DOCSLIB.ORG

The Erich Lindemann Memorial Lecture Committee

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
The Erich Lindemann Memorial Lecture Committee Insights and Innovations in Community Mental Health The Erich Lindemann Memorial Lectures organized and edited by The Erich Lindemann Memorial Lecture Committee hosted by William James College Table of Contents Foreward ................................................................................................................................. 3 Best Practice Models for Commuity Service to Diverse Families .......................................... 4 Introduction by David G. Satin, MD .................................................................................. 5 Margarita Alegria, PhD ......................................................................................................6 Introduction by David G. Satin, MD .......................................................................... 6 Margarita Alegria, PhD .............................................................................................. 6 Ed K.S. Wang, PsyD ......................................................................................................... 15 Introduction by David G. Satin, MD ......................................................................... 15 Ed K.S. Wang, PsyD .................................................................................................. 15 Robert Evans, EdD ...........................................................................................................24 Introduction by David G. Satin, MD ........................................................................ 24 Robert Evans, EdD................................................................................................... 24 Discussion ........................................................................................................................ 31 Insights and Innovations in Community Mental Health | Lecture 34 | June 3, 2011 2 Foreward The Erich Lindemann Memorial Lecture is a forum in which to address issues of community mental health, public health, and social policy. It is also a place to give a hearing to those working in these fields, and to encourage students and workers to pursue this perspective, even in times that do not emphasize the social and humane perspective. It’s important that social and community psychiatry continue to be presented and encouraged to an audience increasingly unfamiliar with its origins and with Dr. Lindemann as a person. The lecturers and discussants have presented a wide range of clinical, policy, and historical topics that continue to have much to teach. Here we make available lectures that were presented since 1988. They are still live issues that have not been solved or become less important. This teaches us the historical lesson that societal needs and problems are an existential part of the ongoing life of people, communities, and society. We adapt ways of coping with them that are more effective and more appropriate to changed circumstances—values, technology, and populations. The inisghts and suggested approaches are still appropriate and inspiring. Another value of the Lectures is the process of addressing problems that they exemplify: A group agrees on the importance of an issue, seeks out those with experience, enthusiasm, and creativity, and brings them together to share their approaches and open themselves to cross-fertilization. This results in new ideas, approaches, and collaborations. It might be argued that this apparoach, characteristic of social psychiatry and community mental health, is more important for societal benefit than are specific new techniques. We hope that readers will become interested, excited, and broadly educated. For a listing of all the Erich Lindemann Memorial Lectures, please visit www.williamjames.edu/lindemann. Insights and Innovations in Community Mental Health | Lecture 34 | June 3, 2011 3 The Erich Lindemann Memorial Lecture Committee presents THE THIRTY FOURTH ANNUAL ERICH LINDEMANN MEMORIAL LECTURE Best Practice Models for Commuity Service to Diverse Families The structure and culture of families has greatly diversified, and that diversity is being increasingly recognized. Are planning and services for their mental health geared to this diversity and meeting its needs? Have more appropriate plans and services been or are they being developed? Are mental health standards, goals, and practices relative to the various cultural, ethnic, racial, sexual, and family structure populations, or are there universal standards and goals that apply to all families and their children? This Erich Lindemann Memorial Lecture presents a rich array of experience, knowledge, skills, values, and theory shedding light on thse very timely questions. Speakers Margarita Alegria, PhD, Director, Center for Multicultural Mental Health Research, Cambridge Health Alliance; Professor of Psychology, Department of Psychiatry, Harvard Medical School Robert Evans, EdD, Executive Director of The Human Relations Service, Wellesley, Massachusetts Ed K. S. Wang, PsyD, Director, Office of Multicultural Affairs, Massachusetts Deparment of Mental Health; Clinical Instructor, Department of Psychiatry, Harvard Medical School Moderator David G. Satin, MD, DLFAPA, Assistant Clinical Professor of Psychiatry, Harvard Medical School, Chairman, Erich Lindemann Memorial Lecture Committee June 3, 2011, 2:30 – 5:00 pm Massachusetts School of Professional Psychology 221 Rivermoor Street, Boston, MA 02132 Insights and Innovations in Community Mental Health | Lecture 34 | June 3, 2011 4 Introduction by David G. Satin, MD Welcome everyone. Today we have