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Ruth DeSouza » Mental Health » Miscellaneous Mental HealthThey say "there is no health without mental health". Change is afoot in mental health services, there is a growing move from a medical model of mental illness to a recovery model which values self-determination, peer support and focusing on the person not the illness. There is a push for systems to become more person-driven ( Marsh,Koeske, Schmidt,Martz, & Redpath, 1997) which includes having new conceptions of people with mental illness; new models of professional practice; new collaborative modes; new roles for service users and professionals; a greater understanding of experiences and needs; more effective intervention strategies; better training of professionals and more responsive systems of care.We still have a long way to go though, but by supporting supporting and building on the dreams and desires of consumers or tangata whai ora (people seeking wellness) we might get there. I am particularly interested in the influence of culture and mental health and gender and mental health and maternal mental health. The Surgeon General's report found that Minorities have less access to, and availability of, mental health services; are less likely to receive needed mental health services; in treatment often receive a poorer quality of mental health care and are underrepresented in mental health research. See the culture and mental health page for more. Health Miscellaneous
Anti-psychiatry/radical psychology
Alcohol and Drug issues
Auckland Mental Health Services
Auckland mental health networks
Bipolar Affective Disorder
Child and Adolescent mental health
Consumer organisations and resources
Depression
Legislation
Maori health resourcesMason Durie is a key figure in this area and talks about the importance of spirituality (taha wairua), family (taha whanau), psychological/emotional (taha hinengaro), religion (tahi haahi), physiology (taha tinana), environment (taha turoa), social responsibility (taha tikanga), old world (te ao tawhito), new world (te ao pakehatanga) and self (taha tangata).
Mental/health promotion
Mental health policy
Mental health support workersThe evolution of a new professional group known as Mental Health Support Workers (MHSW) in the last few years with little formal training or qualifications, has raised concerns within the mental health workforce. Three reasons for the development of their role have been firstly that support workers fill the gaps in community care, particularly in terms of work with clients with complex needs not met within the current mental health system (Davies, Harris, Roberts, Mannion, McCosker & Anderson, 1996). Secondly, they have a recovery philosophy and meet the social needs of consumers, which are largely ignored by clinical mental health services. Finally, reports identify a paucity of culturally safe services for Maori and Pacific people. There is a need for more trained mental health workers before culturally appropriate services can be provided by mainstream and kaupapa Maori mental health services (Ministry of Health, 1997, Te Puni Kokiri,1993). National objectives in this document recommend the education of consumers as providers, community support workers and Maori and Pacific Island workers, which has led to the development of the National Certificate in Mental Health (Mental Health Support Work).
New Zealand Mental Health Services
New Zealand Mental Health websites
Online Journals
Overseas Mental Health
Problem gambling
RecoveryCconsumers are an integral part of their own treatment and support systems.See a chart with the differences between the two models on the Peer Support site and read more about recovery. Five foundations of recovery are: hope, personal responsibility, education, self-advocacy, developing and maintaining a support system and personal meaning. To get you inspired, here are some ways of inspiring hope from Russinova (1999): Believe in the person’s potential and strength; value the person as a unique human being; accept the person for who they are; listen non-judgementally; tolerate the uncertainty about the future of the person; accept the person’s times of unwellness and failures as part of the recovery process; tolerate the person’s challenges and defeats; trust the authenticity of the person’s experiences; express genuine concern for the person’s well-being and use humour appropriately.
Strengths modelTraditional approaches focus on a person's needs, problems and weaknesses. The strengths model developed by Charles Rapp is concerned with helping people clarify their dreams, define their goals and work towards an achievement agenda.
Suicide
Stigma and discrimination
Therapies/Therapists
Cognitive behaviour therapy
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Narrative Therapy (from the Dulwich Centre) is linked to Family Therapy and values context, interaction, and the social constructlon of meaning.It is based on on the idea that the lives and the relationships of people are shaped by:
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A narrative therapy assists persons to resolve problems by:
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| Narrative Links |
| Narrative approaches .com |
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Feminism, therapy and narrative ideas: Exploring some not so commonly asked questions compiled by Shona Russell & Maggie Carey |
| Dulwich Centre website : A gateway to narrative therapy |
| International Journal of Narrative Therapy and Community Work |
| Notes outlining Narrative Therapy by Michael White on the Massey University website |
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Copyright © 2003-2007 Ruth DeSouza. All rights reserved. Contact: ruth[at]wairua.com.