No I can't say that I do ,for 2 years well waiting to get on fire department I worked for Department of mental hygiene police. The job wasn't a sprint it was a marathon every day,some days we had to deal with suicides sometimes we had to talk people off the bridge ,sometimes we had patients who where so violent and combative you begged God for just one pair more of handcuffs ( getting control was neccesary sometimes and nice padded leathers had to wait till you got them to a bed in the E.D and a doctor said strapem down)
It was a tough heartbreaking job many days and some days you thought would never end. Then you become a firefighter and find whole families you couldn't save or help ,the other day my old house had an alarm we got there in 3 minutes ,fire was blowing out of two exposures and flame met the guys at the door ,no smoke detectors and it looks on preliminary investigation unattended cooking started it ,the first alarm was at 1:40 AM and quickly became all hands. Those are the jobs that haunt you forever ,anyway i was in the "transitional period " when asylums where being closed and consolidated and the better community based systems where getting going ,the ones that dont help many people because the politicians squander the money ,so they are always trying to do more with less ,and unfortunately todays mental health system is jails and prisons , "petty ctimes leading people to doing dimes" if the system was funded and functioned as it was in the early days these people would have never gotten where they are .its not the unforgivable horror show of degrading ,humiliating,inhumane loss of autonmy people think ,ECT especially that requires serious amounts of consent by both the patient and a family member signing waivers and indemnifying everyone involved from liability. Chemical restraint aint what it used to be for lack of better words they used to F*** you up with a "major tranquilizer"/ 1st generation anti pschotic / neuroleptic " its had many names ,then big pharma oversold 2 nd generation atypicals less horrendous side effects etc etc. Today from studies and such we know 2nd gen was no better than the first and in many cases were worse .but one of the big things that has changed is for the most part most oral meds works as fast ot faster than IM ,and making a deal a deal with the patient to take a pill to help them calm down ,will pretty much set the stage for there treatment ,because once you violate a person by holding them down and injecting they will basicly write you off ,nowadays instead of the anti psychotics with all the harm they can cause its usually a benzodiazepine ( and calming someone is the goal) for people who go into retraints ,the chemical restraint that follows is preferable because they will remain in fight mode and end up hurting themselves so knocking them out ,is way better they are usually people again who can be released and helped .in my day we had a violent patient we made a backboard sandwich out of them now a days we have an RSI (rapid sequence Intubation ) protocal sedate, paralyze, insert breathing tube and bag them a( bag valve mask they can't breathe due to paralysis so you are breathing for them .
We are out of the dark days of psychiatric treatment that most people have seen dramatized in theatre and movies.but trust me there are many miles to go before we rest ,there is still much we don't know what we are doing .