Sunday, November 15, 2026

Quality of Life and Noise by Keith Torkelson MS, BS VHealth

  


Contents

  • Requirements/Specifications
  • Special Topic – Noise and QOL
  • Feature Case = Basalt AKA Rochester (Cough, Hack and Snort)
  • Does Coughing have a fast attack rate 1 & 2?
  • Chronic Coughing by another Wears me down
  • Un-restful Noises – Coughs [Recommended Read]
  • Bedroom Sound Studies
  • Compare Snort – Hack – Cough
  • Does it take a peaceful environment to mentally heal?
  • Priority - Sleep Culprit - Unhealthy noises
  • Peaceful Sounds
  • Theta Waves
  • ASMR sounds
  • White Noise Generator
  • How far would you go to get a good night's sleep?
  • Key Event – Environmental Sampling
  • MyCorder Features
  • How the Decibel Scale Works
  • Autism and Tourette’s Syndrome
  • Noises & Motions
  • Reasonable & Productive Sounds




Special Topic – Noise and QOL

Environmental noise is an unwanted sound that acts as a significant public health threat and directly degrades physical, mental, and social quality of life (QOL).

Key Impacts on Quality of Life

Sleep Disruption:

Nighttime noise exceeding 55 dB triggers awakenings, while lower or intermittent noise degrades deep sleep stages and reduces recovery without fully waking the sleeper.

Cardiovascular & Physiological Stress:

Unconscious and chronic noise exposure activates the body's fight-or-flight response, elevating stress hormones like cortisol, adrenaline, and noradrenaline. This contributes to high blood pressure, hypertension, heart disease, and increased risk of stroke.

Mental Health & Cognitive Strain:

Sustained noise fuels irritability, anger, anxiety, and depression. In children, chronic neighborhood or school noise impairs reading comprehension, attention, and academic performance.

Hearing Damage:

Continuous or intermittent loud noise exceeding 85 dB over extended periods causes permanent noise-induced hearing loss (NIHL) and tinnitus.

Daily Activity Interference:

High levels of traffic, industrial, or aircraft noise disrupt conversations, interfere with media enjoyment, and prevent people from opening windows or relaxing in outdoor spaces.

Practical Mitigation Strategies

At Home:

Install double-glazed windows, use heavy sound-absorbing curtains, and place thick rugs or carpets to dampen indoor echoes.

Personal Protection:

Use noise-canceling headphones, earplugs, or earbuds during noisy commutes, open office environments, or while sleeping.

Environment & Advocacy:

Seek out local green spaces and parks as acoustic refuges, and support community urban planning efforts like noise barriers and traffic reduction.

 

Destructive Noise Management

Noise pollution is one of the most difficult problems in urban areas and multi-flat houses. Pollution, grime or exposure to the other environmental problems represents the quality of housing environment and has direct impact on human health and living conditions

 

Note: This Report includes references to legacy documents




Sound Attack Rates

"Sound Attack Rates" can refer to the time it takes for a sound to reach its peak volume (in audio engineering) or, in a different context, the rate of sound attenuation (how quickly sound energy decreases with distance), with higher frequencies attenuating faster than lower ones. It's important to clarify whether you mean the duration of a sound's initial growth in audio processing or the physics of sound wave decay in propagation.

 



Does Coughing have a fast attack rate 1?

Graphing the sound of a cough involves recording the cough and then visualizing its characteristics over time, typically as a waveform or spectrogram, to reveal features like sound energy, frequency content, and duration. This process, known as audio-analysis, extracts quantifiable parameters such as peak energy and frequency, which can be used for medical diagnosis, such as identifying pneumonia or differentiating between respiratory diseases. Software tools like Audacity or custom MATLAB scripts are used for segmentation, feature extraction, and graphical representation of these cough sounds.


Research

Open access - Published: 20 November 2009
Classification of voluntary cough sound and airflow patterns for detecting abnormal pulmonary function.
Ayman A Abaza, et.al. (2009)

 

https://coughjournal.biomedcentral.com/articles/10.1186/1745-9974-5-8




Does a cough have a fast attack rate 2?

Yes, a cough has a very fast acoustic attack rate. In audio engineering and bioacoustics, the "attack" refers to how quickly a sound rises from silence to its peak amplitude (loudness). Because a cough is an explosive release of built-up air pressure, its initial acoustic onset is nearly instantaneous.

Chronic Coughing by another Wears me down

It can be incredibly draining to live or work around constant coughing. The repetitive sound, the natural instinct to feel concerned, and the disruption to your sleep or concentration can cause genuine caregiver burnout, sensory fatigue, and heightened stress.

Why It Wears You Down

Sensory Overload:

Constant, unpredictable noises like coughing trigger a minor stress response in your brain each time they happen. Over time, this keeps your nervous system in a state of high alert.

Empathy Fatigue:

You naturally want the person to feel better, but watching them struggle without being able to fix it causes emotional exhaustion.

Sleep Deprivation:

If you live with the person, their night coughing likely disrupts your own sleep cycles, lowering your patience and emotional resilience.

How to Protect Your Well-being

Use Noise Management:

Invest in a good pair of noise-canceling headphones, loop earplugs (which reduce ambient noise while letting you hear conversations), or a white noise machine for your room.

Create Physical Distance:

It is okay to step out of the room or go to a different part of the house when the coughing flares up. You need a dedicated "quiet zone" to reset.

Encourage Medical Evaluation:

If they haven't already, gently urge them to see a doctor to investigate underlying causes like GERD, asthma, medication side effects (like ACE inhibitors), or post-nasal drip. Managing the root cause is the most effective solution.

 

FYI – II - To help me suggest better ways to cope, could you share a bit more context? Do you live with this person (like a partner or parent) or work near them? Is the coughing disrupting your sleep, your concentration, or causing you health anxiety? Have they seen a doctor or tried any treatments yet?

 

In House > Noise > Metadata >




Aside - Associated with DORMIR Hub

 

Note: Major Milestone
Key Event - Date of Death
20210627-SU @ 1015 AM Rochester dies at home after being released from the Veteran’s Hospital.

 

Aside - Housing Advisory Noise Evaluation

A housing advisory noise evaluation, often conducted for U.S. Department of Housing and Urban Development (HUD) assisted projects, determines if a residential site is exposed to excessive noise from major sources. The evaluation uses noise standards found in HUD's regulations, 24 CFR Part 51, Subpart B, to assess a property and, if necessary, recommend or require noise mitigation measures.

