I’ve had enough! Even though it is difficult to find out the facts about the separation of immigrant children from their parents along our southwest border, there are certain clinical and ethical principles that we must reaffirm to our colleagues, the public and society.
Although there may be several clinical principles to fall back on, perhaps the most basic and time-tested one is the hierarchy of needs put together by the psychologist Abraham Maslow. It consists of a pyramid of five levels of need: physical, security, social, ego, and self-actualization, from bottom to top.
For the children separated from their parents, or even any of the detainees, that means that first of all, adequate air, water, food, rest and health are the basic priorities. Without objective assessment of the holding places, we can’t know for sure if that need is being met.
Addiction professionals annually convene at the National Conference on Addiction Disorders to share what’s working: Clinicians hear from thought leaders on delivering treatment, while executives of behavioral healthcare organizations learn how to run more effective, more efficient, and ethically minded businesses.