials. Together in a collaborative and actionable learning environment we convened to advance strategies of stigma reduction, care reform, and peer support in our mental health system. This three day conference was a vibrant symposium of ideas and inspiration, all thanks to the tireless efforts and committed experience of our community.
Our keynote presenters represented a full array of mental health, from the arts to the public sector. On day one, attendees were captivated with filmmaker, author, and activist Sera Davidow, as she illuminated the ways in which society vastly underestimates the power of loss of power and the devastating impact of treatment systems in conversation with Cherene Caraco, a psychiatric, trauma and suicide attempt survivor.
Sera Davidow is the Director of the Wildflower Alliance (a peer-to-peer support and training organization) which has received international recognition by the World Health Organization (WHO) the United Nations for providing exemplary, rights-based crisis alternatives. Wildflower Alliance is recognized across the US for their leadership and model setting Peer Support, Advocacy, and Training programs; their practices have gained widespread adoption specifically through their publication Peer Respite Handbook: A Guide to Understanding, Building, and Sustaining Peer Respite and Alternatives to Suicide trainings.
Cherene Allen-Caraco founded and is the CEO of Promise Resource Network, a non-profit designed and led by people most directly impacted by suicide attempts, labels of mental illness, incarceration, houselessness, overdose, and forced psychiatric treatment. PRN now operates 21 programs spanning mental health recovery, substance use recovery, harm reduction, housing, and jail/prison diversion including model peer respite programs and North Carolina's statewide warmline.
The following day, Director of the San Francisco Office of Transgender Initiatives, Honey Mahogany, presented an engaging historical reflection on how systems of mental health in San Francisco benefit from the advocacy of communities directly impacted.





RCC 2022
RCC 2022
RCC 2022
Theme: It’s the System, Not the People
Theme: It’s the System, Not the People
Theme: It’s the System, Not the People
Tracks
Hoarding & Cluttering
Communities Reclaiming Wellness
RCC 2021
RCC 2021
RCC 2021
Theme: It’s the System, Not the People
Theme: It’s the System, Not the People
Theme: It’s the System, Not the People
Tracks
Hoarding & Cluttering
Opportunities in the “New Normal”
Communities Reclaiming Wellness
RCC 2021 Mini-Conference
RCC 2021 Mini-Conference
RCC 2021 Mini-Conference
Theme: It’s the System, Not the People
Theme: It’s the System, Not the People
Theme: It’s the System, Not the People
Tracks
Progress Not Perfection
Collecting Souls
Healing Treasures & Tragedies