 

Moved From > In House > Metadata >
11_DORMIR_17020901_Hub V2023

 

Un-restful Noises – Coughs [Recommended Read]

Past and Trends in Cough Sound Acquisition, Automatic Detection and Automatic Classification: A Comparative Review

by Antoine Serrurier, Christiane Neuschaefer-Rube and Rainer Röhrig

https://www.mdpi.com/1424-8220/22/8/2896




Bedroom Sound Studies

Bedroom sound studies reveal that excessive noise negatively impacts sleep quality and can lead to sleep fragmentation, reduced REM sleep, and worse subjective sleep quality. Background noise levels in bedrooms often exceed recommended levels, and noise sources can include traffic, mechanical equipment, and even noise from other residents. Studies also indicate potential links between noise exposure and health issues such as obesity and sleep disparities, though more research is needed. Effective strategies to improve bedroom acoustics include adding soft, sound-absorbing materials and addressing issues with windows and walls.

 

Inception of a Problem

20170707-F: Basaltic (Rochester) Notion

“If you are not going to rest comfortably, why lay down – making non-productive noises is not comfortable”

 

Work Done – Wounded Warrior

https://ktork46.blogspot.com/2017/03/wounded-warrior-basalt-presented-by.html

 

Study of Unhealthy Noises

Studies of unhealthy noise, or noise pollution, link environmental noise to adverse health outcomes including cardiovascular disease, hypertension, sleep disturbances, mental health issues like anxiety and depression, and hearing loss. Research shows noise can disrupt physiological stress responses by increasing stress hormones and causing inflammation and oxidative stress. Studies also highlight inequalities in noise exposure, with disadvantaged communities often experiencing higher levels and the associated risks. 

Tolerable Noise Day versus Night

During the night, lower ambient noise levels and increased human sensitivity make sounds more noticeable and disruptive, so acceptable noise levels are significantly lower than during the day. Regulations and metrics reflect this difference, with noise perceived as louder at night.

Standard day vs. night noise levels

Typical acceptable residential noise levels are 5 to 10 decibels (dBA) lower at night compared to the daytime. This translates to a difference between the sound of quiet conversation and the hum of an air conditioner.

COPD versus Intentional versus Untreated Sleep Apnea

A combination of chronic obstructive pulmonary disease (COPD) and untreated obstructive sleep apnea (OSA) is known as "overlap syndrome". This dual condition is particularly dangerous because the negative health effects of the two disorders amplify each other. It is not possible to "intentionally" get sleep apnea, as it is caused by involuntary physical factors and brain signals.


Compare Snort – Hack – Cough

While the terms snort, hack, and cough are often used to describe similar respiratory sounds, they refer to distinct actions involving different parts of the respiratory system. Snorting is a repeated inhalation, hacking is typically a dry, short cough, and a cough is a forceful expulsion of air. The differences are especially important in distinguishing conditions in pets, but also apply to humans.

 

Decibel Reading(s)
Some common sounds and their intensity in decibels are as follows:
https://soundear.com/decibel-scale/

  • Baby crying: 110 dB
  • Balloon popping: 157 dB
  • Concerts: 120 dB
  • Heavy city traffic: 85 dB
  • Jet engine: 120 dB
  • Library: 45 dB
  • MP3 player at maximum volume: 105 dB
  • Near complete silence: 0 dB
  • Noisy restaurant: 90 dB
  • Normal conversation: 60 dB
  • Toilet flushing: 75-85 dB
  • Whisper: 15 dB

 

Does it take a peaceful environment to mentally heal?

Yes, a peaceful environment is highly conducive to mental healing, as it creates a calming, safe, and nurturing space that reduces stress and anxiety while promoting emotional well-being. Factors such as a clean and organized home, access to nature, and supportive social settings can significantly improve mood, focus, and overall recovery. While it's not the only factor, a stable and healthy environment provides a strong foundation for mental health, allowing individuals to more effectively work through challenges.





Via App called Sensors using Smartphone

Apps for using smartphone sensors allow you to collect, visualize, and record real-time data from the various sensors built into your phone. These tools can be used for a variety of educational, professional, and personal purposes, from science experiments to home diagnostics.

Sensor Apps
20230720-TH: Downloaded Sensor 1.0 to SGA51 Smartphone
20260919-SA: Downloaded Sensor Logger to A51 Smartphone

 

Noise detector & Decibel meter - Can I use my phone as a dB meter?

Decibel apps are a convenient way to measure volume fairly accurately with your phone. Our favorite decibel apps include: Decibel Pro, Decibel X, NIOSH SLM app (for iPhone), and Sound Meter & Noise Detector (for Android) Apple products allow passive alerts to help prevent exceeding volume limits.

Is 70 dB loud at night?

Yes, 70 dB is quite loud for nighttime, as optimal sleep environments should be 30 dB or less, and prolonged exposure above 50 dB can negatively affect sleep quality and contribute to stress. Noise at 70 dB is comparable to a vacuum cleaner or highway traffic, and it significantly exceeds levels recommended for rest. 

The Optimal Decibel Level for Sleep

The optimal noise level for sleep should be 30dB or less. If you require white noise at night, keep it to 50dB or less — much like the noise level of a running shower. The 70-80dB range is where you can begin to damage your sleep cycle. Feb 7, 2025

Capture loudest healthy noise source

For the average person, the loudest sound that is still healthy for hearing is 70 A-weighted decibels (dBA). This is a 24-hour average exposure level recommended by the Environmental Protection Agency to prevent hearing loss over a lifetime.

White noise decibels of a Fan

A fan's white noise can vary, with standard desk fans averaging around 47-50 dB, while powerful box fans can reach 51-65 dB. Specialized "fan" white noise machines can also operate in the 50-70 dB range. For adults, volumes between 50-70 dB are generally considered safe, but for infants, the American Academy of Pediatrics recommends keeping white noise below 50 dB to prevent potential hearing damage.

Aside - Patterns of sounds

Sound patterns are repeating or arranged sequences of sounds, observed in music, language, and physics. In music, patterns form melodies and rhythms, while in language, they are the organized sequences of phonemes that create meaning. Physically, sound patterns are standing waves that form visual geometric shapes when vibrations, like those from a musical note, are transferred to a medium like sand. 

Sleep hygiene time

Sleep hygiene isn't a specific time, but rather a set of daily habits and behaviors that promote good sleep, including maintaining a consistent sleep-wake schedule, creating a relaxing bedtime routine, and optimizing your sleep environment to be cool, dark, and quiet.

