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Post by Admin on Dec 18, 2020 19:31:40 GMT
Psychiatry and Behavioral Sciences Bio-Psycho Social-Spiritual Model Department of Psychiatry and Behavioral Sciencesmed.unr.edu/psychiatry/education/resources/bio-psycho-social-spiritual-modelIn all our teaching, we invite students to conceptualize patient problems by using a bio-psycho-social-spiritual formulation. This model is used throughout our curriculum in psychiatry. We ultimately want students to arrive at patient formulations that allow for understanding and drive formation of treatment plan. Formulations help explain "how did this patient get to this psychiatric status?" What follows is a description of the components of the bio-psycho-social-spiritual formulation. We have added prompts for the students to help them think about and organize clinical material. Students are encouraged to include each component in formulations. This model generally includes the following: (Rest in Link)
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Post by Admin on Dec 24, 2020 1:36:36 GMT
S.E.L.F. : A Compass for Recoverywww.sanctuaryweb.com/TheSanctuaryModel/THESANCTUARYMODELFOURPILLARS/Pillar3SharedLanguage.aspxThe road to recovery from trauma and adversity can be a long one for both individuals and organizations. When you are lost, it’s useful to have a compass and that’s what S.E.L.F. is – a compass on the road to healing. S.E.L.F. is an acronym that represents the four interactive key aspects of recovery from bad experiences. S.E.L.F. provides a nonlinear, cognitive behavioral therapeutic approach for facilitating movement – regardless of whether we are talking about individual clients, families, staff problems, or whole organizational dilemmas.
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Post by Admin on Jan 16, 2021 17:40:22 GMT
Why do we need Soteria Houses more than ever in the UK now? www.eventbrite.com/e/why-do-we-need-soteria-houses-more-than-ever-in-the-uk-now-tickets-136857577699Soteria Network UK promotes the development of drug-free or minimum medication therapeutic environments for 'psychosis' About this Event We are part of an international movement of service users, survivors, activists, carers and professionals fighting for more humane, non-coercive mental health services. People who hear voices, have visions or experience reality in different ways to those around them — and become overwhelmed by their experiences — are often referred to as experiencing ‘psychosis’. We believe that people can and do recover from difficulties which tend to be categorised under the term psychosis. This recovery can be with, without and sometimes despite psychiatric intervention. Speakers : Brigid Bowen, Founder and Director of Compassionate Mental Health CIC Anne Cooke, Director of School of Psychology Salomans Centre, University of Canterbury Eamonn Flynn, ISPSUK Trustee and family member Phil Thomas, Writer and Psychiatrist Mark Trewin, Mental Health Social Work Lead with Chief Social Worker Dept Health and Social Care Each speaker will talk for five minutes about why Soteria houses are needed more than ever in the UK now. There will be plenty of time for questions and discussion with the panel and trustees as well as hearing more about Soteria Network and our plans for the future and how you can become involved. Our AGM will take place following the event at 4:30pm. To find out more go to www.soterianetwork.org.uk
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Post by Admin on Mar 21, 2021 7:40:28 GMT
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Post by Admin on Jul 11, 2021 16:23:54 GMT
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Post by Admin on Jul 23, 2021 9:57:14 GMT
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Post by Admin on Sept 4, 2021 16:16:12 GMT
Inner Fire: Where Seekers Have a Choice A Vermont residential community program helps people taper or stay off medications with holistic care embedded in a pastoral setting. By Amy Biancolli -September 4, 2021 www.madinamerica.com/2021/09/inner-fire-seekers/
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Post by Admin on Oct 1, 2021 18:25:32 GMT
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Post by Admin on Oct 22, 2021 20:11:46 GMT
Peer Respite: Why It Should be Everyone’s Concern By Lauren Spiro -October 19, 2021 www.madinamerica.com/2021/10/peer-respite/Peer Respite should be everyone’s concern because it is a model for how each of us can be like a drop of medicine, that is, we can become a remedy together for transforming our relationships and therefore transforming society. My intent with this blog is to compare some lessons learned from my recent medical crisis response to a similar peer-run respite response. I hope, dear reader, that you can see for yourself how far we need to go to begin arriving at a trauma-informed, empowering, compassionate response to people in crisis.
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Post by Admin on Jun 12, 2022 16:18:43 GMT
>> Publications scientifiques esperances.org/publications-scientifiques/1) V. Lehtinen, J. Aaltonen, T. Koffert, V. Räkköläinen, & E. Syvälahti (2000). – Two-year outcome in first-episode psychosis treated according to an integrated model. Is immediate neuroleptisation always needed? Eur Psychiatry 2000 ; 15 : 312-20 © 2000 Éditions scientifiques et médicales Elsevier SAS. 2) J. Seikkula, PhD & M.E. Olson, PhD. (2003). – The Open Dialogue Approach to Acute Psychosis: Its Poetics and Micropolitics. Fam Proc 42:403-418, 2003. 3) J. Seikkula, B. Alakare, J. Aaltonen, J. Holma, A. Rasinkangas, V. Lehtinen (2003). – Open Dialogue Approach: Treatment Principles and Preliminary Results of a Two-year Follow-up on First Episode Schizophrenia Ethical and Human Sciences and Services, 2003, 5(3), 163-182. Used by permission Springer Publishing Company, Inc., New York 10012. 4) J. Seikkula, J. Aaltonen, B. Alakare, K. Haarakangas, J. Keranen, & K. Lehtinen (2006). – Five-year experience of first-episode nonaffective psychosis in open-dialogue approach: Treatment principles, follow-up outcomes,and two case studies Psychotherapy Research, March 2006; 16(2): 214-228. 5) J. Seikkula, B. Alakare and J. Aaltonen (2011). – The Comprehensive Open-Dialogue Approach in Western Lapland: II. Long-term stability of acute psychosis outcomes in advanced community care. Psychosis : Vol. 3, No. 3, October 2011, 192–204. 6) Olson, M., Seikkula, J., & Ziedonis, D. (2014). – THE KEY ELEMENTS OF DIALOGIC PRACTICE IN OPEN DIALOGUE: FIDELITY CRITERIA The University of Massachusetts Medical School. Worcester, MA. Version 1.1: September 2, 2014. 7) Chr. Gordon, V. Gidugu, E. S. Rogers, J. DeRonck, D. Ziedonis (2016). – Adapting Open Dialogue for Early-Onset Psychosis Into the U.S. Health Care Environment: A Feasibility Study Psychiatric Services 2016; 67:1166–1168. 8) T. Bergström, J. Seikkula, B. Alakare, P. Mäki, P. Köngäs-Saviaro, J.J. Taskila, A. Tolvanen, J. Aaltonen (2018). – The family-oriented open dialogue approach in the treatment of first-episode psychosis: Nineteen–year outcomes Psychiatry Research 270 (2018) 168–175.
