Christopher's Story: An Indictment of the American Mental Health System

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Pub Date Jul 22 2015 | Archive Date Sep 16 2015

Description

Part biography, part social commentary, and part cold case, a compelling tale of the author's descent into his son's problems and the madness of the perpetual dysfunction of the country's mental health system. There is an astonishing level of detail taken from reports, evaluations, and the author's own journal entries, as he records his frustration, heartbreak, as well as a fair amount of humor. The MH system appears as bureaucratic maze of incompetence and callousness more interested in collecting insurance payments and protecting itself from liability than in assisting others. The failure of the system in the case of the author's son has disastrous results. Physically abused at the age of one and a half by his own biological father, the subject of this book commits physical abuse to an infant twenty-one years later with fatal consequences. And just when readers have thought it couldn't get any worse, there is a twist at the end that is beyond belief.

Staring when the boy was four, the author writes of his efforts to raise his son by himself. It is clear from the beginning that Christopher has emotional problems, and the author seeks help. However, the boy is continuously misdiagnosed as ADHD with the solution being to try another medication. Indications that the boy is brain-damaged are ignored for many years. In school learning takes a back seat to behavior management. Adolescence brings violence, substance abuse, inappropriate sexual advances, and turns in and out of placements. At a crucial stage where both father and son are pleading for help, the MH system does not even return phone calls.

Throughout the emphasis is on the failure of the MH system rather than the possible shortcomings of individuals. Pseudonyms are used to maintain the focus on the system.

The author concludes by citing crucial points in his son's life were opportunities for interventions were missed. He also cites long standard practices in the MH field that deflect accountability and keep the system inefficient. Recommendations for changes in the system are made. In the book's final passage, the author citing a case of a student in the last year in which the recommendations by the MH system are totally inappropriate for the student.

About the author: John Rubisch has over thirty years of experience with the American mental health system as a counselor, social service worker, and parent. He holds a PhD in Instructional Systems from the Pennsylvania State University. He is the author of Mill River Junior High and has been published many times in journals, magazine and newspapers on a variety of topics.

Part biography, part social commentary, and part cold case, a compelling tale of the author's descent into his son's problems and the madness of the perpetual dysfunction of the country's mental...


A Note From the Publisher

Keywords: Mental Health, Medication, Counseling, Brain Damage, Special Education, ADHD, Psychological Evaluation, Bender-Gestalt, Rubisch, MRI

Keywords: Mental Health, Medication, Counseling, Brain Damage, Special Education, ADHD, Psychological Evaluation, Bender-Gestalt, Rubisch, MRI


Advance Praise

Profoundly compelling, the author writes candidly of his true feelings of helplessness in trying to assist his son in a bureaucratic maze of incompetence of this country’s mental health system. Medicine, counseling, and therapeutic placements, nothing seems to work as the MH professionals continue to misdiagnosis or simply ignore the real problem- the boy was brain damaged. Particularly, I found his journal entries to be riveting as he watches his son being pulled inexorably into the criminal justice system. The unexpected twist at the end will floor you.

If you’re looking for a feel-good read, look elsewhere. If you’re looking for a real story about one of the nation’s most misunderstood problems, go no further.

Profoundly compelling, the author writes candidly of his true feelings of helplessness in trying to assist his son in a bureaucratic maze of incompetence of this country’s mental health system...


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Featured Reviews

Although this book was a fast read & a short account of Christopher's life, I'm sure his father feels as if it was a 100 year journey I feel it was a lose/lose situation

Yes, I can see how he feels the Mental Health System failed his adopted son. Money & insurance were other factors involved in his son not getting appropriate care at times also. It was definitely NOT a lack of care on the part of Chris's father. He tried everything , took him to all types of doctors, treatments, medications etc, but Chris's problem was really beyond Mental Health. He had actual brain trauma & problems even possibly starting in utero. His birth mother was a very young girl, who may or may not have had alcohol while pregnant. His biological father abused him & broke his clavicle. Could he have also helped in Chris's brain organicity problems? Sadly, an infant died due to Chris's behavior & is now incarcerated but still gets shipped back & forth between prisons due to his behavior. He was severely beaten in jail for the crime he is incarcerated, needing plates & screws to put back the left side of his face. I don't believe Chris will ever be "normal" as his condition is way past that stage On the brighter side, his adoptive father remembers some good times with Chris. When he went to Dorney Park ( I happen to live close by & it's an awesome park) going to football games at State College & ice hockey. Chris was able to play ice hockey & enjoyed it even if he wasn't the greatest player on the team

Does the MH system need improvents? Definitely YES!! Money is a big factor along with insurance as to what type care a person gets & how long a person is allowed to stay in facilities. Case load is also a problem. A worker the father encountered had 700 people on her case load when he asked for her help STIGMA!! Although contradicted by that woman's caseload, stigma is STILL very much a reality & reason why some who need help won't go to get help. Being labeled with a mental problem is still to this day looked down upon. I don't care who or how much people say stigma no longer exists---it does !!

For Chris, having an injured brain, now with epilepsy & lesions, I don't think the mental health system can be of much help for him. He needed that diagnosis much earlier & then maybe/maybe not, he could've gotten correct treatment. Perhaps surgery or treatment for his brain problem instead of going to therapists etc which didn't help him in the long run anyway

Chris will be incarcerated for assault which led to the death of infant "Matty" at least until the year 2026 at which time he'll be 43. That's still quite young in this age to be out in civilization with his problems. I suspect he'll be in longer or if released, he'll find his way back in prison again or dead!!
It really is a lose/lose situation for him. From birth, he really never had a chance, but his adoptive father did his best in getting his son help he thought he needed & that would work, but didn't

I received a copy of this book from Net Galley in return for an honest review. Also thanks to the publisher for allowing me this title

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A case study of a life gone wrong, "Christopher's Story" documents the childhood and adolescence of John Rubisch's extremely troubled son. Adopted as a preschooler, Christopher had already experienced several years of neglect and abuse before being placed with Rubisch, a school counselor. Although Christopher received years of psychiatric treatment and educational support, these interventions were not sufficient to meet his needs. Rubisch examines the factors that informed Christopher's care, and offers insight into the difficulties he experienced as the single-father of a child with significant behavior problems. A tragic story, with parallels to Michael Dorris's "The Broken Cord."

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This was a relatively good book. It was interesting and sad at the same time. While I agreed with some of what Dr. Rubisch was saying about the Mental Health in the United States being concerned with mostly money, I think that the lack of people working in the industry also plays a large role in how some people unfortunately fall through the cracks. I felt for him as a person and I wanted more for his son, however after reading about Chris I question if things would have turned out different even if he had gotten the treatments he was seeking. It seemed he would want to change but lacked the ability to stick through with it, and certainly the events that ultimately played out may not have involved a baby, but instead may have resulted in the death or harm of some other person in his life later down the line. Even from what was described that he was like now after being incarcerated for so many years it doesn't seem like he's learned anything from it.

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This was a good one. very sad, but made you think about how things can get if appropriate help is not given.

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