Aside -  Falling Asleep - Go to sleep

Go to sleep; also, cease paying attention. For example, As soon as the lights were dimmed he fell asleep, or His lectures are so dull that I fall asleep. The literal usage, which uses the verb fall in the sense of “succumb,” dates from about 1300; the figurative is several centuries newer.

Aside - First 3 > Homestretch 3-5 > Wakeup

Sleep training

While a less cohesive fit, these terms might also be interpreted from the context of infant sleep training, with "Homestretch" referring to the end of a difficult period.  First 3: This could mean the first three nights of sleep training, which are often the most difficult.  Homestretch 3-5: This could refer to the time between 3 and 5 months old, which some parents consider to be "the home stretch of the worst of it" for newborn sleep challenges.  Wakeup: This simply refers to a baby's awakening during the night. The combination might reference waking during the most challenging phase of sleep training.

 

Priority - Sleep Culprit - Unhealthy noises

Unhealthy noises disrupt sleep architecture by triggering a fight-or-flight response, reducing deep (N3) and REM sleep, and shifting the body into lighter, fragmented stages. Even if a sound does not consciously wake you up, your brain still registers it, releasing stress hormones like adrenaline and cortisol that raise your resting heart rate and blood pressure.

The Two Categories of Unhealthy Noises

To reclaim your sleep, it is important to identify whether your culprit is an external environmental sound or an internal sleep disorder noise:

1. External Disruptions (Environmental & Mechanical)

Intermittent Noise:

Sudden spikes in sound—such as passing traffic, a barking dog, or a neighbor's late-night plumbing—cause brief, unconscious arousals that destroy sleep quality.

Constant Low-Frequency Hums:

Appliances like older refrigerators, air purifiers, or nearby electronic devices emit a steady vibration that forces the auditory system to remain active all night.

The "Sound Masking" Trap:

While many people turn to continuous white or pink noise machines to block out traffic, recent sleep science warns that continuous broadband noise can actually reduce critical REM sleep.

2. Internal Disruptions (Sleep Disorders)

Snoring:

Caused by partial airway obstruction, it severely fragments the sleep of both the snorer and their partner.

Catathrenia (Nocturnal Groaning):

A rare condition where a person holds their breath and emits a long, eerie groan or hum while exhaling, mostly during REM sleep.

Exploding Head Syndrome (EHS):

A harmless but terrifying sensory misfire where a person perceives an imaginary, massive explosion, gunshot, or thunderclap right at the edge of falling asleep.

Immediate Action Plan to Lower Noise Stress

Prioritize Physical Barriers Over Audio Masking:

Instead of fighting noise with more noise, use high-quality earplugs. Clinical studies show earplugs successfully preserve deep and REM sleep cycles against environmental spikes.

Reposition Your Environment:

Move your bed away from shared walls, windows facing the street, or noisy home appliances. Soft furnishings (rugs, heavy curtains) can also help dampen incoming vibrations.

Audit Your Smart Alerts:

Ensure all non-emergency phone notifications and smart home alerts are completely silenced or automated into a strict nighttime mode.

 

Noise Frequency and Loudness

Noise frequency (pitch) and loudness are two independent characteristics of sound waves, but human perception of loudness is significantly influenced by frequency. Frequency is measured in hertz (Hz) and determines if a sound is low or high-pitched, while loudness, measured in decibels (dB), is related to the sound's intensity or pressure. The human ear is most sensitive to frequencies between 2,000 and 5,000 Hz, making sounds in this range seem louder at the same decibel level compared to higher or lower frequencies.

 

 

What is the most peaceful sound?

  • Ocean waves. There's something inherently calming about the sound of ocean wave
  • Rain and water sounds
  • Nature sounds
  • Music
  • Meditation practices and soundscapes
  • Sleep Stories
  • Binaural beats

 

Theta Waves

Theta waves are slow electrical brain oscillations with a frequency of 4 to 8 hertz (Hz) that occur during deep relaxation, light sleep, and meditative states.

What Are Theta Waves?

Frequency:

Measured between 4–8 cycles per second (Hz).

Occurrence:

Most active during the twilight state between wakefulness and sleep (hypnagogic state), light sleep, daydreaming, and deep relaxation.

Origin:

Generated largely in the hippocampus and frontal midline cortex.

Measurement:

Recorded via Electroencephalogram (EEG) sensors placed on the scalp or inside the brain.

Key Benefits and Functions

Memory Formation:

Vital for encoding new information and retrieving stored memories.

Creativity:

Associated with free-associative thinking and sudden mental insights.

Emotional Processing:

Helps the mind release stress and regulate feelings.

Deep Relaxation:

Acts as a bridge between conscious thought and subconscious awareness.

Balance and Health Effects

Too Much Theta:

Can cause brain fog, lack of focus, daydreaming, or sluggishness. It is also linked in some cases to attention difficulties like ADHD.

Too Little Theta:

Can make it hard to relax, meditate, or access deep creative flow.

How to Boost Theta Waves

Meditation:

Regular mindfulness practice increases theta wave power.

Creative Flow:

Activities like painting, writing, or playing music.

Relaxation:

Spending quiet time in nature or practicing slow breathing.




ASMR sounds

ASMR sound is a specific type of quiet, crisp, or soothing audio that triggers a pleasant, static-like tingling sensation in the head, neck, and scalp. ASMR stands for autonomous sensory meridian response. People listen to these sounds to relax, lower stress, or fall asleep. Not everyone feels the physical tingle, but many people still enjoy the calming effect.

Common ASMR Sound Triggers

Whispering:

Soft, close-up spoken words or breathing.

Tapping:

Lightly striking fingernails on wood, plastic, or glass.

Scratching:

Gentle fingernail scrapes on hard surfaces or fabric.

Crinkling:

Crumpling plastic wrappers, paper bags, or foil.

Page turning:

Slow and soft rustling of book pages. 

 

Actually
Tapping, Scratching and Crinkling drive me nuts.

White Noise Generator

A white noise generator creates a constant, uniform background sound that masks sudden noises and helps you sleep or focus. 

How It Works

Fills the sound gap:

It blends all audible frequencies at equal intensity, similar to TV static or rushing air.

Reduces contrast:

It narrows the difference between quiet moments and loud, disruptive sounds like barking dogs, cars, or slamming doors.

