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National Empowerment Center

Mission: To carry a message of recovery, empowerment, hope and healing
to people with lived experience with mental health issues, trauma, and extreme states.

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  • So You Want to Start a Peer-run Warmline? A Guide to Maintaining a Sustainable Warmline

    This guide, co-authored by the National Empowerment Center and the National Mental Health Consumers' Self-Help Clearinghouse, draws on the advice and experience of existing warmlines and provides tips on fundraising, marketing/outreach, training, supervision, data collection, evaluation, and much, much more! Click to view/download (PDF, 12.3MB, 29 pages)

    Guía para el Desarrollo y Mantenimiento de Una Warmline Viable [Warmline Manual Spanish (PDF at Google Drive, 11MB, 30 pages)]

  • PACE: A Recovery Guide

    How Personal Assistance in Community Existence (PACE) facilitates people's recovery from "mental illness"


    Also available as a free pdf download:
    Guide in English 1.3MB, 36 pages) Guide in Spanish (1681KB, 35 pages) Guide in Japanese (4608 KB, 29 pages) Guide in Icelandic (944KB, 30 pages)

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Boston Voyager Article about NEC COO Oryx Cohen

Oryx Cohen at training

The Boston Voyager, an online magazine, recently published an article about NEC's Chief Operating Officer, Oryx Cohen.

Today we’d like to introduce you to Oryx Cohen.

Oryx, let’s start with your story. We’d love to hear how you got started and how the journey has been so far.

My parents met on a commune in the early 1970s, fell in love, got married, and then hitchhiked across the country. I was born on their travels in Philadelphia, PA in 1973 and given what I can only describe as a hippie name. They saw the name in a book about animals and really liked the name Oryx, which is a large African antelope with long straight horns. I would later find out that Oryx’s are well known for two things: 1. They are the animal the unicorn is based on because they often lose a horn in battles with lions and 2. They are one of the few antelopes that can actually kill lions in a fight with their horns. They are lion-slayers. Read more...

Dan Fisher will speak in Wales Oct. 4-5, 2017 at the Compassionate Mental Health Conference

Compassionate Mental Health Conference

For more, please visit www.compassionatementalhealth.co.uk/speaker/daniel-fisher

The August, 2017 issue of Boston Voyager included an article about NEC and an interview with Daniel Fisher

"The major goal of NEC has been to inform the US and the world that, contrary to popular belief, persons with severe mental health conditions can and do recover full lives in the community. We also have developed several training programs to help persons recovering, and their families."

"We are the most passionate about Emotional CPR. It is a public Health program which teaches any community member how to help another through an emotionally stressful period." Read more...

Dr. Daniel Fisher Igniting the Recovery of Our Humanity

Daniel Fisher is interviewed by Ann Kasper, for Portland, OR public TV, May 2017

In-Light-n-Mint Ep. 7- Dr. Daniel Fisher Igniting the Recovery of Our Humanity
from Mental Health Freedom on Vimeo.

The Psychosis Summit

The 2017 iniative of the South Bay Project Resrource, the Psychosis Summit is aimed towards strategically raising awareness on treatment methodologies, and support approaches, for helping peers dealing with psychosis and their families.

"Psychosis Summit consists of interviews and talks, a new set of programs will be added every few months. We believe that through providing the public with up-to-date information and personal recovery stories surrounding psychosis that will reduce stigma, and in-turn connect peers experiencing psychosis (and their supportive family members) with the appropriate resources available to them.We hope this initiative will not only benefit local communities in the Bay Area of California, but globally as well."

