I should have realized this a long time ago...
I may have previously posted about a girl who was at Provo canyon with me (in the 90's). She went on a home visit and did a bunch of speed.
Her therapist had gone on this home visit with her, and was actually staying at her parents' house also. Apparantely, he knew this girl had gotten wasted, and convinced her to return to PCS by promising her she would not be in any trouble.
Silly girl actually went back... and we were all shocked at what we saw. Her tongue was paralized (well, pretty much her entire mouth), and she was unable to talk! She was in a huge amount of trouble, and was not allowed to speak to anybody for a long time (other than in our weekly therapy group).
Several months later, she was allowed to speak to us, but was physically unable to! Her mind was still there (I think), but she would struggled just to speak a few words! Her speech never did improve much, and she went home like that, somewhere around her 18th birthday.
Geez, this girl clearly had a stroke! We know she did a whole bunch of speed, which probably resulted in her blood pressure going through the roof and resulted in a stroke.
She received no medical attention! This girl should have been an inpatient at a hospital for a few days to assess the damage; she should have had an MRI, a CT scan, and a swallow test. She should have been in long-term speech therapy. WTF???