Why are mental hospitals run like prisons?

https://lemmy.world/post/12943894

Why are mental hospitals run like prisons? - Lemmy.World

I was recently involuntarily held in a mental hospital where I went through prison like conditions (strip search, had to wear scrubs, was locked in a room outside certain times a day, stuff like that) and thankfully came out in one piece after 8 days of this crap. I was just wondering why we subject people to these conditions when they haven’t even committed a crime?

Hi! Mental health social worker here- it’s for the patient’s safety, safety of other patients, and worker safety. Many people coming in are there because they’re at risk of harming themselves. Staff have to make sure (1) nothing that could possibly be used as as a weapon on themselves or others is identified and removed and (2) a thorough status of the patients needs documented when they come in. Oftentimes, people come in with injuries or conditions they either don’t mention or don’t realize are issues. If someone has that on their body and it’s not documented at intake then it could later be used as saying they received an injury while staying at the hospital. Many people coming in are depressed but are without a typical sense of reality and just need a safe place to be temporarily but some people coming in are having full psychotic episodes where they’re not in the same reality and information is misconstrued, they’re experiencing paranoia and making statements that people are hurting them, etc. I know that the process of everything must be really difficult especially when you’re there because you’re already going through something difficult but it’s kind of the only way to ensure everyone is safe. Unfortunately, staff can’t go strictly off what someone says or does to determine what intake process they have since there’s a large amount of people coming in who say one thing but you quickly find out a very different thing is going on with them. Hope all the best for you! I don’t work directly in our inpatient hospital but adjacent/work on processing their assessments for the state so still somewhat familiar and I worked in a residential setting with minors previously. If you hear someone in social work state that “anything can become a weapon,” they’re not kidding. I’ve had so many innocuous things become weapons in my time.
I guess I get what you mean but it was still humiliating to strip naked for strangers and open up if you get my meaning. I still feel humiliated by it.
Okay, sure. But the alternative would be “someone gets stabbed”
I’d rather be stabbed since I have a death wish
…you realize that means you in particular actually NEEDED to get searched, right? I was about to say “oh you got caught up in the rules that keep other people from killing themselves” but no, you personally actually are why those rules exist then.
I don’t want to hurt anyone else, just myself. I can’t help it at this point so I don’t think mistreating me is going to solve it

If you want to hurt yourself, it’s their duty to make it as difficult as possible for you to do a very thorough job of it. Unfortunately, it’s a long line of patients before you, who came up with very creative ways to bring in weapons, that made the staff put you through that humiliating experience. They have seen too many deaths, and suffered injuries themselves.

And remember, if someone jumps a woman on the street and beats the shit out of her or cuts her open, she hopefully gets some kind of support. But if she’s a nurse on the job, her supervisor will react with “what was your failure that caused this to happen?” They can’t really control what goes on in their patients’ heads, so they control the things they can.

I thought I had bodily autonomy? I can get an abortion if I want, not sure why I can’t blow my brains out if I want to under the same principle. Seems a weird reason to incarcerate someone.

And again, I never hurt anyone there or anywhere, I’m not a violent person. Isn’t that what matters, only if you want to hurt others?

If you want to blow your brains out, it’s unfair of you to do it where it will hurt the careers and reputations of others, and traumatize them with the knowledge they failed to help you survive. Not to mention cleaning up the mess you leave behind.

Also, the violent people who do want to harm others are often very good at lying and pretending to be like you. I believe you, but the staff can’t afford to take your word for it. Even if an individual believes you, they would be penalized for not following the protocols, which were written in the blood of those who believed the wrong person.

By the way, I’m glad you live in a place where you can get an abortion. That’s not a given anymore. And I’m sorry you feel so cruel towards yourself. I hope you can become able to be kinder to yourself.

I won’t actually blow my brains out, I plan to go to Oregon or Washington and ask a doctor to euthanize me. Clean, effective, painless. Satisfies everyone. Anyway, I still don’t think it justifies humiliating me, and I don’t just mean the strip search. I got restrained a number of times and dragged into isolation for not following the rules and for an escape attempt.
So you don't think you should be held accountable for the rules of the place you're in and for trying to escape?
No, I was there involuntarily

I thought I had bodily autonomy?

When you are committed, you lose a lot of your rights, and I’d assume this would go as well. (Not passing a moral judgement here)

Shouldnt be that way
No, it’s about self harm and suicide as well. Being suicidal is a symptom of depression, not a free choice. In most (all?) countries psychiatric wards are oblieged to protect you from suicide.

It's not just you that they're worried could get stabbed, it could be anyone.

I took some psych courses in University and one of my profs was full of anecdotes about patients he'd cared for, there were people who were perfectly nice and calm and then in a split second something would go unpredictably wrong and they'd be savagely attacking whoever they could get their hands on.

And then a moment later they'd be beside themselves with dismay over having "lost it", apologizing sincerely and profusely. He said it was really hard keeping on your toes in there. He permanently lost his hearing in one ear when one of his patients slapped him out of the blue one time, to both of their surprise. If anything remotely like a weapon was easily accessible it could go very badly.

I'm sorry your experience was unpleasant, and of course I can't remotely speak to it myself - it was your experience, not mine. But it could be that the stuff that was done was for everyone's protection.

Thanks but they had no reason to think I’m going to hurt others
I think you may have missed a significant chunk of what I wrote. The prof told me that they couldn't know who was going to try to hurt others. Often the patients themselves didn't know whether they were going to hurt others.
I’m not a nutcase so there’s no threat of that.
You may not be a nutcase, but you’re definitely lacking understanding for others. How is anyone supposed to know you’re not a nutcase? Only you are able to know that. It’s simply impossible for anyone else except if they knew you for many years.
Uh…Im sure the default assumption isnt that youre crazy
You may be sure, but then you would be wrong.
You assume everyones a fruitcake?
Only when you’re in the process of being admitted to a mental hospital.
I guess no ones been wrongly committed
They have, but the exact same reason applies. How does anyone know someone is wrongly committed, except for the person themselves? It’s hard and not possible without a decent time investment. Before that time is invested though, safety procedures have to be followed.
Well they won’t be so safe if I ever go back
This reply shows that you’re unfortunately partly why they do these things.
Condescending
I’m not, or I try to not be, I promise. But you’ve just threatened to hurt the staff of these facilities. I know that unfortunately you can’t or don’t want to understand. But you’ve now got feelings of vengeance that don’t seem to be entirely justified from an outsider’s perspective. From your own perspective, they are completely justified. This discrepancy is causing the issues.

And how do people know that? How do they know you're not pretending to be a nutcase?

Do you understand that people can pretend to be kind, normal, etc as a way to sneak things in?

I'm sorry you had to go through these things, but you seem to lack some serious awareness of others.

I havent done anything crazy