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Danvers State Hospital | | | Tiptoe |
I used to get the shudders just driving by this place. It seemed to have an evil presence. One thing to bear in mind, "Hospital Hill" is the same hill where the Puritans hanged the accused Salem witches. In colonial times, Danvers was known as "Salem Village."
I thought "Session 9" was a turkey. The voice-over acting on those "tapes" was really cheesy, the acting in general was bad, the plot was a let-down and anti-climactic. I would have made a much darker, much spookier movie!
People may have called this a posey chair because they may have sometimes seen posey restraints used while a person was sitting in one of these, but I am not familiar with Posey making a specific chair. This is just a simple old Geri-chair, known and loved the world over and used all over the place when we can get our hands on them because they are good chairs for people in the geriatric and disabled population (expensive, though).
Here are some pix:
http://www.edbydesign.com/boo...68EWLE.html
http://www.1800wheelchair.com...oduct_id=1150
http://www.southwestmedical.com/mfgse..._ID=Invacare
http://www.mediquiprecycle.ca/webpage%20006.jpg
Here's one in the reclined position:
http://www.kwe.com.hk/prod03e103.htm
As a postscript here, I see that many people appear to be entranced by the idea of people being restrained. To give some perspective, here's what many places are currently dealing with regarding the aged population in facilities.
Many older folks have severe osteoporosis, and all it takes is walking across the room to break a toe or shatter a hip. This is not an exaggeration, I am sorry to say, having seen it repeatedly in recent months. People who do not have or are losing their "faculties" do not understand when they can no longer walk safely. While it is true that you want to keep people ambulatory as long as possible because it helps maintain independence and promote bone growth, some people do not understand when they are no longer able to negotiate conditions in their environment that would not be hazardous to most people. With decreased eyesight, decreased response times, and decreased protective reflexes, what would be a simple bump to most people can become a fracture to someone with osteoporosis. What's worse is that if the person has dementia or cannot communicate well, they often are unable to let you know that anything like this has occurred, especially if it is somewhere such as their non-preferred hand, and you may not know until you finally see redness, swelling, bruising, etc.
Then the investigative agencies start to come to your facility (or home) and want to know why Mrs. Jones has had four fractures in six months at night - perhaps one of your night staff is abusing her? However, the night staff adores Mrs. Jones and has done all they can do to keep her safe. But like many elderly people, she has lost the sense of what is night and what is day and will wander around when she wakes up. Because she is elderly she also has an entirely different sleeping pattern, which consists of sleeping off and on throughout the 24-hour period, rather than sleeping through the night. If the staff isn't right there when she wakes up, she has all manner of things to trip over or bump into because not only is she groggy from waking up, but she has decreased eyesight, she doesn't know or remember to wear her glasses (or some kind person put them up to keep them safe), her room is dark (to help her roommate sleep), and some well-meaning soul carpeted the floor of her room because it looked cold and sterile (which deadens the sound in her room and prevents the staff from knowing she is up).
Should she be restrained to keep her from breaking more bones? Not in all cases, but there ARE instances where this does need to happen to promote healing and prevent further fractures. As for the other inappropriate uses, well, when you pay nursing home staff a minimum wage salary and expect them to look after people who this society looks down on for the sin of becoming aged and losing their faculties (our most prized possessions in the Western culture), you don't get a lot of takers for the position. So here is yet another place where we have a large number of people with overwhelming needs looked after by a much smaller number of people who receive minimum wage, who have an annual turnover rate of 72% ("turnover rates exceed 60% in 65 percent of states, exceeded 80% in 37 percent of states, and were above 100% in 20 percent of states" - 2002 AHCA Survey), who are treated like grunts because they work in a nursing home, and who have the third highest injury rate of any profession. These are the staff who are expected to make sure Mrs. Jones doesn't break yet another bone, yet the staffing ratios are horrendous and every week another staff quits and another brand new green staff has to be trained to take their place.
Once again, I am not denying that there is abuse and neglect in nursing homes or in any other facility. It's there and I have seen it. There are people who would engage in abuse even if all conditions were perfect. But with a setup like this, who is confused when this happens? As I said before, the fact that the majority of staff in places like this are decent, caring people is what should be heralded and reinforced. But until we value the staff and the people who live there, this will keep happening and people will continue to ooh and aah over restraints when they see them and they will continue to condemn the people who use them when they have no other way to take care of the people they are supposed to keep safe.
