February 19, 2008

Former Group Home Resident Explains Group Homes

I asked readers the other day to submit contributions of whatever kind so that I could post them today while I busied myself with some outside writing. This one is by Jane Alexander, who authors the fabulous Bipolar Recovery website and is becoming well-known for her YouTube videos, lashes out at group homes she was put in as a teenager. Group homes are a topic of interest because Steven Kazmierczak and Robert Hawkins, the Omaha mall shooter, both spent time in similar facilities. BTW, like me, Alexander is a longtime bipolar who's made the transition to life without meds.

About psychiatric juvenile group homes--these are not country clubs or summer camp. If you can imagine an orphanage combined with high school level dorm setting, combined with a flavor of psychiatric hospital and a dash of juvi detention you get a juvi psych group home.

I spent four years in them [here are links to the two homes she was in]. The State run jobs are the worst, barely a notch above juvi hall/psych prison. The private ones can actually afford to hire a few humans amidst the keepers. The food is better, the cook cares just a fraction more and you can taste the difference. Nevertheless group homes are a nightmare.

They exist in an artificial structure that kids are made to conform to or else. Threats and coercion are the norm. It was horrible living in them. You do not get ‘care’ you get ‘treatment’. Which nearly always means drugs, structured living programs and therapy. That’s it. Everything is in terms of compliance or noncompliance. Acting out always ends up in restraint. I went into those places with extreme PTSD at 14 and I stayed at red alert in these places until I was 18. You can not relax. You are not safe.

There is no trusting the staff and opening up to anyone. You have no privacy, few rights and no say over anything. When you confine a population like that of 40 girls and boys, every single day is insanity hour all day long. It turns out when you force teens with severe mental and emotional problems to cohabitate in a structure of unreality unlike anything they grew up, they get stressed!

In these places it is not unusual for kids to attack each other and the staff. The staff attack back. They call it restraint but it is assault and battery. If you grew up with child abuse only to have staff pin you down to the hard floor, all your triggers go off. They add injury to the injustice. Your roommates are cutters, ODD/ADD, teen addicts, criminals. Some would never hurt anyone but themselves. Others physically assault you because of a perceived bad "look" in the blink of an eye. There is no escape from the other kids or the staff.

When you get sick of it and run away, you get recaptured and punished for it. You are put in isolation for days. One kid brings a miniscule amount of contraband, like a single cigarette, and the entire facility is locked down while the staff ransack everyone’s stuff. Even in the middle of the night you are woken up because someone is getting restrained again or it’s time for another random room search.

You see kids twitching, going into seizures in their chairs or slurred speech in groups because of their psych meds. Sexual assault, especially male on male, is rampant. Then there is staff favoritism which can make or break your entire stay there. Or at least a particular shift. It is simply and truly awful.

You don’t get training on how to be an adult. You are not taught anything. The on-site schools are sub par and lean to those with learning problems and low IQ rather than those with higher IQ. It is like an abusive dysfunctional drama family times 100 and, worse, they are all strangers.

To this day, I can vividly remember the things I saw being done to people and the things done to me while I was there. It took me years to get over the nightmares playing in my head from 4 years of psych group homes. Not to mention the rage, the anxiety and triggers. I was a mess when I got out of them at age 18.

Robert Hawkins (Omaha mall shooter last fall) was in group homes too. They said "everything had been done to treat this kid while he was services." These group home admins are full of shit. You do not get help at these places. All you can do is survive them with your personality intact. Many do not.

As chance would have it. I met two former group home "alumni" years later. One girl, as soon as she turned 18, got pregnant and on welfare. She had many problems when she was a resident. One boy was a homeless bum. He was addicted to heroin and sold meth and pot to pay for his habit. He was wanted in half a dozen states and had abscesses from shooting up with low quality drugs all over his body.

I can assure you people, that both this Steven kid and Robert were not being "cared for" in these facilities. Such nonsense.

Posted by Philip Dawdy at February 19, 2008 12:01 AM
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Comments

I have always wondered what these facilities were like and now I have a first hand account.

It is all very sad.

I know about a residential treatment center in Texas that was a rehab for brain-injured patients. Most of these patients had been injured in an accident of some kind. It was owned and operated by a psychiatrist.

The State of Texas closed it down about 10 years ago because the people who worked there were beating up patients who were in wheel chairs. Reprehensible is too mild a word! The psychiatrist who owned the center did not want to pay decent wages for his help so he was hiring unqualified people. For a number of months there was not even a registered nurse in the facility. When greed overtakes compassion, it is very sad. However, fortunately, this place was closed by the state.

As for the Omaha shooter, Robert Hawkins, what chance did he have when he was on Zoloft & Ritalin at age FIVE.

Thank you for posting this story.

Posted by: Rosie at February 19, 2008 08:07 PM

This is a relevant question to ask of any of these rampager's histories - which came first, the ill or the pill? Someone else pointed out the telling circumstance that the NIU shooter was not a cutter or committed to a group home until *after* he was put on drugs - so those circumstances should not be held up as evidence of underlying mental illness, as they may only be consequences of drug mis-management.

Posted by: Susan at February 20, 2008 04:39 AM

Thanks for this excellent description. It sounds like most of the nuthouses I was incarcerated in for the crime of being undiagnosed hypothyroid with PTSD. The really CHILLING difference is that I only spent 3 months at a a crack in those places, was an adult when I entered voluntarily (if misguidedly)--and was still nearly destroyed by them.

One of the most pernicious effects of "treatment", especially inpatient "treatment" is the constant questioning of everything you say, think or do. You are deemed defective in every possible way from the word Go. It is one of most soul destroying, hopelessness inducing experiences on earth. Toss in four-point restraints and chemical straightjacketing and you have a recipe for chronic despair.

By the way, there is absolutely NO excuse for tie-down restraints whatsoever. I was in a facility that didn't believe in them. One of the first things they did during my initial tour was to invite me into the seclusion room. "Here, touch the walls." Other places reserved it like a big stick they held behind their institutional back.

This place (which was by no means perfect) also had a rather lengthy protocol they used for restraining patients who got out of control. We reviewed it *daily* so we were all on the same page. They only had to use it once in the three months I was there. It involved a graduated series of staff involvement, during which time the other patients were apprised of what was going on and the patient in question was given many chances to calm him/herself--not bogus chances, either.

The one time someone did end up in restraints a body bag was used and the person was not left alone for a minute. We were all told how she was doing, allowed to send messages of encouragement to her. They had found a body bag was more like swaddling and less traumatic to people, certainly far better than being spread out and tied down.

I know a woman who died alone of a heart attack in a local psych ward after four days in four-point restraints. When I contacted the consumer affairs office (run by people with mental health histories/issues) in hopes of rousing some rabble around this egregious death, all my "peers" could talk about was how hard they'd worked to change state law that people in restraints could be left alone for "only" two hours! They kept telling me how "lucky" we are. Tell that to my dead friend.

I have dogs. I do not leave my dogs tied in my yard unattended. Ever. Why? Because it is dangerous! I literally wouldn't treat a dog the way this woman was treated. A system that has to tie someone down for four days is a broken system. The fact she died makes it all the more heart wrenching. Knowing it still goes on totally sucks, too.

I'm really glad you posted this description of the "care" we're giving to our young people.

We live in an odd society in which we overindulge and overschedule so many of our children--and totally ignore the needs of so many others. Sometimes the two groups are one and the same.

Sherry (apologizing for the length of this comment)

Posted by: Sherry at February 26, 2008 10:54 AM
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