In the kids case, that’s a staffing issue. Most lockdown mental health facilities have a tech/CNA whose sole job it is to walk around and log the location and state of every patient every 9-15min, depending on policy. In addition to the techs/CNAs who herd everyone to group, meals, and all the rest. In addition to mental health staff that run the groups. In addition to nurses who do meds and assessments. In addition to “orderlies”, not big men in white like in movies, who tackle people these days, but people with intense training in deescalation.

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In the elder case, that is often a staffing issue. If it’s day shift and you have more than 6 residents assigned to you, that’s a staffing and/or state level regulation issue. If it’s evening shift and you have more than 8 residents assigned to you, that’s a staffing and/or state regulation issue. But yes, declining mental health (dementia) and brain deterioration (Alzheimer’s) is part of elder care. Sometimes it’s the sole reason they’re placed in a home, because that decline in brain capacity requires 24h care.

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A lot of health care jobs would be absolutely ok if they were actually safe for both patients and staff. But corporate greed often doesn’t allow for that.

Staffing matters. And it often will be ignored until the state mandates a law that requires the corporate owners to do better.