Mental Illness in America: How Do We Address a Growing Problem? (NIFI Issue Guide)

The 13-page issue guide from National Issues Forums, Mental Illness in America: How Do We Address a Growing Problem?, was published November 2014. The issue guide gives three options for discussion on how mental illness can better be addressed in the US. Below is an excerpt from the guide and it can be downloaded from NIFI’s site here.NIFI_Mental Illness

From the guide…

Many Americans share a sense that something is wrong when it comes to treatment of mental illness. More and more of us are taking medications for depression and other disorders. Meanwhile, dangerous illnesses are going undetected and untreated. What can be done to keep us safer and healthier?

One in five Americans will have mental health problems in any given year. Unaddressed mental illness hurts individuals and their families and results in lost productivity. In rare cases, it can result in violence.

This issue guide presents a framework that asks: How can we reduce the impact of mental illness in America?

The issue guide presents three options for consideration:

Option One: “Put safety first”

This option holds that more preventive action is necessary to deal with mentally ill individuals who are potentially dangerous to themselves or others. We should identify those who need help and intervene where necessary to prevent them from harming themselves and others. These individuals should be sought out and their needs addressed.

Option Two: “Ensure mental health services are available to all who need them”

This option holds that people should be encouraged to take control over their own mental health and be provided the tools to do so. We should make sure that everyone who wishes can get the needed help.

Option Three: “Let people plot their own course”

This option holds that we should not rely on so many medical approaches. We should reduce our dependence on drugs and allow people the freedom to plot their own course to healthy lives. In many cases, simple changes to lifestyle can improve mental health.

More about the NIFI Issue Guides
NIFI’s Issue Guides introduce participants to several choices or approaches to consider. Rather than conforming to any single public proposal, each choice reflects widely held concerns and principles. Panels of experts review manuscripts to make sure the choices are presented accurately and fairly. By intention, Issue Guides do not identify individuals or organizations with partisan labels, such as Democratic, Republican, conservative, or liberal. The goal is to present ideas in a fresh way that encourages readers to judge them on their merit.

Issue Guides are generally available in print or PDF download for a small fee ($2 to $4). All NIFI Issue Guides and associated tools can be accessed at www.nifi.org/en/issue-guides.

Follow on Twitter: @NIForums.

Resource Link: www.nifi.org/en/catalog/product/mental-illness-america-issue-guide-downloadable-pdf

A Conversation on the Nature of Leadership

A Conversation on the Nature of Leadership, was published on the Kettering Foundation blog in December 2014 and is the transcribed conversation with Jack Becker, Tina Nabatchi, Martín Carcasson, and Jeffrey Nielson.  The conversation between the four discusses the nature of leadership, what are some of the roles of a leader and what it takes to be a successful leader. Read the full conversation below or check out the original on Kettering’s blog here.

From Kettering…

As a topic of inquiry and self-help, leadership has been covered from many angles and by many disciplines. To learn more about leadership, former Kettering Foundation research assistant, Jack Becker, sat down at a recent Kettering Foundation research exchange with Tina Nabatchi, Martín Carcasson, and Jeffrey Nielson. All three have written either directly or peripherally on leadership. Their conversation spans the nature of leadership, ideas for reform, claims to new thinking, and how we can better manage demands for high-functioning leaders and organizations.

JACK: You’ve each written on leadership in different ways: for Tina, part of your work has been thinking about how leadership is driving collaboration. And for Martín, much of your work has made the case for how the Center for Public Deliberation and similar centers can lead in improving public discourse. Jeff, you have written extensively on leadership, most recently on how we can and should deconstruct our dominant approach to how we understand the topic.

JEFF: Yes, my recent work is on deconstructing the supermeme of leadership. It was inspired in part by David Bohm’s book, On Dialogue(1996). I recall this line where he says, and I’m paraphrasing, all of society is pious to the belief we can’t function without leaders. Well, maybe we can. That was the moment when I began to think about why we think we need leaders, what dynamic leaders and leadership creates, and what would it be like to not have leaders. How would we manage ourselves?

What I challenge in my work is this idea that we have to have leader-based organizations and communities. That the only way to manage ourselves is to appoint a rank-based leader and allow someone to monopolize information, control decision making, and tell us what to do. It’s that kind of leadership model that I’m challenging.

