Destroying Sanctuary
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Review
"Health care and human services have become commodities, and caregivers are forced into a factory system where productivity has nothing to do with patient care. This volume forms the diagnosis; we can eagerly look forward to the next volume in which the authors promise a treatment plan."-Judith L. Herman, MD, Cambridge Hospital
"This should be required reading for clinicians, administrators, public policy makers, and the general public. Sandra Bloom and Brian Farragher do nothing less than describe in gripping detail what is wrong with the mental and medical health service delivery systems as they have become profit-driven and dehumanized."
-Christine A. Courtois, PhD, Associate Editor of Psychological Trauma: Research, Theory, Practice & Policy
"Sandra Bloom and Brian Farragher provide reflective readers with a wonderful description of human development and the observable steps by which we grow into content, productive people or become chronically distress
Product Description
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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4 reviews
3 of 3 people found the following review helpful
Compelling, disturbing, and beautifully written
1 Jun 2011
Format:Hardcover
I am a psychiatrist, and have spent my career in community and hospital mental health. Destroying Sanctuary (a sort of sequel to the most-read book in my office, Creating Sanctuary, by Sandy Bloom) tells the story of my professional life. The book is many things - history, statistics, story, text - but it is the organizational behavior part of the book that hooks me. The authors re-cap state-of-the-art thinking about exposure to trauma and its effects in order to apply the same thinking to organizations. The authors eloquently explain why organizations behave as they do when they've been under stress or are in crisis. Workplace violence, bullying, secrecy, authoritarianism, mistrust, gossip, burnout, low morale, and ultimate failure - they explain it all. This is our lives - any of us who have worked in the public sector. And it is the lives of everyone in the social sector - childrens protective services, disability services, aging adult services - and there is something both reassuring and horrifying to see ourselves and our organizations so explicitly described. Everyone I know who has read this book believes that somehow the authors were privy to the organization in which they have served. You will too.
2 of 2 people found the following review helpful
A Must Read
19 May 2011
Format:Hardcover
This book is a must read for anyone who works in the healthcare, social service, or education fields - from those who head institutions and agencies to those who provide direct services. It should be required reading for politicians who have the power to fund and support or ignore and destroy life changing services and programs. Bloom and Farragher have taken an extremely complex subject and have masterfully created a book which helps to make sense of systems that all too often seem senseless.
2 of 2 people found the following review helpful
Outstanding, must-read book
13 May 2011
Format:Hardcover
Destroying Sanctuary is one of the most powerfully-written books I have read in the last few years. Bloom and Farragher have done a masterful job of capturing the heart of the ways human delivery systems are failing our children, families and world. They provide irrefutable research to back up their information, perspectives and conclusions. We have used both Creating Sanctuary and Destroying Sanctuary in our trauma training in IFP (the Institute for Family Professionals) in Philadelphia and virtually every participant in our training shares that these books, and especially Destroying Sanctuary, so accurately capture what they experience everyday. The hope expressed over and over is that the people in positions of influence in human service delivery systems read the book because without this knowledge the changes that need to be made, if we are to ever adequately care for traumatized children and families, simply cannot and will not occur. This is the kind of book you almost have to read in short bursts because it is so powerful and quite frankly it is depressing to realize just how bad so many systems intended to care for people are. The authors take you on a journey of discovery and in the end you realize that we all need to be part of the solution to this crisis -- and we all eagerly await the next book on Restoring Sanctuary.
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