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The Profitable Business of Holding Patients Against Their Will

The Profitable Business of Holding Patients Against Their Will

Update: 2024-09-2611
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This podcast delves into the investigative report by The New York Times on the practices of Acadia Healthcare, a leading chain of psychiatric hospitals in the US. The report reveals a system where profits take precedence over patient well-being, leading to unethical practices and detrimental consequences for individuals seeking mental health care. The podcast highlights the story of Kathy McKenzie, a school social worker with bipolar disorder, who was unjustly detained in an Acadia hospital against her will. The report exposes Acadia's strategies for maximizing profits, including directly marketing to potential patients, cultivating relationships with emergency responders, and exploiting loopholes in involuntary commitment laws to keep patients in the hospital for longer periods. The podcast discusses the lack of consequences for Acadia's actions and the lasting impact on patients like Kathy McKenzie, who experienced trauma and a loss of faith in the mental health care system.

Outlines

00:00:00
Investigating Abuses in Psychiatric Hospitals

This chapter introduces the podcast and its focus on an investigative report by The New York Times into a leading chain of psychiatric hospitals in the US, revealing a system where profits prioritize over patient care.

00:00:27
Kathy McKenzie's Story: Unjust Detention

This chapter focuses on the story of Kathy McKenzie, a school social worker with bipolar disorder, who was unjustly detained in a psychiatric hospital against her will.

00:01:01
Acadia's Profit-Driven System

This chapter delves into the details of Acadia's system for maximizing profits, including their strategies for attracting patients, keeping them in the hospital for longer periods, and exploiting loopholes in involuntary commitment laws.

00:33:16
Consequences and Impact

This chapter discusses the lack of consequences for Acadia's actions and the lasting impact on patients like Kathy McKenzie, who experienced trauma and a loss of faith in the mental health care system.

Keywords

Psychiatric Hospitals


Institutions that provide specialized care for individuals with mental health conditions, offering inpatient and outpatient services, including diagnosis, treatment, and rehabilitation.

Involuntary Commitment


Legal process where individuals can be detained in a psychiatric hospital against their will if they are deemed a danger to themselves or others.

Profit-Driven Healthcare


Healthcare system where private companies prioritize financial gains over patient well-being, potentially leading to ethical dilemmas and compromised care.

Mental Health Crisis


A state of emotional distress or instability that can manifest in various ways, including anxiety, depression, suicidal thoughts, and behavioral changes.

Acadia Healthcare


A leading chain of psychiatric hospitals in the US, known for its profit-driven practices and alleged abuses in patient care.

PTSD (Post-Traumatic Stress Disorder)


A mental health condition triggered by a traumatic event, characterized by intrusive thoughts, nightmares, avoidance behaviors, and emotional distress.

Q&A

  • What prompted The New York Times to investigate abuses in the mental health care sector?

    The investigation was sparked by a tip about a company called Acadia Healthcare, which turned out to be one of America's largest chains of psychiatric hospitals.

  • How did Acadia Healthcare grow so rapidly?

    Acadia's growth was fueled by the implementation of Obamacare, which required insurers to cover mental health, leading to a surge in demand and billions of dollars entering the market.

  • What were some of the strategies Acadia used to maximize profits?

    Acadia employed various tactics, including directly marketing to potential patients, cultivating relationships with emergency responders, and exploiting loopholes in involuntary commitment laws to keep patients in the hospital for longer periods.

  • What was the impact of Kathy McKenzie's experience on her mental health?

    Kathy experienced significant trauma and developed PTSD after her unjust detention, leading to nightmares, anxiety, and a loss of faith in the mental health care system.

  • What are the potential consequences for Acadia Healthcare?

    Despite numerous complaints and red flags raised over the years, it remains unclear whether Acadia will face any real consequences for their actions.

Show Notes

Warning: This episode contains descriptions of captivity, mental-health trauma and suicidal thoughts.

A Times investigation into a leading chain of psychiatric hospitals in the United States reveals a world where profits trump medical needs, and patients are detained against their will.

Jessica Silver-Greenberg, an investigative reporter for the Business section of The New York Times, tells the story of one woman who was trapped inside.

Guest: Jessica Silver-Greenberg, an investigative reporter for the Business section of The New York Times.

Background reading: 

For more information on today’s episode, visit nytimes.com/thedaily. Transcripts of each episode will be made available by the next workday.


Soon, you’ll need a subscription to keep full access to this show, and to other New York Times podcasts, on Apple Podcasts and Spotify. Don’t miss out on exploring all of our shows, featuring everything from politics to pop culture. Subscribe today at nytimes.com/podcasts.

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The Profitable Business of Holding Patients Against Their Will

The Profitable Business of Holding Patients Against Their Will

The New York Times