Tricks the brain:

Your brain focuses on the steady background hum and stops reacting to sudden, jarring noises in your environment. 

Main Benefits

Improves sleep:

It helps you fall asleep faster and stay asleep longer by drowning out nighttime disturbances

Boosts focus:

It creates privacy and blocks out office chatter or hallway noise so you can concentrate.

Soothes tinnitus:

It provides a constant masking sound that helps reduce the perception of ringing in the ears.

Calms babies and pets:

The gentle, rhythmic hum mimics womb sounds or quiet fans, helping infants and anxious animals relax. 

 

Sleep Ability (Sleep Ability) and harmful noises

90 dB As Compared To the 75 dB cutoff

 

FYI - Actual impact of 90 dB breathing noises that includes coughing are more intense when you are trying to sleep.






Aside - This Noisy Room - What simple trick could help you hear better in a noisy room?

Have you ever had trouble taking in information in a noisy environment? A new study suggests that tapping your fingers in a steady rhythm could help you 'tune in' through the noise. Apr 13, 2025

How far would you go to get a good night sleep?

To achieve a good night's sleep, you might go as far as to create a consistent sleep schedule, establish a relaxing bedtime routine, optimize your sleep environment by making it dark and quiet, avoid stimulants like caffeine and alcohol before bed, and engage in regular daytime exercise. For some, this also includes limiting screen time, practicing stress-management techniques, or even consulting a doctor to address persistent sleep problems. 

What impairment do you notice after not getting quality sleep for a term?

After a prolonged period of poor-quality sleep, common impairments include decreased concentration, slower reaction times, mood changes like irritability, and difficulty with decision-making and memory consolidation. Long-term, you also face a significantly increased risk of chronic health problems such as heart disease, diabetes, obesity, kidney disease, and a weakened immune system.





Aside - Questioning Existence

Questioning existence is a normal part of the human experience, often manifesting as an existential crisis, which involves anxiety about life's meaning, identity, and purpose. It can be triggered by major life transitions, traumatic events, or even a sudden awareness of consciousness. While it can feel overwhelming, questioning existence isn't inherently negative and can be a catalyst for personal growth, helping you find greater meaning and live more authentically.


Key Event – Environmental Sampling

20180915-SA: Janet Nguyen Surveyor

On this day Janet Nguyen’s (Eventual Orange County Supervisor) representative came to the house and asked some survey questions.  He would have done better to leave and environmental sampler for 24 hours.

Environmental sampling breakthrough Technology Needed

Technological breakthroughs in environmental sampling are needed to address the limitations of traditional methods, which are often costly, slow, and labor-intensive. Next-generation technologies are moving toward automated, real-time, and remote monitoring systems that provide more precise and comprehensive data.

Tricorder Idea

The Tricorder is a fictional handheld scanning device from Star Trek that performs various sensing, recording, and data analysis functions. The concept involves a device capable of scanning and diagnosing medical conditions, analyzing environmental compositions, and mapping terrains, with the aim of creating real-world devices with similar capabilities. While a fully functional, universally applicable device does not yet exist, ongoing efforts and innovations, including smartphone apps and DIY projects, are bringing aspects of the Tricorder concept closer to reality. 


MyCorder - Capturing the Rent a Shared Room Experience

For many, renting a shared room offers a balance between cost savings and social connection, though the experience often presents unique challenges regarding privacy and boundaries. Effectively capturing this experience involves understanding both the practical aspects and the social dynamics that define co-living. A successful shared-room experience starts with clear expectations and agreements, which help prevent miscommunication and conflict.

 

Tangent - Environmental Sampling in the bedroom

Environmental sampling in a bedroom measures indoor air quality, particulate matter, volatile organic compounds (VOCs), and microbial contaminants to assess health and sleep quality.

Key Parameters to Sample

Volatile Organic Compounds (VOCs):

Measures chemicals emitted by building materials, furniture, and human occupancy during sleep (such as nearly 100 specific metabolic or off-gassed species).

Particulate Matter PM2.5 and PM₁₀):

Tracks fine dust, skin flakes, and outdoor pollutants entering the room that can disrupt sleep continuity.

Gases (CO₂ and CO):

Evaluates ventilation efficiency; high carbon dioxide (CO₂) levels often accumulate overnight in closed bedrooms without adequate airflow.

Microbial Contaminants:

Assesses mold spores and bacteria in settled dust or reservoir areas like mattresses and carpets.

Physical Factors: Monitors ambient temperature, relative humidity, and noise levels, which directly influence sleep efficiency.

Common Sampling Methods

Active Air Sampling:

Uses specialized pumps or canisters (like evacuated Summa canisters) to draw a measured volume of air through filters or collection media for laboratory chemical analysis. [1]

Passive Sampling:

Utilizes diffusion badges or settling plates to gather gases or falling bio-particulates over an extended duration.

Dust and Surface Sampling:

Collects reservoir dust from mattresses, bedding, or high-touch surfaces to analyze microbial or allergen loads.

Continuous Electronic Monitoring:

Employs low-cost or professional real-time sensors to log temperature, humidity, noise, and PM_2.5 through an overnight sleep cycle.

Why It Matters

According to guidelines from agencies like the US EPA on the Indoor Microbiome, routine microbial testing of residential rooms is generally unnecessary unless investigating a specific health complaint or moisture failure, because a baseline presence of microbes is normal. However, targeted environmental monitoring helps optimize sleep hygiene parameters—such as maintaining temperatures between 17–28 °C, relative humidity at 40–60%, and noise below 35 dB.


In House > Metadata >
Note: HAB_Technological_Needs_18120105_Ideas

 

Objective Sampling – Environmental Sampling Quality of Life Mode

Objective sampling is a type of environmental sampling that uses a statistically valid random sampling method to draw unbiased conclusions about a population or area. It contrasts with convenience or judgmental sampling, which rely on ease or prior knowledge and may introduce bias. In the context of environmental science, the "Quality of Life Mode" of objective sampling refers to its application in assessing environmental factors that impact public and ecosystem health.

