Planned DMH
changes rile mental health advocates By Kevin Rothstein Monday, April 11, 2005 -
Updated: 03:20 AM EST
Proposed mental health
regulations allowing psychiatric hospitals to control patients by
withholding privileges and imposing other negative consequences has
advocates worried.
``For
us it legitimizes a way for people to be treated I guess I would say in a
negative way, and really doesn't provide certain rights we think people
would need,'' said Christine Griffin, executive director of the Disability
Law Center.
The
proposed regulations floated by the Massachusetts Department of Mental
Health would allow psychiatric caregivers to impose negative consequences
after positive behavioral supports have been tried. Common negative
consequences are loss of smoking privileges or being kept from some
portions of a unit.
DMH
chief of staff Lester Blumberg said the agency wants to regulate what is
already happening without state guidance.
DMH
also wants to virtually eliminate the use of restraints and seclusion on
wards. Some worry hospitals will replace those drastic measures with
negative consequences.
``We've
seen repeated problems with the use of behavior plans in psychiatric
facilities,'' Jennifer Honig, attorney with the Mental Health Legal
Advisors Committee, said in an e-mail.
Andrea
Watson of Parents for Residential Reform said she was concerned with how
negative consequences would be imposed.
``Although
well intended, people working the front lines working with these
populations don't have masters degrees in psychiatry or psychology,'' she
said.
Blumberg
noted all the regulations are open for public comment and subject to
change, including concern over human rights.
``I
have heard that criticism and that's an area that we have to look very
carefully at,'' he said. |