The snakepit is doing its job

Our officials do nothing while a flood of ink spills about the known atrocities taking place in Texas MHMR residential facilities. From my initial link three weeks ago on 800 disciplinary actions taken against Texas state schools, to the latest coverage of “choke holds, headlocks, torture, rape and death” in psych hospitals, perhaps our governor would like to revise his blithe summation that “the state is doing its job.” Meanwhile, accounts from the reality-based community beg to differ:

United Press International: Abuse Common in Texas Mental Hospitals.

Psych Central: Texas Mental Hospitals: A Haven for Abuse.

Furious Seasons: Article Exposes Injuries, Death at Texas Psych Hospital.

New York Times: Firings at Mental Hospitals Over Abuse.

Reason: One Flew Over the Lone Star State.

Rad Geek (must read): Texas Psychoprisons.

The Trouble With Spikol: Happy happy joy joy…uh…maybe not.

Houston Press: Mental Anguish at Texas West Oaks Hospital.

Reeves Law Blog: TX Psychiatric Patients Suffer Abuse, Neglect.

Hymes: Acceptance and Expectation of Abuse and Neglect in State Hospitals Are a Large Part of the Problem.

Texas Observer: Systemic Neglect.

Dallas News: Reports Show Systemic Abuse at Texas’ Psychiatric Hospitals.

Systemic is the operative word, systemic tells us the apple is rotten to the core, overall, built in, affecting an entire system, making it untenable in its totality. Documented systemic abuse, requiring swift and decisive action and impossible to ignore. You would think so. Who among us could ignore these published findings but the paid parasites who earn their professional cred by providing oversight of the system in question? The entities that are charged with getting hysterical over these facts will of course ignore them, and because that’s not surprising makes it no less unbearable. If you have any doubt that’s just what they’re doing, scour a few websites, and wait for the blackout:

Department of Aging and Disability Services.

Texas Department of State Health Services.

Governor’s Task Force on Mental Health Transformation. (pdf of May 6th agenda).

Texas Health and Human Services: May 12th “Stakeholder” hearing agenda.

Every front-page News brief at all 40 Community Psychiatric Centers, example: Austin-Travis County Mental Health Mental Retardation Center.

Blackout, zip, zero, nada, not a word of acknowledgment from the mental health overlords charged with public accountability. Pretend it’s not happening, maybe the public won’t notice. 135 news articles. What’s that if not delusional? A complete break with consensual reality, there is a place to put people like that.

Good Touch/Bad Touch

Friday I learned something serious in a CPS hearing about the leading CSA (child sexual abuse) prevention program known as Good Touch/Bad Touch. I was grateful when this program came out 25 years ago, thought it would have helped me if it was around when I was growing up, I’ve used the teaching tools myself with kids, in accordance with the general rule: you think you’re helping but you’re making things worse. You’d think we’d take the law of unintended consequences seriously, review and revise these trendy pet programs to make sure they’re not doing more harm than good. But this was news to me, makes intuitive sense, and I hope our legislators were listening to the witness who described GOOD TOUCH/BAD TOUCH as

one model that is valuable for teaching children that sexual abuse is terrible, but exposure to GT/BT creates shame in victims who are being sexually abused, which compounds their isolation and despair. The example of GOOD TOUCH/BAD TOUCH is but one indication of the need for support and follow-through to effectively intervene with victimized children who are exposed to it and similar educational programs.

Imagine the cruelty; a room of 20 kids being taught they can say NO! IT’S MY BODY, HANDS OFF! when we know five of those kids are going to go home and get raped in the mouth by their caregiver. That’s what the one-in-four statistic means. Is it stupidity or denial? More review please, less self-congratulatory and feel-good window dressing. What we need are CSA projects that don’t depend on the child to self-protect.

Welp, it’s that time again

I just worked 17 hours, am revving up, seeing double, voter suppression is back on the agenda, fireworks under the oink dome all day. I’m going to spend the weekend researching the researchers, but will post a music video in the meantime to bless your eyes.

Anyone who’s a political junkie would have loved this display; heroism, giggles and the hair-raising wingnut gall smacked down by truth machine Rafael Anchia time and again, 10 hours, a shot from both sides, and it’s only the beginning. Did you know that a near-death Senator Gallegos laid here for a week last year to keep this from passing? On the senate floor! Good night sleep tight, y’all come back now, but first, a chunka my 5,000 word summary of the best free entertainment in Texas:

House Committee on Elections:

Justin Levitt of the Brennan Center for Justice at the NYU School of Law said eligible American voters are hurt by voter ID and proof of citizenship laws, and that he doesn’t want Texas legislators to be “sold a lot of snake oil” by proponents of voter ID. He told the Committee to look hard at the problem — make sure it is real, tailor the solution to make certain it corrects the problem, and make certain it does not make the problem worse.

