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Trump calls for the return of mental institutions
(www.axios.com)
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this post was submitted on 31 Oct 2023
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I've worked in both Community Living Housing and one of the Last Institutions in Canada (Which I recently learned has closed as well). And I got FAR more training and resources to do my job at the Institution, and the residents had far more supports and programming. Even a broken clock is right twice a day, we need to reopen institutions, and just have better systems in place to prevent abuse
Community Living is the institution. It certainly has its problems though.
I guess my point is that governments dont have infinite amounts of money. With traditional institutions all of the money that gets budgeted all goes towards one complex where it can be used to its fullest, which allows for better funding for staff training and better community programming for the residents, as well as specialty staff (MDC had dedicated dr's for the residents, providing them faster access to a doctor than the rest of us would get). Funding issues aside, community living is great for medium to high functioning individuals, but can be AWFUL for lower functioning ones. In an institution, a high needs low functioning individual can get more socializing in because they can have 1 staff dedicated to them while the others can just generally overlook the other residents. With community living, as the staff is spread out, this can lead to high needs individuals to be locked up in a household on their own, as there isnt the staffing to be able to let them share a place with others or to visit the community (where they would be a danger to themselves and the community). And lastly, since the staff is spread out, there are FAR more instances where theres only a single staff in the household, which personally I think actuallY INCREASES the chance of abuse
I'm sure you know more than me, which should be easy since I don't know much. My mom was a community liver all my life. Bureaucracy is a fucker for sure, but I wonder if this is also a grass is greener thing? Maybe your institution was good because it was the only one? Community Living is fucked because it follows the path of all Canadian agencies? My mom certainly had nothing good to say about the nuns who ran the show in her youth.
She didn't have many good things to say about upper management in CL either though.
I think community living is amazing for medium and high functioning individuals, if you can be guided into being safe for yourself and around others reasonably easily by a staff member? Community Living gives you a more "Normal" life. Low functioning individuals however that pose a danger to themselves and others end up far more isolated with community living than they'd be in an institution. MDC, the institution I worked at had just as horrific a history as most of the other institutions did, I think though, after working there, that was more due to the times than it was due to it being an institution, as, like I said, as of 10 years ago, there was two weeks of training before staff was even allowed to start working on any of the wings, meanwhile with community living I was kind of just thrown into the fire and had to figure things out as I went. Positives with community living mentioned though, I DO have to once again point out we live in a capitalist society, and Community Living requires more funding spread out, which is harder to pry from the government, than an institution gets, which means it inevitably ends up getting less funding for its residents.