Log in

I forgot my password

Welcome to IGDID


To provide a unique environment where folks who have experienced trauma can openly and safely talk. We strive to respect, validate, and learn from each other.


Achieving our goal requires cooperative collaboration amongst members and staff. Members posts remain appropriate and relevant to topics. Terms of Service are clearly posted to help members maintain the dignity of the board. Members of this group are at a stage in their healing to independently regulate their own behavior, as well as keeping themselves safe while on the forums. Staff regularly monitor posts and replies to ensure the board remains a safe and comfortable environment of learning for everyone.

As a friendly and kind community, we validate each other as equally special and significant.

These forums are active and the community not too large or too small - about 400 posts per day. There are many forums on different topics. The topics range in subject matter also. You are welcome to interact as you feel comfortable.

This is a safe place for members. We encourage building coping skills, learning from each other and material shared. We discourage sharing explicit memories of past abuse. We feel that processing memories be done with professionals. There are no practicing therapists on these forums. Therefore, topics that call for therapist type responses are discouraged.

Feel free to look around. Realize that, as a guest, your view of the forums is minimal. These forums are otherwise private to the public view and/or search engines.

We have literally hundreds of articles and provide workshops for everyone. Please feel free to email me anytime with questions. I am also providing a tutorial that should help with navigating our site.

The very best to you,
Felicity Lee

Staff Contacts



Executive Administrator






Search Entire Site

Community Updates

Mental Health – Activism

100+ Posts
100+ Posts

Mental Health – Activism Empty Mental Health – Activism

Post by nanabanana on 7/2/2017, 1:04 pm

Mental health activism takes many forms and is aimed at various levels.  Some activism is aimed at influencing legislation; some more concerned with altering the design of the delivery system.  Each level contains various areas that are crucial components.  Multi-layered and poly-fragmented, the challenges associated with identifying necessary system changes to mental health are as complex as those pertaining to physical health.

The following opinion focuses on one area, reviewing the perspectives that guide the use of psychiatric medications; and one segment, the population to be served.  In this case, perspectives that guide prescribing psychiatric medications to youth.

In his June 23, 2017 blog titled, “You Say You Want A Revolution, Part 2”, published on the Foundation For Excellence in Mental Health Care website, Robert Nikkel, MSW (and Board of Directors member), lays out his thoughts pertaining to “key ingredients in making revolutionary changes in public mental health systems” that have become more challenging in recent years.  http://www.mentalhealthexcellence.org/say-want-revolution-part-2/?omhide=true

Nikkel has more than 40 years of experience at all levels of the mental health and chemical dependency fields, from case manager and addiction counselor to supervisory and management responsibilities, including serving as Oregon Commissioner for Mental Health and Addiction Services (2003-2008).

A conversation with a colleague from his time as Commissioner involving the need for “new perspectives on the treatment of people with mental health challenges” spawned Nikkel’s professional interest in assessing “how psychiatric medications were being used.”

Nikkel was intrigued by a specific line of inquiry: “…to make sure [whatever is being done] is in the best interests of the youth in our care.”  He made a tour of facilities, and conferred with another former colleague about the risks involved in “overusing medications.”
What he discovered pointed to cost as a guiding principle.  “If it costs a dollar to keep a young person out of trouble using medications and it costs a lot more to keep the young person under control with staffing, what do you think we’re going to do?”

This inquiry led him to understand that his previous intent to approach change from a standpoint of “mapping the use of psychiatric medications…so that we could see which psychiatrists were prescribing which drugs to which youth with which diagnoses” needed to be tempered by first addressing a paradigm hurdle.

Before pursuing how such data could be shown to either support the current practices as being in line with unbiased research showing what was most effective in both short-term and long-term outcomes, Nikkel realized he needed to dig deeper and discover what attitudes prevented professionals and administrators from accepting current scientific findings that “medications do more harm than good in the long run.”

Nikkel believes that “remapping” the community mental health delivery system should begin by developing a “register” that would reveal prescribing patterns using these seven data points:
1. Which prescribers are prescribing
2. Which drugs to
3. Which clients with
4. Which diagnoses
5. Of what age and
6. Income level and
7. Of what ethnicity

He underscores the breadth of community programs as being inclusive of “outpatient care all the way to intensive services such as crisis intervention, residential facilities, acute inpatient services and extended care programs like state hospitals and alternatives to long-term hospitalization.”

With data from such a review affording a “complete assessment of the expenditures on psychiatric drugs”, Nikkel proposes reporting the findings to state legislatures (or other governing entities) AND making it available to advocates.

Establishing a clear understanding of the costs and the ineffectiveness of the current medication-based approach, the next logical step is to develop alternatives for handling mental health problems.

Having identified a disconnect between what unbiased research findings reveal and attitudes that get in the way of their acceptance, Nikkel also points up the need for developing on-line continuing education courses that afford an avenue for insuring unvarnished content while charting the progress of all “prescribers and managers on the true effects of major classes of drugs”.

Rounding out this vision for going forward from the point of having reliable prescription data, Nikkel reminds that there is room for improving informed consent standards, a relevance to communities creating drug withdrawal programs, and a need for oversight in the form of state/community commissions charged with the responsibility of reviewing mapped data and whatever issues arise as a result.

I’ll close this review with an excerpt from the Foundation for Excellence in Mental Health Care mission statement:  From the streets of Philadelphia
to the mountains of New Zealand, we connect philanthropists to mental health initiatives that are changing lives.

A most instructive treatment of one of the most debated topics of our time; I hope you have a chance to read the blog/article (10 minute read) and offer your thoughts!

Mental Health – Activism Empty Re: Mental Health – Activism

Post by krathyn on 7/2/2017, 9:47 pm

keeping track of who is prescribing what to who is a very good piece of the mental health outlook.
all too often drugs are prescribed kind of willy nilly to younger and more likely minority teens and little tracking is done.
often it is not clear the relationship between the diagnoses and the meds used.
sometimes "short term" drugs are prescribed for longer terms and that can have devastating results.

wishing you well-
Mental Health – Activism 24792 Krathyn, Sebastian, Strawberry, (Kathie 3-9), kathrynmarie
Krathyn of We5:    we accept all intentions of support--

100+ Posts
100+ Posts

Mental Health – Activism Empty Re: Mental Health – Activism

Post by nanabanana on 7/4/2017, 1:01 pm

I agree with your thoughts Krathyn; greater oversight would seem a good place to start, yes?

What are your thoughts about how such data could be useful to activists seeking to bring about change?

I've observed that because mental health in general (as a topic) and delivery systems, specifically, don't include enough insight from those with Lived Experience.  Whenever I've participated in any such activism it seems to lack a context from which to conduct dialogue.  I for one, need context in order to understand effects - both intended and unintentional.  This is particularly true for me when it involves legislation.  What do you think?

Mental Health – Activism 89493

Sponsored content

Mental Health – Activism Empty Re: Mental Health – Activism

Post by Sponsored content

    Current date/time is 2/22/2020, 5:52 am