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Passages Behavioral Health Services was founded out of need to service mentally ill, co-occurring, correctional clients seeking a second chance. Our 40 years of clinical experience has prepared us to do this work which includes providing case management, Community Living Suppports (CLS), clinical assessment, treatment planning and more. Passages Behavioral Health also manages re-entry housing for this population know as the Passages House. We provide a service that not only bridges folks to another chance but helps maintain their progress in the community.

Tuesday, May 22, 2007

May Mental Health Month

Welcome to Mental Health Month 2007! The theme for this year's observance is MIND Your Health. For more than fifty years, our country has celebrated May as Mental Health Month to raise awareness about mental illnesses and the importance of mental wellness for all. Mental Health America invites you to join us in this important observance.

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Work related suicide, Mental Illness Increase in Japan

Provided by: Associated PressMay. 17, 2007

TOKYO (AP) - The number of Japanese who killed themselves because of work jumped by 52 per cent last year, while work-induced mental illness also hit a record high, a health official said Thursday.

Compensation paid to the families of workers who committed suicide due to work-related stress was paid out in a record 65 cases in 2006, compared with 42 the previous year, said Health Ministry official Junichiro Kurashige.
The number of workers who received compensation for work-induced mental illness hit 205, up 61 per cent from a year earlier, Kurashige said, citing a recent government report.

Efforts by the government to encourage workers to apply for compensation were partly behind the rise, said Kurashige.

Japan's suicide rate is among the highest in the industrialized world. More than 32,000 Japanese took their own lives in 2004, the bulk of them older Japanese suffering financial woes as the country struggled through a decade of economic stagnation.

The Japanese government has earmarked a substantial budget for programs to help those with depression and other mental illnesses.

See C-Health for more mental health news...

Friday, May 04, 2007

Spirituality, Suicide and Mental Health

Canoe Health Reports....An Canadian conference is drawing attention to the key role spirituality plays in mental health and even for suicidal patients.

Medical schools have started to raise awareness about spirituality, so students entering the health-care field will inquire about their patients' belief systems to better understand their attitudes toward life and death.

To shed more light, the University of Ottawa's department of psychiatry, the Ontario Multifaith Council on Spiritual and Religious Care and Saint Paul University are hosting the third annual international conference on Spirituality and Mental Health today and tomorrow.

Developing a greater understanding of the link between mental health and spirituality is necessary for health-care workers who truly want to help their patients, said Dr. Andre Gagnon, chairman of the conference organizing committee. The same can be said of workers dealing with suicidal patients.

Suicidality has been VIEWED AS AMORAL.
Historically, suicidal thoughts were viewed by religions as amoral and people who suffered from them could be forbidden access to a place of worship and even burial rights, said Gagnon.Over time, religions have grown more accepting of the reality that these people need help.

Researching links between suicide rates and spirituality poses difficulties due to the many other variables associated with suicide.Gagnon said that even the awareness of spirituality in suicide can aid health providers in providing appropriate care."A lot of people at first want to stop the suffering they are in, they don't wish to die as much as to stop feeling so badly," he said.

We are all spiritual beings and to neglect this part of a person in who is experiencing significant distress and psychiatric pain can delay a person's recovery. Treating people as whole beings - mental, physical, spiritual and emotional is key.

Wednesday, May 02, 2007

Binge Eating/Compulsive Eating Disorder

Psychiatric Times indicates that this disorder is more common than anorexia and bulimia combined, according to a national survey.In DSM- IV this disorder was being reviewed and was indicated to require more research and study to determine if it would be appropriate for admission into the DSM (Diagnostic and Statistical Manual for Mental Disorders).

Most physicians, however, aren't aware of the problem, says James Hudson, MD, director of the Psychiatric Epidemiology Research Program at McLean Hospital and a professor of psychiatry at Harvard."Doctors have a reasonable degree of awareness about anorexia and bulimia, but they're not tuned into binge eating. It's just not as well known," says Hudson, lead author of "The Prevalence and Correlates of Eating Disorders in the National Comorbidity Survey Replication". The study, published Feb. 1 in Biological Psychiatry, found that 2.8 percent of the general population has binge-eating disorder -- more than bulimia (1 percent prevalence) and anorexia (0.6 percent) combined.