The first six interviews include: Drew Ramsey "Food, Nutrition, and Psychosis", Nev Jones "A Close Look at the Conventional Approaches on Psychosis", Noel Hunter "A Psychologist's Perspective on Psychosis and Trauma: A Personal Story", Oryx Cohen "Wounded Healer", Sandra Steingard "Open Dialogue and Psychosis: How Does It Differ From Standard Practice?", Lawrence Yang "Culture and How it Shapes and Protects Against Stigma: Insights from Chinese Immigrants with Experiences of Psychosis"


Heartbeats of HopeNew at the NEC Store

Heartbeats of Hope:
The Empowerment Way to Recover Your Life

By Daniel Fisher, MD, PhD

Check it out at the NEC Store



NEW Guidebook for Peer Respite Self-Evaluation: Practical Steps and Tools

Live & Learn, in partnership with Human Services Research Institute, is pleased to share the new Guidebook for Peer Respite Self-Evaluation: Practical Steps and Tools. This tool is intended to be used to document program operations and outcomes and to build evidence for the efficacy of peer respites. It is intended for use by peer respite program staff, managers, and administrators.

In a world of limited resources, conducting evaluation can be a challenge. We created this guide in response to frequent requests for practical, low-cost or no-cost tools that can be used by programs to evaluate themselves. In 2014, Live & Learn and Human Services Research Institute, with support from the National Empowerment Center, published the Toolkit for Evaluating Peer Respites. Through our consulting and research since then, we found that programs, governments, and advocates would benefit from a revision to the Toolkit. Specifically, this updated version focuses on concrete, actionable recommendations on “best practices” in self-evaluation (or other low-cost/low-resource approaches).

Whereas the 2014 Toolkit explored a variety of options for formal and informal evaluation of peer respites, this version is focused on establishing a shared framework for self-evaluation that can be used by peer respite staff on an ongoing basis without extensive hands-on involvement of researchers.

The Guidebook is available at PeerRespite.net/Toolkit or navigate to "Evaluation Tools" from the homepage. To request limited complimentary technical assistance on evaluation, please see the TA page.

Toolkit for Evaluating Peer Respites Now Available!

The National Empowerment Center supported Live and Learn and the Human Services Research Institute to develop a Toolkit for Evaluating Peer Respites that is now available on our website by clicking here.

This toolkit can be useful not only for peer respites, but also for anyone who wants to evaluate their organization or program. Click to download the toolkit (PDF, 841KB, 85 pages)

Archive of A Future for Early Intervention webinar now available!

We apologize for some technical difficulties. The slides to not become visible until 10 minutes in to the presentation, however you can also follow along by downloading the slides here (PDF, 2.7MB, 32 pages).

Disclaimer: The views, opinions, and content expressed in this presentation do not necessarily reflect the views, opinions, or policies of the Center for Mental Health Services (CMHS), the Substance Abuse and Mental Health Services Administration (SAMHSA), or the U.S. Department of Health and Human Services (HHS).

New study by HHS shows benefits of peer delivered services

Peers in a variety of settings are shown to inspire hope, facilitate empowerment and reduce frequency of hospitalization.

Click to view study by the Office of the Assistant Secretary for Planning and Evaluation [ASPE] (PDF, 1.24MB, 90 pages)

NEC's Technical Assistance Center Director Oryx Cohen quoted in California Health Report article touting Peer-Run Respites

Peer respites for mental health consumers prevent hospitalizations

New study shows that people diagnosed with mental health issues more likely to be the victim of homicide than those with no diagnosis

Click here for a summary from the American Psychiatric Association. Click here to read the full study.

So You Want to Start a Peer-run Warmline? A Guide to Maintaining a Sustainable Warmline

This guide, co-authored by the National Empowerment Center and the Mental Health Consumers' Self-Help Clearinghouse, draws on the advice and experience of existing warmlines and provides tips on fundraising, marketing/outreach, training, supervision, data collection, evaluation, and much, much more! Click to view/download (PDF, 12.2MB, 29 pages)

New Study: Compulsory Treatment Unjustified, Does not Reduce Hospital Readmission

This study, published in The Lancet (March 2013), concludes: "In well coordinated mental health services the imposition of compulsory supervision does not reduce the rate of readmission of psychotic patients. We found no support in terms of any reduction in overall hospital admission to justify the significant curtailment of patients' personal liberty." Click here to read the full article (PDF, 274KB, 7 pages)

Training and Technical Assistance Opportunities

The Bringing Recovery Supports to Scale Technical Assistance Center Strategy (BRSS TACS) Team can assist you in your work through free training opportunities, telephone consultations, email resources, peer learning, webcasts, distance learning, and knowledge products. The BRSS TACS Team is a consortium, funded by the Substance Abuse and Mental Health Services Administration (SAMHSA), dedicated to promoting wide-scale adoption of recovery-oriented supports, services, and systems for people in recovery from substance use and/or mental health conditions. Click here to access the TA Request Form (Word Doc, 2 pages).

