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Return to Community

Return to Community
Author: Paul J. Carling
Publisher: Guilford Press
Total Pages: 372
Release: 1995-01-01
Genre: Medical
ISBN: 9780898623239

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Provides a comprehensive, practical approach to fully integrating people with serious mental illnesses into the community. Drawing from a range of resources, including mental health consumers and their families, this pathbreaking work lays the groundwork for a critical rethinking of how we view people labeled "mentally ill". Defining "community integration," the author examines current and past approaches to meeting the needs of people with psychiatric disabilities, demonstrating how they have been inadequate. Carling then maps out a pioneering paradigm for community integration, which consists of an active partnership among mental health professionals, community leaders, policy makers, families, neighbors, employers, and realtors. Describing ways to prepare the community to organize for change, the book discusses the need to first address the pervasive nature of stigma, which is reflected at every level of society. Drawing from his own extensive experience, as well as from firsthand observations of model programs in place throughout the U.S., Canada, Europe, and Australia, the author offers detailed guidance for organizing a program of action in mental health systems and in local communities.


A Quarter-century of Normalization and Social Role Valorization

A Quarter-century of Normalization and Social Role Valorization
Author: Robert John Flynn
Publisher: University of Ottawa Press
Total Pages: 586
Release: 1999
Genre: Social Science
ISBN: 0776604856

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During the late 1960s, Normalization and Social Role Valorization (SRV) enabled the widespread emergence of community residential options and then provided the philosophical climate within which educational integration, supported employment, and community participation were able to take firm root. This book is unique in tracing the evolution and impact of Normalization and SRV over the last quarter-century, with many of the chapter authors personally involved in a still-evolving international movement. Published in English.


Creating a Community of Acceptance

Creating a Community of Acceptance
Author: Caroline Leona Finck
Publisher:
Total Pages: 0
Release: 2022
Genre:
ISBN:

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While there are over six million developmentally disabled Americans living in the country, the mental healthcare system in rural Missouri and throughout the rural United States does not adequately address the needs of the developmentally disabled. As a result, individuals lead a life mostly confined to the indoors, socially isolated, and without appropriate job opportunities-all of which the reinforce public stigmatization. In contrast, the community of Geel, Belgium has welcomed the mentally ill and developmentally disabled since the Middle Ages and has created an adult foster care system to support this population in their community. Although nothing comparable to Geel, some American communities have created similar supportive systems for developmentally disabled individuals and other vulnerable populations. In New York City, Broadway Housing Communities offers permanent supportive housing and operates as a nucleus of the community. Building Ohana in Spokane, Washington is designing an intentionally intergenerational and neurodivergent supportive community based upon community workshops from the conception of design. In Missouri, the Columbia Center for Urban Agriculture is a non-profit that educates and supports communal and personal gardens of low income residents to provide fresh, healthy food. Using these precedents as models, focus groups and interviews were conducted with clients, staff, administrators and local community members of the sites above to identify key drivers of successful social integration of vulnerable populations, including the developmentally disabled. The key drivers identified include community acceptance, stability and freedom, social interaction, employment, and outdoor activity. The goal and purpose of this research was to develop a method for increasing the health and wellbeing of individuals with developmental disabilities, mental illness, and other socially isolated populations in Mexico, Missouri. The implemented project will reduce stigmatization, increase job opportunities and access to nature, and promote acceptance in communities across America. The proposed project is intended to transform Mexico into a place of understanding and acceptance of people with developmental disabilities. Although Mexico was selected as the project site, this project is intended to be a demonstration for other rural communities in the United States and illustrate that bridging deep social gaps is possible if approached in a sustainable, systemic way. As such, this project will serve as model to inspire other communities to follow-creating meaningful impact that ripples throughout the U.S. Inspired by community projects that have successfully destigmatized developmentally disabled individuals and other vulnerable populations, this study asked what steps can Mexico take to integrate developmentally disabled residents into the community, while also increasing opportunities to experience nature and providing employment? Sub-questions included: How does care for the developmentally disabled community currently function in Mexico, MO? What job opportunities exist in Mexico, MO for the developmentally disabled? What best practices from Geel, Broadway Housing Communities, Gould Farm, Columbia Center for Urban Agriculture, and LifeWorks can be applied to Mexico, MO? How could a community garden project be applied in Mexico, MO to encourage personal connections? At the project site in Mexico, focus groups, interviews and a public community survey were conducted to identify the needs of the community's developmentally disabled population living in supportive environments and how participating residents could interact with this population. The needs identified include increasing access to social interactions with other community members, increasing connections and access to fresh foods, getting outdoors regularly, going on an 'outing' or other activity that involves leaving regularly as something to anticipate, creating opportunities for continual learning, and consistency of presence in the community. To satisfy all these criteria, this study proposes a neighborhood gardening collective called "Friendly Front Gardens" to foster community integration of developmentally disabled residents living in independent supported living homes. By increasing access to casual interactions with other community members, this normalizes engaging with the developmentally disabled and other traditionally isolated populations in the public realm. If caretakers, their clients, and community members learned about food together, they would have something to bond over and enrich the rest of their lives. Helping the community by growing gardens together fosters a neighborliness and shared pride that creates community cohesion.