Here is an interesting fact sheet on working as a certified nursing assistant in a nursing home:
http://www.aarp.org/resea...ort-688-FS86.html
Fascinating:
http://www.flara.org/Compl...omes%20.pdf
[Tee-hee-hee!]
P.S. Hey, ~Me. Does your comment mean that you were stained before and want to be stained again?
1) Stays as is. Those thrill seekers go bustin through your yard, in an attempt to visit the most haunted place in America.
2) Avalon Bay Comm. buys it all, creates living spaces haunted not only by the lunatics that were trapped there but also the salem witches, that they won't even get any residents due to the spook factor!
3) Davers Preservation Fund Inc. gets what is needed to restore the grounds and open the hospital to the public. So much history has yet to be unveiled there and so many things are yet to be discovered. I, for one, would love to go visit. AND if this goes through, you won't have to worry about your precious lawn getting, god forbid, walked on by "goths."
As far as an update, Danvers Preservation Inc. has achieved a temporary hold on the sale of the premises as of 10/20/05. Check it out for yourself. http://www.danversstateinsaneasylum.com
yes, that's right, of the over 10,000 facilities in the country, less than 500 have gone 5 years without neglecting or abusing a patient.
so you see however great the intentions of the people using these chairs, for all practical intents and purposes... it just doesn't seem to work out.
if you believe otherwise, I can only hope your destiny lands you in one of these in your future, helpless at the hands of another.
First of all, you need to understand what those stats mean. What they mean is whether a facility has followed every single state and federal regulation to the letter. If you have a chance to read through the hundreds of pages of regulations an agency is supposed to follow you will find that this is pretty much an impossibility, and what your survey teams will tell you is that this is what the ideals are, rather than what they believe can always happen on a consistent basis. If every one of us in our own homes were held to the same standards we would have as bad or worse a rate. In truth, and as someone who does mock surveys on a monthly basis, if your survey teams surveyed to the absolute literal letter the rate would always be 100%.
Pull up a set of regs at some point and see what is being surveyed before you get too excitable about what those numbers mean. Neglect can be alleged if the person who does the monthly or quarterly paperwork reviews does not get their paperwork completed on time. It can be alleged if a person misses a single dose of medication or the medication is given 2 minutes past a particular window of time, whether or not it is an "important" medication or whether any negative condition occurs as a result of this action or inaction. It can be alleged if meals are given 10 minutes late, even if the person was at another activity or the stove breaks. It can be alleged if the water temperature is 1 degree above the prescribed range, whether or not anyone is taking a bath or shower. I have been an agencies where these specific "neglect" allegations have been made by a survey team. In each case they were technically correct citations, but they did not result in anyone being harmed.
The standards are incredibly tough, and for a good reason, but as I said above, I doubt there is anyone I personally know who could follow them in their own home on a consistent basis. You have to set tough guidelines so people know what "should" happen. If someone comes to your house unexpectedly and wants to make sure that you gave your children their dinner no more than a specified number of hours after the last one or whether you had a scald guard on every one of your water taps or whether every single bottle of cleaning material was secured and unreachable or every single thing you put in your refrigerator was signed, sealed, and dated, I am guessing you might not have a perfect record either.
The flip side is that if you are going to ask for standards to be set this high you are supposed to fund an agency so that they can carry out these standards. Federal and state regulators have a tendency to set high standards, as they should, and then legislatures have a tendency NOT to fund the agencies so they can carry these standards out.
So just because an agency has a neglect allegation does not mean that they are also being abusive, and it most certainly does not mean that one should jump to the conclusion that therefore everyone who ever lived in a facility was strapped into a chair. That is a leap across a chasm taking two jumps to get there.
To get a better feel for the types of standards expected of various facilities, here are some examples. This does not cover facilities for people who have a mental illness, as I do not work in one currently and am less familiar with their regs.
