Initiatives

The Open Dialogue approach is a model of mental health care that involves a consistent family and social network approach. All healthcare staff receive training in family therapy and related psychological skills. October 2015 sees the completion of the first wave of Peer-supported Open Dialogue (POD) training for National Health Service (NHS) staff in the UK, paving the way for the establishment of pilot POD teams in the NHS and a large-scale evaluation.

By Ana Keck, Afiya The person who answered your call to stay at Afiya could have been me. When I answer the phone at the respite, I often find myself wondering what the caller thinks of me. When I called to stay at Afiya myself, I had a quite radically different vision of what the person on the other end of the phone was like. I pictured someone very much in charge, with their life together, who maybe had some hard times years ago. Now being on the other side of the phone, I can tell you I have not reached some recovery nirvana. I don’t actually want to get there, because I personally don’t think it exists. I could be in the midst of a variety of hard or wonderful or transformative life experiences right now. I just happen to have the emotional space to support other people, too, and so here I am at work today.

Everyone in the world is either touched by their own mental health issues or have had a family member affected. What if they directed their buying power to an organization that would use the profits to fund exciting mental health & recovery projects both in the developing world and in their own countries; projects that would be ethical, non-coercive, personal recovery-based, and were aimed at creating recovery communities? What if they could buy products, crafts, services, art, music, books from people who had experienced mental health issues, enabling them to set up their own businesses or buy from social co-operatives that enabled distressed people to work and earn a living wage?

The argument that is usually made against involuntary commitment and forced treatment is that these actions, under the authority of a state, violate a person’s basic civil rights. They deprive a person of liberty and personal autonomy, and do so in the absence of a criminal charge. However, there is another argument, one of adjunctive value, that can be made against involuntary commitment and forced treatment. Medical science argues against forced treatment too.

During the 1970s, the head of schizophrenia studies at the NIMH, Loren Mosher, conducted an experiment that compared treatment in a homelike environment (called...

If not every week, then very often, we receive requests from people not living in Sweden asking if it would be possible to come to the Family Care Foundation and take part in our shared work. I often day-dream that I have a list of different places in different countries where it was obvious that the main task for the organization and everyone involved was to meet those we call clients and their families in a relational and dialogical way, where it was NOT important at all to define people in terms of diagnosis and where it was NO big deal to support people to get off medication. Where the big deal was about something else: to try to create a safe place and to make sense of experiences and to try to share the very hard things with each other.

The basic idea of the experiential democracy project is to supplement conventional legislative or other forms of diplomatic and moral deliberation with person-centered (“I-Thou”) principles of encounter. These principles, which derive from existential-humanistic psychology and person-centered therapy, stress the attempt to engage participants to more intimately understand each other, and through this context to more intimately understand each other’s often conflicting positions on issues of moral import.

Researchers from Durham University's Hearing the Voice project are attending the Edinburgh International Book Festival through August as part of a study, asking both...

I don't usually talk about this much because it's still somewhat traumatizing. I don't really do advocacy around shock treatment because it still triggers too much stuff. But this is a modern day advanced story of medical harms and misinformation, and you should comment on the FDA ruling.

For a long time I have been interested in offering a course on CRPD (Convention on the Rights of Persons with Disabilities) to pass on my knowledge to other activists and allow more people to take up the frustrating and passionate responsibility of human rights work. Finally I have come up with a plan that is doable.

Rethinking Psychiatry recently hosted a showing of the award-winning film 'Bipolarized.' The film criticizes both the mainstream mental health system and societal standards of masculinity. The author of this post draws parallels to the film and the one-man show "Crimes Against Nature," in which psychology professor Dr. Chris Kilmartin critiques traditional standards of masculinity as harmful and unrealistic.

