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The National Empowerment Center (NEC) is an advocacy and peer-support organization in the United States that promotes an empowerment-based recovery model of mental disorder. It is run by consumers/survivors/ex-patients in recovery.
NEC is based in Lawrence, Massachusetts. The self-stated mission of NEC is to carry a message of recovery, empowerment, hope and healing to people who have been labeled with mental illness diagnosis. It argues that recovery and empowerment are not the privilege of a few but a process that is possible for everyone to embark on and find help with. Although unconventional to those accustomed only to a narrow medical model, the model is part of a recovery movement that comprises an emerging consensus.
NEC and other groups are working to implement the transformation to a recovery-based system recommended by the New Freedom Commission on Mental Health. It operates a toll-free information and referral line. It organizes and speaks at conferences. Its staff have published in professional journals, scholastic books, popular press and alternative publications. It has been involved in many national boards and committees and in policy consultations at the White House, in Congress, in federal agencies such as HUD, the Social Security Administration, HCFA, the Joint Commission on Hospital Accreditation, and The President's Commission on Disability, and at the regional and local level with organizations such as HMOs and state divisions of mental health programs. It has developed educational, training and self-help resources. NEC staff have been featured on CNN, U.S.A. Today, The Boston Globe, National Public Radio and talk and radio shows in the U.S., Canada, Europe and other countries.
- Trusting Oneself and Others
- Valuing Self-Determination
- Believing You'll Recover and Having Hope
- Believing in the Person's Full Potential
- Connecting at a Human, Deeply Emotional Level
- Appreciating That People Are Always Making Meaning
- Having a Voice of One's Own
- Validating All Feelings and Thoughts
- Following Meaningful Dreams
- Relating With Dignity and Respect
- Healing From Emotional Distress
- Transformation From Severe Emotional Distress.
- Recovery From Mental Illness.
NEC research also identified characteristics distinguishing those in illness and those in recovery:
- Dependent vs self-determining
- Mental health system support vs Network of friends support
- Identify solely as consumer or mental patient vs identify as worker, parent, student or other role
- Medication essential vs one tool that may be chosen
- Strong emotions treated as symptoms by professionals vs worked through and communicated with peers
- Global Assessment of Functioning (GAF) score of 60 or below and untrained person would describe labeled person as sick vs score of 61 or above and untrained person would describe the recovered person as not sick (normal)
- Weak sense of self defined by authority and little future direction vs strong self defined from within and peers, strong sense of purpose and future
NEC developed an approach termed Personal Assistance in Community Existence (PACE). It is based on the premise that people can potentially recover fully from even the most severe forms of mental illness, and on an Empowerment Model of Recovery and prevention. It is an education program to help shift the culture of mental health from institutional thinking to recovery thinking, designed for people training to become peer coaches, people furthering their recovery, and people learning new skills to help others. It has previously been deliberately contrasted with "PACT" - Program of Assertive Community Treatment - a form of outpatient commitment that was originally designed to enable people to live in the community, rather than in psychiatric hospitals, but according to NEC has become a "coercive, lifelong, and nonclient-directed system with medication compliance as its most important tenet" NEC conducted a national survey of the use of PACE in the mental health system.
The co-founder and executive director is Daniel B. Fisher, a board-certified psychiatrist. A graduate of Princeton University, he completed a PhD in biochemistry at the University of Wisconsin, medical training at George Washington University, and a psychiatric residency at Harvard Medical School. While working as a biomedical researcher at the National Institute of Mental Health, Fisher had a psychotic breakdown, including hallucinations and delusions. After three months at Bethesda Naval Hospital, at age 25, which included forced seclusion and antipsychotic medication haloperidol, he was discharged with a diagnosis of schizophrenia. He was involuntarily hospitalized three times. He reports being influenced by those who were able to show they cared about the person inside and gave him hope that he might some day recover. He went on to become a psychiatrist. He was told during psychiatric training that "You can’t talk to an illness" but believed that talking to the person inside is a key method for building trust and recovery. He has since worked as a psychiatrist in hospitals and clinics, while also been part of the consumer movement. He said that a very significant part of the reason for becoming a psychiatrist was wanting to bring to the field what he wished had been there when he was going through psychosis
The director is Debbie L. Whittle and other staff are Judene Shelley, Amy K. Long and Judi Chamberlin. Chamberlin is an internationally known psychiatric survivor and advocate of individuals with a mental illness label. She was diagnosed with schizophrenia at the age of 21 and is now recovered, which she puts down in part to having been a "bad" and non-compliant patient.
This American Life
Co-founder Patricia Deegan was featured on the award-winning radio show a "This American Life"in "Edge of Sanity," first aired on 1997. Dr. Deegan herself is a psychologist who attended Oxford and Yale despite multiple hospitalizations (when she was diagnosed with schizophrenia as a teenager).
- Personal Assistance in Community Existence: A Recovery Guide
- NEC website
- This American Life featuring Patricia Deegan and the NEC
- Mulligan, K. (2001) Psychiatrist Turns Illness Into Empowerment Tool Psychiatric News, June 1, Volume 36 Number 11
- NEC website Programs and Services Retrieved on Aug 11 2008
- Fisher, D. (2006) Recovery From Schizophrenia: From Seclusion to Empowerment Medscape
- Ahern L, Fisher D. Personal Assistance in Community Existence: A Recovery Guide. Lawrence, Mass: National Empowerment Center; 1999.
- Ahern L, Fisher D. PACE/Recovery Curriculum. Lawrence, Mass: National Empowerment Center; 2001.
- Fisher D, Chamberlin J. PACE/Recovery Peer Training Recovery Curriculum. Lawrence, Mass: National Empowerment Center; 2004.
- Ahern L, Fisher D. Recovery at your own PACE (Personal Assistance in Community Existence). J Psychosoc Nurs Ment Health Serv. 2001;39:22-32. PMID 11324174
- James H. Zahniser, Laurie Ahern, Daniel Fisher (2005) How the pace program builds a recovery-transformed system: Results from a national survey Psychiatric Rehabilitation Journal Volume 29, Number 2 / Fall 2005 Pages 42-145 DOI 10.2975/29.2005.142.145
- An Empowerment Model of Recovery From Severe Mental Illness: An Expert Interview With Daniel B. Fisher, MD, PhD Medscape Psychiatry & Mental Health. 2005;10(1)
- NEC website NEC staff Retrieved on Aug 11 2008
- Center for Psychiatric Rehabilitation The Recovery Vision: New paradigm, new questions, new answers. An event for World Health Day 2001 Boston University
- Chamberlin, J. Confessions of a non-compliant patient
- Edge of Insanity This American Life, Chicago Public Radio, 02.04.2000, originally aired 01.31.1997
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