SocEntChat September 2009: Rethinking Mental Health

AshokaTweets:#SocEntChat rules: 1) Intro urself in 1 tweet when you join 2) Send me Q ideas w/o hashtag 3) Stay on-topic 4) Stay cool
9/2/2009 15:00

AshokaTweets:#SocEntChat introductions time, who is here?
9/2/2009 15:01

ideagiant:#socentchat I'm here
9/2/2009 15:02

darylecardone:@AshokaTweets - @darylecardone #SocEntChat
9/2/2009 15:02

mvsachse:#SocEntChat I'm here too!
9/2/2009 15:02

TanyAlias:#socentchat watching @AshokaTweets discussion on Rethinking Mental Health
9/2/2009 15:04

AshokaTweets:#SocEntChat Question 1: What are some ways to reduce the treatment gap for mental illness? Especially in developing countries?
9/2/2009 15:06

ChangemakersAfr:#SocEntChat here too!
9/2/2009 15:06

ideagiant:#socentchat Mental Health is such touchy subject because it gets to the heart of what exactly is a Healthy Mind?
9/2/2009 15:06

dkomm:@AshokaTweets Daniel here, founder www.nest.im, Social Media Consultant for non-profits and sustainable biz #SocEntChat
9/2/2009 15:07

ideagiant:#socentchat what we label as schizophrenia is, in some cultures, considered a sign of divinity-if it's cultural then it loses meaning as a ?
9/2/2009 15:08

BuckelewProgram:Steve Ramsland: I'm here. #SocEntChat
9/2/2009 15:08

Sue_Anne:hey everyone. I'm busy today, but going to try to stay. I work for a non-profit (@emqff) that does works with kids in crisis. #socentchat
9/2/2009 15:13

AshokaTweets:#SocEntChat is happening now, join the discussion on Rethinking Mental Health
9/2/2009 15:13

Dani920:RT @AshokaTweets: #SocEntChat is happening now, join the discussion on Rethinking Mental Health
9/2/2009 15:14

ideagiant:1st determine what we mean by 'treatment', 2nd determn how community is dealing with it, if ideals coincide support native initi #socentchat
9/2/2009 15:15

BuckelewProgram:IOM report on Crossing the Quality Chasm gets at your question, at least for U.S. #SocEntChat
9/2/2009 15:15

aharlam:#SocEntChat Alan Harlam - Director of Soc Entrepreneurship at Brown
9/2/2009 15:17

ideagiant:if it does not coincide then the work is to find common ground on definitions of treatment, mental illness, etc. #socentchat
9/2/2009 15:17

mvsachse:@buckeleyprogram Thanks for suggesting the IOM report. What solutions stand out to you? #SocEntChat
9/2/2009 15:18

ideagiant:the question for me, though, is-who's determining what measures are used 2 determine this gap? ex. US mental health as a measure #socentchat
9/2/2009 15:19

rland:the report can be found here for those interested: http://www.iom.edu/?id=12736 #SocEntChat
9/2/2009 15:20

ChangemakersAfr:@ideagiant great point esp since mental health can be socially constructed & socially defined, how is it poss to set a standard? #SocEntChat
9/2/2009 15:22

ideagiant:One sets a standard by understanding Health care is a moral issue, we have to find 1st common ground on this-then move forward #socentchat
9/2/2009 15:24

rland:I along the lines of "is it possible" is whos right is it to declare a standard? #socentchat
9/2/2009 15:25

ideagiant:In the arenas of common ethical standards, it's here, the developed nations can help, if asked, for we will know the definitions #socentchat
9/2/2009 15:25

socialpreneur:1st time here. Jp change maker suffering panic disorder, depression, and autonomic imbalance. #socentchat
9/2/2009 15:26

ideagiant:for too long, via good intentions, we have foisted our def. without regard to local standards-find common ground, then discuss-#socentchat
9/2/2009 15:27

tosh728:And so do I. RT @socialpreneur 1st time here. Jp change maker suffering panic disorder, depression, and autonomic imbalance. #socentchat
9/2/2009 15:27

rland:So who in those nations is given the authority to decide? politicians? how do we gather together the right people? #socentchat
9/2/2009 15:28

ideagiant:@rland I think community demands we find a space where we can discuss, & its finding ths nexus of discussion we find commonality #socentchat
9/2/2009 15:29

ideagiant:I think we have to get beyond 'nations' and to ideas of community-cultural nexuses if you will-and then support through this #socentchat
9/2/2009 15:32

AshokaTweets:#SocEntChat Question 2: How can cultural influences be factored into mental health education and treatment?
9/2/2009 15:32