 

Work Done > Associated with > In House Metadata >
13_Tech_MyCorder_24022002_Notes V2026
https://housingadvisoryboard.blogspot.com/2026/10/reinvent-tricorder-branded-as-mycorder.html

 

MyCorder Features

MyCorder Modes - Inputs 

  • Analysis Mode
  • Capture Auditory Noises of Sickness
  • Capture Features of Peace
  • During Sleep Period
  • Indicators of Rest
  • Light Detection and recording
  • Playback & Reporting mode
  • Recording Mode
  • Rest Mode
  • Sound Detection, trigger and recording
  • Sound Engineering mode
  • Video Capture

 

MyCorder

Algorithms and Calculations

 

MyCorder – Outputs 

  • Peace and Serenity Score
  • QOL Life Score
  • Roommate Match Score
  • Satisfaction Score
  • Sound Bites
  • Various Graphs
  • Video Reels

20180915-SAT - Tricorder Idea (MyCorder) – Janet Nguyen Surveyor [DITTO]

“In the science-fictional Star Trek universe, a Tricorder is a multifunction hand-held device used for sensor (environment) scanning, data analysis, and recording data. Three primary variants of the Tricorder appear in Star Trek, issued by the fictional organization Starfleet.”



The Decibel Scale

How the Decibel Scale Works

Logarithmic Nature:

Unlike a linear scale (like inches or pounds), every 10 dB increase represents a 10-fold increase in sound energy intensity.

Perceived Loudness:

Because human ears process sound logarithmically, an increase of 10 dB is generally perceived by a listener as roughly twice as loud.

Reference Point:

The scale starts at 0 dB, which marks the threshold of normal human hearing (the softest sound a healthy ear can detect).

 

Types of Noise

Noises can be categorized by their temporal pattern, such as continuous, intermittent, impulsive, or low-frequency, or by their frequency content, known as "colors" of noise. Examples of the latter include white noise (equal energy across all frequencies), pink noise (more energy in lower frequencies), and brown noise (even more energy in the lowest frequencies). 

Sound versus Noise

Sound is any auditory experience created by mechanical vibrations traveling through a medium, while noise is specifically unwanted, disruptive, or unpleasant sound. The key difference is the subjective human perception: one person's music (sound) can be another person's headache (noise). While all noise is a type of sound, not all sounds are considered noise.

 

Autism and Tourette’s Syndrome

Aside - Noises Autistic People Make (Experience with Doug A. Rochell)

Autistic people often make repetitive noises known as vocal stims to self-soothe, express feelings, or process sensory input.

Common Types of Sounds

These sounds are a form of self-stimulation and can vary from person to person:

Humming or murmuring

Grunting or groaning

Squealing or high-pitched screeching

Clicking the tongue or clearing the throat

Whistling or brief singing

Repeating words, sounds, phrases, or TV lines (called echolalia)

Why These Sounds Happen

Vocal stimming is a natural behavior that serves several purposes:

Calming the brain:

Rhythmic noises help reduce stress or sensory overload.

Expressing emotion:

Sounds often increase when a person feels very excited, happy, or anxious.

Aiding focus:

Making a steady noise helps some individuals block out distracting background sounds or concentrate on a task.

 

Noises Tourette Syndrome People Make (Experience with William Schrader)

People with Tourette syndrome make sudden, involuntary sounds called vocal tics, which range from simple throat-clearing noises to complex words or phrases. You can read more about these symptoms through the National Institute of Neurological Disorders and Stroke.

Simple Vocal Tics

Simple vocal tics are basic, meaningless sounds caused by air moving through the nose, mouth, or throat.

  • Throat clearing
  • Grunting
  • Coughing
  • Sniffling
  • Barking
  • Whistling
  • Hissing or squeaking

Complex Vocal Tics

Complex vocal tics involve more structured sounds, words, or repeating patterns.

Echolalia:

Repeating the last word or phrase spoken by someone else.

Palilalia:

Repeating one's own words or sounds.

Coprolalia:

Involuntary swearing, slurs, or socially inappropriate words. This affects fewer than 10% of people with Tourette syndrome.

Animal sounds (like barks, meows, or roars)

Random words or phrases out of context

Key Facts about Vocal Tics

People cannot control these sounds when they happen.

Tics often start between the ages of 5 and 10.

Stress, anxiety, or excitement can make the noises happen more often.

Most people see their tics improve or go away by adulthood.

 

FYI –AI - If you'd like, I can share information on: The difference between motor tics and vocal tics. How doctors diagnose Tourette syndrome. Common treatments and therapies. Let me know what you want to explore next.






Friday, November 13, 2026

LPS Conservatorship Revisited from 2018 by Keith Torkelson MS, BS VHealth

 

Contents

  • Feature Images - RP Singh MD for Better or Worse
  • Requirements/Specifications
  • 2006: Core belief
  • Work Done
  • Patient’s Rights and Ethics in Health & Human Services
  • Abstract – Executive Summary
  • Protective Value
  • Figures - Intellectual Partners
  • Plan Up Front – Article “A” Action Items
  • Decisions - Temporary Conservatorship Team
  • Respite – A safe and peaceful place to Rest & Heal
  • Naivety – As Is Up Front (AIUF)
  • Performance Indicators about Self-sufficiency
  • Vignette - 1990 Error (*) - Risks
  • Xenonet – An LPS Moment
  • CloZAPine Algorithm
  • Position on LPS Conservatorship
  • More often than not this is what puts us in the hospital
  • Placing First Things First
  • Major Milestone – Getting Your License Back - DVM Safety
  • Resolving (Solving) an LPS Conservatorship (Efforts)
  • Treatment Planning – Consumer Driven
  • Updated Behavioral Health Doctor Reviews - Objective
  • Assessment – Subjective - Quickly Evaluating Your MD On-Call
  • Rate Your Conservatorship Associated Doctors (MDs and PhDs)
  • Cast of Characters (Chronological) – Associated with LPS Window - Subjective
  • Appendix – FYI – Objective





Associated with > Died Too Young > Metadata >
Profile_Patient_Rights_Merryman_LPS_Conservatorship_21080905_Notes V2026
Patients Rights' Advocate advises that we go on LPS Conservatorship (2006).
Parent Document(s)
Righting_Conservatorship2006121701_LPS-01_V2018

 

2006: Core belief: I am Incompetent > Found evidence, experience, and situations suggesting that this core belief isn’t true even 50% of the time.