Treatment for this disorder experts recommend a comprehensive eating disorders program. The programs take a multidisciplinary approach that typically includes nutrition counseling; a behavioral weight control plan with healthy meals spaced throughout the day; medication in some cases; and a strong foundation in cognitive behavioral therapy (CBT) -- considered the gold standard for treating the disorder.

Due to this disorder not being an official diagnosis many insurances will not pay for treatment. Self help programs include reading books with CBT focus and drug treatment with SSRI, appetite suppressants and mood stabilizers. See Psychiatric Times for more information

Thursday, April 12, 2007

Who Are You?

A father, mother, wife, husband, sister, brother, boss, employee, devotee, coach, player, student, teacher, etc.

You are not your relations. The core of who you are is not defined by your relationship to friends, family, god or others in general. These are power parts of our being and living in this world.

Is here a you without relationship to others?

So truly, who are you when you look in the mirror and see more than your physical self looking back at you?

Food for Thought....

Monday, April 02, 2007

Tuesday, March 27, 2007

Online Counseling Rarely Available

The dearth of mental health services for individuals in need is a debit our nation has felt for at least twenty years, if not indefinitely. A new national survey of commercial health plans has found that most plans provide online information regarding mental health and substance abuse but few provide clinical services such as counseling via the Internet.

Most private health plans offered online provider directories; 81 percent offered educational information; two thirds offered behavioral self-assessment tools, and almost half offered online referral. About one-third offered personalized responses to questions or problems. Only two percent offered online counseling.

“At least in the short term, increasing use of Internet-based tools designed to facilitate and complement, rather than replace, traditional clinical services seems most likely.”

Source: Brandeis University

Thursday, March 22, 2007

Telephone-Based Psychotherapy and Depression

Psychiatric Times
By Judith GrochReviewed by Robert Jasmer, MD; Associate Clinical Professor of Medicine, University of California, San Francisco Mar 22, 2007

SEATTLE, March 22 -- For depressed patients on medication but too sad to seek psychotherapy as well, lasting help may be available by phone researchers found in a follow-up study.

For more than 75% of nearly 400 patients, the positive effects of six months of brief telephone psychotherapy at the start of antidepressant medication endured for 18 months after the first session, including six months beyond the end of all phone therapy, said Evette Ludman, Ph.D., of the Group Health Cooperative Center for Health Studies here, and colleagues.

This study, reported by Dr. Ludman and colleagues in the April issue of the Journal of Consulting and Clinical Psychology, was a follow-up to a 2004 report on the same sample of 393 patients, published in the Journal of the American Medical Association.

The follow-up found that at 18 months, 77% of those given phone-based therapy reported that depression was "much" or "very much" improved, compared with only 63% of those receiving usual care.

In the 18-month analysis, the benefits of telephone psychotherapy in the first six months were sustained during the second six months when only brief booster sessions were provided. Significantly a "robust clinical benefit" endured for six months after all treatment contact was discontinued, the researchers found.

"As with weight control," Dr. Ludman said, "maintaining improvement is the hardest part of treating depression."

Read More...

As you can see using telephone-based therapy can be convenient and effective. If you are in terested in knowing more Contact Us.

Tuesday, March 20, 2007

How to Choose a Therapist

MayoClinic.Com - Choosing mental health providers can be challenging. Try to match your needs with their experience and specialty. See what issues to consider and which questions to ask.

If you've never consulted mental health providers before, you may not know how to find one who suits your specific needs. Here are some issues and tips to think about, along with questions to ask potential mental health providers.

Consider the types of mental health providers:

You may not realize just how many types of mental health providers are available until you start looking for one. Should you see a family practice doctor? A Psychiatrist? Psychologist? Social worker? Does it even matter?