Neurological, Psychiatric, and Developmental Disorders

Neurological, Psychiatric, and Developmental Disorders
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 458
Release: 2001-01-01
Genre: Medical
ISBN: 0309170931

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Brain disordersâ€"neurological, psychiatric, and developmentalâ€"now affect at least 250 million people in the developing world, and this number is expected to rise as life expectancy increases. Yet public and private health systems in developing countries have paid relatively little attention to brain disorders. The negative attitudes, prejudice, and stigma that often surround many of these disorders have contributed to this neglect. Lacking proper diagnosis and treatment, millions of individual lives are lost to disability and death. Such conditions exact both personal and economic costs on families, communities, and nations. The report describes the causes and risk factors associated with brain disorders. It focuses on six representative brain disorders that are prevalent in developing countries: developmental disabilities, epilepsy, schizophrenia, bipolar disorder, depression, and stroke. The report makes detailed recommendations of ways to reduce the toll exacted by these six disorders. In broader strokes, the report also proposes six major strategies toward reducing the overall burden of brain disorders in the developing world.


The Future of Disability in America

The Future of Disability in America
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 619
Release: 2007-10-24
Genre: Medical
ISBN: 0309104726

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The future of disability in America will depend on how well the U.S. prepares for and manages the demographic, fiscal, and technological developments that will unfold during the next two to three decades. Building upon two prior studies from the Institute of Medicine (the 1991 Institute of Medicine's report Disability in America and the 1997 report Enabling America), The Future of Disability in America examines both progress and concerns about continuing barriers that limit the independence, productivity, and participation in community life of people with disabilities. This book offers a comprehensive look at a wide range of issues, including the prevalence of disability across the lifespan; disability trends the role of assistive technology; barriers posed by health care and other facilities with inaccessible buildings, equipment, and information formats; the needs of young people moving from pediatric to adult health care and of adults experiencing premature aging and secondary health problems; selected issues in health care financing (e.g., risk adjusting payments to health plans, coverage of assistive technology); and the organizing and financing of disability-related research. The Future of Disability in America is an assessment of both principles and scientific evidence for disability policies and services. This book's recommendations propose steps to eliminate barriers and strengthen the evidence base for future public and private actions to reduce the impact of disability on individuals, families, and society.


The Social Determinants of Mental Health

The Social Determinants of Mental Health
Author: Michael T. Compton
Publisher: American Psychiatric Pub
Total Pages: 296
Release: 2015-04-01
Genre: Medical
ISBN: 1585625175

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The Social Determinants of Mental Health aims to fill the gap that exists in the psychiatric, scholarly, and policy-related literature on the social determinants of mental health: those factors stemming from where we learn, play, live, work, and age that impact our overall mental health and well-being. The editors and an impressive roster of chapter authors from diverse scholarly backgrounds provide detailed information on topics such as discrimination and social exclusion; adverse early life experiences; poor education; unemployment, underemployment, and job insecurity; income inequality, poverty, and neighborhood deprivation; food insecurity; poor housing quality and housing instability; adverse features of the built environment; and poor access to mental health care. This thought-provoking book offers many beneficial features for clinicians and public health professionals: Clinical vignettes are included, designed to make the content accessible to readers who are primarily clinicians and also to demonstrate the practical, individual-level applicability of the subject matter for those who typically work at the public health, population, and/or policy level. Policy implications are discussed throughout, designed to make the content accessible to readers who work primarily at the public health or population level and also to demonstrate the policy relevance of the subject matter for those who typically work at the clinical level. All chapters include five to six key points that focus on the most important content, helping to both prepare the reader with a brief overview of the chapter's main points and reinforce the "take-away" messages afterward. In addition to the main body of the book, which focuses on selected individual social determinants of mental health, the volume includes an in-depth overview that summarizes the editors' and their colleagues' conceptualization, as well as a final chapter coauthored by Dr. David Satcher, 16th Surgeon General of the United States, that serves as a "Call to Action," offering specific actions that can be taken by both clinicians and policymakers to address the social determinants of mental health. The editors have succeeded in the difficult task of balancing the individual/clinical/patient perspective and the population/public health/community point of view, while underscoring the need for both groups to work in a unified way to address the inequities in twenty-first century America. The Social Determinants of Mental Health gives readers the tools to understand and act to improve mental health and reduce risk for mental illnesses for individuals and communities. Students preparing for the Medical College Admission Test (MCAT) will also benefit from this book, as the MCAT in 2015 will test applicants' knowledge of social determinants of health. The social determinants of mental health are not distinct from the social determinants of physical health, although they deserve special emphasis given the prevalence and burden of poor mental health.