If you run a facility for people who have intellectual disabilities you are funded by the Centers for Medicare & Medicaid Services or CMS - formerly known as HCFA (Health Care Financing Administration). These folks administer the Medicaid and Medicare programs. A facility that provides services to people with intellectual disabilities (formerly called mental retardation) is known as an Intermediate Care Facility for the Mentally Retarded, or ICF-MR. For more information about this, go to:
http://www.cms.hhs.gov/
People who receive funding for ICFs-MR are surveyed using the following set of regulations:
http://www.cms.hhs.gov/m...intermcare.pdf
These are the ones I personally am the most familiar with and which I use to do our monthly mock surveys.
A number of states have additionally asked their facilities and programs to be surveyed by The Council on Quality and Leadership (formerly The Accreditation Council for Developmental Disabilities). They have additional sets of guidelines - "Personal Outcome Measures" and "Quality Measures 2005":
http://www.thecouncil.org/misc/cdrom/
If you have a facility that is funded for people who have need of skilled nursing services (SNF) you are surveyed using the following regulations:
http://www.cms.hhs.gov/ma...107c07.pdf
The place I currently work has two separate sections of campus; one for folks under the ICF-MR regs, one for folks with skilled nursing needs (SNF). Our campus is surveyed by both agencies.
Many hospitals or facilities also try to get accreditation under the Joint Commission on Accreditation of Healthcare Organizations or JCAHO. JCAHO has differing sets of accreditation standards depending on the specific population being served.
For example, here are their standards for assisted living facilities:
http://www.jcaho.org/h...ted+living/index.htm
Here are their standards for long term care facilities:
http://www.jcaho.org/h...care/index.htm
Additionally, facilities must meet code for the following:
->OSHA (Occupational Safety and Health Administration):
http://www.ilo.org/pub...osha-gnh.htm
->HIPAA (The Health Insurance Portability and Accountability Act of 1996):
http://www.cms.hhs.gov/hipaa/
->National Fire Protection Association (NFPA) 101 Life Safety Code:
http://www.dads.state....L90.61.htm
As an FYI, I always chuckle when someone tells me they got 100% positive ratings on a survey. This usually means that money is tight and the surveying groups are being asked to be a bit loose with the regs, or it means that a larger pattern hasn't been discovered by the surveyors, which is what you really should have before you start issuing citations, given that all facilities will always have at least a handful of areas of noncompliance.
Surveyors are like police officers. It is impossible for most of us to get through a 24-hour period without breaking a law of some sort, especially those laws we aren't familiar with but are still on the books. A police officer is supposed to figure out whether any of the one million illegal things we all do every day is of sufficient magnitude to warrant an arrest or whether there is a pattern of things that occur that makes him or her feel the need to send out a message that this is a law that needs to be followed. Littering, changing lanes without a turn signal, not following antiquated blue laws that are still on the books, jaywalking, etc., occur every day. There is a reason for many of these laws. However, at what point do you actually enforce them or consider that someone is a criminal for breaking them?
Remember too, because of the recent increase in federal budget dollars directed toward Iraq, hurricanes Katrina and Rita, plus other exciting things that are happening in our world, the federal folks are discussing slashing the Medicaid and Medicare budgets or doing away with many of the programs altogether. Most facilities that serve people with these types of needs are not currently in a financial place to afford many of the things that they are asked to provide right now. How do you think things are going to look in ten years if they cut these programs? We will be right back to where we were 50 years ago when they realized why they needed to fund these sorts of programs, and ironically, this may be seen nostalgically as one of the few times we were able to provide programs, services, and safeguards to people with severe needs.
A final FYI is this - we are trying to change the focus of our systems from "blame" to figuring out WHY problems occur. We now actually encourage the reporting of problems because if we always assume it is the person causing the problem and not the fact that the system may be faulty, we can't do anything to fix it. The danger in admitting a problem is that you often then have someone come in and play the finger-pointing game ("Oh look! They received a citation! They must be 'bad'!"), you are forced to be reactive and not proactive, and then you can't fix the problems:
http://www.ddssafety.net/...management.pdf
http://www.ahrq.gov/clinic/ptsafety/chap40.htm
Popular culture has done much to tarnish the reputation of the entire field - this is as good a place as any for those who know different to bite back...