Several considerations can help guide your decision in choosing among the various types of mental health providers:

The severity of your symptoms
Your medication needs
The provider's level of expertise
Your health insurance coverage

In general, the more severe your symptoms or diagnosis, the more expertise and training to look for in your potential mental health providers. If you may need medications, for instance, you may want to consult a psychiatrist, who by law can prescribe medications and may have more experience with the wide range of psychiatric medications available. On the other hand, if you're dealing with teenage conflicts, you may want to consult a marriage and family therapist. You may even need to see several types of mental health providers to meet various needs.

Contact Us...

Monday, March 12, 2007

Learning....

I've learned that if your heart has never ached you are not alive.

I've learned that a strong man can cry

I've learned that the best things in life really are free

I've learned that there are many risks in life but the biggest is not taking any at all.

Kenn

Wednesday, February 28, 2007

Women Soldiers' Response to Treatment for PTSD

Psychiatric Times
By Peggy Peck
Reviewed by Zalman S. Agus, MD; Emeritus Professor at the University of Pennsylvania School of Medicine. Feb 28, 2007

WHITE RIVER JUNCTION, Vt., Feb. 28 -- For women soldiers being treated for post-traumatic stress disorder, symptoms improve when the therapy homes in on the original index event, no matter how long ago it occurred, researchers here found.

Compared with therapy that aimed at coping with PTSD symptoms in daily life, women whose therapy focused on the past traumatic events reduced symptoms by more than 70% (effect size, 0.27, P=0.03), investigators reported in the Feb. 28 issue of the Journal of the American Medical Association.

Moreover, the women who underwent "prolonged exposure" therapy were also about two-and-half times more likely to achieve total remission (15.2% versus 6.9%; odds ratio 2.43; 95% confidence interval, 1.10-5.37, P=0.01), said Paula P. Schnurr, Ph.D., of the National Center for PTSD at the VA Medical Center here, and colleagues.

The "maximum benefits of prolonged exposure are observed immediately after treatment and persist over time," she said.

But while the prolonged exposure therapy was more effective, it also had significantly higher dropout rate: 38% versus 21% (P=0.002).

The study randomized 277 women veterans and seven active duty women soldiers to either prolonged exposure or present-centered therapy. The mean age of women was 45 and roughly 31% were married.

The women were enrolled and treated from August 2002 through October 2005 at nine VA medical centers, two VA readjustment counseling centers, and one military hospital.
Both therapies were delivered according to standard protocols in 10 weekly 90-minutes sessions.

"Prolonged exposure included education about common reactions to trauma, breathing retraining; prolonged (repeated) recounting (imaginal exposure) of trauma memories during sessions; homework (listening to a recording of the recounting made during the therapy session and repeated in vivo exposure to safe situations the patient avoids because of trauma-related fear); and discussion of thoughts and feelings related to exposure exercises," they wrote.
By contrast, the present-centered therapy focused "on current life problems as manifestations of PTSD."

Sexual trauma was identified as the "worst" trauma exposure by 68.3% of the women, followed by physical assault (15.8%) and war zone exposure (5.6%). The index trauma usually occurred more than 22 years before the women were enrolled in the study.

The high rate of sexual trauma exposure tracked closely studies of PTSD in civilian women, but Dr. Schnurr pointed that 70% women in this study said their sexual trauma exposure was associated with military service.

The study was limited by the small number of active duty women included-the authors theorized that active duty soldiers might be reluctant to seek treatment because they were "worried about the stigmatizing effects of PTSD, a concern that has been expressed by soldiers serving in Iraq and Afghanistan."

Active duty soldiers, they explained, were likely to be younger than veterans and might have responded differently to the two treatments.

The study was also limited by a higher dropout rate in the prolonged exposure arm, and by the fact that the study was limited to women. But Dr. Schnurr said the findings could "with some caution" be extended to men because published studies suggested that cognitive behavioral therapy was an effective treatment for PTSD in men.

