The Four Walls: Mark Ragins

Here’s another great blog from one of my favourite psychiatrists, Mark Ragins of The Village fame. I first posted this article that Mark wrote on Recovery Stories back in October 2013.  Mark wrote the original article in 1998. [NB. I have broken up some of the original paragraphs to make it easier to read online.]

‘In 1989, the California State Legislature authorized the funding for three model mental health programs, including the Village Integrated Service Agency in Long Beach, in part to answer the question, “Does anything work?”

We created a radical departure from traditional mental health services basing our entire system on psychosocial rehabilitation principles, quality of life outcomes and community integration. Arguably, we have created the most comprehensive, integrated and effective recovery based mental health program anywhere.

In recent years, encouraged by our success, both our attention and the legislature’s have turned to the further question of “How can our whole system be more like the Village?” Undoubtedly, there are numerous serious beaurocratic, funding, and system design issues relevant to that question, but I would like to focus on the personal issues staff must face.

I believe that basing mental health services on recovery is the paradigm shift that can finally make the dream of deinstitutionalization a reality.

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Mark Ragins: Village Recovery Writings

Recovery-based psychiatrist Mark Ragins has an extraordinary collection of personal writing known as the Village Recovery Writings. Dr Mark worked for 27 years as the Medical Director at the MHALA Village in Long Beach, California, an award-winning model of recovery-based mental health care.

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‘Dr Mark and The Village’ by Mark Ragins

I was going through some of my old blog posts and came across a 2014 post from one of my favourite people in the mental health field, award-winning psychiatrist Mark Ragins. I thought it was time to post it again. First a few words from Mark about himself which I consider particularly pertinent:

‘I am a recovery-based psychiatrist.  After 27 years working as the Medical Director at the MHALA Village in Long Beach, California, an award-winning model of recovery based mental health care, I moved on in 2017 to be the only psychiatrist at CSU Long Beach providing innovative psychiatric services for the students there.  I also continue to work as an independent trainer, consultant, speaker, writer, and transformation leader in the Mental Health Recovery Movement. I believe that:

> My work should be person-centered, working to help people grow and develop into the person they are meant to be, not just to treat mental illnesses or conditions.

> My relationship with the people I work with should be collaborative and client-driven working on your goals, rather than pressuring for compliance with my treatment.

> People recover because of the strengths and resilience that they use and develop, not because I took care of them and fixed what was wrong with them.

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What Does the Recovery Model Look Like Today: Mark Ragins

Dr. Mark Ragins, a leading figure in mental health recovery, emphasises three key features of recovery-based care: 1. Is the service person-centered rather than illness-centered? 2. Recovery programmes move from being professional driven to being client-driven. 3. Is the programme really strengths-based rather than deficits-based? NAMILosAngeles. 9 April 2021. [4’32]

How Do I Know a Treatment Service is Recovery-Oriented?

Some treatment services today say they are doing recovery—using recovery-based care—when they are not in fact doing so. So how do you know that you are going to receive genuine recovery-based care when you sign up to a treatment service claiming to be recovery-oriented?

Here is some help from Mark Ragins about what to look for in a service offering recovering-based care. Mark may be talking about mental health recovery, but what he says is also of relevance to addiction recovery.

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‘The Four Stages of Recovery’ by Mark Ragins

Here’s a blog I first posted back in May 2013, not long after this website first launched. Mark Ragins is a leading recovery figure in the mental health field. He was a pioneer in setting up MHA Village, a recovery community based in Los Angeles. His writings are well worth a read. Here is what Mark has to say about stages of recovery in an article entitled The Road to Recovery. What Mark says here is just as relevant to people recovering from addiction.

‘Recovery has four stages: (1) hope, (2) empowerment, (3) self-responsibility and (4) a meaningful role in life.

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‘What does a person need in their environment in order to recover?’ by Mark Ragins

Mark Ragins believes there are four important things an environment must have to facilitate mental health recovery.

1. Relationships, as it is very difficult to recover alone. This is a little more complicated than you might think, as many people distance themselves from someone with mental health problems. A clinician may do this by talking about the illness rather than the person.

People must commit themselves to having a normal conversation with a person with mental health problems.

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‘Dr Mark and The Village’ by Mark Ragins

Unknown-3Here is an article by one of my favourite people in the mental health field, Mark Ragins on Mad in America. Mark is the Medical Director at the MHA Village Integrated Service Agency, a model of recovery based mental health care.  His practice has been grounded in 20 years+ with some of the most underserved and difficult to engage people in our community.

‘My name is Mark Ragins.  Most people at The Village call me Dr. Mark, except those who have known me long enough to forego that pedestal and just call me Mark.  I’m a psychiatrist, a story teller, and the kid who used to drive his parents and teachers crazy asking “Why?” unendingly and then, never satisfied with their answers, looked for my own answers and returned to tell them that their answers were wrong.

When I meet someone new I usually try not to tell them I’m a psychiatrist too soon.  There are so many strange and scary ideas about psychiatrists and mental illnesses out there that I’m afraid I’ll be rejected before I even have a chance.

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‘The Four Walls’ by Mark Ragins

rsz_markHere’s some great earlier writing on recovery from Mark Ragins, who set up The Village in California. This is what recovery is about!

‘In 1989, the California State Legislature authorized the funding for three model mental health programs, including the Village Integrated Service Agency in Long Beach, in part to answer the question, “Does anything work?”

We created a radical departure from traditional mental health services basing our entire system on psychosocial rehabilitation principles, quality of life outcomes and community integration. Arguably, we have created the most comprehensive, integrated and effective recovery based mental health program anywhere.

Read More ➔

‘The Four Stages of Recovery’, from Mark Ragins

IMG_3040Mark Ragins is a leading recovery figure in the mental health field. He was a pioneer in setting up MHA Village, a recovery community based in Los Angeles. His writings are well worth a read. Here is what Mark has to say about the four stages of recovery in an article entitled The Road to Recovery. What Mark says here is just as relevant to people recovering from addiction.

‘Recovery has four stages: (1) hope, (2) empowerment, (3) self-responsibility and (4) a meaningful role in life.

Read More ➔