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Abstracts Wednesday ABSTRACTS WEDNESDAY S03: KEYNOTE PRESENTATION: Mike Slade, Level 3 - Grand Ballroom, August 30, 2017, 10:00 AM - 11:00 AM KEYNOTE PRESENTATION: Making a real sustained difference - the challenge of managing innovation. Mike Slade 1University of Nottingham Biography: Mike is Professor of Mental Health Recovery and Social Inclusion at University of Nottingham and Chair of the European Network for Mental Health Service Evaluation (ENMESH). His main research interests are recovery- focused and outcome-focused mental health services, including Recovery Colleges, narratives and lived experience, citizenship, wellbeing, needs assessment and developing measures, e.g. INSPIRE, Camberwell Assessment of Need, Threshold Assessment Grid. He has written over 250 academic articles and published 11 books, including Personal Recovery and Mental Illness (2009), Partnering for Recovery in Mental Health (2014), Positive Psychotherapy for Psychosis (2017) and Wellbeing, Recovery and Mental Health (2017). His free booklets include Making Recovery a Reality (2008), REFOCUS: Promoting recovery in community mental health services, 2nd edition (2011), 100 Ways to Support Recovery (2013) and The empirical evidence about recovery (2015), all downloadable at researchintorecovery.com. ABSTRACT The mental health system globally is undergoing significant change, with an increasing emphasis on citizenship and self-determination, the transition from hospital-based towards community-based infrastructures spreading beyond high-income countries, and a new emphasis on meaningful involvement of people who use services in shaping mental health systems. These changes bring disruptive transformation, leading to the international spread of innovations such as using lived experience in peer support worker and peer trainer roles, Recovery Colleges, co-design and co- production, digital mental health interventions, trauma-informed support, peer-led services and workforce wellbeing. A key emerging challenge internationally is how to balance the need for innovation and transformation with other deliverables needed from the mental health system. A centralised system with hierarchical top-down control changes too slowly and is inefficient. A fully decentralised mental health system which encourages un-regulated innovation lacks accountability, quality monitoring and governance capacity. Using a current study of Recovery Colleges (see researchintorecovery.com/recollect) as an example, approaches to managing innovation will be outlined. Along the way we will cover the evidence base for many recovery-supporting interventions, identify the problems with a recovery orientation, and look beyond the mental health system to identify what wider society needs to learn from recovery research. Book of Abstracts - Sydney 2017 Page | 1 ABSTRACTS WEDNESDAY S04: PAPERS: Contemporary Mental Health Practice, Level 3 - Grand Ballroom A, August 30, 2017, 11:30 AM - 1:00 PM The contemporary significance of the Holocaust to Australian mental health care. Michael Robertson1, Edwina Light1, Garry Walter1, Wendy Lipworth1 1Centre for Values, Ethics and the Law in Medicine, School of Public Health, University of Sydney Biography: Michael Robertson is a Clinical Associate Professor of Mental Health Ethics and a visiting Professorial Fellow at the Sydney Jewish Museum. His clinical work is in Occupational Psychiatry and Civil Forensic Psychiatry. He had worked for more than twenty years in community mental health and coordinated a clinical service for survivors of psychological trauma. He is a Committee Member for the Special Interest Group in History, Philosophy and Ethics of Psychiatry of The Royal Australian and New Zealand College of Psychiatrists (RANZCP). Michael’s PhD is addressed psychiatric ethics and traumatic stress. He has published in the area of psychological trauma, philosophy and psychiatry, and brief psychotherapy. He has interests including the depiction of psychiatry in cinema and human rights abuses perpetrated by psychiatrists under National Socialism in Germany. ABSTRACT Under the National Socialist (Nazi) regime in Germany and occupied territories, more than 300,000 people with psychiatric, physical and intellectual disabilities were murdered and 400,000 sterilised against their will in a crime that has come to be known as the Krankenmorde (murder of the sick). These crimes against humanity were enabled by the complicity of the German medical and nursing professions with the Nazi regime. This paper examines the commonalities between the mental health professions in Nazi Germany and mid-century Australia and links the persistence of these into present day. The factors that enabled the Krankenmorde persist in Australian mental health professions and have