Today, I had to arise at
5 am in order to run and be on time to Mission Australia's Youth Forum. We had a long taxi ride across
Sydney to a beautiful, green-grassed, lake present, conference center, with
crazy birds with long thin beaks, who made shrieks from time to time. The atmosphere was absolutely bucolic and the
conference center modern and lovely.
Norma Ingram gave the welcome to country. We learned that she had earned her Master's degree In Education at Harvard University and had visited Vermont during her year in the USA. Norma formally welcomed everyone to her ancestral lands after which Rocky and I sang a song for her as the opening to our presentation. Rocky gracefully allowed me to give the initial 45 minute talk and then we split the room into two groups for an hour break-out session. I showed my usual slides to introduce my mother's people and land and then my father's people and land. I began with the idea that youth appear to need to be heroic, now more than ever. In a 1959 paper entitled The Adolescent Hero: A Trend by James William Johnson In Modern Fiction Twentieth Century Literature: A Scholarly And Critical Journal (Volume 5, Number 1 April, 1959), we learn that the literature of adolescent heroes began to dramatically increase in 1929 and continued to grow through 1959, and, I believe has continued ever since. Adolescents, especially males, appear to need to feel heroic in some way. They are saturated with stories extolling heroes and demanding that they be one. Sometimes they choose pathways to heroism that adults find objectionable. For example, joining a gang is a pathway to heroism, though often lethal. I talked about how traditional cultures have historically had procedures for declaring a young person to be an adult and ways for them to be heroic. I talked about using culture to create other opportunities for heroism, including the challenge of the sweat lodge, of sun dance, of vision quest, and the opportunities to feel heroic. I talked about a pediatrician I know who prepares Lakota children for a swim from Alcatraz to San Francisco across the Bay -- the journey that was believed impossible when Alcatraz was founded. We talked about the horseback rides across the reservation that Patrick Chief Eagle provides on the Pine Ridge Reservation. A man in the audience mentioned that he was working with Maori youth to make and sail canoes in the traditional way. I mentioned the programs for Native Hawai'ian youth to make and sail canoes between islands. We just have to find ways to make what we adults consider to be wholesome and healthy seem more desirable and heroic than their alternatives like gang membership or the culture of drugs. I argued that much of dysfunctional adolescent behavior can be understood as an attempt to save face when the attempt to be heroic or become a hero has gone awry. I defined narrative units as I did on Day 3 for the Hearing Voices Conference and talked about the importance of creating positive story. My slides are available to anyone who wants to email me at Email address removed .
Norma Ingram gave the welcome to country. We learned that she had earned her Master's degree In Education at Harvard University and had visited Vermont during her year in the USA. Norma formally welcomed everyone to her ancestral lands after which Rocky and I sang a song for her as the opening to our presentation. Rocky gracefully allowed me to give the initial 45 minute talk and then we split the room into two groups for an hour break-out session. I showed my usual slides to introduce my mother's people and land and then my father's people and land. I began with the idea that youth appear to need to be heroic, now more than ever. In a 1959 paper entitled The Adolescent Hero: A Trend by James William Johnson In Modern Fiction Twentieth Century Literature: A Scholarly And Critical Journal (Volume 5, Number 1 April, 1959), we learn that the literature of adolescent heroes began to dramatically increase in 1929 and continued to grow through 1959, and, I believe has continued ever since. Adolescents, especially males, appear to need to feel heroic in some way. They are saturated with stories extolling heroes and demanding that they be one. Sometimes they choose pathways to heroism that adults find objectionable. For example, joining a gang is a pathway to heroism, though often lethal. I talked about how traditional cultures have historically had procedures for declaring a young person to be an adult and ways for them to be heroic. I talked about using culture to create other opportunities for heroism, including the challenge of the sweat lodge, of sun dance, of vision quest, and the opportunities to feel heroic. I talked about a pediatrician I know who prepares Lakota children for a swim from Alcatraz to San Francisco across the Bay -- the journey that was believed impossible when Alcatraz was founded. We talked about the horseback rides across the reservation that Patrick Chief Eagle provides on the Pine Ridge Reservation. A man in the audience mentioned that he was working with Maori youth to make and sail canoes in the traditional way. I mentioned the programs for Native Hawai'ian youth to make and sail canoes between islands. We just have to find ways to make what we adults consider to be wholesome and healthy seem more desirable and heroic than their alternatives like gang membership or the culture of drugs. I argued that much of dysfunctional adolescent behavior can be understood as an attempt to save face when the attempt to be heroic or become a hero has gone awry. I defined narrative units as I did on Day 3 for the Hearing Voices Conference and talked about the importance of creating positive story. My slides are available to anyone who wants to email me at Email address removed .