I suspect that many over-active imaginations have been given a sharp reality check following a visit to this site!
For most situations, and not just in this field, no one seems to care much about what happens unless they somehow become personally involved or they read or hear something about it. And journalists rarely write positive stories about systems that work because that is boring and honestly doesn't sell very well.
I am all for investigative journalism. That is how my field made most of its advances, I am sorry to say. We had the tools and the technology to make things better many years ago, but we didn't have the public funding because we didn't have public support. It took someone breaking stories about how bad things were to shake up the public to push for increased funding. Sadly enough, however, people somehow didn't quite get that the problems were NOT just the result of evil staff but were the result of no money and no on-going public clamor for things to get better. The history of the field, as is the case with many others, consists of nothing happening, a scandal finally coming to light, and money subsequently being thrown at it and it alone to "make the problem go away." People in all fields of human endeavor are "penny wise, pound foolish" and want to save money by taking short cuts or ignoring things until they have no choice but to look them in the eye rather than planning proactively and spending the money where it counts - up front.
Unfortunately, when negative conditions finally come to light, what you have is a scrambling toward finding someone to blame, and the system that created it gets a free "bye" card, and so the same situation "amazingly" recurs over and over and over. And over.
And over.
And again, all we do is shake our fingers at the poor schmuck staff who ended up in this field, accusing THEM of being the cause of all the misery, because they are the least powerful employees on the food chain. And we "pity" the poor people who were "tortured and abused" by the system. If you pity someone they become less than human - what you want is empathy, because empathy means that it could happen to you and to me and we feel "for" the person, not "about" the person. I pity animals, but I have empathy for humans, and that is what makes me an activist in this field.
And once again what I am saying probably doesn't make any sense at all to most people, so why am I such a schmuck to keep writing this? Maybe I *DO* need my meds adjusted after all. "Doctor, heal thyself!" :-)
Thanks for the use of your soapbox Lynne.
You absolutely have my permission to feel that way. One of my (very) few virtues is my complete and total ability to admit that much of the time I DON'T have a clue. Anyone who thinks they understand all of this either has delusions of grandeur or is sadly misguided. However, the first step to knowledge is admitting you don't have all the answers. So at least I am on the road, wouldn't you say? :-)
Lynne's insight is priceless when it comes to these institutions and she has a wealth of knowledge and experience the rest of us can only hope to gain. Knowing what she knows makes it all that harder to see these places destroyed and to continue to smack our heads against the brick wall that is our failing mental health system. We continue to employ minimum wage, high school dropouts to care for our mentally ill and then wonder why our prisons are full.
Believe me, Lynne isn't the only one with plenty to rant about!!
I'll keep everyone posted on the progress of the book. So far so good!
farewell Danvers State Insane Asylum 1874-2006 via con dios
Again I most sincerely apologize for being long winded, but mattie and Nikki just pushed me over the edge.
First I'll touch on matt's survey. Well if you got your facts from the news/internet I'm sure it must be true hmmm...and ending your comment like you did man, come on. One must always keep in mind all the things Lynne says are 100% correct. Almost no facility can be inspected and found to not have any violations/deficiencies found. That is why we do those inspections, (I mean they) to look for a problem that needs to be corrected, and dealt with. Outside inspectors are there to dig deep, and find things staff or administrators may not see because they are too close to it. Most ALWAYS, I said always, that's right; The violations found are so...(I hate to say minor *scratches head stuck*)well so, umm not really that serious in the overall scheme of operation, and patient care. The violations that might be found could be things like dietary getting hit for not maintaining a perfect temperature of 187.45 degrees F on the steam table (Or whatever it's only an example..sheesh). The steam table at that facility might keep a perfect 186.5 degrees maybe because it's old. Now I'm pretty sure 180 degrees kills most all food borne bacteria, is this treating residents cruelly, callously, creating a nightmare environment within the facility... UMMM NOT! This is an (maybe poor) example of things that can end up on matties oh so accurate surveys. Before someone says it I will. Sometimes a facility does get found to have serious violations, and when they are, they are dealt with accordingly. Patient abuse is taken SOOOO seriously that IF..IF..it does occur, sometimes people who are only suspected, SUSPECTED mind you, of knowing it happened and did not report it, can face major disciplinary actions.
