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I had a client go awol in the psych unit that I work in today. He was very agitated due to wanting a cigarette and despite receiving and taking multiple nicotine lozenges, it still wasn’t enough. We had to sedate another client who refused to take their meds and was increasingly more agitated, so we had to clear the unit. We had three clients outside on the back patio.

Once the injection was complete and it was safe for clients to come out, there were only two clients on the patio. Now mind you, this area is secured with a fence that covers the roof and all sides that lead to outdoors. But I guess the client kicked the fence in where it was loose near the bottom and escaped. He didn’t get very far. He bummed a couple cigarettes off someone in the smoke pit and that’s where we found him. He came back to the unit, happy as a clam after having his cigarette. But our supervisor lost. her. shit.

She asked who last did room checks and I said I did, which was true. Room checks needed to be completed every thirty minutes to account for all clients. The last checks had been done at 1630. The 1700 checks needed to be done, but that’s when the unit got cleared for the client’s injection, so they didn’t get done. The supervisor was mad that she had to do an incident report. Granted, it is a lot of work on a supervisor when a client leaves the unit. I know, because I have had a client who was a minor kick in a fence and bolted. They eventually found him, but there is a lot of paperwork and bullshit that goes with it.

I can’t say I blame her for her anger, but damn she don’t do much as it is and we weren’t pulling more overtime for this incident. She didn’t have to take her anger out on us. When we asked the other two clients’ why they didn’t mention he was gone when the other two came back inside, one guy said “Snitches get stitches.” and one of the staff said, “Silence is compliance.” and the other guy said, “Can’t snitch on a homie *shrugs*”. Now all the clients are upset because they all had lost their outside privileges because the fence is broken and now needs to be fixed before anyone else can go out there.

I just want to say that I almost admire this client’s determination for a fucking cigarette. He risked going to jail and being further detained for a product that he was getting on the inside. I also want to know the dummy in the smoke shack who gave an inpatient client a cigarette, because the staff who did it knows who the patients are and why they would give an eloped client anything is beyond me.

I just wish I was as determined as that guy because that is courage and balls, right there. Well that’s it for me on Day 6 of Blogtober! Keep kicking butt and stay determined, folks. 🙂

Much love,


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