The study was funded by the VA Cooperative Studies Program and the Department of Defense. Dr. Schnurr and reported funding from the Department of Veterans Affairs. Some of her co-authors reported funding from the Department of Defense and three co-authors -- Matthew J. Friedman, M.D., Ph.D., Edna B. Foa, Ph.D., and Patricia A. Resick, Ph.D. -- published books on PTSD treatment for which they received income.

Monday, February 19, 2007

The Secret

On the The Oprah Show last week she had a panel of people talking about "The Secret". This movie, The Secret, and book was created by Australian Rhonda Byrne, and she says that if you follow its philosophy, you can create the life you want—whether that means getting out of debt, finding a more fulfilling job or even falling in love.

Rhonda defines The Secret as the law of attraction, which is the principle that "like attracts like." Rhonda calls it "the most powerful law in the universe," and says it is working all the time. "What we do is we attract into our lives the things we want, and that is based on what we're thinking and feeling," Rhonda says. The principle explains that we create our own circumstances by the choices we make in life. And the choices we make are fueled by our thoughts—which means our thoughts are the most powerful things we have here on earth.

See more about the show at the link above...

The Secret sounds like a new idea but it's a concept we have been using to assist people for a long time. The Secret has gained attention of the people and we would love to discuss it more with you. Contact us..

Friday, February 16, 2007

All Things Being Equal!

After a year of back-and-forth, a group of U.S. senators have reached a compromise on a bill offering "mental health parity" to health plan enrollees who have mental health coverage. While the details are still under discussion, generally speaking the bill would require health insurance plans with a mental health option to cover mental diseases the same way they do physical diseases, including reimbursement, co-payments, deductibles and limits on physician visits. The bill is being championed by Sen. Pete Domenici, who has worked on this issue since 1996, and co-written with Sens. Edward Kennedy (D-MA) and Mike Enzi (R-WY). Creating a workable consensus proposal took years, but everyone involved seems to think the measure can move ahead now. Though health plans argue that such parity would be too costly to sustain, President Bush has previously expressed a willingness so sign a parity bill, so the measure's prospects may be better than many previous versions.

Fierce HealthCare to see more...

Thursday, February 08, 2007

NYU Child Study Center
The New York University Child Study Center has identified warning signs of depression in teenagers for parents and tips for helping teens who may be depressed, in light of a new report from the Centers for Disease Control and Prevention (CDC). The CDC study, published in the February 2007 issue of Pediatrics finds that suicide rates in children under 19 years of age increased between 2003 and 2004. Suicide was the only statistically significant increase in child death over this time. Overall, the suicide rate increased by 18.2 percent from 2003 to 2004, an increase largely driven by older teens.

"A teen's statement of a wish to kill him/herself must be taken seriously," said Lori Evans, Ph.D., Director of Psychology Training and the Project Coordinator of TASA (Treatment of Adolescent Suicide Attempters) at the NYU Child Study Center. "Before they actually commit or attempt suicide, teens often make direct statements about their intention to end their lives, or less direct statements about how they might as well be dead or that their friends and family would be better off without them."

"Discussing the problem does not encourage the teenager to go through with the plan," emphasizes Dr. Evans. "On the contrary, it will help him or her know that someone is willing to be a friend. It may save your adolescent's life."

Watch for symptoms of depression lasting longer than two weeks, which may include:
A change in eating and sleeping habits

A marked personality change, exhibiting angry actions or rebellious behavior or withdrawal from friends and regular activities

Involvement in drugs or alcohol or other risky behaviors such as reckless driving

An overreaction to a recent humiliating experience

Difficulty in concentrating and a decline in the quality of school work

Persistent boredom and/or lethargy

Unusual neglect of appearance

Complaints about physical symptoms such as headaches and fatigue

A pattern of giving away or throwing away possessions

Intolerance of praise or rewards

Preoccupation with death in writing songs or poems

An increase in comments such as "I can't take it anymore" or "nobody cares; I wish I was dead"

How to help
Take person's comments regarding self-hate, suicide, or death very seriously

Don't try to convince the person to not feel bad. Don't tell them to "snap out of it" or say "don't feel bad"

Keep in close contact with the person and their parent, teacher, or a good friend

Ask the child or teen what you could do that would be helpful to them

Don't promise to keep any information a secret

If symptoms persist or are dangerous and interfere with daily functioning, consult a mental health professional immediately
See Anxiety Insights for more...

