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Culture and Recovery: The Importance of Local Context

Culture and Recovery: The Importance of Local Context. Cynthia S. Robins, Ph.D. Westat Rockville, Maryland Supported by the Center for the Study of Issues in Public Mental Health NIMH Grant# 2P50MH51359. What cultural features of a locality merit assessment?.

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Culture and Recovery: The Importance of Local Context

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  1. Culture and Recovery: The Importance of Local Context Cynthia S. Robins, Ph.D. Westat Rockville, Maryland Supported by the Center for the Study of Issues in Public Mental Health NIMH Grant# 2P50MH51359

  2. What cultural features of a locality merit assessment? • Infrastructure: services and supports • Attitudes: awareness and acceptance of mental health disorders • “Community”: connected-ness

  3. Infrastructure • Reliable, affordable public transportation? • Adequate supply of affordable housing? • Mentalhealthservices? • Psychiatry, counseling, case management • Crisis services

  4. Attitudes • What are the predominant views about mental illness? • About people living with a serious mental illness? • Family • “Characters” • Outsiders

  5. Community • Does a “community” exist into which consumers can be integrated? • Locality versus cultural value • Connection among members • Integrity of the social group • Mutual responsibility

  6. Concept of the “Individual” “...The independent, autonomous and thus (essentially) non-social moral being, as found primarily in our modern (common-sense) ideology of man and society.” Louis Dumont “On the Modern Concept of the Individual”

  7. What does “individualism” look like? • Cortez, CO • Public park • Closed houses • Dinner seating • Self-service grocery • Lunch cars • Most of the Eastern Seaboard...

  8. Integration into ...? • Cortez Kiva Empowerment Center • Dedicated consumer space • Mutual support • Networks • Connected-ness

  9. “Ghetto” or “Community”? • Policies of Assertive Community Treatment • Consumer “gathering” as negative • Scattered housing • Serve at home, not at office • Independence or Isolation?

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