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Post by Admin on Jun 29, 2022 21:00:18 GMT
An Alternative to Psychiatric Hospitals: Report From Israeli Soteria Houses June 29, 2022 www.madinamerica.com/2022/06/alternative-psychiatric-hospitals-report-israel/From Psychology Today/John Read, PhD: “The scientific journal I edit, Psychosis, is proud to have just published a rather remarkable article, entitled ‘The Soteria Model: implementing an alternative to acute psychiatric hospitalization in Israel.’ . . . I was delighted to be invited, with my family, to the opening of the first of three ‘Soteria-Israel’ houses, in 2016, in Jerusalem. The warm, relaxed atmosphere in the house was such that it took some time before I could tell who were residents and who were staff. Not being a religious person I had mixed feelings about the presence of a rabbi, until it was explained to me that the person in question was not a rabbi but a resident who sometimes liked to be a rabbi, which seemed to bother nobody. The three houses, one all male, one all female and one mixed gender, are the brain child of remarkable Israeli psychiatrist Dr. Pesach Lichtenberg, supported by the equally remarkable team of caring human beings he has gathered together on this mission. They are a mixture of professional staff and ‘companions.’ In the Psychosis article, Dr. Lichtenberg, summarizes the guiding principles as: Care is given in a home not an institution; Groups are small, eight or less; Communication is open; Activities are client-centered; Treatment is consensual; Medication is de-emphasized; Staff learn to ‘be with’ the resident empathically and non-judgmentally; and The group is the central therapeutic instrument. The article presents data on the first 486 residents. It is an honest appraisal of the successes and failings, the challenges and compromises, inevitably involved in such an innovative project. Over time, however, the number of residents needing hospitalization (primarily because of suicidality or violence) reduced steadily from 37% in 2016 to 8% in 2020. Put another way, this means that between 63% and 92% of people who would otherwise probably have been hospitalized, were not. Furthermore, only 19% returned to their Soteria House after an initial stay, a rate far lower than re-admission rates to many psychiatric hospitals. One clear indication of success has been the official recognition of the model by Israel’s Ministry of Health, leading to the recent establishment of 10 more homes ‘providing a community-based residential care alternative to acute psychiatric hospitalization.’” www.psychologytoday.com/intl/blog/psychiatry-through-the-looking-glass/202206/alternative-psychiatric-hospitals
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Post by Admin on Jul 13, 2022 17:20:48 GMT
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Post by Admin on Jul 24, 2022 18:03:45 GMT
Altered States of Consciousness We need to stop being afraid of altered states. We need to create loving and supportive spaces for those that inadvertently enter these states, and not drug them into unconsciousness, especially against their will. This can only be done with MEDICATION-FREE BEDS in psych wards, MED-FREE PEER RESPITES, and similar institutional establishments. We should treat anyone entering into altered states of consciousness with care, compassion and respect. Jill Kesti #SandraIngerman_AmericanAuthor #JillKesti_GraphicDesign
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Post by Admin on Jul 24, 2022 18:11:09 GMT
From the complete film here: youtu.be/HDVhZHJagfQ#OpenDialogue #OpenDialogue_AnAlternativeFinnishApproachToHealingPsychosis #JillKesti_GraphicDesign #JillKesti_Selfie
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Post by flyingcarpet46 on Jul 25, 2022 19:46:22 GMT
Open dialogue
I have only glanced through the scientific publications listed which seem to be about the relative effectiveness of open dialogue.
But I would give a word of caution. Nothing I have seen previously, including a dvd, mentioned that Open Dialogue is not suitable for everyone. There are some family dynamics where it may even be harmful.
I am thinking of situations where there is domination, domestic/marital abuse, sexual abuse ... which may be well hidden in a family, and by the service user. Interventions bringing in others, not least psychiatric clinicians, may worsen the home situation.
My father dominated my family but worse still was the abuse, cruelty, violence towards my mother , fuelled by alcohol, almost beyond the pale.But who knew? A schoolteacher said to me, a somewhat withdrawn child, that I should be more affable, jokey, like my father .
As a young adult I offered to help my mum leave him but she feared he would pursue her. He had threatened in the past that she would never see her children again, if she left him and now she feared for her life. All this took a serious toll on my own mental health but I feel a form of Open Dialogue in any of my hospitalisations could have been disastrous.
Of course, clinical staff may be sufficiently experienced/trained to detect and manage carefully such underying family dynamics.
In what I have heard previousky about OP-D i didn't notice any difficulties/problems mentioned and service users own voices weren't there but that seems to have changed in more recent years.
That the issue of hidden family dynamics isn't, it seems, mentioned , disturbs me. This is not to deny the evidence in the research which points to success with other service users offered this intervention.
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