Monday, February 05, 2007

Video Games May Increase Cognitive Functioning

Provided by: Sun Media
Written by: IAN GILLESPIE -- London Free Press Jan. 20, 2007

My brain is going bad. And probably yours is, too.

It's getting tougher to remember names. I go to the store and neglect to pick up the main item I need. I forget where I've put things (like, ah, the car).

I'm sure there are other symptoms, but I can't remember what they are.
Anyway, experts tell us memory problems are fairly common. They also say this is happening partly because our lives are so busy that our brains are being overloaded. (This doesn't explain why I can't remember where I put my glasses, when the only thing I've done all day is try to find my glasses.)

But now, there's hope.
Paradoxically, one of the solutions is something that, for years, we were told was bad for our brains: Video games.
That's right. Once regarded as devilish devices that would turn minds to mush, researchers now are saying video games may be good for us.

"There's been a lot of research recently, primarily on the standard shoot-'em-up action games, showing that those sorts of things can be beneficial," says Jody Culham, assistant professor of psychology at the University of Western Ontario. "Particularly with older people.
"There's some interesting stuff suggesting there might be some benefits to getting grandma playing the hot new games."

I'm not sure I can envision a gang of white-haired grandmothers, slumped in bean-bag chairs in a darkened basement, wasting gangsters in Scarface. But the general concept is gaining acceptance.

In his book Everything Bad is Good for You, for instance, technology expert Steven Johnson explored the benefits of an array of pop-culture offerings, including video games.
While early models like Pong and Pac Man were simple exercises in co-ordination and pattern recognition, Johnson argues today's games present a dizzying array of options and information. Indeed, he points out that one how-to-play guide for the game Grand Theft Auto III is more than 50,000 words long -- nearly the length of an average novel.

With their developing storylines, complex puzzles and multiple characters, Johnson argues, many modern video games are more than just instant-gratification machines. In fact, he says, these games actually delay gratification by forcing players to craft long-term strategies and figure out what to do. (Unlike board games of the past, you don't learn how to play a video game by reading a set of rules; you learn by playing it.)

Of course, many of these games are simply too fast and complicated for older players.
That's where Nintendo's Brain Age comes in. According to the promotional literature, this new software for the Nintendo DS hand-held system "acts like a treadmill for the mind."
Using a touch screen that allows players to write their answers with a special pen, Brain Age allows players to solve simple math problems, draw pictures, count moving objects and read examples of classic literature.

Culham says it's a variation on the old "use it or lose it" adage.

"There's lots of evidence that people who are in busy, stimulating work situations and have to do a lot of problem-solving fare much better in terms of (fending off) the development of Alzheimer's, senility and all sorts of cognitive problems," she says.

Oh boy! Finally -- a legitimate excuse to hide in the basement and waste hours and hours playing fancy video games with neat new software and . . . .
Hold it.

Culham says many of the benefits gained from video games can be found in plain old reality.
"I would suggest that people consider taking up tennis or playing strategy games like chess or backgammon with their friends," she says. "This way they get the intellectual benefits of a video game, but other benefits, too, such as cardiovascular exercise or social interaction and support."
Instead of shelling out cash for software, Culham says there are other ways -- just as effective but not as expensive -- to exercise your brain.

"Pull out the Sudoku from the newspaper, read some Jane Austen and play some games with your friends," she says. "That may do just as well -- or better."
Darn.

Tuesday, January 30, 2007

Adversity

It doesn't make any difference whether what you face is something that affects your work, your personal relationships, your sense of security, your appraisal of self-worth, or your appearance--the way you think about your situation largely determines whether you will do anything about it and what you will do.

