In 1982, during my final
semester as an adult undergraduate
student, I
first learned of
Geel, in
an abnormal psychology text
book. Here I
read of the city's legendary and unique system of foster
family care for the mentally ill. The legend and tradition associated
with mental health care in Geel, along with
the persistence of that system, at once fascinated me.
The
article cited in
that text, though published in 1974 by a Cincinnati neurologist, was a
report based on his 1936 visit to
Geel. Since that information was obviously dated, from time to time I
sought out more current information. And, my interest, and
search, became
more insistent when I came to personally
know individuals struggling with the problems of severe and
persistent mental
illness (SPMI). My friends made me more intimately aware of what text
books cannot adequately convey: the social side effects and
social
rejection that are too often associated with SPMI. During
those
years, as I saw my friends struggle, I naturally thought about
Geel, where those with mental
illness were reported to be accepted, visible members of the community.
Even before my first visit to Geel, I was inspired by what I knew of this community and, in 1993, to
address the social isolation of those with SPMI, I brought together a group of interested individuals who founded a Compeer agency in
Birmingham. At the same time, I
began to make contacts that led to my first visit to Geel, a one day visit
in January
1997. During that visit, I did
not find a relic from the middle ages, but rather a bustling,
prosperous community of 30,000+, the home of a remarkably modern, realistic and comprehensive approach to mental
health care.
I have returned
to Geel many
times since then, most recently in July 2007. Though I
welcome the opportunity to
revisit familiar city sites, with each visit I also see new
developments and
progress in the development and implementation of their various
programs, and I also meet new people with each visit. As I've come to
understand the
factors associated with the evolution of Geel's continued success, I
have also been motivated to look
for communities or programs in our own country that share aspects
of community acceptance present in Geel. Marc Godemont,
my host for that first and all subsequent visits, has
identified what he
believes to be the secret of Geel's success:
Geel acknowledges and
accepts the human needs of boarders
The city
responds to those needs, rather than acting on unfounded or exaggerated
fears, by providing social outlets and events as well as opportunities
to do meaningful work
Most importantly, the
mentally ill in Geel are members of not just a foster family, but a
foster community as well
In addition, I have observed
a flexibility in addressing the
individual needs of Geel boarders and clients. Whle they may all
share a diagnosis of mental illness, each person is unique and
each one
has unique needs and challenges. That fact is never overlooked,
particularly within the foster family where they can deal specifically with their own unique boarder.
This flexibility is mostly likely another key factor in Geel's success.
These are the
factors that
I've sought out in programs and communities
in the United States. There is nothing quite like Geel, because no
community can boast a 700 year old history. But there are
indeed
programs around the world, including the United States, that give us
reason to hope that "community recovery" is not an ideal, but rather a realistic goal.
It is possible and it exists.
Community mental health care can exist in the context of
caring
communities.