Chair Berman asked what the witness thought about Texas implementing voter ID.

“It’s an awful idea, Mr. Chair, research shows that the poor, elderly, and minorities are overwhelmingly shut out, not because they are not citizens, but because they simply don’t have the papers.” Levitt said Americans do not need ID to get on a plane, rent a car or video, they are asked for it yes, but commercial enterprise understands that not all Americans have photo ID. He said that airports deal with citizens who lack identification by subjecting them to extra procedures and more intrusive security measures. Representative Anchia asked where the witness would put the right to rent a video and board a plane in the hierarchy of rights, are they constitutional rights? No, said Levitt, voting comes before all others and is so important we need to make sure people have no barriers to exercising that right. The Chair noted that the State was prepared to give the poor free photo ID last session, Levitt replied that a person has to possess ID in order to obtain a photo ID, that his organization has facts on the number and sorts of people who can’t get ID, and repeated that the size of the voter fraud problem is extremely small, “there are far more UFO sightings every year than reports of the sorts of fraud that photo ID can fix.” He conceded the point that voter ID may increase the confidence in the system of those who have it, but claimed it would not increase the confidence of those eligible American citizens who have been shut out of the system.

Dr. R.P Moore, Elections and Voting Researcher with the Research Triangle Institute in North Carolina stated that it is difficult to get a handle on the facts since social scientists are dealing with a conflicting body of literature, most of it ideologically-loaded by advocate groups, and most of it frankly not rigorous, but trends are beginning to emerge. He said there is growing evidence that there is a population of Americans that don’t have a photo ID. We do know they are disproportionately poor, women, minorities, and likely to vote Democratic, he said. In Texas 150,000 registered voters lack photo ID, not including eligible voters without identification who would be impacted by photo ID requirements. Representative Burnam announced it would cost the State $25 per birth certificate for 150,000 citizens to solve a problem that does not exist.

Dr. David Muehlhausen, Policy Analyst at the Heritage Foundation said the rational conservative position is that this is something the states should decide. He claimed that studies linking lower voter turnout to voter ID laws are flawed, that there is no evidence of voter suppression in states that have voter ID; in fact, he said, turnout has increased by 2%, which shows voter ID enhances public confidence in the electoral process.

Representative Burnam asked what the Heritage position would be in terms of funding voter ID, would they advocate the cost fall on the state or the individual? Muehlhausen replied that it would in his opinion not be a bad thing for the state to pay the costs. Representative Anchia asked if the Heritage Foundation would oppose biographical data and fingerprints on the card, the witness replied that it is a contentious issue within the Heritage organization, but the official position is that Heritage supports voter ID.

Anchia asked the witness why a conservative organization would throw its resources into the voter ID issue. Muehlhausen said voter ID has no impact on turnout, and the Heritage Foundation thinks lawmakers need to know that. Anchia said just because white turnout goes up 2% doesn’t mean that minority voters aren’t disenfranchised by 40%. Muehlhausen testified that he controlled for race and ethnicity factors and according to his data set the implementation of voter ID shows no effect on minorities in one state in 2 election cycles. He agreed with Anchia that more research is needed, and that it will continue to accumulate.

Dr. Gerald Hebert, Campaign Legal Center, Washington, DC …launched a full-throated diatribe naming the GOP as the elephant in the room, suggesting voter ID will shake out on partisan lines. He said that fraud does exist, but every nationwide reputable study shows the incidents are overblown, citing less than a hundred prosecutions per election cycle. The witness gave a profile of 13 Texans prosecuted in 1996. He said attorney general Greg Abbott prosecuted 10 people for mailing the ballots of housebound senior citizens, all of which were African Americans and all voted Democratic. He alleged thuggery and harassment by the Attorney General’s investigative agents, and the misuse of tax monies to subvert the minority vote. Voter intimidation tactics, vote caging and suppression exists in Texas, said Hebert, and is being perpetrated by Greg Abbott , and that office is where the legislative fix begins. The Chair asked for clarification — was the witness accusing the Attorney General of enabling voter fraud in Highland Park? The witness affirmed the inquiry, and Chair said he will forward the witness testimony to the AG office and solicit Abbott’s response.

