Stephen, At McLean Hospital the night staff were very unprofessional. In fact, I remember the staff being untrained and unprofessional on the whole. There was a marked difference between the “units” where the patients paid out of pocket and the “units” where patients were covered by Medicare. Huge. Medicare patients had untrained staff that had only high school education. The pay-out-of-pocket units were staffed with very experienced staff. I know this simply because I was there as both Medicare patient and also visited others, this over a very lengthy and involved period. These wealthier units had experienced staff, many having worked there over a decade. They were well-trained. Even the food was better on those units. They had home-cooked meals. The food at McLean on the Medicare units was about as inedible as could be. It was mass-produced, not like “tray” food you get in a community hospital that you order off a menu. They brought it onto the unit in a big container and then, dished it out. Like elementary school food. It really couldn’t be eaten sometimes. You worried about contamination. As for the staff…Night staff slept all night. Some quite deliberately. One of them, I recall, a woman, brought pillows with her to work. She put two chairs together and put the pillows on the chairs, just so she could sleep. Then, she put a hospital blanket over herself. The other staff, a man, ordered all patients into their rooms. We were not allowed to leave our rooms from maybe 11pm to 6am. Period. Exception may be to pee, but they would harass you for peeing even. Now this lady slept ALL NIGHT. I know this. I did get up to pee. I have diabetes insipidus and I get up every night, to pee and get a drink of water. The guy did not allow me to get a drink so I called human rights and he got in trouble. Sorta. She STILL slept through the night and would get annoyed if I walked past and disturbed her. The object of these night staff was to give the patients enough “meds” to ensure we slept and then, NOT WORK. The guy used his work time to study for whatever classes he was taking during the day or evening. He was not working, either. I am amazed that these night staff got paid. Why is it that so many people struggle to get jobs and keep those jobs, and these night staff got paid to NOT WORK and be so cruel to us patients? Then, maybe a few weeks later, I told my outpatient psychiatrist, “The night staff at McLean slept on the job.” My psych told me “That’s impossible. You must be psychotic.” I can’t tell you enough how harmful it was, all those years, to be called psychotic when I was not. It was like being caged forever. And how satisfying it is to be free now to write these words.