ChangemakersAfr:@rland tough to say, but do u think medical drs are in the soundest position to determine degrees of mental health? #SocEntChat
9/2/2009 15:34

ideagiant:Humility-that what 1 knows, is, at best, what works not necessarly what is tru.e w/ ths we cn view cultural "realities" properly #socentchat
9/2/2009 15:37

rland:@ChangemakersAfr I think an assorted group of diff pple are need, doctors alone cannot determine mental health standards #socentchat
9/2/2009 15:38

ideagiant:@ChangemakersAfr i'd have to disagree with you in part. They are the most adept at expressing current Beliefs of mental health #socentchat
9/2/2009 15:39

ideagiant:@rland I agree with you. Reality, we have seen, throughout the ages, is malleable.#socentchat
9/2/2009 15:41

mvsachse:@rland who would be included in the assorted group of people? #socentchat
9/2/2009 15:42

ideagiant:so to answer specifically, get together a large swath of community members and determine what their cultural "reality" is #socentchat
9/2/2009 15:43

rland:so after cultural "realities" are determined how do we take that to a global scale -- should it be taken to a global scale? #socentchat
9/2/2009 15:46

ideagiant:it matters what we think of as global. If its in a support role in a particular area that wants it-then yes, if it isn't then no.#socentchat
9/2/2009 15:49

ideagiant:to take it to a global scale I think we must then ask, within our own culture, why we want too-if missionary-then no. #socentchat
9/2/2009 15:50

ideagiant:however, if taken to a global scale I would make it many, many, micro units fully integrating into the localities #socentchat
9/2/2009 15:51

rland:i thnk a mre imprtnt focus if taken to a glbl scale is a stndrd of rights given 2those believed 2b afflicted by their community #socentchat
9/2/2009 15:55

AshokaTweets:#SocEntChat Question 3: How can health care policy be reformed to ensure treatment and care for individuals in need?
9/2/2009 15:56

ChangemakersAfr:@rland How would these rights differ from basic human rights? In terms of treatment? What is treatment? #SocEntChat
9/2/2009 16:00

ideagiant:@rland that is what I meant by fully integrating. If we do that, then their rights would be our right, no delineation #socentchat
9/2/2009 16:00

writerpollock:@AshokaTweets Wider access needs to be created... not sure on the details though #socentchat
9/2/2009 16:00

writerpollock:#SocEntChat on Social Entrepreneurship (#SocEnt) is going on now!
9/2/2009 16:01

SocialEarth:RT @writerpollock: #SocEntChat on Social Entrepreneurship (#SocEnt) is going on now!
9/2/2009 16:01

geotourism:Join #SocEntChat on #MentalHealth happening now!
9/2/2009 16:03

rland:even if you believe alll needs should be met via basic human rights that does not mean the measures are in place #SocEntChat
9/2/2009 16:08

ideagiant:Health Care reformation can only occur when we realize that access 2 it, globally, is necessary in order 2 be a civilized world #socentchat
9/2/2009 16:09

rland:even beyond legal hurdles there can be social stigmas to overcome in different communities #socentchat
9/2/2009 16:10

ideagiant:I think we have to understand what 'care' is. Access to everything is not 'care' it is scattershot and not ultimately effective #socentchat
9/2/2009 16:11

mvsachse:So how do we overcome those stigmas? #socentchat
9/2/2009 16:12

ideagiant:we overcome stigmas by fully integrating into the community we wish to
serve, then we ARE the community #socentchat
9/2/2009 16:14

SocialEarth:RT @ideagiant: we overcome stigmas by fully integrating into the community we wish to serve, then we ARE the community #socentchat
9/2/2009 16:18

rland:its important that a cultures beliefs are carefully considered when working to educate people w/the *facts*--not our own beliefs #socentchat
9/2/2009 16:20

ideagiant:We can only have accss 2 h. care for those that need it when those that dont believe, en mass, that it's their right 2 have it #socentchat
9/2/2009 16:22

rland:I think working w/youth on understanding mental health can create huge change in how a community thinks about it now & in future #socentchat
9/2/2009 16:24

ChangemakersAfr:Agreed, are there education programs out there making this step toward change? #SocEntChat
9/2/2009 16:26

live1excellence:#socentchat there's much to learn from the consumer movement in mental health |co-creating solutions; careful use of language
9/2/2009 16:30

rland:interesting approaches to educ. on HIV/AIDs have been used 2reach yth, these methods could be applied to mental health education #socentchat
9/2/2009 16:33

rland:@live1excellence could you give an example? #socentchat
9/2/2009 16:36

ChangemakersAfr:@live1excellence can you explain more about the consumer movement? #SocEntChat
9/2/2009 16:43

AshokaTweets:#SocEntChat Question 4: How can the accessibility of mental health treatment be increased, especially for youth?
9/2/2009 16:43

rland:sometimes parents perceive the need for assistance as there being something wrong with their child and so don't seek treatment #socentchat
9/2/2009 16:51

cosmicdenmother:rt @AshokaTweets #SocEntChat Question 4: How can the accessibility of mental health treatment be increased, especially for youth?
9/2/2009 16:53

rland:so accessibility to mental health care has both a physical and emtional hurdle to overcome #socentchat
9/2/2009 16:53

suggett:Often, societal structure is poor, & unchangeable in short run. Small org.s can fill the gap where governments/institutions fail #socentchat
9/2/2009 16:55

rland:@suggett that's great, instead of waiting for the change, or just trying to foster it, actually creating it via CSOs #socentchat
9/2/2009 16:58

ideagiant:I work for a small gov. org. that serves these youth. There is no political will nor $ to maintain let alone ramp up #socentchat
9/2/2009 17:01

AshokaTweets:Thank you everyone for participating this month's #SocEntChat on Rethinking #MentalHealth !
9/2/2009 17:01

ideagiant:All the ?s are ?s of deep philosophical meaning. What does it mean to be a just society? What are you willing to give? #socentchat
9/2/2009 17:03

zwanck:#SocEntChat We need strategies for providing long-term MH care to victims AND aggressors in conflict zones like Eastern Congo!
9/2/2009 17:38