Tina Benkiser, Chair of the Republican Party of Texas, said there are few prosecutions of voter fraud, because it is very difficult to detect. She described voter ID as a tool of fairness, integrity, common sense and voter confidence, and she recommended that voter fraud be prosecuted as a felony offense. Representative Anchia cross-examined this witness at length, arguing that the measures she advocates would increase rather than decrease opportunity for fraud. He denied the Conservative Coalition claim that 3700 illegals were dropped during 2004-2007, and said his own study which came in today via the open records act shows the number closer to 23 illegal residents. Chair Berman accused Anchia of making inflammatory statements and harassing the witness. Representative Farias said he would like to ask a question and the Chair refused to recognize him, stating he was not a member of this Committee and when recognized earlier in the day had argued with the Chair. Representative Burnam read from Republican Party email alerts he claimed deliberately misled the public about voter fraud in Texas, the Chair instructed Benkiser not to respond to the allegation, saying she was not on trial. Burnam pressed on, the Chair banged the gavel, and Benkiser said she would meet with the representative privately to respond to his accusation. Representative Burnam concluded that Benkiser is personally responsible for inflaming the public for nefarious purposes and deliberately undermining the public’s confidence in the electoral process. With voice shaking, the witness responded that she is in this battle to make certain the citizenry is informed so that no representative under the dome can feed the public its opinions.

In closing, Chair graciously apologized for earlier displays of temper, and said he set the schedule for this day because he knew it would bring out animosities that need to be aired if both sides are to reach a compromise. He invited Rafael Anchia to head a subcommittee to find solutions for mail-in ballot fraud, which the Representative accepted with relish. Given no further testimony, the meeting adjourned at some godawful hour.

What I spurned on my summer vacation

For the last few years I’ve been holding off on buying Nick Cave’s double-CD Abattoir Blues/The Lyre of Orpheus until I do something sufficiently awful that I don’t have to but probably should if I’m to get along with my better self. I’ve met my share of challenges since the CD came out, and each time decided I hadn’t endured enough hardship to justify the purchase.

Just like doing something, holding back on doing something creates its own unique set of memories. I remember the night I felt like offing myself but realized I hadn’t heard the CD yet, and the day I quit posting at the lovely Nick Cave and the Bad Seeds message board because I couldn’t keep from reading the threads praising its wonders. Welp, it’s playing right now and Oh Momma, the opening track itself was worth the wait.

Friday I attended a mental health strategic planning session where no one knew I was among the same fucks who declined my participation on the state citizens planning committee last month, but that was the extent of my secret shits and giggles since they took all of 90 minutes to set policy back fifty years.

Proposals: Fingerprint consumers who participate in Assertive Community Treatment. Take the word “stigma” out of the mission statement. Scrap all pretense of a Biopsychosocial framework.

Texas DSHS calls for a transition to the medical model within services. Bio. Move everything but ACT from Behavioral Health to Medical Services. Bio. Place Crisis Service directly under the Medical Director. Bio. Goddamn the next person who uses the word biopsychosocial with a straight face, they are either lying or sick with the kool-aid. Biopsychosocial is a propaganda term used to appease people who advocate the trauma model of mental illness and recovery. Don’t look for these people, evidently there are no advocates anymore, only “advocates”. Seeing the Chairman use finger scare quotes while invoking the term “advocates” was chilling.

So, the redesign boils down to erasure of stigma, advocacy, trauma, and all is biology. From then on all I could think was this is only discourse, they’re framing their discourse, I have to learn about how to frame mine, and discourse is free and getting to the Lyre of Orpheus.

Our consumer run drop in center is called the SHAC for Self-Help and Advocacy Center. They took our consumer run drop in SHAC away from the clueful Austin Mental Health Consumers Org. and hired the former director of NAMI to take over running the place. Thursday the Board will visit the SHAC to discuss this redesign plan with psychiatric service users. I get to talk at this one and believe me I will.

Choosey moms choose pepper spray

At the Capitol Wednesday lawmakers held a meeting with the officials of the Texas Youth Commission, to hear how they’re coming with the sweeping reforms outlined in last session. I’m in such a pissy funk it’s taking 2 days and hard liquor to absorb the testimony.

The only M.D. who spoke said what they need to do is take behavioral control of the population, and that he would diagnose “100 percent of the inmates with Oppositional Defiant Disorder.” He then praised the cutting edge research of Harvard’s bi-polar child mafia, citing Biederman by name, as mark of credibility. There was no criticism or suggestion of internal controversy, and there won’t be, ever. A specialized medical practice is by definition out of reach from general discourse, the specialist alone speaks in the legitimizing language and name of psychiatry. Speaks to a gullible and appreciative audience that bows like sheep to terminology they don’t understand because they don’t understand it, yes and it’s settled, let the experts handle it.