speakers who will be presenting on best practice models for community services with diverse populations. Our first speaker, Dr. Margarita Alegria, will be speaking about research in community health services. Next we will hear from Dr. Robert Evans who will be speaking about the delivery of services in a community agency. Then we will hear from Dr. Ed Wang who will be speaking about government policy and support for families and children. Finally, we will end by having a panel discussion among the speakers with you, the audience, where we can answer questions and discuss these topics further. To get us started today, I have a few thoughts. The world around us and our lives are constantly evolving. People are not what they used to be, families are not what they used to be, and children are not what they used to be. Is this adequately recognized by mental health programs, agencies, and practitioners? Is the community providing appropriate mental health services to families in the community, or are they attuned more narrowly to only some types of family structures and needs? Are there mental health processes and needs that are universal and thus mental health standards and approaches that remain valid in different eras and for different families? We need guidance with these questions and practices, and look to a panel of professionals to bring thought and experience to illuminate them. Insights and Innovations in Community Mental Health | Lecture 34 | June 3, 2011 5 Margarita Alegria, PhD Director, Center for Multicultural Mental Health Research, Cambridge Health Alliance; Professor of Psychology, Department of Psychiatry, Harvard Medical School Introduction by David G. Satin, MD Our first speaker is Margarita Alegria, Ph.D. She holds psychology degrees with summa cum laude honors from Georgetown University, magna cum laude honors from the University of Puerto Rico, and a doctorate from Temple University. She is a Professor at the Harvard Medical School and the Director of the Center for Multicultural Mental Health Research at the Cambridge Health Alliance. She is a member of the American Psychological Association’s Presidential Task Force on Immigration, and the Massachusetts Children’s Behavioral Health Advisory Council. Some of her publications include, “Social determinants of mental health treatment among Haitian, African American, and White youth in community health centers,” and “What do patients say they want from mental health providers: A qualitative inquiry across race and ethnicity.” Margarita Alegria, PhD Well, good afternoon. I’m very happy to be here, because I typically stay in an office and do not get the chance to really talk to frontline providers. Most of my recent work with the Center has been working with frontline providers to see how disparities becomes embedded in the clinical patient interaction. We have been doing studies for the past five years looking at what happens in clinical care that contributes to ethnic and racial minorities receiving such poor care. What I’m going to talk about today is a paper that we actually did. This was a workshop that we had and we had consumer advocacy groups, frontline providers, and clinicians talking to each other asking questions such as, “Where did we go wrong?” This is part of one of the papers that came out, but I’m going to talk about what we call “one size does not fit all.” One of the things that I think is happening is that today’s professionals are really not well-prepared for the tsunami that came from demographic shifts in the population. They were really not prepared and I think our materials, our training programs are completely off from where we need to be in terms of that. They are really interacting with families whose race, culture, and dynamics are so different from their own that it is very hard to ask them to really understand these families in the context of where they are coming from. Even in the year 2000, 6 out of every 10 babies born in New York
Load more

Recommended publications
  • 3. Dying and Growth in Contemporary Society
    Insights and Innovations in Community Mental Health The Erich Lindemann Memorial Lectures organized and edited by The Erich Lindemann Memorial Lecture Committee hosted by William James College Foreward The Erich Lindemann Memorial Lecture is a forum in which to address issues of community mental health, public health, and social policy. It is also a place to give a hearing to those working in these fields, and to encourage students and workers to pursue this perspective, even in times that do not emphasize the social and humane perspective. It’s important that social and community psychiatry continue to be presented and encouraged to an audience increasingly unfamiliar with its origins and with Dr. Lindemann as a person. The lecturers and discussants have presented a wide range of clinical, policy, and historical topics that continue to have much to teach. Here we make available lectures that were presented since 1988. They are still live issues that have not been solved or become less important. This teaches us the historical lesson that societal needs and problems are an existential part of the ongoing life of people, communities, and society. We adapt ways of coping with them that are more effective and more appropriate to changed circumstances—values, technology, and populations. The inisghts and suggested approaches are still appropriate and inspiring. Another value of the Lectures is the process of addressing problems that they exemplify: A group agrees on the importance of an issue, seeks out those with experience, enthusiasm, and creativity, and brings them together to share their approaches and open themselves to cross-fertilization.
