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Electronic version available
By Daniel Fisher, MD, PhD
I hope for a day when: Every person who experiences extreme emotional states is engaged in respectful, hopeful, humanistic, and empowering relationships that enable them to heal and recover full, meaningful lives in the community. Instead of being seen as threats to society, we will be seen as a source of wisdom that we have obtained through our recovery. Practices like Open Dialogue will eliminate the long-term iatrogenic effects of a prophesy of doom and lifelong illness. Suffering will be seen as an understandable human response to trauma rather than a chemical imbalance or a defective fear circuit. Voluntary, community-based, recovery-oriented, culturally attuned, traumainformed services and housing will replace psychiatric hospitals. The mental health system will be run by persons with lived experience of recovery from extreme emotional states. Everyone will learn how to assist each other through extreme emotional states by learning communication skills such as Emotional CPR. -
Hearing Voices that are Distressing: A Simulated Training Experience and Self-Help Strategies
Just as rehabilitation students gain insight into the experience of physical disability by using wheelchairs, so too can mental health professionals and students experience a simulation of some of the challenges facing people with psychiatric disabilities. Who should attend this training? This training has been developed and piloted for a wide range of people including: inpatient/outpatient psychiatric nurses, psychiatrists, social workers and psychologists; direct care workers in residential, day treatment and psychosocial rehabilitation programs; mental health administrators and policy makers; family members and friends; and academic faculty and students. A modified version of this training emphasizing self help skill building (and no simulation experience) is available for voice hearers who want to learn to control or eliminate distressing voices. Hearing voices that are distressing is a training in which participants use headphones for listening to a specially designed audiotape. During this simulated experience of hearing voices, participants undertake a series of tasks including social interaction in the community, a psychiatric interview, cognitive testing, and an activities group in a mock day treatment program. The simulation experience is followed by a debriefing and discussion period. The workshop also includes:- A lecture exploring the research and literature on hearing distressing voices
- Presentation of self-help strategies for coping with or eliminating distressing voices
- Practice exercises where participants learn to teach self-help skills to voice hearer
- To empathize more deeply with the challenges voice hearers face
- To reduce the fear and stigma surrounding the voice hearing experience
- To learn to teach self help skills to voice hearers
Call the National Empowerment Center at 1-800-769-3728 for more information
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Research studies, articles and book excerpts on recovery. All compiled into one publication!
This publication dispels the myth that people labeled with mental illness need to lead lives of endless desperation and broken dreams. Inspire a new generation of consumers, caregivers, administrators, and families! -
Electronic version available
By Patricia Deegan, PhD
Self-help strategies for people who hear voices that are distressing
This self-help guide can help you gain control over or eliminate voices that are distressing. The 22 page booklet, includes 18 fully illustrated self-help strategies that can help you take a stand, find your own voice and reach your goals! -
Electronic version available
Developed with the assistance of diverse leaders from across the U.S.
Emotional CPR is a public health education program designed to teach people the skills to assist others through emotional crisis and regain a sense of hope and purpose in their lives. This workbook was developed for the eCPR certification training and provides a thoughtful discussion of the values of eCPR, the features of dialogue, and the primary components of eCPR: C = Connection, P = emPowering, and R = Revitalizing. Other sections include how to prepare oneself to provide eCPR as well as tips for self-care. The workbook is filled with inspiring quotes, real-life examples of embodying the practice of eCPR, sample instructions for role plays, and other exercises. The workbook is designed for anyone who may encounter a person in emotional crisis – law enforcement, mental health peers, mental health providers, family members, and others. If you are interested in learning more about eCPR, or would like to request an eCPR training, please visit www.emotional-cpr.org.
