Daily Archives: 25 March, 2010

Mental Health Care in Post-Quake Haiti

An excerpt from a New York Times article – click through for the whole piece.

Inside this city’s earthquake-cracked psychiatric hospital, a schizophrenic man lay naked on a concrete floor, caked in dust. Other patients, padlocked in tiny concrete cells, clutched the bars and howled for attention. Feces clotted the gutter outside a ward where urine pooled under metal cots without mattresses.

Walking through the dilapidated public hospital, Dr. Franklin Normil, the acting director, who has worked there for five months without pay, shook his head in despair.

“I want you to bear witness,” he told a reporter. “Clearly, mental health has never been a priority in this country. We have the desire and the ability, but they do not give us the means to be professional and humane.”

As disasters often do in poor countries, Haiti’s earthquake has exposed the extreme inadequacies of its mental health services just at the moment when they are most needed. Appalled by the Mars and Kline Psychiatric Center, the country’s only hospital for acute mental illness, foreign psychiatrists here have vowed to help the Haitian government create a mental health care system that is more than just an underfinanced institution in the capital city.

Recommended Reading for March 25, 2010

Some reasons to provide transcripts

Transcripts are often framed as an accessibility issue for people who are Deaf or hard of hearing. This is certainly the case; if you post a video or audio clip without a transcript or captions, people who are Deaf or hard of hearing will not be able to access it.

However, there are some other reasons to provide transcripts—reasons which I think should be pretty compelling even to people who don’t care about making their content accessible to Deaf and hard of hearing folks—if you want as many people as possible to be able to engage with your website and your content, you should be providing transcripts and image descriptions.

You don’t need captions and dismissal of needs

That aforementioned disadvantage of being unable to process sounds and dialogue kind of impairs my ability to watch a movie, especially the first time, under “normal” conditions, where the movie is put on and the audience sits down to watch without doing much else. However, in this day and age where we have DVDs with captions “for the hearing impaired,” I can make it so that there are captions to accompany the dialogue. The words on their own are just garbled sounds impossible to process in time because new sounds have to come in, but with words added, there are the characters to explain which words the sounds are supposed to be. They aid my understanding of which sounds go with which words.

True Story

My little boy was written a prescription for Occupational Therapy by his pediatrician for dyspraxia and hypotonia.

My insurance approved the prescription.

After 2 years, they revoked their approval because he has autism and backcharged me $24,000.

Guilt…

I know that this isn’t a helpful reaction, or one that reflects reality well, but my brain doesn’t seem to get the message. I wish it would, but that’ the beauty of mental illness, isn’t it? To have separate truths, coexisting.

That damned social conditioning, always reminding me that I am not the deserving poor, that there are people worse off than me and that I should just suck it up and do better. Other people “win” the battle against mental illness, why can’t I?

And a reminder: Next Carnival of Feminists is coming up on March 31 at Beauty Schooled Project. Deadline for submissions is March 29.

Note: There won’t be a Recommended Reading for Friday, March 26th as Don & I are visiting the Cancer Doctor to find out what’s going on with Radiation.