Special Memory #9
For 11 years I worked at the first-ever, mental health urgent care center in the country. I was fresh out of graduate school with a crisp new, Doctoral degree, and trying to prove myself. This was the first facility of its kind, established to take pressure off of the local jails and emergency rooms and we had no clue what was going to enter our unit. My friend Patrick, who graduated with me, recommended we try this, so I nervously accepted the challenge.
After meeting the strange cast of coworkers, I wondered if we’d last the first month. Who the administration thought was worthy for this setting, was beyond us both. Right from the start, we had issues with our psychiatric nurse. She was one of those, let’s say, overly spiritual types, who claimed she could read people’s auras. Not working for a year beforehand, we soon saw the reason why. She wasn’t there to document the truth, but read into what the clients told her and she saw what she wanted to see.
Our policy was to use a wand to check for weapons and she did so as if she was cleansing somebody’s aura. I asked her what she was doing, and she told me the clients were dark and she was bathing them in light. Patrick eventually had enough of her shenanigans and got her fired for filing false CPS cases and psychiatric holds.
Then we had another nurse, who loved to drink and flirt. And she was married and had four children! In fact, she even made a pass at my dad when he visited me there. She got drunk one too many times and they were forced to let her go.
When they hired Roz, she returned our faith in the nursing staff. God Bless Roz. She loved schizophrenics. Anybody who entered the unit who was psychotic was taken under her wing, loved like her own child, and taken care of by her every step of the way. The more psychotic they were, the more her heart went out to them. She was a rare breed and I miss working with her to this day.
The social workers more or less needed medication more than the clients. Especially those who manned the overnight shift. One pair had an affair, right on the unit, and when it leaked out that the male staff was married, the woman went on a tirade for months! I mean she demeaned the size of his manhood so much, the poor guy looked like a dog with his tail between his legs.
We did have one social worker who shined. Maybe because he had a side business of making cheesecakes and we all got pleasantly plump. Actually, he was a sweet guy who the clients got along with well.
Then came the day when Patrick left me in the lurch, but entering in his place was my favorite nurse of all time – Myrna. She was from the Caribbean, spoke both Spanish and English, and was our interpreter. Myrna had a heart of gold. We often interviewed people together and it felt like we were almost the same person, even though she was black, I was white, she was a she, I was a he, but our closeness got me speaking Rastafarian, mon.
Myrna, if you are reading this, we laughed our way through most shifts. Scotch and Tonic. That was the Doctor’s nickname for us, even though we didn’t drink.
And then there was Dr J, our Psychiatrist. How can you describe a man who one day had short dark hair and the following day showed up with long blonde hair, wearing make-up, dressed in designer clothing (that he designed himself), and squeezing his 6’4” frame out of an authentic Smart Car Bat Mobile? Dr. J to us was an enigma. He wasn’t old or young. Male or female. Gay or straight. Well, he did from time to time have his hooker friends meet him at work. So maybe that was figured out… kind of.
We all loved the Doctor because he was like a kid. Yes, everyone takes potshots at the psychiatrist because they are easy targets. Dr. J would play with what people flung in his direction and create nicknames for them. Here comes Hispanic Panic – he named one staff member. Here comes Grumpy Thursday. He ended up calling me Scrotum. Then it was just Scrote.
Dr. J and I had a pact. The crazier the unit got, the more silly we would get. He brought in a keyboard with sound loops of old TV shows and snippets of popular songs. Madonna’s “Borderline” was often played and of course the theme song of Batman. I have to admit, we often laughed ourselves sick when the mood was great in the unit, but many times the unit got gravely serious.
As the years flew by, a small Asian woman, Anisa, entered the fray and turned out to be our Superwoman. She saw the most clients and took some of the most severe cases. Her commitment to work was unmatched. Every crisis center should have a woman of her caliber.
That was the good, now onto the bad. We had some filler employees who could not counsel their way out of a wet paper bag. I cannot even call them social workers because I believe you have to have at least a bachelor’s degree for that title. Two in particular were well known in the recovery field so the administration thought they would be an asset to the facility, but that proved very wrong.
