I'm sure I'm completely off here, due to when this architectural style came out, it seemed as though the welfare of parents wasn't exactly at the top of the list, but I was just thinking how the Kirkbride style could have been specially developed for state hospitals to prevent the patients from being able to injure themselves on regular sharp-cornered walls. I guess it was just cause it reminded me of those special rounded corner chairs. Although I'm sure the architecture had nothing at all to do with that.
I forget to mention last time ~ thats old paper just sitting on the rack thing right? It's awesome how it was just left there, and that it hasn't disentegrated or been eaten away by vermin.
Since HIPAA has come into effect we have had more training on the various aspects of HIPAA than any other concept that has ever been in the field, I swear to the heavens. :-( It is gruesomely boring and technical, but they threaten you with large fines, so we have to learn it.
As a clinical psychologist I always had to honor confidentiality, both while the person was "under my care" and even after they left, unless they signed a waiver of some sort. But even then you get into the habit of not discussing people who have been in your care such that they could ever be identified, and even when you have permission to discuss a specific case you always alter the details just enough to protect the person's identity.
And kty, you are right - I can't imagine anything more embarrassing than finding myself described in all my glory somewhere by name when my life wasn't working out well. That's why I am tickled and most appreciative that Motts doesn't divulge what he has found in these places. It is excruciatingly difficult to be in such a spot that you need to go (or be taken) somewhere for help, and then to think that people would be reading your personal records years later describing when you were at your darkest point in time - this would be the ultimate humiliation. To me that is much more "abusive" than many of the things that seem to bother people if they aren't familiar with this field.