Chapter Ten Of The Cover Up, A Novel

Rick went back to his office and phoned the executive supervisor, Lisa Harrison.”
“Hi Lisa. Sorry to bother you at home but I have some terrible news. One of residents, Brett Harkness passed away during the night shift.” Rick then went on to tell Lisa as much information as he knew. He also asked her for two
extra staff for today. He asked for one extra RCW for the day shift and one for the evening shift.”
“Well, okay for today only, Rick. You know that we’re over budget for this month already,” Lisa answered letting out an exacerbated sigh.
Rick finished the phone call by telling the executive director that he would call her with updates as the weekend unfolded.
The House of Hope psychiatric wing was kind of a dinosaur in the mental health industry. It was a large facility that housed twenty-two men at capacity. All of the persons admitted to the program had to be referred by a psychiatrist or other mental health professional. The House of Hope gave preference to clients who had a history of being hard to house and hard to manage. They usually had a number of places in the community that they had been evicted from for a variety of reasons. The clients mostly suffered from severe and persistent psychiatric disorders. The majority of the residents of The House of Hope psychiatric wing were men with schizophrenia. There were also some who presented with bipolar disorder, schizo-affective disorder, severe anxiety disorders and rarely with treatment resistant depression.
Schizophrenia is a severe and persistent psychiatric disorder that is characterized by hallucinations, usually auditory but sometimes affects the other senses also. People with schizophrenia often present with delusions or fixed false beliefs as well. These could be delusions of grandeur or most often delusions of persecution. These are what are known as the positive symptoms of schizophrenia. The word positive, does not imply something good in this case, it means something added on that was not there before the disease started to manifest. Most medications used in the treatment of schizophrenia worked more effectively on the positive symptoms of the illness.
Schizophrenia is also characterized by negative symptoms. Theses include things like blunted affect, poverty of speech, social isolation, extreme fatigue and lack of motivation. The counselors and residential care workers at The House of Hope faced constant challenges in performing the daily duties of their jobs. The House of Hope was considered to be a dinosaur as the “best practice” had changed in the view of the mental health experts. The new paradigm was to get as many consumers of psychiatric medicine as
possible living independently and successfully in the community. 2012-07-20 16-56-00.438


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