Tribal Health’s Post

Without stable housing, recovery for substance use disorder is nearly impossible. Read our latest Nothing but Substance blog post as we discuss the three organizations (NARR, SAMHSA, and ASAM) who are pushing for policies in hope that these homes are one day covered by insurers. #healthlaw #behavioralhealth #addictiontreatment

Without stable housing, recovery for substance use disorder is nearly impossible. Read our latest Nothing but Substance blog post as we discuss the three organizations (NARR, SAMHSA, and ASAM) who are pushing for policies in hope that these homes are one day covered by insurers. #healthlaw #behavioralhealth #addictiontreatment

Glad to join a Leavenworth County, Kansas, workshop today. The workshop focused on the Sequential Intercept Model: Advancing Community-Based Solutions for Justice-Involved People with Mental and Substance Use Disorders. The purpose of this Action Planning activity is to develop clearly defined, attainable, prioritized short and long term action steps addressing identified gaps. I had a chance to speak to the entire group and made the following points: 1. Thanked the group of medical, law enforcement, and charitable organization, professionals for all they do for our community. 2. Noted that the fundamental challenge is the person who is mentally ill does not believe they are. How does the system help those who don’t understand they need help? Optimally before there is an issue that involves law enforcement. 3. Asked group to consider ways to increase communication without violating HIPPA. Advocates or patients start over every time they encounter a new agency. Guidance Center, EMS, Law Enforcement, ACT Team, ER, Jail, Lawyer, etc. Also asked them to consider the person who does not have an advocate working the system for them. 4. Asked them to consider how to better connect inmates suffering from mental illness (~17% of prison population) with support services so they can gain or maintain mental stability and meet basic needs (ID, job, housing, medication management, counseling) upon release.

"Government Crack House?" I'm totally lost for words. Let me get this straight. There are government-funded housing facilities for the homeless in Los Angeles that give out crack pipes and needles and call this "Harm Reduction" tactics? So we are using our tax dollars to house and enable drug addicts AND ALSO using our tax dollars to treat them in hospitals for their overdoses, cover the cost of arrests and imprisonment and covering the cost of them committing crimes against humanity? This is absolutely unacceptable California Governor Gavin Newsom and all the elected officials below him that authorize policies that enable people to not work, stay high and clog up the streets of Los Angeles as they are drugged out of their minds. This isn't harm reduction, it's harm expansion. Harm reduction isn't giving them a place to sleep in between getting high. It's called rehab, it's called sober living and it's called helping them do something productive with their life. Another key thing to remember is that drug abuse is contagious and is often associated with group think. This crack house mentioned in the video may also have non-drug abusers and those who are now clean trying to live in this same place. It's almost impossible to live clean around druggies if you were a user. As a cigarette smoker in my 20s I still, to this day, crave a cigarette if I see someone smoking one. It's been over 20 years later. So, in reality, this facility is not only enabling drug abuse by its tenants but also propagating more drug use to take place. We have to stop this nonsense. Funding mandatory drug-rehab programs for addicts on the streets will cost more upfront but it's more humane and cost effective than offering a government crack house. We need several detox and drug-rehab facilities in LA and San Diego and it sounds like cities running the harm reduction programs that propagate further drug addiction should be shut down. #druguse #losangeles #housingthehomeless #homeless #harmreduction

Without stable housing, recovery for substance use disorder is nearly impossible. Read our latest Nothing but Substance blog post as Kirti Vaidya Reddy discusses the three organizations (NARR, SAMHSA, and ASAM) who are pushing for policies in hope that these homes are one day covered by insurers. #healthlaw #behavioralhealth #RecoveryHousing #addictiontreatment https://lnkd.in/gMjxs8YG

The incidents of abuse not only harm the victims directly but also deeply affect the confidence of families and staff within care facilities. While hidden camera usage can be crucial in uncovering abuse, it often only addresses the symptoms of a larger issue. Overt independent safety monitoring, on the other hand, offers a proactive approach that could have prevented the abuse from occurring in the first place. By highlighting, addressing, and deterring abuse through continuous care monitoring, providers can create a culture of accountability and transparency within their facilities. Moreover, independent safety monitoring has proven to allow providers to assess the overall culture of the home, identify areas for improvement, and implement necessary changes to ensure the well-being of residents. By embracing this approach, providers can demonstrate their commitment to providing quality care and fostering a safe environment for all residents. All care providers need to recognise the benefits of implementing proactive measures in their dementia care communities. By reaching out to CCFTV for advice and support, providers can work towards creating safer and more compassionate environments for those under their care. Ultimately, ending abuse /reoccuring issues in care facilities requires collaborative efforts and a dedication to upholding the dignity and rights of every individual. Providers who think their facilities are issue-free behind closed doors or that their current measures are foolproof against intentional harm or neglect are mistaken. We need a proactive stance. Providers must acknowledge the reality and embrace safety monitoring as a vital tool. It's not just about detecting problems; it aids in training and showcases exemplary care. It's time for providers to open their eyes, accept this crucial aspect of care, and commit to a safer environment for all. The lack of convictions in cases of abuse or neglect, particularly involving vulnerable people such as those with dementia, is concerning. It highlights systemic issues within the justice system that need to be addressed. Police need to step up and prioritise the protection of vulnerable individuals by conducting thorough investigations, gathering sufficient evidence, and prosecuting perpetrators to the fullest extent of the law. Doing so sends a clear message that abuse will not be tolerated and helps to safeguard the well-being of those who are most at risk. Care England Metropolitan Police #carecampaignforthevulnerable Care Home Professional

