Chapter 11 Of The Cover Up, A Novel

This is no doubt a worthy goal but as Rick knew this was not going to be a feasible goal for many mental health consumers. Each client had to be assessed on an individual basis.
Adjusting to living in the community independently would be especially difficult for the older, long term residents. Many of them had lived in an institutional setting for twenty or more years. They had learned how to successfully live in hospitals or large residential treatment centers, but did not know how to live on their own. They could be called “institutionalized men”. These clients were used to having most of their life choices made by doctors, social workers or residential care staff. To make a difficult decision on their own was very frightening to many of the men.
The death of one of their peers would be especially traumatic for the clients. As many of the men had lived together for years, The House of Hope provided a built in family. Most of the men thought of their fellow residents and even the group home staff as their friends if not their family. Residents rarely died in this facility but a fatality was likely to occur every two to three years. When one of the residents passes away it leaves a big emotional hole and the dynamics of the group have been changed.


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