What I Wish BHD Had Done

I’m a consultant.  So a lot of what I do and say comes from the comfort of the sidelines.  I watch things.  I analyze.  I suggest.  But I’m rarely in the line of fire.

The past several months I’ve watched a friend (and a client by the way) stand squarely in the line of fire.  I’m talking about John Chianelli, until yesterday, the administrator of Milwaukee County’s Behavioral Health Division.  I’ve worked with John for many years - in the Continuum of Care (Milwaukee’s homeless coalition, on the reform of GAMP (General Assistance Medical Program – now known as BadgerCare Core), and in facilitating strategic planning sessions for the leadership team at BHD and assisting in the effort to integrate the AODA and mental health treatment systems into a more coherent, welcoming system for everyone.

I’m proud of the work I’ve done and proud of my association with John Chianelli.  He’s a gifted public administrator – talented, committed, energetic.  This recent situation is a tragedy all round.

Anyway, despite my great respect for John and the work BHD has done to reform itself, I am really troubled by how they’ve handled this crisis.  They stonewalled.  Something very bad happened on their watch and they battoned down the hatches and went mum. 

BHD runs a public psychiatric hospital.  This is a challenging job with a lot of potential for error – especially when resources are scarce.  It’s not as if the public might not understand that a mistake happened.  Mistakes happen in this hard world.  But maybe on the advice of lawyers, maybe on their own counsel, BHD slammed the door shut.  No one called a press conference.  No one came out with the facts of the story.  No one said they were sorry.

This last element is the sticking point for me.  When little Christopher Thomas was killed at the hands of his kinship caretaker, the Bureau of Milwaukee Child Welfare dummied up, looked at us (the public) stonefaced as if they had nothing to explain and nothing to apologize for.  I’m not afraid to admit it – Christopher Thomas’ death made me weep.  It also moved me to become a CASA (Court Appointed Special Advocate) to stick up for a kid in foster care.  But back to BHD.

What I wanted to hear from Milwaukee County was an apology along with an acknowledgement that something went terribly wrong and needed to be fixed. 

BP figured this out too late — taking the advice of their lawyers until the entire world condemned their rotten behavior in the Gulf before and after the spill.  Same with Toyota.  Stonewall.  Denial.  Silence.  And then the avalanche of criticism and hatred.  The New York Times’ recent article, “In Case of Emergency:  What Not to Do,” lays it all out.  When there’s a catastrophe, disclose it immediately.  Come clean.  Be clear on what will be done to avoid a recurrence.  Own up.

http://dealbook.blogs.nytimes.com/2010/08/23/in-case-of-emergency-what-not-to-do/

It’s not just strategy — gee, if BHD had done the Tylenol thing, it would all be ok — it’s also about public accountability and transparency.  And being and feeling sorry when something bad happens.  And meaning it.  I wish BHD administrators had done that — so they could enlist the public in their efforts to reform the mental health system instead of fueling the years’ old fires of suspicion and conflict.  Sad thing.  But bigger sad than just a couple of people — sad for all of us as a town.