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Visioning a Recovery Oriented Alaska Mental Health

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Visioning a Recovery Oriented Alaska Mental Health Visioning a Recovery Oriented Jim Gottstein Alaska Mental Health System Jim Gottstein Law Project for Psychiatric Rights http://PsychRights.Org Renewable Resources 2009 Alaska Mental Health Recovery Education Conference May 12, 2009 Fear and Absolution Why Has Society Fear Myth: People Diagnosed with Mental Illness Are Violent Accepted Dubious Absolution By Accepting “Medical Model,” No one is Medical Model? Responsible May 12, 2009 Alaska Recovery Education Conference Psychiatric Symptoms Are Responses If Not Defective Brain, What? to Events/Experiences Examples: Multiple Personalities Other Responses to Trauma Mental Map Reorganization Hearing Voices Common Phenomenon Mania Icarus Project – Time Magazine Last Week May 12, 2009 Alaska Recovery Education Conference May 12, 2009 Alaska Recovery Education Conference 1 While Some People find Didn’t Ascribe Bad Motives to Neuroleptics Helpful . Psychiatrists, but at this Point . Quality of Life Tremendously With Recent Revelations No Longer Plausible Diminished Otherwise Cause Massive Deniability Amount of Harm Why Do They Still Insist on the Drugs Even Life Spans Now 25 Years Shorter Though they Are Largely Ineffective and Greatly Reduce Recovery Always Harmful? Rates Psychiatrists No Longer Know Anything But 6-fold Increase in Mental Illness Disability Rate the Drugs Hugely and Unnecessarily Expensive Huge Unnecessary Human What to Do? Toll May 12, 2009 Alaska Recovery Education Conference May 12, 2009 Alaska Recovery Education Conference Successful Peers Are The Real Experts Recovery – JG Definition Many examples of recovery from “incurable” mental illness. Getting past a diagnosis of mental illness to a Value of Insights Need to point where a person enjoys meaningful activity, Be Recognized has relationships, and where psychiatric Unique ability to relate to people going through the symptoms, if any, do not dominate or even play same thing. a major role in their life. Also some Mental Health Professionals Get It – They Recovery: Responsibilities and Roadblocks, by Jim Gottstein, Listen to and Learn from http://akmhcweb.org/recovery/RecoveryResponsibilitesRoadblocks.pdf (ex)Users. Many Others May 12, 2009 Alaska Recovery Education Conference May 12, 2009 Alaska Recovery Education Conference Recovery Essentials from Other Principles Recovery Story If it isn’t voluntary it isn’t You have to take responsibility for your own treatment mental health and behavior Force is Counterproductive You have to learn to recognize your Different things work for symptoms. different people You have to learn what works for you. Unsuccessful Attempts (Same ideas as WRAP – Wellness Recovery Action Plan) Part of Recovery Process Diagnoses of Limited Benefit/Mostly Harmful May 12, 2009 Alaska Recovery Education Conference May 12, 2009 Alaska Recovery Education Conference 2 Achieving the Vision in Alaska Goals Soteria-Alaska—Alternative to Hospitalization Substantially Increase Recovery Rate After CHOICES, Inc.—Community Implementation diagnosis of Serious Mental Illness Peer Properties—Peer Run Housing Substantially Reduce If Not Eliminate Force Law Project for Psychiatric Rights System Support of Adults’ Medication (PsychRights)—Create Environment Preferences Conducive to Non-Coercive, Non-Drug Stop Massive Over-Drugging of Children & Choices Through Strategic Litigation Youth in State Custody & Through Medicaid May 12, 2009 Alaska Recovery Education Conference May 12, 2009 Alaska Recovery Education Conference C onsumers Soteria-Alaska H aving “Consumer” Run Non-coercive, non-drug Non-coercive, Non-drug option for people who Choices In Community would otherwise be facing O wnership hospitalization. Helping People Get What they Want Neuroleptically Naive I n Model is Ch. 9 of Replicate Original Soteria- “Community Mental House Model reating Health: A Practical “Be With” rather than “Do C Guide” (Mosher & Burti) To.” Working with Other Empathic Staff E ffective Community Resources May 12, 2009 Alaska Recovery Education Conference S ervices Peer Properties PsychRights Peer Run Housing Help Create Receptive Climate De-links Housing from Alter Path of Least Resistance Re: Force Compliance Right to Less Restrictive/Intrusive Alternative No “services,” but operates on peer support principle Alaska Supreme Court Victories One 4 bedroom House Myers -- 2006 Current Opening for One Wetherhorn -- 2007 woman Wayne B -- 2008 Necessity of Operating Subsidy Pending Alaska Supreme Court Cases Looking for Board Bigley -- Right to Less Intrusive Alternative Member(s) WSB -- Right to Have Case File Public May 12, 2009 Alaska Recovery Education Conference May 12, 2009 Alaska Recovery Education Conference 3 Drugging of Children & Youth PsychRights v. Alaska Seeks declaratory and injunctive relief that Alaskan children and youth have the right not to be administered psychotropic drugs unless and until: (i) evidence-based psychosocial interventions have been exhausted, (ii) rationally anticipated benefits of psychotropic drug treatment outweigh the risks, (iii) the person or entity authorizing administration of the drug(s) is Q & A fully informed, and (iv) close monitoring of, and appropriate means of responding to, treatment emergent effects are in place, and that all children and youth currently receiving such drugs be evaluated and brought into compliance with the above. May 12, 2009 Alaska Recovery Education Conference Suggested Reading Suggested Reading (cont.) Mad in America: Bad Science, Bad Medicine and the Enduring Mistreatment of the Mentally Ill (2001) by Robert Whitaker Alternatives Beyond Psychiatry, Peter Lehman & Peter Stastny, MD, Schizophrenia: A Scientific Delusion, by Mary Boyle, Ph.D. (2002) Editors (2007). Let Them Eat Prozac, by David Healy, MD. (2006). Agnes’s Jacket: A Psychologists’ Search for the Meaning of Madness, Gail Hornstein, PhD (2009) Creating Mental Illness, by Allan V. Horwitz (2002). A Fight to Be: A Psychologist’s Experience from Both Sides of the Toxic Psychiatry: Why Therapy, Empathy, and Love Must Replace the Locked Door, Ronald Bassman, Ph.D. (2007) Drugs, Electroshock, and Biochemical Theories of the New Psychiatry, by The Hidden Prejudice: Mental Disability on Trial, (2000) by Michael L. Peter Breggin, MD (1994) Perlin Commonsense Rebellion, by Bruce E. Levine (2001) Rethinking Psychiatric Drugs: A Guide to Informed Consent, by Grace Blaming the Brain : The Truth About Drugs and Mental Health, by Elliot E. Jackson, MD, (2005) Valenstein (1998). Brain Disabling Treatments in Psychiatry: Drugs, Electroshock, and the Role of the FDA, Ed. 2 (2008) by Peter Breggin, MD. Escape From Psychiatry, by Clover (1999) Community Mental Health: A Practical Guide (1994) by Loren Mosher How to Become a Schizophrenic: The Case Against Biological Psychiatry, and Lorenzo Burti 3d Ed., by John Modrow (2003) Soteria: Through Madness to Deliverance, by Loren Mosher and Voyce Other books at http://psychrights.org/Market/storefront.htm Hendrix with Deborah Fort (2004 Psychotherapy of Schizophrenia: The Treatment of Choice (Jason May 12, Aronson,2009 1996), by BertramAlaska Recovery P. Karon Education Conference and Gary R. Vandenbos May 12, 2009 Alaska Recovery Education Conference 4.
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