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Bipolar NewsSeptember 28, 2006Note: One or more of the following articles may require a subscription to view the entire article. We cannot post articles that require a subscription. We are sorry for the inconvenience.
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Book helps Gordon deal with manic depressesion EDITORIAL: Missing a Key Voice: County's Mental Health Forums Need to Include Consumers, Too.From: The Fresno Bee | Date: September 27, 2006 Sep. 27--There was one missing speaker at the Fresno County Mental Health forum on restructuring. A person living with mental illness such as bipolar disorder or schizophrenia would have quickly told the audience what they needed to hear: It's the people, stupid. Though the audience of clinicians, politicians, consumers, government officials, and nonprofit representatives were gathered to debate the burning issue of whether mental health should be two departments or one, the consensus message of all the experts on the panel ultimately seemed to be that was a question to answer later -- much later. It's the vision of the leadership and the people in the organization that matter most, not the organizational structure itself. In simple terms, the skill of your surgeon is far more important than whether he practices in Fresno or Clovis. Cloaking massive ineffectiveness under cover of "restructuring" or "reorganizing" often is Fresno's way of avoiding the tough work of creating a clear mission, and then recruiting and retaining the best talent available to carry that out. Somehow, around here it's easier to fire or reassign people if you tell everybody things are just being been reorganized rather than to tell the truth, which is that the system is failing the people it should serve, and figure out a way to fix it. Fortunately, on Monday the panel was stacked with truth-tellers: Dr. Karen Kraus, coordinator of child and adolescent training for the University of California at San Francisco: "I like to think of myself as an optimist. But I'm from Alaska. What Alaskans value more than optimism is to say what's on your mind. What's very clear is that staff is demoralized, distracted and drained ... how can we expect undertrained, insufficiently supported line staff to implement new programs?" Bruce Bronzan, founder of Triology Integrated Resources, which created a Web site listing services, advocacy and legislation updates for mental-health services, was once a Fresno County supervisor: The Fresno County system is a "mess on every level. It breaks my heart." Dr. E. Jane Middleton, who chairs the social work department at California State University, Fresno, once helped a student with a thesis that focused on consumer satisfaction surveys. The results were clear: No one wanted to listen to what the consumers were saying. Is that happening here, too? This forum could be a valuable beginning to improvements in Fresno County's troubled mental health system. We must listen. "If we're not willing to look with clear eyes, we can't fix anything," said Francine Farber, with the League of Women Voters. "I think it's good to put it all on the table." If this truly is "not the end of the conversation, but the beginning," as promised, we hope people with mental illness will be invited to the head table next time. Copyright (c) 2006, The Fresno Bee, Calif. Distributed by McClatchy-Tribune Business News. For reprints, email tmsreprints@permissionsgroup.com, call 800-374-7985 or 847-635-6550, send a fax to 847-635-6968, or write to The Permissions Group Inc., 1247 Milwaukee Ave., Suite 303, Glenview, IL 60025, USA. |
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