On 2005-01-19 05:06:00, Anonymous wrote:
"What I meant (in previous post), is that since the staff at psych hospitals are actual professionals, with education, degrees, and liscenses, I would think that the incidense of abuse would be much less than these BM facilities, which employ uneducated, unliscensed, local hillbillies to implement programs that are not based on any positive psychiatric theory."
I agree with you.
Bad care happens, even with the best qualified medical providers.
That's why some doctors lose their licenses to practice medicine.
It's not just a problem with psychiatry or psychology. It's a problem with *any* branch of care or therapy.
Sometimes people who were good care providers when they first got their licenses have breakdowns or burnouts or substance problems and *become* bad providers.
All that said, I wouldn't take my high blood pressure problems to somebody with little training and no licensing just because *some* doctors are bad.
There are regulations and oversight to weed bad *licensed* providers out of the system. The safeguards don't always work the way they're supposed to, but they certainly help. A lot. They're a lot better than nothing.
You *might* get bad care in a licensed mental hospital with licensed providers and trained staff.
Your *risk* of getting bad care instead of good care goes way, way up in an unlicensed facility with a random mix of licensed and unlicensed providers whose ratio is whatever the facility's owners and directors think they can get away with and pay the least overhead for while still filling beds.
No system of safeguards on any branch of healthcare is perfect.
A good system of safeguards is *still* way better at ensuring patients get *quality* care than the unregulated jungle of practically no safeguards that we've got now.
I've said it before, and I'll say it again. The present state of the teen residential care industry is pretty much just like the state of the food and drug industries in the days of Snake Oil salesmen, Patent Medicine Shows, and Upton Sinclair's _The Jungle_.
We need the equivalent of the FDA and/or the USDA for teen residential care.
I'm a big believer in capitalism, market forces, and a large dose of laissez-faire.
*However*
A sane balance of consumer protection regulation and oversight greatly assists the operation of market forces by ensuring that buyers can be confident that the goods and services they buy really are what the sellers have represented them to be.
The Teen Residential Care Industry is a prime example of the drawbacks of pure laissez-faire, caveat emptor capitalism.
I buy medicines from the pharmacy, safe in the assumption that what's in the bottle is what the label *says* is in the bottle, and that it's been tested to make sure it's reasonably safe and we're reasonably sure it's effective, and I know the pharmacist is licensed and isn't going to put the wrong thing in the bottle (Deborah has a point that the process isn't perfect---but it's *much* better than it was before the FDA). I know the pharmacist will look at the prescription and check it against my other medicines, warning me of any interactions. I know the pharmacist will be able to correctly answer my questions about how to take the medicine.
Parents who need residential care for their teens should be able to enroll their teens in that care secure in the knowledge that their kids will receive the services as they've been represented to the parents, and that those services have been tested and found safe and effective, and that the people providing the care are licensed. Parents (and teens) should know the licensed provider is going to check and make sure that the teen doesn't have some problem that's going to make the treatment dangerous instead of helpful. Parents and teens should know that a licensed provider will check the patient's progress and switch to an alternate treatment if the treatment being provided is harming the patient instead of helping. Parents and teens should know that the provider is competent to provide the treatment *correctly* (that the drug in the bottle matches the label, so to speak).
Standards of care in this industry are primitive and frequently dangerous. Patients are being harmed by these primitive conditions.
It's time for the industry to mature and grow up.
With the number of cases of mental illness skyrocketing in each younger generation, the problem is only going to get worse if we ignore it.
Timoclea