| 词条 | National Empowerment Center |
| 释义 |
The National Empowerment Center (NEC) is an advocacy and peer-support organization in the United States that promotes an empowerment-based recovery model of mental disorders. It is run by consumers/survivors/ex-patients "in recovery" and is located in Lawrence, Massachusetts in Essex County. HistoryThe self-stated mission of NEC is to carry a message of recovery, empowerment, hope and healing to people who have been labeled with mental illness diagnosis. It argues that recovery and empowerment are not the privilege of a few but a process that is possible for everyone to embark on and find help with. Although unconventional to those accustomed only to a narrow medical model, the model is part of a recovery movement that comprises an emerging consensus.[1] NEC and other groups are working to implement the transformation to a recovery-based system recommended by the New Freedom Commission on Mental Health. It operates a toll-free information and referral line. It organizes and speaks at conferences. Its staff have published in professional journals, scholastic books, popular press and alternative publications. NEC has "been involved" in many national boards and committees and in policy consultations at the White House, in Congress, in federal agencies such as HUD, the Social Security Administration, HCFA, the Joint Commission on Hospital Accreditation, and The President's Commission on Disability, and at the regional and local level with organizations such as HMOs and state divisions of mental health programs. It has developed educational, training and self-help resources. NEC staff have been featured on CNN, USA Today, The Boston Globe, National Public Radio and talk and radio shows in the U.S., Canada, Europe and other countries.[1] NEC conducted qualitative research with people who were severely mentally ill but have met criteria for recovery, from which 10 major principles of how people recover were extracted:[2]
NEC research also identified characteristics distinguishing those in illness and those "in recovery":[2]
NEC developed an approach termed Personal Assistance in Community Existence (PACE).[3][4][5] It is based on the premise that people can potentially recover fully from even the most severe forms of mental illness, and on an Empowerment Model of Recovery and prevention.[6] It is an education program to help shift the culture of mental health from institutional thinking to recovery thinking, designed for people training to become peer coaches, people furthering their recovery, and people learning new skills to help others. It has previously been deliberately contrasted with "PACT" - Program of Assertive Community Treatment - a form of outpatient commitment that was originally designed to enable people to live in the community, rather than in psychiatric hospitals, but according to NEC has become a "coercive, lifelong, and nonclient-directed system with medication compliance as its most important tenet"[7] NEC conducted a national survey of the use of PACE in the mental health system.[8] NEC co-founder Patricia Deegan was featured on the award-winning radio show a "This American Life"in "Edge of Sanity," first aired on 1997. Deegan herself is a psychologist who became highly successful despite multiple psychiatric hospitalizations. She was diagnosed as having schizophrenia as a teenager.[9] FoundersThe co-founder and executive director is Daniel B. Fisher, now a board-certified psychiatrist. A graduate of Princeton University, he completed a PhD in biochemistry at the University of Wisconsin, medical training at George Washington University, and a psychiatric residency at Harvard Medical School. While working as a biomedical researcher at the National Institute of Mental Health before he was a psychiatrist, Fisher had a psychotic episode including hallucinations and delusions. After three months at Bethesda Naval Hospital at age 25, which included forced seclusion and antipsychotic haloperidol, he was discharged with a diagnosis of schizophrenia. He was involuntarily hospitalized three times. He reports being influenced by those who were able to show they cared about the person inside and gave him hope that he might some day recover. He went on to become a psychiatrist. He was told during psychiatric training that "You can’t talk to an illness" but believed that talking to the person inside is a key method for building trust and recovery.[7] He has since worked as a psychiatrist in hospitals and clinics, while also being a part of the consumer movement. He said that a very significant part of the reason for becoming a psychiatrist was wanting to bring to the field what he wished had been there when he was going through psychosis[10] He was a member of the White House Commission on Mental Health, 2002-03.{{citation needed|date=June 2012}} Laurie Aherne and Patricia Deegan were the co-founders and directors of NEC for several years.{{When?|date=February 2014}}[11] StaffNEC staff is Oryx Cohen, Judene Shelley, and Maria Ostheimer.[12] The deceased advocate Judi Chamberlin was an NEC staff person.[13][14] Chamberlin was diagnosed with depression at the age of 21 but considered herself recovered, which she attributed to having been a non-compliant patient.[15] NEC consultants are Will Hall, Deborah Trueheart and Janice Sorensen.[12] External links
References1. ^NEC website Programs and Services Retrieved on Aug 11 2008 {{Anti-psychiatry}}2. ^1 Fisher, D. (2006) Recovery From Schizophrenia: From Seclusion to Empowerment Medscape 3. ^Ahern L, Fisher D. Personal Assistance in Community Existence: A Recovery Guide. Lawrence, Mass: National Empowerment Center; 1999. 4. ^Ahern L, Fisher D. PACE/Recovery Curriculum. Lawrence, Mass: National Empowerment Center; 2001. 5. ^Fisher D, Chamberlin J. PACE/Recovery Peer Training Recovery Curriculum. Lawrence, Mass: National Empowerment Center; 2004. 6. ^Ahern L, Fisher D. Recovery at your own PACE (Personal Assistance in Community Existence). J Psychosoc Nurs Ment Health Serv. 2001;39:22-32. {{PMID|11324174}} 7. ^1 2 Mulligan, K. (2001) Psychiatrist Turns Illness Into Empowerment Tool Psychiatric News, June 1, Volume 36 Number 11 8. ^James H. Zahniser, Laurie Ahern, Daniel Fisher (2005) How the pace program builds a recovery-transformed system: Results from a national survey Psychiatric Rehabilitation Journal Volume 29, Number 2 / Fall 2005 Pages 42-145 DOI 10.2975/29.2005.142.145 9. ^Edge of Insanity This American Life, Chicago Public Radio, 02.04.2000, originally aired 01.31.1997 10. ^An Empowerment Model of Recovery From Severe Mental Illness: An Expert Interview With Daniel B. Fisher, MD, PhD Medscape Psychiatry & Mental Health. 2005;10(1) 11. ^{{cite web |title=Patricia Deegan, Ph.D. Director of Training and Education National Empowerment Center |url=http://old.narpa.org/deegan.htm |website=NARPA |accessdate=8 January 2019}} 12. ^1 {{cite web|url=https://power2u.org/who/|title=NEC Staff & Consultants|first=|last=trwd|publisher=}} 13. ^NEC website NEC staff Retrieved June 28, 2012 14. ^Center for Psychiatric Rehabilitation The Recovery Vision: New paradigm, new questions, new answers. An event for World Health Day 2001 Boston University 15. ^Chamberlin, J. Confessions of a non-compliant patient 3 : Mental health organizations in Massachusetts|Psychiatric survivor activists|Companies based in Essex County, Massachusetts |
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