implications for the lives of those living with severe and persistent mental illness, intellectual disability, Australians of ATSI background, the LGBTIQ community and asylum seekers in detention. Learning Objectives Learning Objective 1: The audience will gain an understanding of the commonalities between mental health professions in Nazi Germany and Australia and how many of these factors persist to present day Learning Objective 2: This is relevant to mental health care now as many of the lessons of the Holocaust remain unlearned and risks a repeat of human rights abuses of mid century References Michael Robertson, Edwina Light, Wendy Lipworth, and Garry Walter. "The Contemporary Significance of the Holocaust for Australian Psychiatry." Health and History 18, no. 2 (2016): 99-120. doi:10.5401/healthhist.18.2.0099. Book of Abstracts - Sydney 2017 Page | 2 ABSTRACTS WEDNESDAY S04: PAPERS: Contemporary Mental Health Practice, Level 3 - Grand Ballroom A, August 30, 2017, 11:30 AM - 1:00 PM Reading and theory as empowerment: Critical perspectives on ‘Madness’ in the community. Sarah Roffey1, Natalia Jerzmanowska1 1Off The Wall Inc Biography: Sarah Roffey has a Bachelor of Gender and Cultural Studies and Social Work and currently works in the mental health and disability sector. Sarah is one of the founders and facilitators of Sydney’s Critical Perspectives on Madness Reading Group and is passionate about using lived experiences and theory to explore alternative perspectives on mental health and madness. Natalia Jerzmanowska has a Master’s Degree (Qualifying) in Social Work from USYD. She works in the mental health sector. She also identifies as a psychiatric survivor. She is one of the founders of Sydney’s Critical Perspectives on Madness Reading Group. Her research, advocacy and activism centre on fostering emancipatory practices and discourses in and alongside the mental health sector. Theory is often considered by mental health practitioners as the necessary evil: needed to gain professional qualifications, but eschewed once they enter the realms of the ‘real’ practice. Many service users may avoid it as intimidating and inaccessible. Following bell hooks (1991) we argue that theory and practice are not simply in opposition. Theory, when experienced through the process of close and attentive reading and group discussion can be a liberatory practice. Our paper will speak to the emancipatory and perhaps even ‘therapeutic’ or ‘healing’ possibilities offered by Critical Perspectives on ‘Madness’ Reading Group - an innovative community space of which we are founders and lead facilitators. We conceive this initiative to be both a service and a research space. In a society where the bio-medical model of mental distress largely dictates people’s thinking about non- normative psychological experiences, ours is a space that gives people the opportunity to both critique the dominant model and consider other, perhaps more generative and “empowering” fields (social model of disability, anti/critical psychiatry, Mad studies), discourses and directions of understanding and response to distress and difference. The group aims to offer a space for alternative ways of ‘knowing’ that is welcoming to individuals who don’t identify with clinical narratives or have been harmed by the mainstream system. The participants learn to develop their own critical eye around the dominant views and practices in the mental health sector and in turn construct new nuanced subjectivities for themselves outside the bio-medical discourse. We aim to present the outcomes of our evaluation research focusing on the gains, challenges and limitations of our project. We will explore the pros and cons of our decisive positioning as outside the mental health system and elaborate on the function of reading as location of activism or even ‘recovery’ through resistance (Epstein, 2010). Finally, if madness is not an objectively defined, treatable medical affliction, but a material experience that is defined and disciplined through cultural discourses of normative behaviour (Herson, 2016), what are our responsibilities as advocates, activists and researchers? Book of Abstracts - Sydney 2017 Page | 3 ABSTRACTS WEDNESDAY Learning Objectives Learning Objective 1: To introduce the audience to critical perspectives in mental health and their potential to create more inclusive anti-discriminatory and just practices within the mental health system and to influence real policy and systemic change; to make available learning about the practicalities of establishing and running a volunteer-run service and community space outside the mental health system. Learning Objective 2: To advocate for the need of alternative spaces that honour and explore non-clinical perspectives on madness and
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