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Destroying Sanctuary - The Crisis in Human Service Delivery Systems (Paperback)
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Destroying Sanctuary - The Crisis in Human Service Delivery Systems (Paperback)
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For the last thirty years, the nation's mental health and social
service systems have been under relentless assault, with
dramatically rising costs and the fragmentation of service delivery
rendering them incapable of ensuring the safety, security, and
recovery of their clients. The resulting organizational trauma both
mirrors and magnifies the trauma-related problems their clients
seek relief from. Just as the lives of people exposed to chronic
trauma and abuse become organized around the traumatic experience,
so too have our social service systems become organized around the
recurrent stress of trying to do more under greater pressure: they
become crisis-oriented, authoritarian, disempowered, and
demoralized, often living in the present moment, haunted by the
past, and unable to plan for the future. Complex interactions among
traumatized clients, stressed staff, pressured organizations, and a
social and economic climate that is often hostile to recovery
efforts recreate the very experiences that have proven so toxic to
clients in the first place. Healing is possible for these clients
if they enter helping, protective environments, yet toxic stress
has destroyed the sanctuary that our systems are designed to
provide. This thoughtful, impassioned critique of business as usual
begins to outline a vision for transforming our mental health and
social service systems. Linking trauma theory to organizational
function, Destroying Sanctuary provides a framework for creating
truly trauma-informed services. The organizational change method
that has become known as the Sanctuary Model lays the groundwork
for establishing safe havens for individual and organizational
recovery. The goals are practical: improve clinical outcomes,
increase staff satisfaction and health, increase leadership
competence, and develop a technology for creating and sustaining
healthier systems. Only in this way can our mental health and
social service systems become empowered to make a more effective
contribution to the overall health of the nation. Destroying
Sanctuary is a stirring call for reform and recovery, required
reading for anyone concerned with removing the formidable barriers
to mental health and social services, from clinicians and
administrators to consumer advocates.
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