Continuity from past to present
The Windhorse Project was first developed in 1981 in Boulder, Colorado, by Dr. Edward Podvoll and his colleagues, based on their work at The Naropa University. Prior to this, Dr. Podvoll had a distinguished career as a psychoanalyst, which included his role as psychiatric director at two highly respected, long-term care psychiatric hospitals: Chestnut Lodge and Austen Riggs. He observed the usefulness of in-patient settings but also saw how they could impede a person’s recovery. He realized that when someone was struggling with overwhelming experiences, recovery became more difficult if the person was in the company of others with similar problems. Equally problematic was that being in the inpatient unit separated the person from his or her real, everyday environment. The hospital environment can seem a completely foreign place where the activities and responsibilities that a person normally finds meaningful are absent. The revolutionary approach of the founding Windhorse group was to act as an integrated team and to provide holistic care for a person with a mental disorder within his or her home and community. Recovery, rather than just maintenance and basic survival, then could be effectively pursued in a sane environment of learning and growth. The means of recovery – mindfulness of domestic details, the practice of truthful communication and relationship, and direct work with the cycles of extreme mind states – were soon discovered to bring out mental clarity. The original Windhorse group coined the term basic attendance for this set of clinical skills.
The founding Windhorse group created a nonprofit organization and therapeutic community called Maitri Psychological Services. Over the next six years, the group organized home and community-based clinical teams for people who suffered with extreme state mental conditions, or who were experiencing various severe life transitions. These conditions are often referred to with terms such as schizophrenia, bipolar disorder, and depression, and may be occuring in combinations such that conventionally available therapeutic options weren’t sufficiently helpful.
A group of clinicians, largely made up of graduates of The Naropa University, was organized by a team leader, an experienced student of Dr. Podvoll’s, to form an integrated team with the client as an active participant. The team schedule consisted of one to three, three-hour shifts per day. During these shifts a team clinician met with the client to do basic attendance, to help the client integrate body and mind while carrying out ordinary daily activities. Each treatment team also included two staff housemates, who were supervised by the team leader. These housemates lived in the home with the client. The housemates were there to provide as normal and stable a household as possible and to provide a more continuous team presence at home. As part of the treatment, clients also had intensive individual psychotherapy, most often with Dr. Podvoll. The organizational hub of the treatment team was the home in which the client lived. This was typically a rented home, chosen and set up in a joint effort between the client and the team members. In this initial phase of the Windhorse model, the intensive therapeutic household evolved. Dr. Podvoll describes this in detail in his book, Recovering Sanity, Shambhala Publications, 2003; (previously published as The Seduction of Madness by HarperCollins, 1990). Maitri Psychological Services operated from 1981 to 1987. Throughout that time, Dr. Podvoll served as its Medical Director.
In 1990, Windhorse Community Services was formed in Boulder by Dr. Podvoll and a group of clinicians dedicated to the further development and the establishing of this therapeutic approach. A number of those people are currently part of the community of WCS, including Kathy Emery, Jeff Fortuna (both core members of the original group), Jamie Emery, Gretchen Kahre, Chuck Knapp, Eugenie Morton, and our longtime collaborating psychiatrist, Dr. Earle Shugerman.
From 1989 to 2002, Jeffrey Fortuna lived on the East Coast, where he established a Windhorse center in Halifax, Nova Scotia, and another center called Windhorse Associates, Inc., in Northampton, Massachusetts.
In 2002, Jeff Fortuna returned to Boulder to continue working with WCS, and in the same year, after 12 years in secluded retreat in France, Dr. Podvoll also returned to WCS. In 2003, Dr. Podvoll died as a beloved member of our community. His last months were spent lovingly sharing his knowledge, and also as a member of a Windhorse team dedicated to helping him die.
The Windhorse model continues to evolve based on its core practices. Most notably, we now tailor the original intensive therapeutic household model to suit the unique needs and budget of each client. We have worked with several hundred troubled people and their families in five centers over the last twenty-eight years. Many hundreds of people have participated in Windhorse trainings, in which we present clear curriculums supported by our publications and core resource materials. We have developed a variety of business models to support our clinical practice. Our approach is continually informed by the voices of recovering clients and their families and the exploration of contemplative practices and dialogue methods.
The Windhorse model has been adapted to in-home care with the elderly, children, and persons struggling with closed-head injuries, substance abuse, and a wide range of mental disorders and major life transitions. In principle, the model can be adapted to any life-disrupting situation in which a person simply wants to stay at home and recover. Windhorse therapeutic communities are thriving in several countries. An international network of Windhorse centers and practitioners is steadily growing as the interest in our approach continues to spread.