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PHI includes 18 identifiers, such as patient names, specific geographic areas and dates, that cannot be publicly released. The department investigated whether information in her book was "de-identifiable"— meaning written in such a way that those reading the book could not reasonably determine the patients' identities.
"We do not think that it met the standards for full de-identification," Shaner says.
PHOTO BY TED SOQUI
Erica Loberg: Mental illness should be discussed without shame.
Shaner means Loberg didn't do a perfect job — but he also stresses that he is not suggesting patients in Inside the Insane weren't "sufficiently protected."
Loberg says the months wore on with no word of when the county's investigation might end. After reading stacks of county policies, she ultimately was assigned to "update" just one item in the massive materials — a task that took a single day. Finally, in February 2011 she went on leave — for depression.
Six months later, Loberg says, she notified the department that she had hired lawyers to represent her; within 24 hours she got a call from county officials. Last summer, she settled and agreed not to sue the county over how she was treated.
Shaner says the Mental Health Department values Loberg as an employee. "We thought that the best thing to do was to be able to have the benefit of her services," he says. "She's an employee of the department, with clinical skills that we need."
Even with settlement money and a new job in the huge L.A. County workforce, Loberg says: "You can't put a price tag on depression or what they put me through. It was a check to get rid of me, to silence me. [But] it wasn't about the money."
Loberg is left wondering who is behaving in strange ways — the patients she once cared for, or a county system in which higher-ups turned her modest publishing dustup into a costly, months-long ordeal.
Loberg says her book was meant to open a cultural dialogue about mental illness, and to show that it should be discussed without shame. "I have no qualms about the ramifications from my book," she says. But "The way the government and the county handled this is not OK, and that's the story that people need to know about."
Loberg now works with mentally ill homeless people — a county job. She would like to see changes in the Mental Health Department — including an end to what she says is overmedication of patients, and more funding to educate patients and families in ways to reduce the "revolving door" pattern at mental health facilities.Her greatest desire, she says, is to "tell the truth about our current state of mental health treatment."
Reach the writer at TaylorFreit@gmail.com.
17 comments
This is bullshit. Publicizing a book written against patient consent. There have to be other ways to get attention and money without pulling out the laundry of disabled and handicapped people. You want a book. Why not try taking on something less frivolous. maybe for a white girl this is news, but I grew up in urban p.s. systems and this is Loberg's free lunch. total b.s. for ethics.
And to clarify some points made in the article that may seem unclear. I took long lunch breaks and brought my laptop to work to prove a severe point: why are taxpayers money paying for some government positions and programs that do nothing more than allow employees to sit on their ass without capitalistic ventures on the horizon cause the government makes it too comfortable. to do not much.. - eml
i am not a not a scientologist... if you read the quote I say about scientology you shall see, "It was not clear to me if she was poisoned by the craft of Scientology bullshit-driven acid forming nitrates on the soul, or was lost and off to begin with. .. The doctor came into my office to inform me that ... 'We don't treat Scientologists.' 'Oh, OK.' 'They don't believe in medication so there's no point.' ... So if Scientologists reject people, and they end up on the ward, and the ward shuts their doors to them, where do they go?"
I'm just asking questions surrounding our current state of mental health treatment... I don't care if your a Jew or catholic or Buddhist or a scientologist... but I will say that hyper religion exists hard in the walls inside the insane... not sure yet why this is the case but... my advice: read the book before making ideations on the content and context of the written word. - eml
This book was likely written on behalf of Scientology (for Scientology). Perhaps the author has made herself available to Scientology? The story sounds a lot like the stories on the exscientology message board . Reverse Technology it is called by Scientologists. Blame Psychiatry on the things Scientology is currently accused of in order to divert attention. If you read the ex Scientology message board and note from the posts there you will see that top executives of Scientology get sent to "the hole". Yet here in this article we have a psychiatric nurse getting sent to the "basement" At least she got to have her laptop and long lunch breaks. Not so, for people like Debbie Cook or Lisa Mcpherson. Google their names.
i am not a not a scientologist... if you read the quote I say about scientology you shall see, "It was not clear to me if she was poisoned by the craft of Scientology bullshit-driven acid forming nitrates on the soul, or was lost and off to begin with. .. The doctor came into my office to inform me that ... 'We don't treat Scientologists.' 'Oh, OK.' 'They don't believe in medication so there's no point.' ... So if Scientologists reject people, and they end up on the ward, and the ward shuts their doors to them, where do they go?"
I'm just asking questions surrounding our current state of mental health treatment... I don't care if your a Jew or catholic or Buddhist or a scientologist... but I will say that hyper religion exists hard in the walls inside the insane... not sure yet why this is the case but... my advice: read the book before making ideations on the content and context of the written word. - eml
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Thank you for covering this story! I have read this important book. Her account is horrifying yet infused w/humor to make it strangely entertaining. I hope more of the media covers this book and it helps improve the mental health industry.
I wish this article went into more detail. It's an important issue for everybody.
Thank you for shedding light on the fact that psychiatrists R turning mental health patients away based on the fact that they were Scientologists.
An ex-Scientologist often needs mental help, and to have nowhere to go is disheartening.
I have bi-polar disorder, among other things, and am an ex-Scientologist and am living without medication or assistance, except for Social Security Disability--without that I would be homeless. I have been denied mental health care and it's a painful thing when you r vulnerable.
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