Class Exercise
Identify a group or a community to which you belong. Using Table 5.a make a list of benefits and disadvantages associated with being part of a particular group or community. Write down benefits and disadvantages for yourself, for other members of the community and for people not belonging to this particular group or community.
Compare and discuss with peers in class the contents of Table 5.a.
As part of the discussion, consider the role of power in bringing about positive or negative outcomes for the various groups of people listed in Table 5.a.
Table 5.a
Values, Elements, and Ideal Indicators of the Empowerment-Community Integration Paradigm in Community Mental Health
|
Values |
Elements |
Ideal Indicators |
|
Consumer/survivor empowerment |
Personal empowerment |
There is consumer/survivor independence Consumer/survivors have a positive self-image |
|
Voice, choice, and control over services and supports |
Consumer/survivors have choice over the type and source of support Consumer/survivors' choices about medication are viewed in terms of choice, not "compliance" |
|
|
|
Voice, choice, and control over organizational planning and policy |
Consumer/survivors have a strong voice on all organizational committees Consumer/survivors constitute the majority on agency boards and committees |
|
|
Consumer/survivor control over financial resources |
Consumer/survivors have control over how mental health dollars are spent Consumer/survivors are staff at all levels of the organization |
|
Community integration |
Participation in the community |
Consumer/survivors participate everywhere in the community, in all walks of life There is non-segregated living, working, and playing |
|
Acceptance of consumer/survivors as valued members of the community and eradication of stigma and labelling |
People are loved and accepted for who they are Consumer/survivors do not feel ashamed, isolated, or stigmatized |
|
|
|
Relationships with people who are not consumer/survivors |
Consumer/survivors have relationships with people in normal community settings, recreation and leisure, work, education Consumer/survivors have informal support and are not isolated |
|
|
Participation in self-help/mutual aid |
Consumer/survivors have their own independent organizations over which they have total control Consumer/survivors have peer support |
|
Access to valued resources |
Income |
Consumer/survivors are assured a guaranteed minimum income that allows them to live in dignity and peace Consumer/survivors have decent financial support, not poverty level |
|
Housing |
There is a focus on homes as opposed to housing Everyone has access to clean, safe, affordable housing; housing is a basic human right |
|
|
Education |
There are more sensitive departments in schools and universities that aim to support students who are consumer/survivors Colleges and universities have supported and flexible education policies to ensure access and support |
|
|
Employment |
An employment strategy to eliminate unemployment of consumer/survivors who want to work at whatever work or level they want Consumer/survivors do not lose financial support when they try to go back to work |
|
|
Holistic health care (treatment and support) |
Holistic treatment and support |
Treatment and support focus on spiritual, emotional, mental, and physical aspects of health Treatment and support focus on the whole person |
|
Information from professionals |
Consumer/survivors get full information about treatment Consumer/survivors have a directive role with psychiatrists and professionals |
|
|
|
Professional attitudes and behaviours |
Professionals listen to and respect consumer/survivors Professionals acknowledge their own mental health issues |
|
|
Valuing of consumer/survivors' experiential knowledge |
Consumer/survivors' experiential knowledge is considered valid Consumer/survivors disseminate their knowledge about recovery to professionals |
|
|
Individualized and flexible support and treatment |
There is a move away from "programming" to individualized supports Services and supports build upon consumer/survivors' strengths |
|
|
Community and home-based support |
Support is provided in a person's home or wherever it is needed in the community Life changes for the consumer/survivor are minimized while treatment is provided |
|
|
Coordination of treatment and support |
There is cooperation and common goals between psychiatrists and support workers There is more coordination and cooperation among service-providers Consumer/survivors direct support coordination |
From Nelson, Lord, and Ochocka (2001b, pp. 243-245)
Table 5.b
Positive and Negative Aspects Associated with Being Part of a Group or Community
|
|
Positive Aspects of Being Part of a Group or Community |
Negative Aspects of Being Part of a Group or Community |
|
For myself |
|
|
|
For other |
|
|
|
For people not |
|
|
© Macmillan Publishers Ltd - Houndmills, Basingstoke, Hampshire, RG21 6XS, England
Legal Notice | Privacy Policy | North American site | Contact us