GCASA official suggests agency being captured by government to promote 'social control'
Interesting post from David G. Markham on the GCASA Cares blog.
We've seen comments before from readers on The Batavian that suggest that the criminal justice system is in cahoots with GCASA just to funnel substance abusers into the program to subsidize GCASA's payroll, at taxpayer expense, of course.
Markham's post suggests that there is a different attitude at GCASA.
It has been impressed on me once again that self destructive behavior should not be equated with criminal behavior. Most of the clients I evaluated were sent by the criminal justice system or other governmental bodies such as the Department of Social Services, the Department of Motor Vehicles, Probation, the courts, etc. The health care system for substance abuse disorders has been captured by government to coerce behaviors which government has determined is in its own best interest and not necessarily in the individual's. What Michel Foucault calls "governmentality" increasingly deprives individuals from their freedom. There is a fine line between whether agencies like GCASA are health care agencies whose mission is to help individuals improve their health or coercive agents of social control. It looks to me like 75% of GCASA's services are designed to exert social control and the client's right to self determination is marginalized if respected at all.
Markham has recently had to put more time into the Albion office because of the recent departure of three counselors. He's been buried in government-mandated paperwork that he says has nothing to do with ensuring good outcomes for patients.
Regulatory agencies have no viable means of measuring beneficial treatment and good outcomes, so they rely on compliance with paperwork completion as a proxy. This is a false assumption, and a dangerous way of evaluating quality care.
It sounds like something is broken in the system.
For further reading, and it's not light reading, here's the Wikipedia entry on governmentality.