Destroying Sanctuary: The Crisis in Human Service Delivery Systems
"Health care and human services have become commodities, and caregivers are forced into a factory system where productivity has nothing to do with patient care. This volume forms the diagnosis; we can eagerly look forward to the next volume in which the authors promise a treatment plan."-Judith L. Herman, MD, Cambridge Hospital "This should be required reading for clinicians, administrators, public policy makers, and the general public. Sandra Bloom and Brian Farragher do nothing less than describe in gripping detail what is wrong with the mental and medical health service delivery systems as they have become profit-driven and dehumanized." -Christine A. Courtois, PhD, Associate Editor of Psychological Trauma: Research, Theory, Practice & Policy"Sandra Bloom and Brian Farragher provide reflective readers with a wonderful description of human development and the observable steps by which we grow into content, productive people or become chronically distressed and physically ill. Destroying Sanctuary is particularly timely as we rethink various aspects of the U.S. medical care system, especially the cost of our comfortable inattention to the far-reaching impact of traumatic life experiences. " -Vincent J. Felitti, MD, Kaiser Permanente Medical Care Program and University of California "Bloom and Farragher challenge administrators to think in terms of reform and recovery, rather than falling back on our emphasis on 'fixing people' when in fact our systems need to be fixed. This is a rallying call for creating and sustaining healthier service systems." -Angie Logan, Pennsylvania Department of Public Welfare "Packed with wisdom, scientific evidence, and concepts that are vital to understanding and healing the 'chronic public health disaster' that is a consequence of endemic traumatic stress and adversity. Read it once and learn...study it and learn more." -Robert Anda, MD, MS, Adverse Childhood Experiences (