What I have observed is that the solutions provided by CSB involve medication and occasional experimentation.  It appears that after changing a dosage CSB does not monitor or help patients when they communicate that they are having reaction to the medication.  What CSB tells their patient is that they should go to the ER, which may lead to Center For Psychiatric & Addiction Treatment (CPAT).  In the case of low or no income patients this action results in additional debt, contributing to the patients distress.

CSB is providing assistance to my girlfriend who is currently unemployed and suffers from anxiety, depression and a bipolar condition.  In 2004/2005 CSB provided my girlfriend with two months supply of Zoloft and told her to come back in two months.  My girlfriend had a reaction to the Zoloft and when she called CSB they told her to go to the ER.  This Zoloft experimentation was repeated in 2009/2010, she questioned it and was told that there was a difference, this resulted in another of visit to ER/CPAT.  She went back to CSB and continued to have problems with the medication/prescriptions provided in July 2010.  On this CSB, ER/CPAT cycle my girlfriend slipped in CPAT, breaking her leg.  She mentioned that her CSB therapist is not documenting this new stress.  Unemployed patient is looking at growing debt again - I have been providing shelter and covering some of her expenses, but I cannot cover these new debts. 

I had believed that CSB was one of the few good programs helping out people in crisis, those needing assistance, like my girlfriend,  I can only wonder at the others caught in this cycle.  After CSB alters the medication their solution to low/no income patients is to go to the ER/CPAT, increase their debt and stress.  The bill collectors start calling.   Is this helping people in crisis or is this an example of an institution that is not proactive in monitoring and providing solutions for people in crisis ?  I seriously doubt dysfunctional process is good for either budget or mission - there are management processes that are structured to reduce failure - TQM, Six-Sigma.

http://healthcare.change.org/petitions/view/slippery_floors_in_hospitals_treating_psychiatric_addiction_patients