"Free Your Mind Projects" Radio Show featuring Daniel B. Fisher on Gun Violence, Mental Health, and Emotional CPR

Dr. Fisher discusses his personal story of recovery and Emotional CPR. Click here to listen to the show (streaming audio, 56 minutes). Click here for complete description of the show. (PDF, 88KB, 2 pages)

Daniel B. Fisher Publishes Letter in the Boston Globe: Outpatient Commitment would Harm Patients in Need

NEC Executive Director Daniel B. Fisher writes that making outpatient commitment possible in Massachusetts would be the wrong move. Click here to read the letter.

National Empowerment Center (NEC) Calls for Peer-delivered Community Services Instead of More Forced Treatment

"The best means to help people recover from mental health issues is by funding more voluntary, community-based services delivered by people who have ourselves recovered: people who relate mutually or peers. Peers uniquely connect with persons in distress in a non-stigmatizing, egalitarian manner because we have been through similar experiences. Peers operate respite centers, which are alternatives to more traumatic hospitalization, and work as wellness coaches in health centers to help integrate mental health and medical care. Peers also teach the public how to help each other through emotional distress by a peer-developed program called emotionalCPR (eCPR). Also peers are learning community-based, voluntary Open Dialogue treatment from Finland." Click to view Press Release

So, What's Wrong with Hearing Voices?

Daniel Hazen and Oryx Cohen Featured on Major Provider Website

Recently Daniel Hazen and Oryx Cohen co-presented on the worldwide Hearing Voices Network at an event in New York City. The Editor-in Chief of Behavioral Healthcare, Dennis Grantham, was in the audience and wrote a fantastic article about what he learned.  It is now the lead story of their publication, and you can check it out at: www.behavioral.net/article/so-whats-wrong-hearing-voices

Inner Voices, Inner Strengths

Peer-support approach challenges long-held views of mental illness

Brad Morrow had his first encounter with the mental health system when he was in his late 30s.

In the space of 15 minutes, a psychiatrist he’d never met before told him he had bipolar disorder, gave him some prescriptions and told him to come back in a month.

The diagnosis, so quickly pronounced, became “like a death sentence,” more shattering than the psychic pain for which he was seeking help, Morrow recalled. He’d previously considered himself a “really creative person,” but the diagnosis changed that. Now he had a label -- and a stigma.

“I felt like my life was a complete fraud, and everything I did and all my accomplishments were based on an illness,” Morrow said. [Click to read article at Hill Country Observer]

Peers ‘who have been there’ guide recovery

Article discussing the role of the peer support movement, in Portland OR, and beyond. Click here to read the article.

Mental Health Messages Actually Increase Stigma

The message that “mental illness is just a disease” isn’t reducing stigma. It’s actually making the stigma worse... Instead of emphasizing how different people with mental disorders are, especially when the scientific field has many open questions, messages should acknowledge that everyone struggles with ups and downs. [Click here to read the full article]

Intervoice Letter to Parents of Children who Hear Voices

Open letter to Oprah Winfrey in response to her program about “The 7-Year-Old Schizophrenic”

Dear Oprah

We are writing this letter in response to your program about “The 7-Year-Old Schizophrenic”. This concerned Jani, a child who hears voices, and was broadcast on the 6th October 2009.

We do so in the hope we can provide a more hopeful and positive alternative to the generally pessimistic picture offered by the members of the mental health community featured in the program, and in the accompanying article on your website. [Read more...]