    [Show full text]
  • Community Mental Health and the Cycles of Psychiatric Ideology
    Insights and Innovations in Community Health The Erich Lindemann Memorial Lectures organized and edited by The Erich Lindemann Memorial Lecture Committee hosted by William James College Insights and Innovations in Community Mental Health | Lecture 14 | April 26, 1991 1 Table of Contents Foreward .................................................................................................................................4 Social Ethos, Social Conscience, and Social Psychiatry: Community Mental Health and the Cycles of Psychiatric Ideology ........................................................................................... 5 Introduction by Robert Evans, EdD ..................................................................................6 David G. Satin, MD ........................................................................................................... 8 Introduction by Robert Evans, EdD .......................................................................... 8 David G. Satin, MD .................................................................................................... 8 Introduction ............................................................................................................... 8 I. The State of Mental Health Practice and Ideaology at the end of the Twentieth Century....................................................................................................................... 9 1. Governmental Policies ......................................................................................
    [Show full text]
  • 27. Preparation for the Psychological Consequences of Terrorism and Disaster
    Insights and Innovations in Community Mental Health The Erich Lindemann Memorial Lectures organized and edited by The Erich Lindemann Memorial Lecture Committee hosted by William James College Table of Contents Foreward ................................................................................................................................. 3 Preparation for the Psychological Consequences of Terrorism and Disaster ....................... 4 Frederick Stoddard, MD .................................................................................................... 5 David G. Satin, MD ................................................................................................... 19 Carl N. Edwards, JD, PhD ............................................................................................... 20 Introduction by David G. Satin, MD ........................................................................ 20 Carl N. Edwards, JD, PhD ....................................................................................... 20 Louise Carcione ............................................................................................................... 30 Introduction by David G. Satin, MD ........................................................................ 30 Louise Carcione........................................................................................................ 30 Discussion ........................................................................................................................36 Insights and
    [Show full text]
  • George Saslow, M.D., Ph.D
    OREGON HEALTH & SCIENCE UNIVERSITY ORAL HISTORY PROGRAM INTERVIEW WITH George Saslow, M.D., Ph.D. Interview conducted December 12, 2003 by Roland M. Atkinson, M.D. 2003 Oregon Health & Science University SUMMARY The interview begins in mid-stream, with Dr. George Saslow recounting his earliest employment as a teacher, a career he began in college as a way to help defray the cost of tuition. He has been teaching ever since and continues to teach even now, beyond his ninety-seventh birthday, in the psychiatry residency program at OHSU. He even teaches fellow members of the Psychiatric Security Review Board, a unique institution that determines the treatment and supervision of criminals who have used the insanity defense. Saslow talks about the Board and its successful record of reintegrating the mentally ill into the community. The conversation then turns to a consideration of the failings of psychoanalysis. Saslow recounts early experiences which led him away from the work of Freud and fueled his interest in psychotherapy. One of these experiences was as co-therapist, with Erich Lindemann, of the survivors of the horrific Cocoanut Grove fire in Boston in 1942. Saslow goes on to describe the strengths of psychotherapy and its interview techniques. He shares his opinions of several post-Freudian analysts as well as nonanalysts, and notes that the current teaching of psychiatry focuses perhaps too narrowly on the physiological basis of mental diseases. One of the early leaders in group therapy, Saslow has had many opportunities to use group therapy techniques. As psychiatrist for the scientists at Los Alamos Scientific Laboratory during the years of the Manhattan Project, Saslow was often called upon to provide group counseling to the small community; he talks about a few of the incidents that occurred during his time there and the challenges he faced.