TINA: When I think about leadership, and especially in the leader’s role in driving collaboration, I see multiple roles leaders can be playing. We have to expand our thinking beyond this “great-man” theory of one person in charge, directing and ordering. We have to think about cultivating and empowering people to take on different aspects of work at different times. And as things are in any collaborative and participatory process, the needs of the group and the needs of the moment will change. And we need to be able to empower people to be able to step up and move forward.

JEFF: That’s exactly what I’m working to create. And my thought is, that whenever we use the word leadership, we immediately create a division of persons—we have leaders and followers. And we automatically have a division of power. Regardless of your good intentions, this is going to inhibit and impede the process of that initiative and effort. When we use the language of leadership we are immediately defining someone as having power and someone as not having power. And that relationship is quite inevitably of unequal power, and you can’t have collaboration with relationships of unequal power.

TINA: I would tend to agree with that, but I would say, for example, that if I have the skills to do data analysis and you don’t, well then you would follow my lead. Whereas if you have skills in community organizing and I don’t, I would follow your lead. I do think that leader-follower dynamic still exists. There is a power dynamic that still exists, and we are never going to eliminate that. Instead, what’s important is accepting that people have power and skills in some areas and not in others.

JEFF: Certainly I’m not saying we should get away from the professional roles of doctors or accountants or lawyers. We all have professional skills and occupations. But in terms of how we manage the strategy, the tactics, the operations, the resources, and the people themselves, that should be in a leaderless way. So if you have greater skills in a particular area, you take on the stewardship of a certain area in an organization or community. I call that using rotational stewardship positions. But as soon as we call someone a leader we’ve set up a dichotomy that creates unethical outcomes.

MARTÍN: A lot of the work of the center is focused on helping coalitions and organizations think about the tension between the top-down versus the bottom-up components of leadership. For example, we are working with United Way to help them manage that tension. A lot of the nonprofit organizations they work with are bottom-up, meaning more grassroots, but with all the collective impact stuff there’s recognition that there’s not enough money and perhaps too many bottom-up organizations recreating the wheel and siloing themselves, leading to a loss of efficiency.

We are finding there is a realization that we need top-down and bottom-up forms, and we need the strengths of both. Part of what I’m doing is helping organizations think through what happens when top-down works well and what happens when bottom-up works well. I think a good leader recognizes this and thinks through how to manage that tension.

JACK: So in your work, Jeff, are there specific terms, such as rotational stewardship, that you have adopted?

JEFF: I contrast rank-based organizations and communities with what I call peer-based. Every community and organization has to be managed. The rank-based management vehicles use permanent leadership positions arranged hierarchically. So what I’m trying to create are peer-based communities where in place of leadership positions you have peer councils, in place of fixed job assignments you have rotational stewardship positions, and in place of hierarchy you have mentoring. That is the different management model that replaces leadership as many people imagine it.

JACK: How much of the change that’s needed is institutional and organizational, and how much is cultural?

JEFF: If you decide you’re going to become peer-based and you don’t make systemic changes in your decision-making processes, the change will fail. Cultural, social, organizational and individual mindset changes will be needed.

JACK: Are there places in the world where peer-based is the norm?

JEFF: For the vast majority of human existence that’s how humans operated in hunter-gatherer societies. Kettering has done some work of its own examining the history of some forms of collaboration. It has a deep history in humanity. It’s only been since the Neolithic revolution and the emergence of settled and village-based life that we’ve had rank-based, leader-based communities, and that’s only been for around 10,000 years. So for 60,000 years we were peer-based. We have it in our genetic abilities. We just have to change the environment from which we collaborate.

MARTÍN: So from that argument, which I think is not unreasonable at all, humans are naturally more collaborative and deliberative. But when I look at all the brain science now around cognitive dissonance and selective listening, I can make the argument that we are inherently anti-deliberative, and we want things to be simplistic.

JEFF: We are actually both. We have the cognitive capacity to be peer-based or rank-based. And so what it depends on is our environment. Right now, rank-based propensities flourish.

JACK: Tina, in public administration we are clearly rank-based and hierarchical. This is especially true at the federal level. What do you think are the prospects for new leadership thinking within public administration?

TINA: I think some hierarchy is actually necessary when you have large organizations that are trying to accomplish huge tasks, such as in a large government agency. There has got to be some kind of systemic order given. And right now that’s given through hierarchy. I don’t see that changing anytime soon. What I do see changing that relates to leadership are the ways people are working with each other across boundaries, across sectors, across organizations, and across jurisdictions, and recognizing who’s bringing what to the table and validating and accepting those skills and abilities over known personal skills and abilities, stepping up when they have what it takes to step up, and then stepping back when they need to let others lead. And I think it’s got to be this kind of give-and-take leadership among different people that leads to a new era of collaboration. I don’t have as many challenges with leadership in name or practice. I think leaders are necessary.