One was a big 12-step guy. Because of this, each interview of his turned into an AA meeting. In fact, he made the clients fill out the forms for him while he quoted the things that Bill W. said in the “Big Book“. And, this 12-stepper was also a social butterfly. He got out of working by visiting other units in the psychiatric hospital and making friends. Perhaps they were reading the Big Book together, I’m not sure. All we knew was that we were treating 5 people to his 1.
The last slacker was Preacher Man. This guy was studying to be a minister! I swear he was trying to pray the devil out of many of the clients. At the end of one particular shift, I was faced with a pile of assessments to complete so I asked for someone to help out a new client who just entered the unit. He agreed to help out and five minutes later this client darted out of the interview room in hysterics. I rushed to her assistance. She told me he was calling her names and said she would be a whore her entire life and live on the street. Eventually, he and Mr. 12-Stepper were ushered off the unit.
Then there was me. I was the round hole in this square peg society. Oh, at first I took my kidding. Dr. J. would announce, “There goes Dr. Scott, about to do his Love Therapy.” And after a number of years, guess what the staff was doing? Yep, Love Therapy.
Therapists are an unknown quantity in crisis management. The usual is making a brief assessment and getting the doctor to write them a medication script, or in our case, start a person off with the medication supply we had. However, in one hour I could help stabilize people by giving them psychological tools that were targeted to their needs, and many of them didn’t need any medicine at all.
Then came the really tough clients. I could write a book on them. Or, even better a television series showing how whacked out both staff and clients were. Soon, I had the most difficult cases ushered to me and the ones I couldn’t handle Anisa or Roz would step in. In the most extreme cases, we had Dr. J spend two minutes with them, give them samples, and rush them off the unit. Hey, would you like to sit down with somebody who wants to bite your head off? For an entire hour? I sure didn’t.
This was my home away from home. A staff who wanted to pray with people, do a 12-step meeting, actually had fist fights with them (meaning the 12-stepper, who fought like a girl), called clients whores, slept with one another, and tried to heal people’s auras. And the funny thing about all this – I miss that place.
We initiated a cuss jar where people had to put in a quarter for every negative statement they made. The staff had a habit of venting which often upset newer staff members who hadn’t done much work on themselves. So we appeased them this way, raised enough money each month for a few pizzas, and made a party out of it. I too, donated my fair share into the cuss jar fund on particularly difficult shifts.
What stands out the most in that unit was our Halloween costume contests. Each year Dr. J would pay the top person $100 so we were motivated to create the most elaborate costumes. Unfortunately, every year the woman who showed the most cleavage won. Not wanting that to deter me, I decided to go for shock value and dressed like a baby. Oh, this wasn’t a pleasant sight. I wore a diaper, had a cropped t-shirt that showed my belly, a baby bonnet, and had an oversized bottle. And I won!
I had a blast that day with Supergirl Anisa spanking me with her whip, Dr J, dressed as Batman squaring off, where he gave me a new nickname – Baby Man! Lots of great fun, though HR didn’t agree with this and asked me to never dress like this again, with a chuckle.
11 years, 7,000 clients I personally saw. We treated an average of 27,000 people a year and never needed to put a person in restraints. We were proud of that fact the most. Through it all, our staff had each other’s back. If it got violent, we came together as one and calmed the person down. We got it. We knew the struggles that people with mental illness had.
I talked to my group yesterday about how people with a family history of psychosis had a higher percent chance of having a psychotic break if they experimented with Meth or XTC. One 18-year-old was taken to a rave by his buddies after he received a full-ride scholarship to Cal State Berkeley. There, his friends gave him XTC and he went psychotic, losing the scholarship and having to take antipsychotic medication for the rest of his life. Our mental make-up can be fragile so why isn’t this taught in school?
Compassionate Care is Always Available
There are many more tools and strategies you can use in your pursuit of happiness. Here is where we come in. Contact us at Basic Steps Mental Health and let us support and educate you on this journey back to your loving heart center. Imagine living a heart-centered life, regardless of what is happening externally. We’d love to be of help.
For 25 years, Dr. Scott Alpert, the clinical director of Basic Steps Mental Health, has treated over 7,000 people with mental health and addiction problems, using a Psychological approach that mixes and matches ten of the top approaches used in the industry. We are here virtually and in-person to help you get through this COVID-19 pandemic and many other difficulties you may be experiencing.
May you have good mental health.
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