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should be at the highest level, we have kids like this, and worse. who are already expressing violent fantasies, being treated by newly minted social workers who have never been schooled in introspective techniques, who don t deal with violence on a day-to-day basis. we have no forensic training why, because insurance companies pay only them. we have insurance companies won t pay psychiatrist to do that work. we have no connection between our crisis teams and community mental health centers and the police, our judiciary and our hospitals. we have people in e.r. who are psychiatry residents and psychiatrists who don t liteserly know who to call if they have a psychiatric patient come into the e.r., who s expressing violent ideas short of murder or for whom they re terribly concerned. we still have all kinds of experts, quote, unquote, psychiatrists, social workers, and others, who believe that if somebody says i won t do

Insurance companiesWe don tTraining whyThe schoolDont liteserly knowCrisis teamsPsychiatry residentsCommunity mental health centersSocial workers