MARTÍN: In our training we talk about the idea of a facilitator. Facilitators do lots of things; I think it’s the same idea with a leader. Sometimes the facilitator needs to be very top-down, perhaps we have a crisis or don’t have much time; in a sense, our best shot is having a benevolent dictator. Sometimes a leader is going to be a much more facilitative leader. So I think having leadership skills doesn’t mean you are this one kind of leader, but instead you need to have this broad skill set and then depending on the situation you need to be able to apply the right skill.

TINA: I think that’s right, and there’s this whole emerging literature on situational leadership that looks at the importance of understanding which particular lens needs to be applied to a particular situation. The best leaders are the ones that are able to see and react to the situation.

Tina Nabatchi, PhD, is an associate professor of public administration and international affairs at the Maxwell School of Citizenship and Public Affairs, Syracuse University. Though her scholarship is varied, the unifying theme is one of democratic governance in public administration. Her work has been featured in numerous venues, and she has two forthcoming books. Follow on Twitter: @nabatchi

Martín Carcasson, PhD, is an associate professor of communication studies at Colorado State University and the founder and director of the CSU Center for Public Deliberation (CPD). The CPD serves as an impartial resource for the community, dedicated to enhancing local democracy in Northern Colorado through improved public communication, community problem solving, and collaborative decision making. Follow on Twitter: @mcarcasson

Jeffrey Nielsen, PhD, is an adjunct instructor of philosophy at Westminster College, a program coordinator for the Utah Democracy Project at Utah Valley University, a blogger, founder of Literary Suite Publishing, consultant, and author of two books, most recently being, Deconstructing the SUPERMEME of Leadership: A Brief Invitation to Creating Peer-Based Communities & Leaderless Organizations (2014).

Jack Becker is a former Kettering Foundation research assistant. He currently works for Denver Public Schools Office of Family and Community Engagement. He can be reached at jackabecker@gmail.com. Follow on Twitter: @jackabecker

About Kettering Foundation
The Kettering Foundation is a nonprofit operating foundation rooted in the American tradition of cooperative research. Kettering’s primary research question is, what does it take to make democracy work as it should? Kettering’s research is distinctive because it is conducted from the perspective of citizens and focuses on what people can do collectively to address problems affecting their lives, their communities, and their nation. Follow on Twitter: @KetteringFdn.

Resource Link: www.kettering.org/blogs/conversation-nature-leadership

The Social Justice Phrase Guide

The Social Justice Phrase Guide is two-page guide created by Advancement Project, in collaboration with The Opportunity Agenda. This guide puts forth five guidelines for conscientious communication, that give examples of alternative phrases and metaphors to replace out-dated ones that are offensive and/or discriminatory. View the guide below or download it here.

From Advancement Project…

Advancing a social justice agenda starts with being smart and deliberate in how we frame our discourse. The Social Justice Phrase Guide is your go-to tool to craft inclusive messages. Whether developing language for your organization, communicating through media platforms or engaging in personal discussions, follow these guidelines to successfully communicate across communities. A collaboration of Advancement Project, a multi-racial civil rights organization, and The Opportunity Agenda, a social justice communication lab, download the printable pamphlet here.

The guide…

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About Advancement Project
Advancement Project is a multi-racial civil rights organization. Founded by a team of veteran civil rights lawyers in 1999, Advancement Project was created to develop and inspire community-based solutions based on the same high quality legal analysis and public education campaigns that produced the landmark civil rights victories of earlier eras. From Advancement Project’s inception, we have worked “on-the-ground,” helping organized communities of color dismantle and reform the unjust and inequitable policies that undermine the promise of democracy. Simultaneously, we have aggressively sought and seized opportunities to promote this approach to racial justice. Follow on Twitter: @adv_project

About The Opportunity Agenda
The Opportunity Agenda is a social justice communication lab. We collaborate with social justice leaders to move hearts and minds, driving lasting policy and culture change. We bring the inspirational voices of opportunity and possibility to social justice issues through communication expertise, and creative engagement. Follow on Twitter: @oppagenda

Resource Link: www.advancementproject.org/resources/entry/the-social-justice-phrase-guide

The Fundamentals of Policy Crowdsourcing

The 22-page research paper, The Fundamentals of Policy Crowdsourcing (2015), was published by John Prpic, Araz Taetihagh, and James Melton, and can be found via the Davenport Institute on their Gov 2.0 Watch blog. This paper is one of the first of its kind to provide research that dives deep into how crowdsourcing is being utilized for policymaking. Read the abstract below and download the paper here.