 

Word of the Day - Naivety – As Is Up Front (AIUF)

 

Work Done

LPS-01 - Lanterman Petris Short Conservatorship – Performance Driven Success – Keith Torkelson, MS, Pathology (Thursday, July 5, 2018)

http://clozapinerx4ecstasy.blogspot.com/2018/07/lps-01-lanterman-petris-short.html

 

Patient’s Rights and Ethics in Health & Human Services

Apparently “The System” released consumers without enough services and supports to take care of them on the outside.  This process is called deinstitutionalization.  When a person can’t make it on the outside, because it is really tough, they pursued them they are incompetent.  Many of these consumers are placed on LPS Conservatorship which means the consumer cannot make many decisions especially: To vote, to drive a vehicle, and spend money. We were going to follow up our original study from 201807 with LPS Part 2 yet we find it prudent to rework our prior publication.  This study is LPS-01.02.  Keith Torkelson – M.Sc. wrote most of it.  FAQ - Does LPS conservatorship actually help the consumer with their symptoms, functionality, vocation, volunteer work, or education

Abstract – Executive Summary

>When we were released from Westminster Therapeutic Residential Center (WTRC) in February 2007 we set out to address nine (9) major Performance Outcomes.  By the close of 2007 we had successes across all nine (9).  We had to surrender to a Lanterman Petris Short (LPS) Conservatorship in order to get “Respite”.  Upon admission to Westminster Therapeutic Residential Center (WTRC an Institute for Mental Disease) in Orange County California we asked the Doctor On Hand (DOH), Dr. Belman: What was the average stay at WTRC?  Dr. Belman told us “two years”.  WTRC gets a lot about their “Programs” correct such promoting and providing about individual and group Activities of Daily Living (AOLs).  Yet, when it comes to “Recovery” we could see they were going to fall short.  Later this year (2018) we plan to author a standalone about WTRC.  Locally in Orange County we are promoting the establishment of a Housing Advisory Committee or Board (HAB).  Personally our lived experience with successfully navigating out and away from WTRC, an Institute for Mental Disease (IMD), might come in handy when we commit time and effort for our HAB.  While at WTRC we promoted our own recovery module.  It was centered on working diligently a workbook called: The Anxiety & Phobia Workbook (Bourne, 1990).  The WTRC Service Chief approved of our module and offered us two (2) hours a day for working our own “Program”.  When we were on outings and overnighters we also puzzled through our workbook.  We are a keen advocate for Bibliotherapy and working workbooks

Protective Value

>In addition to Bibliotherapy (Cognitive Behavioral Therapy) our program included Self-assessment.  We designed two assessments: Assessment for Functioning and Assessment for Anxiety.  After about three and a half (3-1/2) months of working our program, Sue Beck PhD a forensic psychologist came and interviewed us.  We had regained a bit of confidence about managing our own life again.  Sue took our case to a local probate judge.  Immediately upon a judgment to release us, the court the court forwarded its’ decision via Fax to WTRC.  WTRC staff, including Diana Shipley, were a bit alarmed concluding that we must now be competent enough to place ourselves.  And so began our Performance Challenge of 2007 to resolve our Conservatorship.  Our stability As Measured By (AMB) no hospitalizations lasted five (5) years or until 2012.  In 2012 we suffered catastrophic losses (and fell down) that included at least two (2) hospitalizations.  If asked to surrender to LPS we probably would have agreed again for whatever it took to get respite and secure our safety.  Sharing this information does not overtly “Protect” us from future “slips and falls”.

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Figures - Intellectual Partners




Plan Up Front – Article “A” Action Items

Coping by Problem Solving

We are placing our LPS Confidence and Recovery Plan up front so as to reflect our level of naivety for the period 2006-2007 when we surrendered to “going on” an LPS conservatorship.  We have learned much since this time.

Confidence and Recovery Plan
Left as it was in 2007

Interpersonal relationships

I have modified my relationships with the primary people in my life.  The result being less stress when transacting with all ((Relationships) Lanaii, Joan, Roxanne, Etc.)

Appointments

I make greater than 95% of my groups at WTRC.  In addition I have always returned before my deadline.  I intend to make all of my aftercare appointments with and without the help of Lanaii.

Food > need

I have an appetite that I did not have before September 17, 2006.  In addition I manage my caloric intake such that my weight gain is reasonable.

Anger management

My irritability is reasonable and I am not suppressing my anger nor masking it with fear (Anxiety).

Housing

I recognize that I most likely need Lanaii’s help in finding a room else I will take up residence with her during my aftercare adjustment period.  When I do get a room Lanaii with help my security deposit and me with initial payments such as first months rent.  I intend on living with another that I may maximize my Reality Testing.

Reality testing management (RTM)

I am at an all time high in my Reality Testing since the summer of 1988, the period before my first psychotic episode.

Work relationships

I am looking forward to doing my part in managing our employees, on site.  In addition I wish to pick up where I left off mentoring our employee, Antione.  Due to my time away the other partners have picked up a good deal of my previous duties.  Thus, the demands on my time are significantly less.

Medications

I have been stable on my new medications, Seroquel and Clozaril since October 15th, 2006.  The negative effects of my previous medication, Haldol, have been completely reversed.  I recognize the fact that I need medication to help me cope with schizophrenia.  I am on no anti-anxiety medications at this time.  This is an indicator that Dr. Bellman (My WTRC psychiatrist) feels I am managing my anxiety adequately.

Tele-Links legal

I know it is in my interest to support Lanaii and Candace (And our current attorney) in resolving the stressful Brown versus Torkelson (Tele-Links Exchange, LLC) legal issues.  At the same time engage in positive self-talk with regard to our legal fiasco, for example “We can work this out so both parties win”.

Workability

After being on the Westminster TRC schedule and fulfilling tasks I feel confident that I can work if necessary for another supervisor without undo stress or issues.

Confidence

I have outlined what anxiety free future will present itself.  I feel that I have a bright future and will begin again to actualize my goals without the need for excess stress and or hospitalization.

Panic

My anxiety survey indicate that I am about 90% healed.  At this time I am focusing on the problematic symptoms.  I have not had the urge to call 911 or commit suicide since September 15, 2006.  This change correlates to being taken off Haldol.

Need for 911

The reasons under which I repeatedly called 911 have all but past and I am becoming more confident that I will not lose control again.  I attribute this progress to medication and the Anxiety/Phobia Workbook I am working.

Phobias

I have been overcoming my phobias through imagery and actual exposure to previously fear evoking situations.  I face them mostly on my passes and overnights.

Security

My stay at WTRC has given me the time and environment to significantly get over my insecurities.  This especially applies to financial insecurity.  I am relying on Lanaii and Candace’s financial help to initially set me up with my needs: Housing, medical, food, etc.

Independence

As evidence of my impendent ability, I have been granted by WTRC staff level 3 (The highest, solo, and most accountable level).  Again I govern my movement in the community and I always return on time.