Dr. Arthur Freeman and Rose DeWolf

Wednesday, January 24, 2007

Ode to Jeanette

"Hope, purpose and determination are not merely mental states. They have electrochemical connections that affect the immune system."

~ Norman Cousins

Monday, January 22, 2007

Celestial Seasonings Wisdom

"To live content with small means; to seek elegance rather than luxury and refinement rather than fashion; to be worthy, not respectable and wealthy, not rich; to study hard, think quietly, talk gently, act frankly; to listen to the starts and birds, to babes and sages, with open heart; to hear on cheerfully, do all bravely, awaiting occasions, worry never; in a word to, like the spiritual, unbidden and unconscious, grow up through the common."

- William Henry Channing

Monday, January 15, 2007

Our Deepest Fear........

Our deepest fear is not that we are inadequate.
Our deepest fear is that we are powerful beyond measure.
We ask ourselves, Who am I to be brilliant, gorgeous, talented, fabulous?
Actually, who are you not to be?
We were born to make manifest the glory of God that is within us.
And as we let our own light shine, we unconsciously give other people permission to do the same.

-Martin Luther King, Jr.

Friday, January 12, 2007

Martin Luther King, Jr. "I Have a Dream!!!"

I am happy to join with you today in what will go down in history as the greatest demonstration for freedom in the history of our nation.

Five score years ago, a great American, in whose symbolic shadow we stand today, signed the Emancipation Proclamation. This momentous decree came as a great beacon light of hope to millions of Negro slaves who had been seared in the flames of withering injustice. It came as a joyous daybreak to end the long night of their captivity.

But one hundred years later, the Negro still is not free. One hundred years later, the life of the Negro is still sadly crippled by the manacles of segregation and the chains of discrimination. One hundred years later, the Negro lives on a lonely island of poverty in the midst of a vast ocean of material prosperity. One hundred years later, the Negro is still languishing in the corners of American society and finds himself an exile in his own land. So we have come here today to dramatize a shameful condition.

In a sense we have come to our nation's capital to cash a check. When the architects of our republic wrote the magnificent words of the Constitution and the Declaration of Independence, they were signing a promissory note to which every American was to fall heir. This note was a promise that all men, yes, black men as well as white men, would be guaranteed the unalienable rights of life, liberty, and the pursuit of happiness.

It is obvious today that America has defaulted on this promissory note insofar as her citizens of color are concerned. Instead of honoring this sacred obligation, America has given the Negro people a bad check, a check which has come back marked "insufficient funds." But we refuse to believe that the bank of justice is bankrupt. We refuse to believe that there are insufficient funds in the great vaults of opportunity of this nation. So we have come to cash this check — a check that will give us upon demand the riches of freedom and the security of justice. We have also come to this hallowed spot to remind America of the fierce urgency of now. This is no time to engage in the luxury of cooling off or to take the tranquilizing drug of gradualism. Now is the time to make real the promises of democracy. Now is the time to rise from the dark and desolate valley of segregation to the sunlit path of racial justice. Now is the time to lift our nation from the quick sands of racial injustice to the solid rock of brotherhood. Now is the time to make justice a reality for all of God's children.

It would be fatal for the nation to overlook the urgency of the moment. This sweltering summer of the Negro's legitimate discontent will not pass until there is an invigorating autumn of freedom and equality. Nineteen sixty-three is not an end, but a beginning. Those who hope that the Negro needed to blow off steam and will now be content will have a rude awakening if the nation returns to business as usual. There will be neither rest nor tranquility in America until the Negro is granted his citizenship rights. The whirlwinds of revolt will continue to shake the foundations of our nation until the bright day of justice emerges.

But there is something that I must say to my people who stand on the warm threshold which leads into the palace of justice. In the process of gaining our rightful place we must not be guilty of wrongful deeds. Let us not seek to satisfy our thirst for freedom by drinking from the cup of bitterness and hatred.

