Show 1069: What Is the Clubhouse Model for People with Mental Illness?
The People's Pharmacy
Joe and Terry Graedon
4.6 • 1.2K Ratings
🗓️ 23 February 2017
⏱️ 58 minutes
🧾️ Download transcript
Summary
The treatment of mental illness has a discouraging history in this country. Even in the 21st century, psychiatrists rely principally on antipsychotic medications without much else in the way of support. These drugs have serious side effects, and although they are helpful for those who truly need them, they are too often prescribed inappropriately.
Finding Community Support:
There is another approach that can complement antipsychotic drugs. When people with mental illness are invited to participate in a community as equal partners and given the support they need to do so, the results can be encouraging. Find out about the clubhouse model of caring for those with mental illness and why it works so well.
The photo is of Club Nova clubhouse members, Carrboro, NC.
This Week’s Guests:
Allen Frances, MD, is a professor emeritus at Duke University School of Medicine where he previously chaired the department of psychiatry. Dr. Frances chaired the task force that created the DSM IV manual for psychiatric diagnoses. He is author of Saving Normal: An Insider’s Revolt against Out-of-Control Psychiatric Diagnosis, DSM-5, Big Pharma, and the Medicalization of Ordinary Life.
Matthew Cox is a clubhouse member at Club Nova in Carrboro, NC. He serves on the board of directors there and is on the faculty for clubhouse development with Clubhouse International.
Ralph Aquila, MD, is the medical director for Fountain House, the original clubhouse located in New York City. He is the executive director of the Center for Reintegration.
Pauline Nichols was formerly clubhouse director for the state of Pennsylvania. She was director of development for Clubhouse International for ten years. Currently she is the CEO of Nichols Global and Associates.
Websites are www.FountainHouse.org, Club Nova and Reintegration.com To reach Pauline Nichols, find her on Facebook or LinkedIn.
Listen to the Podcast:
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Transcript
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| 0:00.0 | Hi, I'm Joe Graydon. |
| 0:02.5 | I'm Terry Graydon. |
| 0:04.0 | Welcome to this podcast of the People's Pharmacy, where we bring you the stories behind the health headlines. |
| 0:10.4 | This podcast is brought to you by Redux Industries, makers of utterly smooth body cream. |
| 0:16.2 | 800-345-7339 on the web at utter cream.com. |
| 0:30.7 | About 10 million people in the U.S. have a serious mental illness that interferes with normal life. |
| 0:37.5 | Are we letting them down? |
| 0:39.8 | This is the People's Pharmacy with Terry and Joe Graydon. |
| 0:50.0 | Regular hospitals don't have enough resources to care for people with mental illness. |
| 0:55.5 | People who show up in emergency departments may be held for hours or days in waiting rooms or hallways |
| 1:01.6 | until a bed becomes available somewhere so they can be treated. |
| 1:06.2 | Current treatment relies heavily on medications. |
| 1:09.4 | How good are antipsychotic drugs? What else should we be doing to help people with mental illness lead normal lives? |
| 1:17.4 | Coming up on the People's Pharmacy, learn about the clubhouse model of community mental health. |
| 1:25.3 | First, this news. |
| 1:41.1 | In the people's pharmacy health headlines, results of the T trials are just in and provide more information about the pros and cons of testosterone therapy. |
| 1:46.8 | Researchers from 13 health systems around the United States conducted seven linked studies comparing testosterone therapy to placebo for one year. The volunteers were over 65 |
| 1:53.5 | and had low levels of this male hormone at the beginning of the trials. The men who participated |
| 1:59.2 | in the bone trial had their bone mineral density measured |
| 2:02.8 | by CT scans at the beginning of the study, and again after a year of testosterone treatment. |
| 2:09.3 | The hormone replacement therapy improved bone density and estimated bone strength significantly |
| 2:14.8 | more than placebo. This effect was most apparent in the spine, |
... |
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