Hi Charles,
I work in CAMHS in Devon and can identify all too well with what you describe!
I have also found Making & Breaking Children's lives a good resource.
Although not necessarily managing to take into account every bit of the person and family's situation, context, environment, past exposures, social inequalities etc, i have found the book 'Treating Huckleberry Finn' by David Nylund helpful in working in a different way with young people already labelled 'ADHD'. He is a family therapist in the USA and takes a narrative approach which is very strengths focused. I have found that it encourages families to see beyond the label and re-connect with their child and his/her positive qualities. There is also a strong focus on taking this approach before medication (which we could perhaps now argue fits with the new NICE guidelines?)
As well as describing the narrative approach, the book has a chapter called 'Debunking the ADHD Diagnosis' which criticises the medical model and begins to consider environmental factors and cultural biases.
I am sure that there are more critical resources out there, but this book has been helpful for me at a practical level on a family by family basis.
I would be very interested to hear whether anyone else knows of other useful resources.
Best wishes & good luck at that big meeting!
Lisa
---- Original message ----
>Date: Fri, 10 Oct 2008 13:05:42 +0100
>From: Charles Marley <[log in to unmask]>
>Subject: [COMMUNITYPSYCHUK] Resources?
>To: [log in to unmask]
>
>
>
> Hi all,
>
>
>
> I've been on the list for some time now but this is
> my first posting - I'm in need of some help and
> hoped that the list could provide this for me. Me:
> I work in a CAMHS service in Stirling in Scotland
> (I've also been in touch with David Fryer at
> Stirling Uni - again, thank you David). I started
> in my post about a year ago and have been asking
> critical questions about the position the service
> takes on a number of issues since then... these are
> generally ignored (but I keep asking anyway!). I
> also attempt to take as much of a community approach
> as I can (which is not easy as the system is fairly
> medically and mainstream clinical psychology
> dominated).
>
>
>
> The reason I'm posting today is to ask for articles,
> websites, books, what other people are doing,
> anything at all, on alternatives to the current
> medical/psychological approach to dealing with what
> is viewed as ADHD. The service I work in views ADHD
> as a real disorder with a neuro-biological basis -
> I've been raising questions about the validity of
> this position with very little impact. Over the
> last few months the issue of ADHD has become more
> central within the service mainly because we are
> receiving more and more referrals from GPs, schools,
> parents etc - I believe this to be a consequence of
> promoting the medical notion of ADHD within the
> afore mentioned groups and offering a `cure' in the
> form of medication. A number of other factors are
> also at play - i.e. the service has a system
> specifically for diagnosing ADHD, which is run by
> someone who also runs a private business offering
> teaching on ADHD and how to manage it!
>
>
>
> The service has ordered an `extraordinary meeting'
> in relation to ADHD and my concern is that the
> meeting is going to be the individuals with the
> dominant view trying to force the rest into holding
> the same view and then attempting to develop a `team
> approach' to `managing ADHD'. I see the meeting as
> an opportunity to raise questions about the position
> being taken by the service. I was also hoping to
> take along some alternative approaches for
> supporting families that take into account the
> person's situation, context, environment, past
> exposures, social inequalities etc, as this may be
> more of a challenge to ignore than my questions have
> been. I've read `Making and Breaking Children's
> Lives' and got a lot from that but I thought I'd put
> the question to list to see what other resources are
> available.
>
>
>
> Many thanks,
>
>
>
> Charles
>
>
>
>
>
>
>
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***********************************************************************
This message may contain confidential and privileged information.
If you are not the intended recipient you should not disclose, copy
or distribute information in this e-mail or take any action in reliance
on its contents. To do so is strictly prohibited and may be unlawful.
Please inform the sender that this message has gone astray before
deleting it. Thank you.
2008 marks the 60th anniversary of the NHS. It's an opportunity to pay
tribute to the NHS staff and volunteers who help shape the service, and
celebrate their achievements.
If you work for the NHS and would like an NHSmail email account, go
to: www.connectingforhealth.nhs.uk/nhsmail
***********************************************************************
___________________________________
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To unsubscribe or to change your details visit the website:
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