Exposure

This means facing my fears in imagery and actually.  I have no urges to harm myself.

Substance abuse

I have little urge to drink and thus become light headed at this time.  In my follow up I intend to attend regular Alcoholics’ Anonymous meeting while engaging in prolonged sobriety.

Caffeine

I have been reducing my caffeine intake because it brings on symptoms of anxiety.  In my follow up I am considering eliminating all caffeine and other stimulant intake.

Finances

I recognize the fact that I will need financial help to the tune of $1000.00/month from my business partners, Candace and or Lanaii.  When I get adjusted I am planning on supplementing my SSI with income from Remedy Temp (I am a Remedy Associate at this time).  I intend to do Clerical or Warehouse work.



Remedy

As I stated above I am a Remedy Temp Associate.  In addition I am in good standing.  I am confident that I can find part time work with Remedy (The Irvine office).

After care

This is very important for me.  I need to switch my Medical from Kaiser to Medi-Cal.  I need to get a Medi-Cal card, a psychiatrist, pharmacy location, and information on any ancillary services Medi- Cal provides such a counselling.  In addition, I recognize the fact that I will require Lanaii or Charley to help me with my aftercare including finding a room (Whether it is here in Orange County) or at their home in Los Altos.

Keyboarding

As I type this I recognize that my keyboarding skills are up to par.  In this manner I may perform my work for ABC and Remedy.

Sleep

I get enough restful sleep.  When I was being hospitalized I was having nightmares that drained my energy.  I attribute my sleep difficulties with Dr. Chandler (Kaiser psychiatrist) cold turkey taking me off Ambien.  I have an as needed benzodiazpine [MIS-SPELL] at this time to help me get restful sleep.  I very rarely require it though.

Relaxation

Due to the noise of other roommates at WTRC and the intercom, I intend to get more relaxation after I am released.

Self-help

The WTRC staff commends me on my self-help and progress.  At the current time I am working a good selling Anxiety/phobia Workbook.  According to a survey I am about 90% free of symptoms.

Skills & product

I have written much regarding schizoaffective disorder.  I am hoping on publishing my work, in that it may help others heal.

Quantities

I have gone from 50% well to 90% well with regard to anxiety/phobia.  I am approximately 75% well with regard to depression.  And due to logical and rational reasoning I am 100% over my delusions.

Community

Through my (And my business partners’) efforts we have contributed 3 full time and 3 part time jobs to the community of Tustin.  I am hoping that by resuming my work for ABC and growing our client base we may provide even more jobs.

Dr. Bellman and staff

Over the past view weeks Dr. Bellman and staff have concluded I am “ready” to challenge my Conservatorship and engage in independent living.  In addition I found out from the Public Defenders’ office that Dr. Bellman might initiate a DDT (Diversion, Dismissal, and Terminate) at any time and thus facilitate my release.  Before I ask him to do so I must have my Medi-Cal in place.

Overnights

Overnights have been difficult to get used to because I spend them with Joan and our relationship is less that excellent.

Relations continued

I am sharing a room with a noisy roommate.  At this point he has stimulated m to tolerate others more.

Depression

Based on my results of a standard survey I have to admit that my depression is increasing a bit (25% depressed).  Good news is that I score 0 (or never) for the categories involving harm to self.

“What ifs” –I am successfully addressing my catastrophic thinking (increased the intensity of panic).  I have come a long way since 9-15-2006 or the last time I dialed 911.

Reasonable risks

My workbook indicate that it is necessary to take reasonable (ethically sound) risks in order to heal.  Yet at this time I would like to make clear that this does not mean altering my medication without my psychiatrist’s instruction.

Environment

I am working today and I feel the environment is much less stressful that it was earlier this year.  In addition I am staying nights with Joan and the environment at her (our) house is less stressful.

Stressors of daily living

I took a standardized stress survey and found that I score high in stress even though I do not feel stress right now.  In the next few weeks I am going to focus on categorically reducing my stress.


Decisions - Temporary Conservatorship Team
Keith E Torkelson, MS (2006).
T-Con Votes (T-Con Team)




Respite – A safe and peaceful place to Rest & Heal

In order to get Respite support and necessary services we needed to Surrender & Succumb (S&S) to LPS Conservatorship.  While in the Temporary Conservatorship (T-Con) phase we collected the positions daily from our T-Con Team above.  We think that T-Cons fall under Welfare and Institutions Code section 5352.1 (WIC 5352).  It appeared Dr. RP Singh could not help us unless we were on Conservatorship.  She did not offer up WTRC until we agreed to LPS Conservatorship.




Naivety – As Is Up Front (AIUF)

When we read back about our work efforts and Performance Outcomes to stabilize back in the community we conclude that we were very naïve.  We got the job done by delivering on the major work efforts we put before us.  We have already shared our task list (plan) now let’s address Projected Performance Outcomes (PPOs).

 
Performance Indicators about Self-sufficiency

Performance Outcomes (2007)



Vignette - 1990 Error (*) - Risks

In 1990 we made a costly error.  We were at Woodland Memorial Hospital (WMH) in Yolo County.  We didn’t know that everything we said could be used against us.  Back then the process was a bit different.  On the day of our Conservatorship Hearing three of us gathered in a private room at the hospital:  The Judge Advocate (JA), our hospital representative (Social Worker) and we.  The advocate asked the social worker to present our case.  She only presented our deficits resulting in a violation for our trust in her (Dual Antagonistic Relationship).  We testified for the JA that on the outside we have: Income, a place to live, a role in Davis as registered Veterinary Student, could feed ourselves, etc.  The JA voted in our favor.  We were released still not knowing what was causing our Anxiety (Panic).  About ten (10) days later due to panic we were back.  Because we had in a manner of speaking released ourselves our insurance did not cover the second stay.  We had to pay out of pocket.  Eventually our father took us home for respite.

 

Xenonet – An LPS Moment

Xenonet is what we call elements of medication therapy and pharmacy for which we have personally garnered little or no control.  In 2006 Dr. Ravinder P Singh (MD) made a huge decision for us.  She semi-fast tracked us through the Clozapine Decision Chart (algorithm) and began the process of stabilizing us on CloZAPine.  Actually the chart (algorithm) indicates that we might have best been tried on CloZAPine as early as 1993.