    [Show full text]
  • The Eclipse of Community Mental Health and Erich Lindemann
    The Eclipse of Community Mental Health and Erich Lindemann These volumes make new contributions to the history of psychiatry and society in three ways: First, they propose a theory of values and ideology influencing the evolution of psychiatry and society in recurring cycles and survey the history of psychiatry in recent centuries in light of this theory. Second, they review the waxing, prominence, and waning of community mental health as an example of a segment of this cyclical history of psychiatry. Third, they provide the first biography of Erich Lindemann, one of the founders of social and community psychiatry, and explore the interaction of the prominent contributor with the historical environment and the influence this has on both. We return to the issue of values and ideologies as influences on psychiatry, whether or not it is accepted as professionally proper. This is intended to stimulate self-reflection and the acceptance of the values sources of ideology, their effect on professional practice, and the effect of values-based ideology on the community in which psychiatry practices. The books will be of interest to psychiatric teachers and practitioners, health planners, and socially responsible citizens. David G. Satin is a board-certified psychiatrist who has trained at the Massachusetts General and McLean Hospitals, has been Assistant Professor of Psychiatry at Harvard Medical School, where he also obtained his MD and taught gerontology and the history of psychiatry, and has had a clinical practice in adult and geriatric psychiatry. The Eclipse of Community Mental Health and Erich Lindemann Community Mental Health, Erich Lindemann, and Social Conscience in American Psychiatry, Volume 3 David G.
    [Show full text]
  • Remembering the West End: Social Science, Mental Health and the American Urban Environment, 1939–1968
    Urban History, Page 1 of 22 © Cambridge University Press 2017. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:// creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. doi:10.1017/S0963926817000025 Remembering the West End: social science, mental health and the American urban environment, 1939–1968 EDMUND RAMSDEN and MATTHEW SMITH∗ School of History, Queen Mary, University of London, Mile End Road, London E1 4NS, UK Centre for the Social History of Health and Healthcare, University of Strathlcyde, Level 4, Lord Hope, 141 St James Road, Glasgow G4 0LT, UK abstract: Analysing the urban renewal of Boston’s West End during the 1950s, we examine how psychiatrists, social scientists and urban planners understood the relationship between the urban environment and mental health. For psychiatrist Erich Lindemann, the West End offered a unique opportunity to study how acute stress and loss affected populations, thus contributing to social psychiatry, which sought to prevent mental illness by addressing factors in the social and physical environment. While Lindemann’s project provided a sophisticated response to the often simplistic arguments about the cities and mental health, it also highlighted the challenges of applying social psychiatric theory in practice. Introduction In 1958, the Boston Redevelopment Authority began its demolition of a 48-acre portion of Boston’s West End, displacing 2,700 lower-working- class families. For Erich Lindemann, chief of psychiatry at the nearby Massachusetts General Hospital (MGH), this urban renewal programme offered a unique opportunity.
    [Show full text]
  • Evins Eden CV 07.10.14
    Curriculum Vitae Date Prepared: 7/7/2014 Name: Anne Eden Evins, M.D., M.P.H. Office MGH Center for Addiction Medicine Address: 60 Staniford Street, Boston, MA 02114 Home Address: 684 Sudbury Road, Concord, MA 01742 Work Phone: 617-643-4679 Work Email: [email protected] Work FAX: 617-643-1998 Place of Birth: Durham, North Carolina Education 09/82 - 05/86 B.A. University of Virginia Charlottesville, VA 07/87 - 06/91 M.D. Medical University of South Carolina Charleston, SC 07/02 - 06/05 M.P.H. Harvard School of Public Health Boston, MA Postdoctoral Training 07/91 - 06/92 Intern in Pediatric Medicine Children's National Medical Center Washington, D.C. 07/92 - 06/94 Resident in Psychiatry Massachusetts Mental Health Center Boston, MA 07/94 - 06/95 Resident in Psychiatry Harvard Longwood Psychiatry Boston, MA Residency Training Program Faculty Academic Appointments 07/91 - 06/92 Clinical Fellow in Pediatric George Washington University School Washington, Medicine of Medicine D.C. 07/92 - 06/96 Clinical Fellow in Psychiatry Harvard Medical School Boston, MA 07/94 - 06/95 FellowCenter,, Molecular McLean Hospital, Boston,McLean MA Hospital Belmont, MA Neurogenetics Laboratory (Rachael Neve, PhD) 1 07/95 - 06/96 Fellow, Schizophrenia Massachusetts General Hospital Boston, MA Clinical and Research (Donald C. Goff, MD) Program 07/96 - 06/01 Instructor in Psychiatry Harvard Medical School Boston, MA 07/01 - 06/06 Assistant Professor of Harvard Medical School Boston, MA Psychiatry 07/07 – 12/13 Associate Professor of Harvard Medical School
