Perhaps one of the most important components of cultivating caring communities is providing accessible, culturally competent, trauma-aware healthcare.
What might this look like? Do we have any existing models for such communities? What would be important structures to avoid in designing or organizing communities free of oppression and discriminatory practices? This is a topic enormous in scale that deserves to be addressed methodically, but for now I want to call attention to community-driven efforts to treat, prevent, and reduce social and socioeconomic crises.
We see many relief efforts organized independently, growing at the grassroots-level which sometimes transform into larger non-profits, carrying out formidable endeavors on a regular basis; it is so important to recognize the individuals within our own communities who are serving our most marginalized, at-risk members of our society. How can we all participate in helping communities founded in compassion- and how can we begin to break down the borders surrounding access to care?
I believe the heart of a compassionate healthcare system is mental healthcare. There are many different ideas of what mental healthcare should like, who can and should provide it, and who can and cannot. Yet is there only one form of mental health? One kind of wellness practice? Certainly not. So why are there so many barriers to accessible mental health care and coverage? I research these questions.
Speaking with folks, I find that a lot of them don’t know how to begin looking for mental healthcare- specifically psychotherapy. They don’t know where to begin, or what to ask for- how to advocate for their needs and wants. I feel I hear the same questions and concerns reiterated: “who am I to advocate for myself? To determine how I should be treated? I am no expert. ”
There is a fine line between understanding a need for outside help and feeling a lack of autonomy created through oppressive structures. Stigma itself surrounding these systems exists as an oppressive force. It’s as though a kind of collective learned helplessness develops; folks find themselves either afraid to seek help even when they know they need it, or they find themselves stuck in toxic healthcare environments that are hurting more than helping; they grow afraid to try and leave or to speak out against discriminatory practices.
Creating better wellness systems will consequently necessitate boundary work, advocacy work, deconstruction, reconstruction, and openness to new thought in these thoroughly westernized, colonized fields of science. If mental healthcare serves as a cornerstone to the healthcare field, can it also serve as a good access of entry in a collective effort to liberate healing work?
Medicine and healing don’t have to be delivered so exclusively by white men in white coats who enforce western philosophy and theory. Have you personally reflected upon what has provided healing to your mind, body, and spirit on your journey thus far? Do you know what best serves you and your boundaries?