From the abstract…

What is the state of the research on crowdsourcing for policymaking? This article begins to answer this question by collecting, categorizing, and situating an extensive body of the extant research investigating policy crowdsourcing, within a new framework built on fundamental typologies from each field. We first define seven universal characteristics of the three general crowdsourcing techniques (virtual labor markets, tournament crowdsourcing, open collaboration), to examine the relative tradeoffs of each modality. We then compare these three types of crowdsourcing to the different stages of the policy cycle, in order to situate the literature spanning both domains. We finally discuss research trends in crowdsourcing for public policy and highlight the research gaps and overlaps in the literature.

Find the full paper here.

About the Davenport InstituteDavenport_Institute
Since our founding as a multi-partisan and non-profit organization in 2005, The Davenport Institute (formerly Common Sense California) has worked to engage the citizens of this state in the policy decisions that affect our everyday lives. It is our firm belief that, in today’s world of easy access to information, and easy connectivity to others, California’s municipal and education leaders are seeking ways to involve the residents of their communities in the important issues they confront. Done legitimately, this new kind of leadership produces better, more creative policy solutions and better, more engaged citizens committed to the hard work of self-governance.

Resource Link: http://gov20watch.pepperdine.edu/2015/08/research-policy-crowdsourcing/

Searching for Wise Questions

The article, Searching for Wise Questions, by Laura Chasin was published September 2011 and discusses how the way questions are framed can dramatically shape the answer. Written with the September 11, 2001 attacks in mind, the article offers opportunities to frame questions in a way that heal rather than divide.

Below is an excerpt from the article and the full piece can be found on Public Conversations Project’s website here.

From the article…

My experience conducting dialogues among those who have fierce differences about issues such as abortion and homosexuality has made me aware that questions have impact even before they are answered. They can close a door or turn on a light. They can intensify conflict or deepen mutual understanding. Asking the right questions now could build bridges across old divides and prevent the digging of new trenches at a time when we can ill afford further damage to our national landscape.

Questions have unsung power. They focus our attention: “What was your first reaction?” They call upon one dimension of us rather than another: “How are you trying to reassure your children?” They can point us toward a path of understanding and action: “Are there legitimate reasons for people to hate this country?”

Every question harbors an assumption that is often hidden. “How can we get even?” states more than it asks. By answering a question, most of us unwittingly support its hidden assumptions.

Since the terrible destruction of September 11, we have been barraged by questions of all kinds. Questions that seek facts or reassurance. Dread-filled questions that shuffle, half formed, through the dark hallways of our minds: “Why?” and “What will become of us now?”

What are the right questions for these harrowing times? To me, they are questions that promote recovery, minimize risks, and strengthen us for the marathon that lies ahead. They are questions that can galvanize our loyalty to our precious, if flawed, nation — without accelerating a worldwide spiral of violence that becomes even more catastrophic than the events of September 11.

We can notice the impact on ourselves and others of the questions we hear or read. We can be thoughtful about the purposes of the questions we ask. We can avoid using rhetorical questions. We can decline to answer questions likely to steer talk in destructive directions.

About Public Conversations Project
PCP_logoPCP fosters constructive conversation where there is conflict driven by differences in identity, beliefs, and values. We work locally, nationally, and globally to provide dialogue facilitation, training, consultation, and coaching. We help groups reduce stereotyping and polarization while deepening trust and collaboration and strengthening communities. At the core of many of today’s most complex social problems is a breakdown in relationships that leads to mistrust, gridlock, and fractured communities. Public Conversations’ method addresses the heart of this breakdown: we work to shift relationships, building the communication skills and trust needed to make action possible and collaboration sustainable. Since our founding in 1989, Public Conversations’ practitioners have worked on a broad range of issues, including same-sex marriage, immigration, abortion, diversity, guns, and the Israeli-Palestinian conflict. We have also contributed to peace-building efforts in several conflict-torn regions overseas. In situations where a breakdown in trust, relationships, and constructive communication is part of the problem, PCP offers a solution. Follow on Twitter: @pconversations.

Resource Link: www.publicconversations.org/resource/searching-wise-questions