Here's another win for #behavioralhealth parity in the courts. An appeals court is bringing back a parity and ERISA complaint after a lower court dismissed it, finding that the lower court erred in assessing how the plaintiff pled his parity claims. This is one of the great legal quagmires keeping parity and parity enforcement stuck. It's not 100% clear how or what patients need to do to bring parity claims to the courts. This case illustrates the topic. #mentalhealth #addictiontreatment #autism #eatingdisorders #managedcare #healthinsurance https://lnkd.in/eBbgh-_U

An accutely suicidal and at-risk women was allocated a “discreet cubicle with soundproof doors and multiple hanging points” & unsupervised for 20mins. She died by suicide. Environmental factors, industrial design, and trauma-informed theory must play a role in clinical decision making. Environmental risks and hazards must be considered when determining clinical care. Working with high risk and vulnerable persons? We can help. #safeguarding #clinicalgovernance #mentalhealth #healthcare #emergencydepartment #medicalnegligence #dutyofcarr https://lnkd.in/g8dJZQXM

#REPOST Urgent: Systemic Abuse and Involuntary Sedation in Hospitals I need to expose the traumatic and unlawful treatment I and others have endured at Penn, Jefferson, and Friends hospitals between June and July. I was involuntarily and illegally sedated multiple times while seeking care. The staff at these hospitals fostered a hostile environment, where patients are bullied, taunted, and mocked for various religious beliefs . At Penn, I was misdiagnosed with Major Depressive Disorder instead of Schizoaffective Disorder, which led to improper treatment. Staff threatened me for asking about my care and even denied me basic needs like blankets when I was cold. The verbal abuse was constant, with patients being called derogatory names and mocked for their beliefs. At Jefferson, I was forcibly sedated twice while already restrained and non-disruptive. The staff taunted me, accusing me of being a child predator, and showed gross cultural incompetence. They refused to let me contact my family and illegally handed over my belongings without my consent. At Friends Hospital, I was sedated for simply asking to speak with a doctor. The staff’s cultural insensitivity and lack of empathy were evident, and I was kept longer than necessary due to family issues, which felt like insurance fraud. These incidents are not isolated but reflect systemic issues within these healthcare institutions. The very systems meant to provide care and protection have instead caused further trauma and harm. Patients like me are left terrified of entering Crisis Response Centers, places meant to be sanctuaries during times of distress. This injustice cannot go unanswered. The healthcare system is failing those it is supposed to protect, and we deserve justice and accountability. Please help bring these egregious actions to light and ensure that no one else has to endure what we have. Josh Shapiro   #repost #Jefferson #HUP #PENN #FriendsHospital #NEWS #CNN #ABC #NBC10 #PhiladelphiaInquirer #TempleUniversity #Temple #WHO #Justice #Lawyer #IneedaLawyer #JoshShapiro Ardently, Liam Spady Liam.Spady@temple.edu

Good morning. I recently read an article about the sexual assault of an elderly woman who had Dementia and was paralyzed in an assisted living facility. I became enraged because I immediately thought of my mother. Just the thought of someone doing this to her would have sent me to a place of no return, and there most certainly would have been consequences. Having worked in and held many roles in long-term care, I find this appalling and very sad. The family had cameras installed from a previous situation that occurred. So, there was already suspicion and mistrust on previous issues. One of my questions is: where was the supervision? What systems and processes were put in place after the first suspicions that could have potentially stopped this behavior? We need to all wake up when it comes to taking care of our older adult population in general. We are all inching toward that population daily. You may be able to take care of yourself right now, but heaven forbid something catastrophic happens to you, and you have to have someone take care of you or end up having to be placed in a long-term care facility. You can very well say what you will not do, but you don't know what you will have to do. There are no guarantees. So, we must stop burying our heads in the sand or looking the other way. I would love to here your thoughts. So, please chime in. You can read the article here: https://lnkd.in/gd66FQuV.