For the last six years we, a group of researchers, social work students, peer experts, and social professionals associated with the Amsterdam University for Applied Sciences, have been studying and facilitating the development of self-managed programs in homelessness and mental health care in the Netherlands. With our research we want to contribute to the development of new and existing programs through critical reflection. With this blog, I hope to share some of our findings, to give back to the respites from which we learned so much.

Mental health policy does not sound exciting. It is - you’ll just have to take my word for it-, but even if you don’t, you might agree with me that it’s crucial. Mental health policy shapes mental health legislation, and mental health legislation shapes issues such as consent, access, equal opportunities and de-institutionalisation, to name but a few. Influencing policy is key to reframing the debate around mental health, and changing the reality on the ground for people with lived experience. With this in mind, here is an introduction to Mental Health Europe’s work on the revisions to ICD 10, and a call to action, for you to get directly involved in this international debate.

On February 24th, 2016 Bill HD4554 - An Act relative to benzodiazepines and non-benzodiazepine hypnotics was filed by Representative Paul McMurtry in the Massachusetts State House. The bill received 47 co-sponsors during the seven-day open period in which legislators can co-sponsor. This is an impressive and promising turnout.

Rethinking Psychiatry is proud to continue the work that began in 2010 in Portland, and we look forward to many more years of challenging the dominant paradigm in mental health and providing new perspectives and solutions.

The Massachusetts Benzo Bill H4062: Informed consent for benzodiazepines and non-benzodiazepine hypnotics was just scheduled to be heard by the Joint Committee on Mental Health and Substance Abuse on Monday, April 4th. Less than a week away! The committee will decide whether the bill moves forward to the house and senate, goes to study, or is denied.

Is the time ripe for MadinAmerica readers to organize legislative action to curb the use of drugs as chemical restraints?  Recent developments in Congress, in the state of Washington, and in California suggest that the answer is yes.

This past Thursday I attended the American Psychiatric Association's Institute for Psychiatric Services in San Francisco, and then a talk by the Bay Area Mandala Project on "Providing Loving Receptivity Can Help People in Extreme States." I would like to thank both groups for the motivation to publish this — particularly as they would seem to be at odds in the reductionist "dialogue" we so often have — but really aren't so different in my mind for reasons discussed herein: Who is not "in crisis" for questioning their identity and fit within dominant paradigms?

Garth Daniels, a 39-year-old Melbourne man, has been shackled for 110 days and forced to undergo ECT 94 times at three times a week against his will. Last year, his family asked me to provide a second opinion on Garth’s case. As predicted, my recommendations against continued ECT were quickly dismissed by the hospital. There are critically important issues at stake in this case.

To create his theory of relativity, Einstein had to see things differently. He used imagination and empathy to come to know a new 'reality' of existence. In this essay, we delve deeply into the nature of human experiences that lead to public concern and discover ourselves in a whole new realm.

At Mental Health Europe, we see 2017 as having been a crossroads for mental health and human rights. Let’s ensure that this yields concrete change in 2018 with the support of like-minded communities ready to take the discussion to the next level and truly enact this as a civil rights movement.

It is time to create an entirely voluntary psychiatric system. International conscience is clear. The singling out of people with psychosocial disabilities is not worthy of a free society. There are better, safer ways to address legitimate public needs.

ServiceNet, a mental health and human service agency in western Massachusetts, received a three year, two million dollar grant to launch a program designed to support young adults who have recently experienced their first episode of psychosis. The Prevention and Recovery Early Psychosis (PREP) program is funded by the Massachusetts department of mental health and is designed to treat psychosis as a symptom, not an illness, resulting from other illnesses, substance abuse, trauma, or extreme stress.

Last year I reported that CHOICES, Inc. had lost its way and was implementing an ACT team. There is no doubt in my mind that CHOICES was on the wrong path, but the new Executive Director is committed to getting CHOICES back to a peer-run program.

Carina Håkansson, co-founder of the Family Care Foundation in Sweden, discusses her work with family care homes, psychotherapy and family therapy absent from psychiatric diagnoses and manuals.