Now, please, please would all who comment about how hellish, and cruel the staff in these places were, "how could they have done that to those poor people?" remember this one tiny little itty bitty thing : THESE PLACES WERE STATE OF THE ART IN THE MID TO LATE 20TH Century OR WHATEVER!!! They were not about cruelty and torture. Those people were being treated with the most advanced techniques OF THAT TIME. The pictures that Mr. Motts provide for our perusal (Magnificently I must say) are of BUILDINGS THAT HAVE BEEN ABANDONED FOR AROUND TEN OR MORE YEARS! They capture some of the beauty that was part of some places, as well as some of the starkness, but um, um, well institutional buildings look like, well, institutional buildings. I personally attended a middle school built in the thirties and it looked more like a jail than the local jail, but most schools of that era were built like that. It's the same with these buildings, the ones from the 1800s are architecturally stunning IMHO, the ones from 30s are more stark, why you may ask was it built so stark..That was their idea of a streamlined efficient facility, a MODERN FACILITY, not one that was intended to be cruel and inhuman.
Lastly NIKKI, Dear Nikki. Lynne Most certainly has a clue. Please people stop lumping all caregivers into the same category as the commandants of Nazi death camps, they are the frontline in the battle to provide people with various problems the care that they need, to live as fulfilling a life as they possibly can.
*sigh* Sorry long winded again.
Here's yer box back Lynne. *Shuffles away from keyboard repeating I will not be long winded I will not be...*
So tell me folks, you don't think these are reasons to be pissed? Tax payers who live in the immediate area should just put up with it and shut up? That's not going to happen and if some of you lived here you'd understand.
The only way I see this crap coming to an end is if the place ceased to exist. Oh, and for the record, I did not buy a house here. I am not at liberty to say how or why I am up here so we'll have to leave it at that.
Trust me when I tell you that the people who live in the homes that surround that hospital do not deserve the baloney they have had to endure. It's easy to not care about something when it doesn't directly concern you or your family. I stand by my original statement and look forward to the day when the walls come crumbling down.
All I got is my trashy woods, but it's better than nothing.
Wonderfully Done Shot Motts. Always love the lone chairs your signature shots.
Mary (Simon) : I live in the weak and the wounded.... doc.
So if Max has other, more accurate historical information, I'm sure the Danvers or Salem Historical Societies would be interested. I know I'd like to hear it.
and to salemgirl - look up DSH on google and there are any sites that state the main witch hunter built his home on the hilll where the hospital now stands and the actual hangings were done in danvers , right down the road from the hospital.
http://www.opacity.us/image2426_lost.htm
Like many others, I first saw this magnificent place in Session 9, and was awed to find that it was real. The photographs are lovely, and truly convey a tenderness and respect for their subject that I have not seen anywhere else on any other site. Thank you all for bringing this place to light. I will also be sad to see it go, and I do not envy the poor idiots who will be conned into living there later. They should be warned, it is not right to rebuild there. Anyway, thank you all, and Blessed Be.
I work as a CNA in a nursing home and It can be really fustrating at times (Thanks Lynne for sticking up for us). Commonly there will be 30 patients on a wing with only two aids and a nurse. It gets hecktic when there are patients trying to stand up by themselves when they are not strong enough. My facility encourages alarms to be placed on wheelchairs and beds (the alarm goes off when theres no contact with the patient). But you get 2 or 3 patients on every wing who forget that they need help and we have to run towards the sound of the alarm every five minutes. What happens when 3 alarms start to go off at once and it takes 1 or 2 minutes to get each person settled down? The nurses will call the patients doctor and if he/she gives the signal then we can put seat belts or lap trays on them (By the way these are our only restraints). Now the patient is safe from hurting his/herself and us aids can tend to the needs of others more thouroughly.
PS - I can just picture that chair roaming around the place at night, looking to see where all it's people went to... ok ok bad thoughts!!! Damn, now I'm gonna have to watch a disney movie to get that image out of my head.
That chair was saved from the destruction by a salvage company, and was given to my friend as a gift...it's all clean now.
