Building Bridges: Mental Health Consumers in Intergenerational Dialogue

2010·0.43 MB·English

by  Goldstein, Irene Saunders

Building Bridges
Mental Health Consumers
in Intergenerational Dialogue
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Center for Mental Health Services
www.samhsa.gov

Building Bridges
Mental Health Consumers
in Intergenerational Dialogue
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Acknowledgements
The publication was prepared for the Substance Abuse and
Mental Health Services Administration (SAMHSA), U.S. Department
of Health and Human Services (HHS), under contract number
280-01-8054. Irene Saunders Goldstein wrote this monograph
(with initial reporting by Asha-Lateef Dobbs), and Carole Schauer
served as the Government Project Offi cer.
Disclaimers
The views, opinions, and content of this publication are those
of the author and do not necessarily refl ect the views, opinions,
or policies of SAMHSA or HHS.
Public Domain Notice
All material in this report is in the public domain and may be
reproduced or copied without permission from SAMHSA. Citation
of the source is appreciated. However, this publication may not
be reproduced or distributed for a fee without the specifi c written
authorization of the Offi ce of Communications, SAMHSA, HHS.
Electronic Access and Copies of Publication
This publication may be retrieved electronically from
www.samhsa.gov. For additional copies of this document,
please call SAMHSA’s National Mental Health Information
Center at 1-800-789-2647 or 1-866-889-2647 (TDD).
Recommended Citation
Center for Mental Health Services. (2008). Building Bridges:
Mental Health Consumers in Intergenerational Dialogue.
HHS Publication No. SMA-09-4372. Rockville, MD: Center for
Mental Health Services, Substance Abuse and Mental Health
Services Administration.
Originating Offi ce
Offi ce of the Associate Director for Consumer Affairs,
Center for Mental Health Services, Substance Abuse and
Mental Health Services Administration, 1 Choke Cherry Road,
Rockville, MD 20857.
HHS Publication No. SMA-09-4372
Printed 2009
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Building Bridges: Mental Health Consumers in Intergenerational Dialogue
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Contents
Overview ..........................................................................................1
Mental Health Consumers:
Similarities and Differences in the Evolving Movement .......4
Generational Differences .............................................................4
Experiences with Mental Health Services ...................................7
Consumer Movement(s): Evolution Highlights ...........................8
Issues and Concerns: Shared and Unique ..............................15
Language and Labels ..................................................................15
“Wellness” and Public Health ....................................................17
Recovery and Resilience ............................................................18
Productivity: Education and Work .............................................19
Recording and Archiving the History
of the Consumer Movement ......................................................20
Treatment Choice: Traditional and Alternative .........................20
Treatment Issues .........................................................................21
Cultural Competence .................................................................23
Voices and Choices ....................................................................24
Trauma and Trauma-Informed Care ..........................................24
Peer Support Specialists and Youth Coordinators ....................25
Co-Optation of the Peer Support Role ......................................26
Lesbian, Gay, Bisexual, and Transgender Issues ......................27
Suicide and Suicide Prevention .................................................28
Poverty ........................................................................................29
Recommendations ........................................................................30
For Consumers ...........................................................................30
For the Youth and Adult Consumer Movements ......................30
For the Substance Abuse and
Mental Health Services Administration .....................................31
Conclusions ...................................................................................32
Appendix: Selected Resources ...................................................34
Intergenerational Dialogue Participants ................................42
References and Related Publications .......................................47
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Somewhere along the line, as a young person, I got this
impression that the adult [consumer] movement was a bunch of
boring old people. I had my concerns and apprehensions about
coming here, but you all are very cool. Hearing you share your
stories, it’s not that you just popped out as adults somewhere
along the line. A lot of you started as consumers as young people,
and I have so much in common with you. I can identify a lot
with your stories. I’m interested in working with you guys now.
—Young adult participant
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