Judge in NYC rules that 4300 mental health consumers are unduly segregated in adult psychiatric homes

New York State discriminated against thousands of mentally ill people in New York City by leaving them in privately run adult homes, which effectively replaced state-run psychiatric hospitals more than a generation ago but turned out to be little more than institutions themselves, a federal judge ruled on Tuesday. [Click to read full article]

New Review of 20 studies shows that being labeled with mental illness does not increase the risk of violence

Click to view - Schizophrenia and Violence: Systematic Review and Meta-Analysis [PDF, 15 Pages, 944KB]

Psychiatric peer review touted: Care termed a low-cost, effective alternative

People with psychiatric illness get better care from other people with a psychiatric history than from traditional doctors and psychologists in a traditional medical setting, according to Daniel B. Fisher. [Click to read full article]

Consumer-Directed Medicaid Services more Effective than Professionally-Directed Services

The above SAMHSA funded study by Ce Shen, Ph.D. and others published in the November 2008 Psychiatric Services found that self-directed care works well for persons with mental illnesses. [Read more...]

New research study finds unlocked, mental health consumer-managed, crisis residential program produce better results than locked, inpatient psychiatric facilities

For adults with severe psychiatric problems, consumer-managed residential programs may be the way to go, a new study suggests.

Title of Study: A Randomized Trial of a Mental Health Consumer-Managed Alternative to Civil Commitment for Acute Psychiatric Crisis. [Click for more]

Dan Fisher's Presentations on Recovery

How Consumers STEP UP to Design a Truly Recovery-based Mental Health System 

Click to view Dan Fisher's article published in National Council Magazine

Reducing Seclusion and Restraint:

Reducing Seclusion and Restraint in Texas

Six Core Strategies to Reduce Seclusion and Restraint Use

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Looking for Support?

Recordings of the Alternatives conference workshops may be ordered online at Dove Cassettes

NEW NEC Initiative: Community Recovery Dialogues

Bringing together peers, providers, family members, and others to create community and shift the culture of mental health systems. [ more… ]

Recent Postings to the
Mad in America Blog:

  • Behind Locked Doors: How I Got My Hospital Records, and What I Did With Them

  • I Am A Witness… Fifty Years Later

  • It's Time to Wake Up and Stop the Violence

  • We Are the Ones We Have Been Waiting For

  • A New Understanding of "Psychosis"

  • Community Dialogues for Recovery and Wellness

  • Complete listing of blog postings

Recent Evidence and Strategies for Recovery

Videos and other Resources from Creating Connections through Dialogue Conference

Robert Whitaker's Summary of Findings from his book, Anatomy of an Epidemic (PDF)

Recovery from Severe Mental Illnesses: Research Evidence and Implications for Practice (Center for Psychiatric Rehabilitation) Volume 1, Volume 2

In the Driver's Seat: Guide to Self-Direction in Mental Health

The Florida Self-Directed Care Program - A Practical Path to Self-Determination (PDF 181KB - 10 pages)

The Contribution of Self-Direction to Improving the Quality of Mental Health Services

Inclusive Livable Communities for People with Psychiatric Disabilities - NCD Report

Outcome of community-based rehabilitation program for people with mental illness who are considered difficult to treat. (pdf)

Recovery Oriented Systems Indicators Measure (ROSI) and other recovery measures (pdf 321KB - 17 pages)

Consumer-Directed Transformation to a Recovery-Based Mental Health System (pdf)

Self-Direction: Consumer Choice in Action (pdf)

Emerging evidence base for Consumer Operated Services (COSP)

Evidence That People Recover in Published Research and Other Articles

NEC is working with four consumer groups in a Recovery Consortium

Voices of Transformation: Developing Recovery-Based Statewide Consumer/Survivor Organizations (pdf 2MB - 104 pages)

NEC's proposed characteristics of a person who has recovered from mental illness

Additional articles that you may find useful:

People can recover from mental illness

Reclaiming your power during medication
appointments with your psychiatrist

Escuchando voces que deprimen: Recursos y estrategia para ayudarse así mismo

See all our Articles