cover of episode Part Two: Fountain House Is A Cool Place For People Dealing With Mental Health

Part Two: Fountain House Is A Cool Place For People Dealing With Mental Health

2024/12/18
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Cool People Who Did Cool Stuff

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Margaret Kiljoy
Topics
Margaret Kiljoy: 本期节目探讨了 Fountain House 的模式,这是一个帮助患有严重精神疾病的人们获得自主权、目标感和社区归属感的地方。它成立于 20 世纪 40 年代,通过提供过渡性就业、支持性就业和独立就业机会,帮助成员重返社会。Fountain House 还运营着农场和商店等社会企业,为成员提供更多机会。此外,它还注重成员的教育和生活支持,并通过协商一致的方式进行决策。 该模式的成功之处在于,它并非基于意识形态,而是基于实证研究和经验积累。它帮助成员减少住院率,提高生活水平,并降低医疗成本。 与 Fountain House 相比,日本 Bethel House 则更激进,它不以融入社会为目标,而是致力于创造一种反主流文化,并运营着多种工人合作社。 总而言之,Fountain House 和 Bethel House 都为我们提供了宝贵的经验,展示了如何通过构建社区和赋予个人自主权来改善精神疾病患者的生活。 Alison Raskin: (没有在核心论点中提供 Alison Raskin 的观点,因为她的观点与 Margaret Kiljoy 的观点高度重叠,并且没有提供足够的独特性来作为单独的论点。) James Stout: (没有在核心论点中提供 James Stout 的观点,因为他主要参与了节目的讨论,没有提供足够的独特性来作为单独的论点。)

Deep Dive

Key Insights

Why does Fountain House focus on developing agency and purpose for people with serious mental illnesses?

Fountain House aims to help members return to society and avoid being separated by their illness. The members themselves have a strong stake in ensuring the model works, as it allows them to live independently and find meaningful work.

What is the wage gap for people with serious mental illnesses in the job market?

People with serious mental illnesses earn about 8% less than their peers, even for the same jobs. This wage gap is exacerbated by sub-minimum wage laws that allow employers to pay disabled workers less than minimum wage.

What are the challenges faced by disabled people in the U.S. regarding employment and benefits?

Disabled people often face barriers such as sub-minimum wage laws, restrictions on savings, and losing benefits if they marry or earn above a certain threshold. These policies can trap them in poverty and limit their ability to improve their financial situation.

How does Fountain House address the issue of job scarcity for its members?

Fountain House created worker cooperatives to fill the gap left by the outsourcing of jobs like janitorial work and landscaping. These cooperatives allow members to work in supportive environments while earning competitive wages.

What is the purpose of transitional employment at Fountain House?

Transitional employment provides members with temporary jobs that are part of their therapy. These jobs are designed to help members prove they can hold a job, gain external structure, or simply provide a therapeutic break from other activities.

What is the significance of Fountain House's worker cooperatives?

Worker cooperatives empower members by giving them ownership and decision-making power in their workplaces. This model helps develop a sense of agency and purpose, which is central to the Clubhouse philosophy.

What is the role of Fountain House Farm in the Clubhouse model?

Fountain House Farm is a 477-acre farm where members can volunteer to grow food, care for animals, and participate in community activities. It provides a therapeutic environment and helps members reconnect with nature and each other.

How does the Clubhouse model compare to traditional mental health institutions?

The Clubhouse model focuses on empowering members through work, education, and community rather than institutionalization. It emphasizes rehabilitation and integration into society, reducing the need for hospitalization and improving overall quality of life.

What are the key principles of the Clubhouse model?

The Clubhouse model emphasizes voluntary membership, equal access to opportunities, open meetings, and consensus-based decision-making. It also ensures that job placements pay prevailing wages and that members have a say in governance and policy.

How does the Clubhouse model contribute to reducing healthcare costs?

Studies show that Clubhouse members experience fewer psychiatric hospitalizations and have lower overall healthcare costs compared to those in partial hospitalization programs. This is due to the model's focus on community support and meaningful engagement.

Chapters
Fountain House is a place that helps people with serious mental illnesses find agency and purpose. It uses the Clubhouse model, which focuses on developing members' sense of purpose and agency. The Clubhouse model's approach to employment, which includes transitional and supported employment, is discussed, along with the unique aspect of worker cooperatives.
  • Fountain House is a place for people needing help with serious mental illnesses.
  • The Clubhouse model emphasizes agency and purpose.
  • Fountain House uses transitional and supported employment, and worker cooperatives.

Shownotes Transcript

In part two of this week's episode, Margaret continues her conversation with Allison Raskin about the Clubhouse Model that has been helping people find agency, purpose and community since the 1940s.

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