    [Show full text]
  • 7. Social Justice As a Mental State
    Insights and Innovations in Community Mental Health The Erich Lindemann Memorial Lectures organized and edited by The Erich Lindemann Memorial Lecture Committee hosted by William James College Foreward The Erich Lindemann Memorial Lecture is a forum in which to address issues of community mental health, public health, and social policy. It is also a place to give a hearing to those working in these fields, and to encourage students and workers to pursue this perspective, even in times that do not emphasize the social and humane perspective. It’s important that social and community psychiatry continue to be presented and encouraged to an audience increasingly unfamiliar with its origins and with Dr. Lindemann as a person. The lecturers and discussants have presented a wide range of clinical, policy, and historical topics that continue to have much to teach. Here we make available lectures that were presented since 1988. They are still live issues that have not been solved or become less important. This teaches us the historical lesson that societal needs and problems are an existential part of the ongoing life of people, communities, and society. We adapt ways of coping with them that are more effective and more appropriate to changed circumstances—values, technology, and populations. The inisghts and suggested approaches are still appropriate and inspiring. Another value of the Lectures is the process of addressing problems that they exemplify: A group agrees on the importance of an issue, seeks out those with experience, enthusiasm, and creativity, and brings them together to share their approaches and open themselves to cross-fertilization.
    [Show full text]
  • 6. Educating the Physician
    Insights and Innovations in Community Mental Health The Erich Lindemann Memorial Lectures organized and edited by The Erich Lindemann Memorial Lecture Committee hosted by William James College Foreward The Erich Lindemann Memorial Lecture is a forum in which to address issues of community mental health, public health, and social policy. It is also a place to give a hearing to those working in these fields, and to encourage students and workers to pursue this perspective, even in times that do not emphasize the social and humane perspective. It’s important that social and community psychiatry continue to be presented and encouraged to an audience increasingly unfamiliar with its origins and with Dr. Lindemann as a person. The lecturers and discussants have presented a wide range of clinical, policy, and historical topics that continue to have much to teach. Here we make available lectures that were presented since 1988. They are still live issues that have not been solved or become less important. This teaches us the historical lesson that societal needs and problems are an existential part of the ongoing life of people, communities, and society. We adapt ways of coping with them that are more effective and more appropriate to changed circumstances—values, technology, and populations. The inisghts and suggested approaches are still appropriate and inspiring. Another value of the Lectures is the process of addressing problems that they exemplify: A group agrees on the importance of an issue, seeks out those with experience, enthusiasm, and creativity, and brings them together to share their approaches and open themselves to cross-fertilization.
    [Show full text]
  • 30. the Community Mental Health Center
    Insights and Innovations in Community Mental Health The Erich Lindemann Memorial Lectures organized and edited by The Erich Lindemann Memorial Lecture Committee hosted by William James College Table of Contents Foreward ................................................................................................................................. 3 The Community Mental Health Center: Forty Years of Survival and Evolution .................. 4 Introduction by David G. Satin, MD .................................................................................. 5 Frances Mervyn, PhD ......................................................................................................... 7 Jackie Moore, PhD .............................................................................................................9 Introduction by David G. Satin, MD .......................................................................... 9 Jackie Moore, PhD ..................................................................................................... 9 Michelle Anzaldi............................................................................................................... 17 Introduction by David G. Satin, MD ......................................................................... 17 Michelle Anzaldi ....................................................................................................... 17 Discussion ........................................................................................................................23 Insights
    [Show full text]