National Association of Rural Mental Health (NARMH) - www.narmh.org

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Conference: Portland, OR August 2000 - brief notes

15 or so consumers from OR, VT, ...  Scrumptious breakfast buffets.

Coalitions work.  Resources are scarce in rural areas.  Community and coalition building and alliances strengthen networks and leverage time and dollars.

Panel of five on how to use SGR -- The four middle-aged, white, male panelists said that the SGR is really a text, that few read the whole thing, ...  It seemed a way of separating the in-group from the ordinary audience and permitting providers to use the bullets and summary and not review the data.  Sheila Cooper had read the whole thing and used her presentation to urge that the providers "hear our stories." 

Rural and inner city inpatient rates are the same, and difficulties in attracting providers are also similar.

Submarine paramedics use automated expert diagnostic systems that have a better accuracy rate than the best clinicians.

Roundtable.  What would a mental health system look like that didn't use coercion?   Pat Risser, OR, facilitated a two hour discussion on coercion.  NARMH will organize the input and generate a white paper.  Barry Kast, OR ( Listening to High Utilizers of Mental Health Services) and Richard Copeland, VT (white paper on a non-coercive m h system) led off.  About 30 people participated. 

A few bits of the input from those attending: 

From professionals:  A pervasive belief that "no want wants to increase coercion."  Challenge to consumers to solve worst case scenarios.   "Survivor" language puts psychiatrists on the defensive.  Coercion is cost-effective; respecting individuals takes time.

From People Who:  get police out of system, address childhood abuse, see the people, talk to people, no pre-emptive medication, no mental health courts, no outpatient commitment, ...

NARMH 2001, June 23 - 26, Wilmington, NC

NARMH 2002, Santa Fe, NM