1. the state institution for long term care provided by the court shall, then provide gender specific wards for patients.
2. the state shall provide gender specific wards to patients based on religious and or cultural needs.
3. the state shall provide gender specific wards to patients based on choice/preference.
4. the state shall, acknowledge patients right to reside in a safe environment, and without gender specific wards and single occupant rooms as a choice, they are not acknowledging patient civil liberties.
5. the state shall provide, one to one staff care for patients who are at risk for sexual assault, creating a safe environment within the one that exists. if the existing environment is not conducive to patient safety, from sexual or physical assault, the state shall provide care off property and accommodate the patient in all areas, paid for by the state.
6. the state will stop ignoring duel diagnosed patients. patients with PDD/Aspergers/Autism and psychotic features shall have gender specific wards with accommodations per their needs, for communication, based on ability to communicate, that being said, technology for communication via computer programs and audio talk boxes, calendars, etc shall be provided for patient to use to communicate needs.
7. patients who are non verbal shall be acknowledged via offering opportunities to patient equal to that of their peers, not assuming lack of speech means lack of interest in activities.
8. professionally trained speech therapists shall be provided to patients who fit the need.
9. patients who are non verbal shall have individual plan of treatment, patient will be offered a phone call to family or friend once or more per day, dialed by staff, and followed through by staff to ensure patient has opportunity to speak to person of choice, as based on patient rights listed by the hospital. *some patients will speak to certain people only
10. if safety of patient or appropriate accommodations cannot be ensured, met, achieved or enforced, within the institution, the state shall provide care elsewhere in a least restrictive setting, paid for by the state, in an appropriate setting for the patient, via patient choice.
11. patients will be acknowledged for outside time for fresh air as a non smoker. the need for daily fresh air breaks should not be subject to smoking patients only. all patients shall have mandatory fresh air breaks 2 times a day minimum 15 minutes, with no level needed. levels used for fresh air breaks are discriminatory, as all human beings need and deserve to have fresh air and daylight time out side of locked faciility.
12. patients shall have dignity restored via housing rooms within the locked institution. single occupant rooms shall be available on appropriate gender wing, by patient choice, for patient safety. dignity shall be restored to patients via proper mattresses to gain appropriate sleep for recovery, walls shall be painted if graffiti exists on walls in room upon admit.
13. patients shall be provided with shoes upon admit, hair brushes, and personal use items shall be provided upon admit.
14. treatment appropriate therapists shall be provided to each patient based on individual treatment plans, acknowledging trauma, PTSD, PDD/Aspergers/autism and patient ability to communicate. therapists in a variety of settings, such as outside dog therapy, art therapy with professional trained in PTSD/trauma recovery, gardening therapy on property garden setting patient maintained, with one to one staff if necessary. all patients deserve to have psychological therapy provided to them above and beyond medication based treatment.
15. patient shall be discharged with all appropriate support in place prior to discharge, and that shall contain, case management, job placement opportunity, volunteer work opportunity, one to one staff support paid by state for patient to reside in residence of choice , including home with family. one to one staff shall be provided 24 hours per day for patient upon discharge if needed to reside in residence of choice, support shall be provided to prevent further hospitalizations, which is at minimum cost effective, and at maximum, dignified care in an undignified mental health system.
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"you forgot i am human"
--December 2009, said by my daughter while residing inside a state institution, ordered for care against her choice by a superior court judge.
"i am not pissed at you, i am pissed at what happened to me"
--December 2009, said by my daughter while residing in a state institution, ordered for care against her choice by a superior court judge.
my daughter was placed in a seclusion room to sleep for her own safety per an assaultive female patient roommate. there are no single occupant rooms available, thus the use of seclusion room, which is located directly in the male wing of the ward. that makes a lot of sense. let's place a basically non verbal, defenseless patient with one that has already assaulted 2 people in a room to sleep, decide to move her for her own safety to a single occupant room that is a seclusion room in the male wing of the ward. no further commentary is needed for that.
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6 comments:
A good list, only modification I would make, is on number 11, sunshine or rain (able) patients should be forced to go outside for those 15 min breaks, just like they are forced inside. But that outside trip would be work for the staff and the staff being lazy F's don't like work.
Also it would expose the jail/hospital question again, with patient/prisoner escaping on outside trips.
The question of "Is it a jail or hospital ?" is really exposed when you have men and women confined together.
yes, mandatory rain or shine, and they do have a closed in (fenced in) outside area with basketball court, benches, etc, so i feel it should be part of every patient's day, hell it would actually promote wellness, as routine going on walks, exercise, etc. they require PE in school, and these ppl are not physically (most of them)sick with body ailments. they are in need of nature connection, to put it simply
If the staff had more to do, like interact with the patients, and keep a closer eye on them. Then they may demand more pay. But if they keep them all doped up, it's considered to be a no brainer easy job. Anything to make their job easier, and pay them less.
I do believe the hospitals cater more to the staff, then they do to the patients.
But, instead, the government wants to build Centers of Excellence so they can pay a bunch of nincompoops to study just how ineffective their treatment is. Fabulous!
exactly
It really takes no effort at all to expose the system for the failure that it is, does it? The fact that it's a failure is self-evident - it cures nobody, but nobody's allowed the opportunity to demonstrate how things might be done differently; protecting their own shiteness from scrutiny, in effect. Ergo, they don't know WTF they're doing, but they're pretending that they know everything, and the idea that a person whom they have deemed mentally ill is actually anything but, is completely impossible for them to process. Quelle probleme.
Mark makes a good point... The patients are not there to be punished (even though some of them have committed criminal acts), and yet punishment (via incarceration), appears to be precisely what they're getting (and let's not forget that Lindsay's there for her own safety, although paradoxically, the environment appears potentially unsafe). Lindsay's right: they forgot she's human, and they forgot the rest of the patients are human, too. They need to be reminded, but they won't talk to me...
It's gotta be down to you and Linds, Stephany. Between you, you're going to have to allow them to realize that they've fucked up, and then they can pretend it's their idea that there's nothing wrong with Linds. Trust me, it's do-able, but make no attempt to actively convince them of it, because they'll just dig their heels in.
Matt
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