Nathaniel Hawthorne's surname spelling was changed to that from "Hathorne" to distance his family from the judge who presided over the trials, who was his great-grandfather, and refused to repent over his involvement.
(that should get 'em goin)
i would like to go check it out. good work.
I HAVE BEEN WAITING FOR YOU.................
Signed: An American Soldier stationed in Mannheim, Germany.
4:09 P.M. / Sunday / 02 / December / 2007
Merry Christmas,
Happy Hanukkah,
Happy Holidays,
Happy New Year everyone.
___________________________________
I bet you that chair did not take that much abuse when it was in use. I think that people's minds run wild about what actually happened in these Psychiatric Hospitals ... I am sure that there were some scary moments at times but if it was as bad as we would like to imagine I am sure that there would of been more precautions made and more equipment. I bet you that chair took most abuse with the UEs who were disrespectful to the place. However, I could be wrong and I would not be offended if someone told me. link
Very Creepy film, and the cast in a DVD special feature made mention of how weird the whole place was, and how they knew without a doubt that the place was haunted. Did you hear any voices, Motts? See any black or white blurs out of the corner of your eye? anything weird like that?
I had secured a home to become the community residence of four adults who were virtual lifetime residents of an institution slated to close. Funding was in place to make needed structural modifications, purchase appliances and furniture, a van for their transportation in the community, etc.
Although they had significant orthopedic and medical problems in addition to sensory deficits and severe/profound mental retardation, we wanted to have an open kitchen so that the residents could participate in some meal preparation commensurate with their abilities. The fire marshall and one state licensing board came in and said that we had to close the kitchen off from the rest of the house due to the residents' disabilities.
Because each of the people used a custom wheelchair and had a 24-hour positioning schedule with side-lyers and other devices, we chose to furnish the living room with mat tables and the positioning devices. Then we were cited by another group for having "institutional" furniture and floor plan. None of the residents could sit in a regular sofa or chair, and we did have some chairs for visitors, but they said we needed a typical living room sofa, coffee table, etc. We eventually prevailed on that as the regulators got to know the people better, but were cited for the kitchen's enclosure on every review. There would have been no community residence at all had we not enclosed the kitchen. As it was, the residents were being driven down the interstate on the last day the institution had been open while the fire marshall was making his final inspection of the new home, and we were all on pins and needles, just praying that he would issue our certificate of occupancy before they arrived and found themselves homeless. The fire marshall also required that in addition to the standard two exits, each of the two bedrooms have a direct exit to the outside. This was so that if there was a nighttime fire, the residents could be safely evacuated in their beds rather than having to take the time to position them into their wheelchairs. Of course we also had sprinklers, exit signs, emergency lights, an alarm wired directly to the fire department, etc. We were not allowed to refer to the exit ramps as "porches" or "decks"--they were purely "egress ramps." On this, we were cited for not having any swings or planters or other "homelike" furnishings for the people to enjoy (but had we put such items there, we would have been in violation of the fire code and therefore "neglectful" of our residents). So it's not even just that there are multiple standards with which to comply; it's that one regulator requires one thing and other regulators demand different, mutually exclusive things.
On another review at a different home, we received a very serious citation because a bottle of medication was stored improperly. It was a controlled substance (Schedule IV) but was inaccessible to any of the residents, so no "harm" was done. But the citation, on its face, sounds like the bottle was open on the dining room table and being passed around during dinner.
We also had conflicts regarding use of antidepressants. A lady who had been with us for years had been diagnosed with depression and treated by one of our psychiatrists. When her case was reviewed, the reviewed concluded that we did not have baseline data that warranted the use of "behavior-controlling/altering drugs." We argued that the medicine was not to control her behavior, that depression was a medical condition, and that the medication was to treat the illness, just like a blood pressure pill or thyroid pill. We lost, and had to taper her medication, document symptoms of depression as they re-emerged, and then re-start her medication. Even our argument of "ok, we agree, we messed up, but don't make her go through this" did not help us. We did monitor her mood very closely, to document the tiniest observable change, so hopefully we got her back on her antidepressant before she suffered too much.
Then again, maybe not.
Excellent gallery, Motts. As always, you remain my hero.
http://www.danversstat...um.com/preston3.html