We must forever conduct our struggle on the high plane of dignity and discipline. We must not allow our creative protest to degenerate into physical violence. Again and again we must rise to the majestic heights of meeting physical force with soul force. The marvelous new militancy which has engulfed the Negro community must not lead us to distrust of all white people, for many of our white brothers, as evidenced by their presence here today, have come to realize that their destiny is tied up with our destiny and their freedom is inextricably bound to our freedom. We cannot walk alone.

As we walk, we must make the pledge that we shall march ahead. We cannot turn back. There are those who are asking the devotees of civil rights, "When will you be satisfied?" We can never be satisfied as long as the Negro is the victim of the unspeakable horrors of police brutality. We can never be satisfied, as long as our bodies, heavy with the fatigue of travel, cannot gain lodging in the motels of the highways and the hotels of the cities. We can never be satisfied as long as a Negro in Mississippi cannot vote and a Negro in New York believes he has nothing for which to vote. No, no, we are not satisfied, and we will not be satisfied until justice rolls down like waters and righteousness like a mighty stream.

I am not unmindful that some of you have come here out of great trials and tribulations. Some of you have come fresh from narrow jail cells. Some of you have come from areas where your quest for freedom left you battered by the storms of persecution and staggered by the winds of police brutality. You have been the veterans of creative suffering. Continue to work with the faith that unearned suffering is redemptive.

Go back to Mississippi, go back to Alabama, go back to South Carolina, go back to Georgia, go back to Louisiana, go back to the slums and ghettos of our northern cities, knowing that somehow this situation can and will be changed. Let us not wallow in the valley of despair.
I say to you today, my friends, so even though we face the difficulties of today and tomorrow, I still have a dream. It is a dream deeply rooted in the American dream.

I have a dream that one day this nation will rise up and live out the true meaning of its creed: "We hold these truths to be self-evident: that all men are created equal."

I have a dream that one day on the red hills of Georgia the sons of former slaves and the sons of former slave owners will be able to sit down together at the table of brotherhood.
I have a dream that one day even the state of Mississippi, a state sweltering with the heat of injustice, sweltering with the heat of oppression, will be transformed into an oasis of freedom and justice.
I have a dream that my four little children will one day live in a nation where they will not be judged by the color of their skin but by the content of their character.

I have a dream today.

I have a dream that one day, down in Alabama, with its vicious racists, with its governor having his lips dripping with the words of interposition and nullification; one day right there in Alabama, little black boys and black girls will be able to join hands with little white boys and white girls as sisters and brothers.

I have a dream today.

I have a dream that one day every valley shall be exalted, every hill and mountain shall be made low, the rough places will be made plain, and the crooked places will be made straight, and the glory of the Lord shall be revealed, and all flesh shall see it together.

This is our hope. This is the faith that I go back to the South with. With this faith we will be able to hew out of the mountain of despair a stone of hope. With this faith we will be able to transform the jangling discords of our nation into a beautiful symphony of brotherhood. With this faith we will be able to work together, to pray together, to struggle together, to go to jail together, to stand up for freedom together, knowing that we will be free one day.

This will be the day when all of God's children will be able to sing with a new meaning, "My country, 'tis of thee, sweet land of liberty, of thee I sing. Land where my fathers died, land of the pilgrim's pride, from every mountainside, let freedom ring."

And if America is to be a great nation this must become true. So let freedom ring from the prodigious hilltops of New Hampshire. Let freedom ring from the mighty mountains of New York.

Let freedom ring from the heightening Alleghenies of Pennsylvania!
Let freedom ring from the snowcapped Rockies of Colorado!
Let freedom ring from the curvaceous slopes of California!
But not only that; let freedom ring from Stone Mountain of Georgia!
Let freedom ring from Lookout Mountain of Tennessee!
Let freedom ring from every hill and molehill of Mississippi. From every mountainside, let freedom ring.

And when this happens, When we allow freedom to ring, when we let it ring from every village and every hamlet, from every state and every city, we will be able to speed up that day when all of God's children, black men and white men, Jews and Gentiles, Protestants and Catholics, will be able to join hands and sing in the words of the old Negro spiritual, "Free at last! free at last! thank God Almighty, we are free at last!"