1. Focusing On Community Capacity
Introduction
In many
fields, including mental health, the growing use of capacity
building language and concepts reflects a fundamental shift
in the underlying beliefs about how change happens and how
to bring about change. At a societal level, institutions are
returning the responsibility for maintaining mental health
to communities, and at the local level, individuals are reassuming
some of the knowledge and control over their mental health
that have, in the past, been vested in professionals and "experts."
The capacity
building approach, on which our understanding of mental health
promotion is based, assumes that there are strong relationships
among individuals, families, groups, and organizations within
the community. One must consider and relate to all these arenas
while working within any one arena, because each influences
and is influenced by the others. For capacity building efforts
to achieve their true potential, attention must be given to
the web of connections affecting all persons, organizations,
groups and communities involved.
A capacity
building approach emphasizes what the community has, not what
it lacks. Why should we look at things this way? Because assets
and strengths can be used to meet community needs; they can
improve community life.
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Isolated
Newfoundland communities have historically been extraordinarily
resourceful in dealing with their own human problems
and survival issues. Helping skills, indeed, are natural
human abilities possessed by many individuals and readily
recognized by those who turn to them for support.
In
recent decades, however, such skills have been defined
and taught by such professions as social work, psychology
and nursing, and developed to a high level of sophistication
by psychotherapists and counsellors.
The
"professionalization" of helping and the placing
of ultimate trust in the expert has in many ways undermined
the role of informal resources. A certain mystique about
professional counselling has developed, so that many
people have lost confidence in their own abilities to
help friends and neighbours when they are going through
difficult times.
In
situations of emotional stress such as that caused by
the cod moratorium, people tend to feel that informal
help is inadequate and that professional counselling
is needed. In rural Newfoundland, the changes to the
health care system and the difficulty in accessing services
were added causes of anxiety.
The
Helping Skills project participants addressed this situation
and the impact it was having on their communities by
taking a capacity building approach. Key to their involvement
was their first-hand knowledge of the needs and scarcity
of resources in their communities. They engaged in a
learning process that challenged them to deconstruct
assumptions about helping, and incorporated their experiential
knowledge of what’s helpful and what isn’t.
The
Helping Skills project made participants more aware
of the resources that they already had, rather than
pointing out areas of need. They learned that, rather
than mental health services, listening skills and friendly
support were most helpful resources that they could
offer to others in distress.
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1.
Focusing On Community Capacity - 1.1 Identify individual and
community assets >
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