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By Daniel Mackler
Healing Homes, a feature-length documentary film directed by Daniel Mackler, chronicles the work of the Family Care Foundation in Gothenburg, Sweden -- a program which, in this era of multi-drug cocktails and psychiatric diagnoses-for-life, helps people recover from psychosis without medication. The organization, backed by over twenty years of experience, places people who have been failed by traditional psychiatry in host families -- predominately farm families in the Swedish countryside -- as a start for a whole new life journey. Host families are chosen not for any psychiatric expertise, rather, for their compassion, stability, and desire to give back. People live with these families for upwards of a year or two and become an integral part of a functioning family system. Staff members offer clients intensive psychotherapy and provide host families with intensive supervision. The Family Care Foundation eschews the use of diagnosis, works within a framework of striving to help people come safely off psychiatric medication, and provides their services, which operate within the context of Swedish socialized medicine, for free. Healing Homes weaves together interviews with clients, farm families, and staff members to create both a powerful vision of medication-free recovery and an eye-opening critique of the medical model of psychiatry. -
Electronic version available
Note: The Hearing Voices Curriculum is now available as a virtual training. For some suggestions on how to conduct this training virtually, click here.
Learn more about the Updated Hearing Voices Curriculum in the video below.
Originally created by Patricia Deegan, PhD with updates by Dr. Dan Fisher and Oryx Cohen
WHAT IS IT?
Hearing Voices That Are Distressing is a complete training/curriculum package in which participants use headphones for listening to a specially designed recording. During this simulated experience of hearing voices, participants undertake a series of tasks including social interaction in the community, a psychiatric interview, cognitive testing, and an activities group in a mock day treatment program. The simulation experience is followed by a debriefing and discussion period. The curriculum includes an updated DVD and updated discussion questions that focus on what we can do to support people who hear voices."...The first graduate students who experienced 'Hearing Voices' said it changed their lives. We now require it for all our graduate students in sites across the country." ~ Paul J. Carling, Ph.D. Executive Director The Center for Community Change, Trinity College, Vermont "...The voices simulation gave me a good overview of what people who do hear voices go through on a day to day basis." "...Incredible experience which gave a great insight. " "...Every Officer should have this experience so they can understand what people who hear voices are going through." ~ Law Enforcement Officers from Utah CIT AcademiesWHO BENEFITS FROM THIS TRAINING?
This curriculum has been developed and piloted for a wide range of mental health professionals including: Inpatient/outpatient psychiatric nurses, psychiatrists, social workers; psychologists; direct care workers in residential, day treatment and psychosocial rehabilitation programs; mental health administrators, policy makers; and police officers, academic faculty and students."...I recently participated in the 'Hearing Voices' training. I must confess, I was disturbed by the sudden realization that I have been treating schizophrenia for four years, yet I have never known what it really was. I may have had the knowledge, but not the wisdom or true empathy -Â until now." ~ Jim Willow, M.D. Psychiatric Resident, PsycHealth Centre, Winnipeg, ManitobaSample a sound byte from the hearing voice simulation (mp3, 1843 KB) Please be advised: Contains mild profanities
WHO CREATED IT?
