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Nearly 1 in 2 people in the USA have a chronic illness and about 96% of it invisible. Are these women attending your church retreats? Many of them are suffering silently, depressed, isolated, and feeling very alone. Others are some of the wisest, calming, most spiritually beautiful women who will touch attendees at your retreat in ways no planned speaker can. But are any of them coming?

Rest Ministries, which is the largest Christian organization that serves the chronically ill, recently did a survey about attending retreats while living with a chronic illness. Out of the 20 respondents, 17 reported that they participated less in retreats since their diagnosis. When asked why the responses were:

Three explained, “Accessibility issues (It’s difficult to get to and from buildings at the retreat)”; 6 people responded, “The pain factor. It’s just too draining”; 4 shared, “The unpredictable health issues”; and 10 said, “A combination of the above.”

So, how can you reach out to these women and get them involved in your church retreat?

1. When weighing different retreat locations, consider the limitations of people with chronic illness when asking the retreat centers questions. Promote that you have this information before people register.

For example, are the hills steep? Are there “golf carts” available? Exactly how far are the rooms from the main building? Is electricity in the rooms? Are only bunk beds available? Are there chairs other than just metal folding chairs? Elevators? One women explains, “I stopped going a year or so ago because the retreat planner does not tell you what is expected, or about walking, stairs, etc. They need to be more honest.” People with illness look for retreat centers held in locations where there is little walking involved and preferably the ground is flat. Large homes or hotels are also good. It’s easy for a retreat director to assume that fifty yards is a “short walking distance.” But fifty steps may be the limit for some people. So provide actual distances on your promotional flyers, not just “rooms are within a short walking distance.”

2. Understand that women desire to go on retreats and socialize with others, but they must feel that the retreat planner understands that they will be on their own schedule

Margaret lives with a malignant brain tumor and uterine cancer. She says, “I don’t attend retreats because people don’t want to understand or accept that sometimes I have to retreat from the ‘retreat.’ I may have to go back to my room to rest. Others decide that I’m escaping from my problems. They demand that I participate in whatever is happening. I’m not wishing to be anti-social and I will participate when God enables me to do so; but at the same time, when God tells me to rest, I must rest despite what the [retreat] ‘timetable’ states.” One way a retreat director can help rectify this is by distributing the retreat’s event schedule a week or so before the event, even if it’s just posted on the church’s web site.

3. While you are deciding events such as ice-breakers or fun games, make sure there is something that those with physical limitations can participate in if they choose

If they don’t want to participate in the relay race of dressing in costumes, let them do their own thing. Debbie, who lives with chronic fatigue syndrome says, “Unfortunately, I’ve yet to find a retreat planner who understands that I do not participate–not because I’m being uncooperative, shy or anti-social–but because I simply cannot physically do so; the result is that I don’t attend church retreats.”

4. Don’t gasp when you see all the stuff she has packed

Though all women have necessities they pack to be more comfortable for their stay, those with chronic illness will have extra stuff. These may include: their own bedding, special cushions for chairs, a few pillows, eighteen kinds of snacks, pain patches, shades to sleep, and a flashlight and a book to read if sleep doesn’t happen. They may pack special water, a humongous pillbox of medicine (don’t comment), and perhaps even a service dog (which she likely would have spoken to you about before the event).

5. Remember that she knows her body better than you do, and she is trying to plan for the best experience

Riding on the bus with everyone else, for example, may put her in a great deal of pain the entire weekend. So if she requests a ride in a car with a staff member, make that accommodation. If she puts on a headset to listen to music, don’t take it personally that she isn’t talking. She may need to rejuvenate so that she is able to socialize that evening. She also may need to eat. If she is diabetic, she will likely need to eat small snacks and meals throughout the weekend. Don’t tell her, “Dinner it is in just thirty minutes, so please wait so you can eat with us.”

6. Acknowledge that she’s not a prima donna; take her requests seriously

She may be insisting that she have the bottom bunk bed and then pull out her own mattress, but it’s not because she is the Princess and the Pea. She may have some needs that are medical requirements. For example, electricity in her room is necessary if she uses something like a CCAP machine for sleep apnea. (Out of 20 women surveyed, 2 used this). Her medications may also need to be refrigerated and an ice pack won’t do the job, so she may need access to the retreat center kitchen or a staff member. Sheryl, who lives with chronic myofascial pain says, “Make sure there are always chairs available for those who can’t stand more than a couple of minutes.” You may not see a cane or walker, but her feet, knees or balance may not be able to take more than a couple of minutes standing.

7. Realize that she may not want others to know about her illness

Anjuli, who has congenital myopathy (a form of Muscular Dystrophy) says, “Don’t single me out!” and Marjorie agrees. “When an explanation is given in confidence, don’t respond so much that everyone knows that I have a problem.”

8. Have scholarships available

Chronic illness is very expensive and most of these women are on an extremely limited budget. Rarely will they ask for financial help to attend a church retreat, however, because they assume someone must need it more than them. Quietly let them know scholarships are available.

9. Delegate someone to oversee the necessities of your chronically ill attendees

Choose your “healthiest” person with a chronic illness, or a cancer survivor, to communicate with those with illness and listen to their needs and concerns. The women who responded to the survey still do attend retreats and most say they approach the retreat planner ahead of time about their health issues. But for the dozens of others who would like to attend, but assume you are unable to accommodate their needs, they never contact the church. Try to reach the women who assume they are unable to go, by putting a special line on your promotional flyers that say, “Coping with chronic illness? Ask us about our special accommodations! We’d love to have you come!”

One of the most valuable gifts in our church that we often overlook is the wisdom and joy of those who live with chronic illness and oftentimes daily pain, and love God anyways. September 8-14 is National Invisible Chronic Illness Awareness Week, sponsored by Rest Ministries. It’s a perfect opportunity to take a second look at your ministry’s priorities and discover who is not being served who could use your encouragement. And don’t forget to also include the chronically ill because the church is missing out on their joy in the Lord, despite their suffering. Get them involved in a retreat soon! One of them may just be your next speaker.