After lunch, we heard
Leonie Green, the Director of New South Wales Community Services talk about the
recently launched Mental Health Strategies for Mission Australia. She said that their previous strategy did not
fully identify the need they had. She
talked about their biggest barrier being how to refer clients into clinical
mental health services. When people rang
the mental health outreach services, they didn't get responses because they
didn't have the language down that mental health used. They don't actually see themselves as a
provider of mental health support services in the broadest sense, though the
majority of their clients presented with mental health issues. She said, if you look at the social determinants
of mental health, they are homelessness, poverty, unemployment, family
breakdown, and the like, so it should be quite natural that their clients
should present with mental distress. She
said that mental health should be everyone's business. When people stop being homeless, poor, and
unemployed, often their mental health improves.
Six months ago, they
started drug and alcohol services which have been rapidly expanding. They call
this a community of practice for youth services. Everyone involved with youth in that area
comes to the table to interact around managing these youth with drug and
alcohol problems.
Here are some of the
highlights of their current strategy:
1) Replace
the term mental illness with the terms "mental distress" and/or "loss of mental
wellbeing", as these terms were less stigmatizing and recognize the diversity
of experience that bring people into contact with mental health services.
2) Services
should transition from inpatient hospital to integrated community services.
3) Social
determinants of mental health need to be more widely recognized and addressed.
4) Adopt
a Recovery Approach to underpin service delivery.
5) Establish
a Consumer and Carer Reference Group to include the voices of people of lived
experience of mental distress and loss of wellbeing and their carers in the
planning, design, delivery, and evaluation of services.
We learned that
aboriginal people have high rates of mental illness and loss of mental
wellbeing in their communities. Rates of
suicide and self-harm are 2 to 5 times higher for aboriginal people than other
Australians (http://www.aihw.gov.au/indigenous-Australians). The New South Wales Social and Emotional
Wellbeing Policy (2006-2010) states that the tragic state of Aboriginal mental
health is due to a "" complex inter-relationship of individual, historical,
social, cultural, economic, and environmental factors (and that) collective
distress and trauma exist as underlying stressors to aboriginal life." (New
South Wales Department of Health, 2007.
We learned that Mission
Australia is at the forefront of responding to the social and emotional
wellbeing needs of aboriginal people, especially in rural and remote portions
of NSW. At their Mac River Youth Drug
and Alcohol Rehabilitation Service in Dubbo (where Sally made her documentary
on elders sharing stories with youth) every referral except one had been an
aboriginal youth. They anticipate
providing increasing services to aboriginal persons released from prisons due
to their high levels of mental distress.
Next we heard about the
Recovery Model, which was also prominent at the Hearing Voices conference from
Day 3 and Day 4 of this journey. It
emerged from the consumer/survivor movement following the
de-institutionalization era of the 1970's and 1980's. They define recovery "as a deeply personal,
unique process of changing one's attitudes, values, feelings, goals, skills,
and/or roles. It is a way of living a
satisfying, hopeful, and contributing life even with limitations caused by
illness. Recovery involves the
development of new meaning and purpose in one's life as one grows beyond the
catastrophic effects of mental illness." (Anthony, W.A. (1993). Recovering from
mental illness: The guiding vision of the mental health service system in the
1990's. Psychosocial Rehabilitation
Journal, 24(2), 159-168.). The U.S.
does not subscribe to the Recovery Model so much but is steeped in the
biomedical model. My sense of Australia
is that its physicians are also steeped in the biomedical model with a large
disconnect between psychiatrists and other mental health professionals.
Mission Australia (NSW
Mental Health Strategy 2012) wrote that "Recovery is not dependent on
professional intervention and can and does occur without it. Recovery does not
mean an absence of symptoms. Rather when achieved, it allows people to live
meaningful lives regardless of any unremitting symptoms and periods of relapses".
[R]ecovery is not a linear process"."
Next Dr. Ramesh Manocha,
Senior Lecturer at the Sydney University Psychiatry Department and
Founder of
Generation Next (you can google him) spoke about meditation -- what it
is and
what it's not. He's planning a study
with Mission Australia to teach kids at risk how to meditate. He
presented a study of 40 minutes of
meditation instruction twice weekly for one term who experienced
improved
benefits in grades and study habits. He
found that the people who were experiencing mental silence several times
per
day or more had the highest mental health scores. People who
experience mental stillness less
than once per month had the lowest mental health scores. He reported
taking 14 women with hot flashes
who were perimenopausal for 8 weeks twice weekly meditation instruction.
They were to meditate twice per day. They found a 70 to 80%
improvement in
symptoms using meditation at the end of 8 weeks. The majority of
women maintained a benefit at
16 weeks except for one woman who stopped meditating.
At this point we had to
leave the conference for our trip back to Melbourne and the final day of our
Australian Cultural Exchange Adventure.
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