There’s a lot of dirty secrets even today, especially in the world of mental health.
I worked with physical disabilities – kids with cerebral palsy, downs syndrome, etc, back in the early 1990s. Good clean well run place. They were doing things right. But some of the places these kids CAME from (other institutions that were supposed to be helping them and home care services), were _not_….
Long term care facilities of all kinds need constant watchdogs but not everybody has an advocate on the outside.
I remember seeing the orphanages in Romania in videos years ago [afaik they’ve drastically improved but they were notoriously bad for decades] and in my brief experiences here and there with different care facilities in the USA of different kinds I remember thinking, “We’re really not that much better than those old videos.” We have a long way to go.
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