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There are some patients I've seen for whom LOOOONG term ( or lifetime) care in a safe, peaceful asylum-like setting would be a significant improvement in quality of life, consistency of care, and safety of housing relative to their current tenuous existences on the fringes of the social safety net. Would probably save states & counties money, besides. But is the system likely to switch back? Wouldn't bet on it...Psyclops said:Super creepy, thanks for the link. The way I understand the history of the state hospitals, is that with the advent of the phenothiazines in the 50's many of them were shut down with the assumption that the "cure" for long term psychosis had been found. In addition, patient advocacy groups further pushed for their closing. The shift led to the responsibility falling on counties, spawning the current MH/MR system in place today, with each county being alloted a certain number of beds in those facilities that remained. Although the hospitals certainly had a reputation for poor treatment and neglect, thier closing was (and as everyithing is) a double edged sword. The phenothiazines naturally left something to desire, it was difficult to keep patients on them, but by then the wheels were in motion, the hospitals had been shut down, and the responsibility lay with the counties to manage some often times difficult clients. In my experience there is a need for large long term facilities to manage some cases. Additionally, I've heard they certainly weren't all as bad as thier reputations made them out to be. I've heard that many had the patients performing gardening, and working, helping with the cost and treatment, but that patient advocacy groups took care of that because it was "unpaid labor". I've known clients who have cost counties $850,000 a year essentially because they were unable to manage him, nor secure a bed at the psychiatric hospital. I'd be interested to know what you guys' thoughts are on the large state run psychiatric hospital and county mental health system.
OldPsychDoc said:There are some patients I've seen for whom LOOOONG term ( or lifetime) care in a safe, peaceful asylum-like setting would be a significant improvement in quality of life, consistency of care, and safety of housing relative to their current tenuous existences on the fringes of the social safety net. Would probably save states & counties money, besides. But is the system likely to switch back? Wouldn't bet on it...
OldPsychDoc said:There are some patients I've seen for whom LOOOONG term ( or lifetime) care in a safe, peaceful asylum-like setting would be a significant improvement in quality of life, consistency of care, and safety of housing relative to their current tenuous existences on the fringes of the social safety net. Would probably save states & counties money, besides. But is the system likely to switch back? Wouldn't bet on it...
psisci said:I do live there...... I am one of Sazi's super secret research patients. I now believe Reagan was GOD, psychologists are children I dreampt up when I was in a steroid rage, and my Mac10 is hidden under my labcoat! ????ever see "falling down"!!!!!!
😱
OldPsychDoc said:There are some patients I've seen for whom LOOOONG term ( or lifetime) care in a safe, peaceful asylum-like setting would be a significant improvement in quality of life, consistency of care, and safety of housing relative to their current tenuous existences on the fringes of the social safety net. Would probably save states & counties money, besides. But is the system likely to switch back? Wouldn't bet on it...
Poety said:👍 It was a shame when they closed all the institutes in massachusetts, it left the SPMI's homeless (and still homeless) and using the ER as a means to get food/roof over their head on bitter nights.
It also left those with SPMI subject to abuse by the general population, both physical and mental. I think it was an absolute detriment to society to close these places down, and now each state appears to be doing it one by one.
Now the options are drug infested halfway houses, jail, or the streets - we still have a long way to go to reform mental health awareness and the ethical treatment of the mentally ill.
Seen it?psisci said:I do live there...... I am one of Sazi's super secret research patients. I now believe Reagan was GOD, psychologists are children I dreampt up when I was in a steroid rage, and my Mac10 is hidden under my labcoat! ????ever see "falling down"!!!!!!
😱
Poety said:I think it was an absolute detriment to society to close these places down, and now each state appears to be doing it one by one.
Now the options are drug infested halfway houses, jail, or the streets - we still have a long way to go to reform mental health awareness and the ethical treatment of the mentally ill.
Psyclops said:My thoughts exactly, although it can be hard to sell the lay person or even those who don't have much experience in the field on a long term state run facility. Neverthless, it is necessary. What chaps my buns is the role some of the patients advocacy groups played (or at least in my stae PA). They were outraged that the state hospital patients were doing things like gardening with their time which added fresh produce to thier diets, but more importantly gave them somehting to do, allowed them to be productive and accomplish something and feel proud about it. Of course it was seen as forced uncompensated slave labor so they railed against it. Now they can shuffle around the linoleum hallwys reading faded copies of readers digest from 1976. 👎
Anasazi23 said:Wow, check this place out.
Look at the 'galleries' pictures. Fantastic photography.
Danvers State Hospital
The lobotomy room is particularly disturbing.