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Mountains of Paper, Trails of Tears (not a country song)

9/1/2011

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Before becoming co-founder of Pursuit of Happiness, I've worked in various mental health agencies, hospitals, and offices.  What always shocked me was the insane amount of paperwork that had to be done.  I remember going through college, and all through my masters degree program and nobody ever told us that we were going to be run through systems so inefficient that it literally hindered our ability to help people.  

Take for instance, the psychiatric hospital (which will remain nameless) that I worked at.  There were literally cases every single day where a person would come in needing to detox from alcohol, and is forced to wait in the lobby for hours while the clinicians are pouring through mounds and mounds of paperwork.  This is dangerous.  We were literally running a fatal gamble that the person detoxing in the lobby wouldn't die while we were handwriting notes, then entering that into the computer, then making copies, then printing stickers, then sticking the stickers to the copies, then preparing the sign in papers, and on and on and on.  What are we in the 1960's?  

At Pursuit of Happiness, the systems that we deploy are all electronic, cloud based computer systems that I could not be more proud of.  We use Google Apps for Business as the backbone of everything we do.  We don't spend time looking for lost papers, because there are no papers.  Our e-charts are secure, cloud based, and backed up to Google's servers.  So unless some crazy ninjas infiltrate Googleplex, or a lunatic drops a nuke on Silicon Valley, our stuff is going to be there.  No matter where I go, if I have a signal, I have access to every document that I need.  And thanks to E-sign, I can literally whip my Droid out of my pocket, digitally sign documents, email that to everyone who needs a copy, shake hands and begin therapy in a matter of minutes.  Meanwhile my past alter ego would still be filing, stapling, and wrestling with the copy machine wishing for a day like in the movie Office Space where he can take a sledge and some pumped up rap music to a field to destroy the bringer-of-all-things-evil once and for all.

I feel great about being able to present these systems to our clinicians and have them use them to make our client's therapy that much more beneficial, and their goals that much more attainable.  Nobody should have to fantasize about chainsawing copy machines to death out in a pasture while howling at the moon!


Counseling and Therapy in Dallas

Chase Chick MPA LPC is CEO and co-founder of Pursuit of Happiness
You can follow us at
@POHClinicBTGS
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Are you suicidal? Yes. Have you ever seen a counselor? No. Really?

9/1/2011

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The following is based off a true story.  Well, actually, way too many true stories to count.  In a past life, one of the founders of Pursuit of Happiness worked at a psychiatric hospital.  One of the questions asked on the initial assessment is whether or not the suicidal patient sitting in front of you has ever seen a counselor.  When the answer is no, you really have to wonder about the collective wisdom about the psychiatric industry as a whole.  

A patient, we'll call her Nicole, came in for a psychiatric evaluation.  She was 14 years old, attractive, intelligent, with long eyelashes protecting cobalt eyes that could pierce steel.  She also had a variety of scars, varying in shade from their age, up and down her arms, which she typically hid from the general public, but not today.  Today Nicole's mother had forced her to wear a t-shirt so that us at the hospital could see her scars.  Nicole had long suffered horrific types of abuse that we won't even get into here for years at the hands of a distant relative.  For a while, she was able to stuff her emotions down.  About 7 months after the abuse ended, she started having nightmares about it.  Sometimes the nightmares were so real that she would wake up crying in bed and not know why.  She started having trouble sleeping, started withdrawing from her friends, started to feel depressed all the time, started arguing more and more with her mom who stayed up nights wondering what to do.  Her grades started to drop.  After her first D on the report card came, Nicole was in the bathroom one night shaving her leg and cut her knee.  She felt pain.  The pain pushed some of the sadness out of the way, if only for an instant.  Nicole became a cutter.  Twenty seven times she would cut herself that night, cuts so small that they healed almost instantly.  Paper cuts.  This continued to develop, along with her overall deterioration.  One lonely summer night, Nicole cut herself so deep that it wouldn't stop bleeding.  She started to panic.  She ran downstairs, nearly hyperventilating, to show her mother who was soon nearly hyperventilating as well as they hurried on shoes, grabbed purses, ID's, a towel to soak up the blood which had not stopped, and slammed the car doors to the green 98' Ford Explorer while screeching out of the driveway.  Nicole was taken to a local hospital in Dallas, stitched up, and transferred to the psychiatric hospital, where we asked her if she had ever seen a counselor or a psychiatrist.  Her eyes never lifted as she shook her head no.

Nicole was lucky and lived.  Others aren't so lucky.  But it never had to get to that point.  What if she had a mental health check up a year ago when she started cutting, or when she started having trouble sleeping?  Would she have progressed to the point of needing inpatient care at a psychiatric hospital at the age of 14?        

What one major concept separates mental health from general medicine?  Take a second to think about it.  Ready?  Regular checkups!  Yearly exams!  Annual physicals!  And why do we do this?  Why should a completely healthy person go in, take money out of their pocket, and order the doctor to give them the once over?  It's not just because it's in keeping with good health, it's because getting checked by the doctor can potentially catch something that could become a larger problem if not diagnosed early.

The same is even more true with mental health problems.  The danger here is that these mental health problems will also cause physical health problems.  Hypertension, high cholesterol, obesity from not having the motivation to keep yourself in shape, heart disease.  These conditions all can be brought on by unchecked mental health problems.  There is absolutely no reason to neglect your mind.  It is by far the most important organ in your body.


Counseling and Therapy in Dallas

Chase Chick MPA LPC is CEO and co-founder of Pursuit of Happiness
You can follow us at
@POHClinicBTGS
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