Patricia E. Deegan, Ph.D., holds a doctorate in clinical psychology and developed this curriculum as part of her work with the National Empowerment Center. She also publishes and lectures internationally on the topics of recovery and empowerment. Pat is a person with a psychiatric disability, who also has experience hearing voices that are distressing. -
By Daniel Mackler
In the far north of Finland, a stone's throw from the Arctic Circle, a group of innovative family therapists converted the area's traditional mental health system, which once boasted some of Europe's poorest outcomes for schizophrenia, into one that now gets the best statistical results in the world for first-break psychosis. They call their approach Open Dialogue. Their principles, though radical in this day and age of multi-drug cocktails and involuntary hospitalizations, are surprisingly simple. They meet clients in crisis immediately and often daily until the crises are resolved. They avoid hospitalization and its consequential stigma, preferring to meet in the homes of those seeking their services. And, perhaps most controversially, they avoid the use of anti-psychotic medication wherever possible. They also work in groups, because they view psychosis as a problem involving relationships. They include in the treatment process the families and social networks of those seeking their help, and their clinicians work in teams, not as isolated, sole practitioners. Additionally, their whole approach values of the voice of everyone in the process, most especially the person directly in crisis. And finally, they provide their services, which operate within the context of Finnish socialized medicine, for free. Open Dialogue weaves together interviews with psychiatrists, psychologists, nurses, and journalists to create both a powerful vision of medication-free recovery and a hard-hitting critique of traditional psychiatry. -
By Daniel Mackler In June of 2012, twenty-three people came together to discuss the subject of coming off psychiatric drugs. We were psychiatric survivors, therapists, mental health consumers, family members, and activists, united by a passion for truth-telling. More than half of us had successfully come off psych drugs, including cocktails of antipsychotics and mood stabilizers. What resulted from our three-day gathering was an unforgettable meeting of the minds. This 75-minute documentary (directed by Daniel Mackler) offers a rare glimpse into the world of coming off psych drugs through the eyes of those who have done it. The film presents, among others, Will Hall, author of the world-renowned “Harm Reduction Guide to Coming Off Psychiatric Drugs,” Oryx Cohen, director at the National Empowerment Center, Laura Delano, blogger at www.madinamerica.com, and Daniel Hazen, noted psychiatric survivor and human rights activist. Although this documentary is not medical advice, it intends to offer something even better: hope. In a world where increasing numbers of people are put on psychiatric drugs every day, where more than 20 percent of Americans already take them, and where so many are told they need to stay on them for life, COMING OFF PSYCH DRUGS offers proof that another way is possible.
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By National Empowerment Center
A Public Health Education Program
This DVD uses a combination of discussion and scenarios taken from real life to illustrate the values and practice of Emotional CPR (eCPR), an exciting and innovative public health education program designed to teach people how to support others through emotional crisis/distress and into recovery. -
Printed version of the PACE manual.
Also available in PDF format via the home page of NEC website. Available in English, Spanish and Japanese Japanese Translation by: RACA - Recovery Alternative Change Association -
By Amy Long, LPN, Daniel Fisher, MD, PhD
Recovery through Peer Providers is an invaluable tool for health care purchasers, managed care organizations, behavioral health care providers, and mental health consumers. Promote recovery by inspiring hope, improving communication, building peer support, highlighting positive role models and sharing coping strategies. -
By Daniel Fisher, MD, PhD, Judi Chamberlin
Training for peer coaches, family members and providers.
"Recovery through Peer Support" is a curriculum for consumers in training to become peer coaches, for consumers wishing to further their own recovery, for family members, and those wanting to assist another person in their development as a whole human being while learning new skills for promoting recovery. The curriculum describes the evolution of peer support by mental health consumers, gives concrete suggestions of ways to facilitate recovery by using the 10 major principles of recovery developed by NEC, and contains interviews with peer coaches describing their experiences. Written by authors with decades of experience in peer support and consumer movement. -
By Laurie Ahern, Daniel Fisher, MD PhD
People can and do recover from severe emotional distress known as "mental illness".
This curriculum has been developed by Laurie Ahern and Dan Fisher MD, Ph.D. It includes a 34-page guide and a 90-minute video lecture on the PACE (Personal Assistance in Community Existence) curriculum, featuring information on the empowerment model of recovery, PACE/Recovery principles, and recovery research. This information is useful for administrators, consumers, families, advocates, and providers who want to transform their system to one based on a recovery culture. -
Electronic version available
By Judi Chamberlin
On Our Own is Judi's story as a patient in both public and private hospitals. The story explores her experiences while being a patient as well as the lessons she learned while using services controlled by the patients themselves. It makes a compelling case for patient controlled services; a real alternative to the institutions that destroy the confident independence of so many. This is a work of great hope and optimism. On Our Own is now translated in to Korean, thanks to Ji-Eun Lee. To download the Korean version, please click here.