Quote from psychnurse1998
Sad story. I have worked in a county mental faciility in California. Patients have a patients right phone number, posted where they can report abuse. I am happy to say . that from my observations, patients were well protected from abuse. North Carolina seems to be still back in the 50's era. That is too bad, some states are far behind in progress.
I beg your pardon. :uhoh21: I'm in
NC and have worked in public mental health and for the state and federal government as a psychiatric hospital surveyor. I was, for several years, part of a specialty psychiatric surveying team that was created
in 2000 in response to the original reports in The Charlotte Observer
about deaths in psychiatric hospitals prior
The NC public mental health system has had, for many years, a more aggressive client rights program than most
states, in addition to enforcing the federally-mandated client rights, and the state hospital system has an aggressive "Client Advocate" program, with (multiple) advocates serving in each state hospital (that's in addition to the investigations and oversight my
team carried out). Yes, the toll-free state complaints "hotline" number is prominently posted in every
public or private psychiatric unit in the state, and my team investigated every complaint we received and every death in a psychiatric setting (public or private hospitals) in the state. I believe that one of the main reasons there is more "news" and publicity about problems in mental health settings in NC is because we are more open and aggressive about addressing
them than many other states are.
Our system is not perfect, granted
-- but I would bet a great deal of money that it's not much different from the CA system, and conditions (and outcomes) at state
facilities in CA are not much different/better than those in state
facilities in NC. I have worked in a county mental health inpatient center in NC in the past, and conditions there were much different (better) than they were/are in the state
hospitals. If you haven't had first-hand experience with a state psychiatric hospital, you don't really appreciate how difficult and challenging the conditions are. How many people die annually in state hospitals in CA, do you know? Under what circumstances? Is that information available
to the public, as it is in NC?
I notice that many people in CA often seem to feel superior and condescending toward the rest of the US, but I assure you that North Carolina is not "back in the '50s era," in mental health or in any other area of civic/public life.