Comment history

Gov.-elect Sam Brownback looking at tax overhaul

You and what, 6 other people?

And all of them public employees?

December 12, 2010 at 12:44 p.m. ( | suggest removal )

Crisis counselor shares survivors' grief

"I left of my own my free will"Why do I doubt that they begged you to stay (making my question "why they had to let you go?" still valid).From your comments, it's apparent you believed the agency should be operated in a different manner and taken in a different direction than you wanted ... and you lost. I don't think Buggie7's suggestion that you wanted Marcia's job for yourself is much of a stretch. In any event, from your posts here and in other threads on MH issues, it's also apparent you aren't still in the field ... suggesting you were a volunteer, and resented the infusion of those college-educated interns and fully licensed professionals transforming your 'drop-in center' (where people could come by and get their drugs tested) into a real counseling center that left you in the cold.Of course, I'm surmising (but I'd wager I'm not too far off), and I'm sure you'll feel the need to respond as you have been. But if you read the rest of the comments, Pogo, I think you'll find that nobody reading this believes your denigration of Ms. Epstein or the agency is based on anything other than petty personal reasons.

September 14, 2008 at 9:19 p.m. ( | suggest removal )

Crisis counselor shares survivors' grief

"Given I was there when Epstein first walked in the door and was around for a good deal after the fact, I know from where of I speak."Methinks we've touched on the personal, rather than rational, reasons previously alluded to. (Should we ask why they had to let you go?)Just how much do you think it's worth paying if even a single life is saved, Pogo? I assume you realize that the entire annual budget of Headquarters is less than what it costs for one major life-saving operation for a Medicaid-funded or indigent patient at LMH? Is that a waste of money, too?

September 14, 2008 at 8:24 p.m. ( | suggest removal )

Crisis counselor shares survivors' grief

Hats off to Marcia for both what she does with Headquarters and for sharing her own personal story. Working with suicidal people is one of the most challenging parts of the business. One of the first things they teach you in school is that if someone is really set on ending their life, there's nothing you can do to stop it, yet you have to approach every one as if you can.Pogo, I don't know what you have against Headquarters or Ms. Epstein, but it sounds personal rather than rational. Crisis-oriented agencies such as Headquarters are intended to be an adjunct to CMHC's like Bert Nash, the services they offer to the community are not mutually exclusive, nor are they redundant. What is your concern that the same people call Headquarters over and over ... is it supposed to be one-and-done, if you're not 'fixed' after the first call you're out of chances? Oh, right, they should go to Bert Nash. While I certainly hope Bert Nash has a crisis team, it is not the same thing as having 24/7 support available to those facing the ultimate choice in their lives. As for "a self-help, counseling, suicide prevention service, all in one slot," I'd like to know how you plan to pay for that; try doing all those things on the shoestring budget Ms. Epstein survives with. "...a social service agency that does not carry it's own weight in the community and has to continually beg for money from the community? The money spent on this useless service could be spent helping the working poor re-hab their homes or rebuild the neighborhoods."Are you serious? "Carry it's [sic] own weight?" Charge suicidal clients for Headquarters' services? Maybe set up a 900- number? Or maybe you think the measly $200K that goes to this crisis center would solve all the problems of the working poor, and then nobody would be suicidal? Can you really be _THAT_ naive?

September 14, 2008 at 7:47 p.m. ( | suggest removal )

Still No. 1

Solomon (Anonymous) says:"Furthermore, fewer violent crimes are committed under the influence of alcohol vs., say, meth."You seem somewhat short on the wisdom of your namesake.Approximately 36% of convicted offenders were under the influence of alcohol when they committed their offense.One study found that in over half of murders, either the perpetrator or the victim were under the influence. In over a third of cases, both were.Forty percent of incarcerated murderers report alcohol as being a factor in their crime.Nearly 60% of convicted inmates reported regular drinking during the year prior to their offense.We won't even get into the drunk-driving related fatalities, suicides, people who literally drink themselves to death, or the wrecked lives of the survivors.

September 2, 2008 at 11:03 p.m. ( | suggest removal )

Nurse tries to dispel ECT stereotypes

"I was told by a doctor who wanted to ECT the heck out of my mom that they actually use a higher electric current than they used to and that they still don't really undertsand how the whole thing works."If you go to the library and browse through the PDR, you'll find the same is true for most of the medications we take.I'm not the biggest fan of ECT. But putting things in perspective, it is not usually a first-line treatment, it is usually used when other options have been exhausted. Yes, there are some temporary side effects. But then, think of the side effects of such medical treatments as chemo or radiation - like those, you use ECT when the risks of _not_ doing it outweigh the risks of using it. And I do know some people it has helped.

August 11, 2008 at 8:02 a.m. ( | suggest removal )

Suicide concern

"Mental health clinicians whose continuing education includes research-based training on managing suicide risk are aware that indeed, working with the client's support network is essential..."Essential, perhaps. However, it's not always possible. The fact is that, particularly in our post-HIPAA world, if the patient doesn't want you talking to his support network, you simply can't do it. Obviously it is better to do so when feasible, particularly in those ambivolent cases you mention. But someone determined to end their life can, and often will, prevent a clinician from involving those who might have helped.

August 9, 2008 at 1:34 a.m. ( | suggest removal )

Firm pays fine for lack of certificate

Didn't feel impugned, like I said, kinda' flattered, but this is a carry-over from the way they were putting me in the middle of their dispute in the thread where I made my comments, and I hate to see my own substantially less-than-expert opinion being thrown about as a premise in any argument. Especially as I said in that other thread that I agreed with some of both sides of that argument.

August 9, 2008 at 1:24 a.m. ( | suggest removal )

Firm pays fine for lack of certificate

I do wish both spiderman and svengalli would stop using my posts as ammunition in their personal firefight. As I clearly stated, I was merely voicing my personal opinion based on my own experiences with credentialing within my own profession ... which is what I thought forums such as these were for. As flattering as it is, I really did not hand Moses any stone tablets to carry back to the people as the final say on any issue. But if I'd wanted to post to this thread, I likely would have managed to speak for myself.And again, sven, it's 'he,' not 'she.'

August 9, 2008 at 12:12 a.m. ( | suggest removal )

Suicide concern

>>>> "Best practices in managing suicide risk include bringing all of her/his primary support people into the counseling room. The person needing help must agree to this level of sharing. If s/he is not yet willing to allow this, loved ones still have the right to share information with the clinician."Sadly, this is not completely true. If the patient does not expressly agree to allow such contact, the clinician can not even acknowledge that the patient is under their care.A few years back, when I was working in an acute-care psychiatric hospital, I was involved in such a case. The patient was on a 96-hour hold, and the family made constant efforts to participate in the patient's care, but were prevented from doing so because the patient refused to sign releases. They did talk to the coordinator at the mental health court, but could not speak directly to us. The hospital pursued a 30-day hold, and the family was at the courthouse, but his attorney objected to their presence and the judge would not let them in the courtroom. As he had done nothing dangerous during his four days at the facility, the judge had no grounds to grant the hold, and ordered him released.Six days later he was dead. But then, that's one of the first things they taught us in school - if someone really, really wants to kill themselves, there's nothing I, or anyone else, can do to prevent it. As others have said, their pain is over, but it lingers for the survivors. Help is available, and I can only add my own urging that those suffering from such a loss take advantage of it.

August 8, 2008 at 11:08 p.m. ( | suggest removal )