Using Narrative to Reflect on Three Therapeutic Models in Taiwan: Lessons for Community Approaches to Child Mental Health

Duu-Jian Tsai, Vincent Chin Hung Chen, Ai-Ling Huang, Tsang Yaw Lin, Yu Chia Chen, Stefani Pfeiffer, Chih Yuan Lin, Chung Ying Chen

    Research output: Contribution to journalArticle

    Abstract

    As the shortcomings of deinstitutionalization
    become evident, models of institution-based
    therapeutic communities are starting to appear
    as promising alternatives. While institution-based
    therapy models produce desirable outcomes for
    some categories of mental illness, these lessons
    have not been applied to exploring community
    approaches to child mental health. To this end, we
    use an identity narrative approach to explore the
    relation between mental illnesses and childhood
    or adolescent development in narratives of
    patients treated under different therapeutic models
    for three conditions: severe mental illness (SMI),
    substance abuse and ADHD. Only the ADHD
    patients were children; the SMI and substance
    abuse treatment models were designed for adult
    patients. But all patient narratives showed the
    illness had roots in childhood. This secondary analysis
    examines patient narratives collected from three
    independent projects between 2005 and 2013.
    The oral history study of the Yu Li therapeutic
    model for SMI was conducted from 2005 to 2006.
    The project documenting a therapeutic model
    for substance abusers in the Tsao Tun Psychiatric
    Center was carried out from 2009 to 2010. Lastly,
    we took oral histories from participants in an ADHD
    family support group between 2011 and 2013.
    Original languageEnglish
    Pages (from-to)20-37
    JournalInternational Journal of Child Development and Mental Health
    Publication statusPublished - 2015

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    Keywords

    • Attention Deficit Hyperactivity Disorder (ADHD)
    • Empowermen
    • Illness narrativ
    • severe mental illness (SMI)
    • community based treatment program

    Cite this

    Tsai, D-J., Chen, V. C. H., Huang, A-L., Lin, T. Y., Chen, Y. C., Pfeiffer, S., Lin, C. Y., & Chen, C. Y. (2015). Using Narrative to Reflect on Three Therapeutic Models in Taiwan: Lessons for Community Approaches to Child Mental Health. International Journal of Child Development and Mental Health, 20-37.