>> My child is in a well-reputed Community-Based Acute Treatment house right now. <<
Good luck with that.
>> The adults surrounding her are rather like a more-educated (on emotional needs) Dr. Bloch. It's helping her a lot. <<
That's good to hear.
Nobody's good at everything. Dr. Bloch's training is for body care, not mind care. But you can't really separate the two, and T-America understands that a lot better than L-America does. So he's willing to shore up his skills as needed. What he has so far is things like trauma-informed care, and he's pretty good at that inside the infirmary. Step outside, and he goofs more often because his TIC training was contextual rather than global like Dr. G's was.
>> One thing that keeps the adults stable is that (a) they are all pretty young and (b) they work shifts of a length appropriate to their own mental health needs. <<
T-America is much better at work-life balance too. They don't work doctors on 12-hour shifts or worse. They want fresh people doing the important work. That means standard medical care typically runs 8-hour shifts. Some things run longer -- you don't want to switch surgeons in the middle of an operation -- but people get bigger breaks between those longer shifts. Intense work is cut down to shorter shifts. Emergency rooms often have 4-hour ones. A bad disaster, like picking bodies out of rubble, will rotate crews after 2 hours if possible, because it lowers the risk of burnout or PTSD. It's not much easier to pry people away from the scene, but at least they know to do that.
I'm happy to see anywhere here coming close to that. Thanks for sharing.
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dancing_serpent
Thoughts
Date: 2016-08-19 10:49 am (UTC)Good luck with that.
>> The adults surrounding her are rather like a more-educated (on emotional needs) Dr. Bloch. It's helping her a lot. <<
That's good to hear.
Nobody's good at everything. Dr. Bloch's training is for body care, not mind care. But you can't really separate the two, and T-America understands that a lot better than L-America does. So he's willing to shore up his skills as needed. What he has so far is things like trauma-informed care, and he's pretty good at that inside the infirmary. Step outside, and he goofs more often because his TIC training was contextual rather than global like Dr. G's was.
>> One thing that keeps the adults stable is that (a) they are all pretty young and (b) they work shifts of a length appropriate to their own mental health needs. <<
T-America is much better at work-life balance too. They don't work doctors on 12-hour shifts or worse. They want fresh people doing the important work. That means standard medical care typically runs 8-hour shifts. Some things run longer -- you don't want to switch surgeons in the middle of an operation -- but people get bigger breaks between those longer shifts. Intense work is cut down to shorter shifts. Emergency rooms often have 4-hour ones. A bad disaster, like picking bodies out of rubble, will rotate crews after 2 hours if possible, because it lowers the risk of burnout or PTSD. It's not much easier to pry people away from the scene, but at least they know to do that.
I'm happy to see anywhere here coming close to that. Thanks for sharing.