www.brattlebororetreat.org/news/retreat-begins-take-sta -
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Published on: 10/25/2005
Last Visited: 9/22/2009
"We basically see ourselves as having the most psychiatric resources in the region and we would be the logical people to help them (state hospital) out, so we want to that," said Dr. Fred Engstrom, the Retreat's senior vice president of medical affairs.
Engstrom has been working with state officials since news broke in the beginning of this month that the state hospital had lost its federal certification and access to millions of dollars in federal funding for a second time after two patients escaped from supervision.
"It's a stark contrast," Engstrom said after touring the state hospital last week.
"They have a staff right now that's been put through the wringer, whether that's fair or unfair and I'm not there to judge.
But needless to say, they feel very discouraged," he said.
The state hospital is also limited by an outdated facility, Engstrom said.
The Retreat has invested millions of dollars to renovate its buildings and update them for safety, he said.
"They (state hospital) have a lot more difficulties with their environment in terms of places where you can't see patients, places where potentially you could harm yourself; it's the sort of thing where the facility's been neglected," he said.
Retreat officials say they sympathize with the state hospital staff who have complained about inadequate staffing and poor working conditions for years and don't want to have an adversarial relationship with the state hospital.
They face the same tough challenges the state hospital does in treating severely mentally ill patients, many of whom are suicidal and ambivalent about whether or not they want to get better.
Patients try to run away, Engstrom said.
They've committed suicide and harmed themselves.
"I don't want to hold us out as perfect," he said.
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The Retreat has 175 mental health professionals with various degrees, the greatest concentration in northern New England, and is able to tailor treatments to individuals, said Engstrom.
The hospital specializes in dual diagnoses such as substance abuse and mental health and serves as the state's psychiatric hospital for children.
Half the patients come from out of state and many have been in and out of hospitals.
"We have a reputation for being able to help some people who are the hardest to treat," said Engstrom.
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Engstrom and state officials are weighing all the issues, legal and otherwise, surrounding moving patients to Brattleboro, he said.
They say they want to be sure any move will not disrupt a patient's care.
"We wanted to make sure that we take patients where we can be helpful and the patients want to come here," Engstrom said.