But the big news is this: TYC is moving the use of pepper spray from the fourth to third step in what’s called the de-escalation process when dealing with belligerent kids. The rationale given — do you see this coming? Dear Christ on a muffin top. See, it’s all about choices. We expand the use of pepper spray on 10 year olds in order to reduce the number of broken bones that occur when said 10 year olds are subjected to physical restraints. Blinding children for a couple minutes is seen as a better option to cracking open their skulls, of course it will be frequent, casual and tempting, much easier to objectify a child (“inferior” “criminal” “oppositional defiant disordered”) you’re trying to control by pointing and spraying a can of toxic chemicals in their face, as opposed to the messy engagement of mind and emotion that comes with the heave and sweat of one body physically taking down another. But this new policy will result in fewer worker compensation claims for the state to pay, and what’s not to love about that?

In Texas this is how we do human rights reform. The people who might arguably be talking against this practice are not. Who are those people anymore? I’m trying to follow their reasoning. The sad thing is I think I get it. Please. If I ever speak about becoming an advocate again do the world a favor and blow my reformist brains out.

Process entails stages we can see ourselves in

Wait, work with me here. From A Fragile Revolution, a book about our little niche liberation movement:

Lord and Hutchison (1993) found that the process of empowerment usually begins with individuals getting angry or, more properly stated, becoming aware of their anger. In the context of their new awareness, they also have to have the opportunity to try out new behaviours and, paradoxically, the freedom to fail. Further, it is critical that they are supported by the external material resources that constitute the most basic of human needs, secure housing and an income, so that they can have at least some measure of control over their public, as well as private, selves. Finally, Lord & Hutchison insist that no one can become empowered on their own. They must have the company of their peers, who like themselves are struggling, improving, regressing and triumphing. They also need access to welcoming community environments such as self-help groups, social action organizations, churches, schools, employment, friends and family.

Watts and Abdul-Adil…suggest that there can be an intimate connection between personal empowerment and politicization—the process of acquiring political awareness leading to social action. They postulate five stages:

Acritical (“individuals accept the legitimizing myths of personal blame and natural causes”);

Adaptive (“people try to adapt and benefit from whatever the system can offer”);

Pre-critical (“acknowledgement of power differentials but the social structure is perceived as immutable”);

Critical (”realization of the sources of oppression, accompanied by the impulse to work towards social change”);

And, finally, Liberation (“involvement in political action to eradicate personal and social injustice”) (p. 139).

We can interact on this, if you’ve a mind to share. Pick a stage — past, present or speculative and riff on it.

I go back and forth with it, but I know for sure am done with the first two. Following the legislature has been my awakening. I have no major personal beef with my own mental health treatment, and was oblivious to pressing problems in modern practice until October 2004, at the very first committee hearing I covered, Health and Human Services. They were looking at state foster children and psychotropic polypharmacy, the meeting lasted all day with what seemed like a hundred witnesses. From that day forward psychiatrizing foster kids became a Texas scandal, now resulting in statutory change, so I can say for a fact the disastrous circumstances I heard about in 2004 are moving forward toward inklings of improvement, thanks to activism and a responsive legislature.

I have real square tendencies. I want nothing more than to stay at this stage of development, let the patriarchs handle it, eventual self-correction is bound to happen when we pursue orderly reform within the institutions of power. But I can’t hang onto that, and believe I moved to the fourth, Critical stage last Fall during a hearing on Child Protective Services, again to an overflow room made up of parents, MHPs and social workers, everyone at odds with the system and each other.

On that day I learned Child Protection has capitulated to the medical model, and is little more than a handmaiden to Big Pharma. CPS now removes from intact and functional families rambunctious kids whose parents refuse to put them on Ritalin while ignoring child-destructive environments and insisting on interventions that put the child-victim squarely into the punitive behavioral health system. Tearful ex-social workers testified that they are drugging abused kids, and doing nothing to disrupt the violent homelife, much less identify and address the trauma that the children are enduring at the hands of their untreated parents.

It boggles the mind, what should be the child’s advocates are actually collaborators with their abuse. If I didn’t hear about this happening I could cling to hope for reform within the system, but it’s not changing anywhere for kids, as far as I can tell.

I don’t want to turn into someone who talks too often about where I am in my process, it’s just another way to pass the time. So who’s next, anyone out there Liberated yet? I used to think Liberation was all about staying drunk, so very transgressive, don’tchaknow.

your tax dollars at work

I spent the day at the quarterly council meeting of our Department of State Health Services (D.S.H.S.) and am in total wonk mode right now. (W.O.N.K.) Mental illness was the big topic on the agenda and there was good news and bad news and a lot of news I don’t begin to understand.

I’ve been covering health and human services meetings for 3 years now on the job, where I don’t testify or bomb the building, and afterwards used to walk around filled with angst and asking myself if I actually heard what I thought I heard, and who can I find to bounce this stuff around with, who really cares about mental health policy? I guess we’ll find out! I know policy is like reading vanilla and I won’t make it a regular habit, but it’s worth hollering about how the world really works, seeing it play out changes puzzled people for the better, how what goes on in officious settings is connected to things you do everyday, and all you’re not allowed to do.

I plan to do a few critical posts on the SAMHSA Mental Health Transformation rollout, and keep track of it going forward. My state is one of nine total that got the five year Transformation grant, and these 9 states are supposedly laboratories where soul satisfying system reform is now going on, and will be models of best practices for the rest of the country.

The 2007 invitation only Transformation Symposium will be held in Austin, where a panel of SAMHSA overlords will advise Texas agencies. Day three’s agenda includes Kathryn Power who will speak about “the role of consumers in Texas mental health transformation.” Consumers have a role? What luck for consumers! Does it include puking my guts out?

I also have to mention the Substance Abuse Prevention and Treatment Block Grant, to be used in compliance with SAMHSA’s federal priorities, which are paternalistic enough, but Texas goes one better by instructing the state director to prioritize smoking cessation programs for the S&P mentally ill. Are they unaware of recent Yale studies showing smoking cigarettes helps untangle schizophrenic thought processes? No one mentioned it, my tongue bled waiting for someone to call out the astounding entitlement of hypocrites who assuage their own needs while claiming it’s an altruistic act that we’re just too mindless to take on our own behalf.

And finally, I heard truly ominous language today, “peer to peer education and counseling certification,” not one expert used the term survivor or ex-patient, but they have a new word with reference to “inclusion of the consumerfamily voice. ” Yes, that’s one word, the consumerfamily voice. More on that twisted formulation after some research (did I actually hear what I think I heard, all day?), I wanna see that in print, meanwhile, some good news, it’s time for that:

Residents of the scandal-rocked Texas Youth Commission (TYC) received referrals through an ad hoc counseling program at the request of the Governor’s office. DSHS set up a 24 hour help-line to provide assessment and brief trauma-focused counseling services to youth who experienced physical, sexual and emotional abuse while residing in a TYC facility.

With training from DSHS, TYC staff conducted debriefing meetings at each of their facilities and sent letters to youth currently on parole, to educate them about the common effects of post-traumatic stress and the counseling resources available to them. The help-line received 520 calls. Youth who self-referred were authorized for five sessions with a licensed mental health provider. DSHS contracted with 37 local mental health authorities to provide psychological services at all TYC facilities and in communities where youth on parole reside. Psychotherapists will continue to provide counseling through the summer.

And, one more — the Texas School Health Advisory Committee (TSHAC), was created in 2005 by the legislature to educate school kids on clean living, no fun and healthy exercise. Just another braindead catholic agency that has no reason to exist, to wit: Their recommendations to the Council today:

Encourage state agencies to utilize the expertise of the TSHAC when promulgating or amending rules and regulations in areas impacting the health of students in schools.

Schedule an annual meeting with the DSHS Council to present goals, initiatives and strengths of the TSHAC.

Obtain support from the DSHS Council to research and apply for grants.

And then something wonderful happened: Council members

asked if it was possible for TSHAC to develop training for teachers in the proper recognition of aberrant child behavior as indicative of familial abuse and neglect. The request was well received by the TSHAC members who vowed to proceed with developing a mechanism of identifying signs and behaviors that correlate to a child experiencing maltreatment.

Baby steps, but a big deal here in Hell on earth.

Welp, the clerk will ring the bell

Oh Sine Die, motherfucker, the drama queen is not recognized.

The 80th Session is officially over, the politicians are leaving town, we can go back to doing the people’s work.

Poets are the unacknowledged legislators of the world.

Shelley, who saw through the bullshit 200 years ago.

Forgive me for saying it, but bless the apolitical, that clueless enlightened, politically disengaged majority, who, unlike me, have something to fill their time.