 

Clozapine Algorithm


Position on LPS Conservatorship

Since our first contact with the Conservatorship process back in 1990 we have listened to many people discuss LPS Conservatorship.  We find there are more reasons to stay off Conservatorship than to surrender.  Conservatorship interfered with our working, recovery investment spending, and our transportation to name just a few.  Some people feel a consumer may never make progress towards recovery.  For us Conservatorship impaired our primary recovery by creating secondary recovery tasks.  In a manner of speaking Conservatorship gave us the opportunity to recover from more losses that expected. 


Aside – We met and bonded with Robin T. while staying at Woodland Memorial Hospital.  They put Buster on Navane which causes impotence.  After Buster was released he hooked up with Robin for an overnighter.  The medication made him underperform.  Robin is of interest because she checks herself into the Psych Ward for periodic ECT (Shock) treatments.  In a manner of speaking Robin was a frequent flyer about the Psych Ward.

 

More often than not this is what puts us in the hospital


Placing First Things First

While immersed in WTRC we soon earned an Overnighter.  The first thing we did was go to our office at the family business and draft a Cross Domain Recovery Plan (CDRP).  At WTRC we were approved to work our own program for two (2) hours each day.  As stated earlier we created an Social Functioning Assessment (SFA) to build confidence to not overtly fear that we would not “Freak Out!” on the outside.  This assessment was based upon WTRC Appropriate Consumer Behavior (ACB) policies posted on the wall in one of the up front rooms.  We found a record somewhere that the WTRC consumers’ (residents) had voted us to be President.  So what we shared earlier is Mr. Torkelson’s Naïve Recovery Plan (CDRP).  Not perfect yet it served our purpose over more than three (3) years.




 Major Milestone – Getting Your License Back - DVM Safety

DMV Hearing Offices – Driver Safety Offices (DSO)

FYI – “The California DMV’s Division of Driver Safety is the enforcement branch of the California DMV.  The Division of Driver Safety is authorized to deny, suspend or revoke any California driver license if they determine just reason.  The Division of Driver Safety holds and processes administrative hearings to determine to suspend or revoke licenses of California drivers at designated offices referred to as Driver Safety Offices.  Commonly called a DSO, the Driver Safety Offices are large offices regionally spread out over the State of California.  DMV DSOs are not the traditional “field offices” where one goes to register their car, or process normal DMV transactions.”


Resolving (Solving) an LPS Conservatorship (Efforts)

Original Contents and Order – LPS Naivety

Last Reviewed 20180706-F:




Treatment Planning – Consumer Driven

What we did ourselves was devise an Anxiety Disorder Treatment Plan (ADTP) and a Plan for Aftercare.  We ended up placing ourselves in a rent-a-shared-room (RASR) located in Irvine California.  On two occasions we shared our room with one of our friends Mark B.  We were a good match.  The rent was $450.00 per month.  LPS Conservatorship warrants the DMV to take away your CDL (Just Reason).  One of our biggest achievements was earning our CDL back after passing three DMV Safety Division’s Hearings.  On the final Hearing our Hearing Office said we did such a good job presenting our position that we should write it down and share with others involved with DMV Safety.

 

Updated Behavioral Health Doctor Reviews - Objective
Doctors Associated with LPS Window & Dangers
All ratings collected online on February 16, 2018 (F)




Assessment – Subjective - Quickly Evaluating Your MD On-Call
Rate Your Doctor – Rate Your Behavioral Health Doctor (BHD)
Rate Your Conservatorship Associated Doctors (MDs and PhDs)



Matrix – Combined Objective & Subjective Ratings for Doctors In Charge: Last Reviewed: 20180706-F:  In Chronological Order

 

Doctor Matching Held Over
Right Doctor for Me (Match)

 

Cast of Characters (Chronological) – Associated with LPS Window - Subjective




Matrix – 2006-2007 – Satellite Doctors – Last Reviewed: 20180706-F:
 
Q*M=Quick Star Method
QGM=Quick Grade Method


Appendix – FYI – Objective Includes Some Calculations

Healthgrades & Vitals

 

Vitals

DRC

https://www.vitals.com/doctors/Dr_David_R_Chandler.html

20180216-F: 3/5 * 2

20261113-F: 3/5 * 2

RPS

https://www.vitals.com/doctors/Dr_Ravinder_P_Singh_2.html

20180216-F: 3.3/5 by patients. 14 reviews

20180216-F: 3.3/5 * 14 (Transformed)

20261113-F: 2.8 * 18

 

AEI = Andrew Evan Inglis

https://www.vitals.com/doctors/Dr_Andrew_Inglis.html

20180216-F: 1/5 * 3

20261113-F: 1/5 * 3

https://www.healthgrades.com/physician/dr-andrew-inglis-274mp

20180216-F: 5/5 * 1

20261113-F: 5/5 * 2

Ravinder P Singh MD

Note: Doctor Bum Soo Lee’s (BSL’s Take) – Doctor Singh is “Unremarkable”


Photos of Keith Edward Torkelson, MS





Arguments against LPS Conservatorship

Arguments against the Lanterman-Petris-Short (LPS) Act mental health conservatorship system in California center on civil liberties, systemic resource gaps, and institutional neglect:

Infringement on Civil Liberties and Autonomy:

An LPS conservatorship strips individuals of fundamental personal freedoms, allowing a public guardian or conservator to force unwanted medication and place a person into a locked psychiatric facility against their will.

Illegal Detention and "Sticking" in Facilities:

Reports by organizations like Disability Rights California highlight that hundreds of people on mental health conservatorships are held in county jails without criminal charges, or remain trapped in locked psychiatric facilities long after they are clinically ready for discharge.

Due Process Delays: Court trials to establish or challenge a "grave disability" status frequently experience severe, unconstitutional delays—sometimes lasting many months past statutory deadlines while the individual remains confined.

Disproportionate Impact and Discrimination:

The system disproportionately impacts Black and African American individuals and frequently breaches state and federal disability laws, including the Americans with Disabilities Act and the landmark Olmstead decision.

Lack of Community-Based Support:

Critics and state audits note that the state relies on conservatorships as a revolving door rather than investing adequately in voluntary, community-based care. For instance, a majority of individuals who cycle through repeated short-term holds are never enrolled in intensive services like Assertive Community Treatment (ACT).

Underfunded Public Guardianship:

Public guardians often carry overwhelming caseloads (ranging from 60 to 100+ wards) with minimal budgets, meaning conservatorships often function as under-resourced warehousing rather than active, supportive care.

Would you like to explore reform proposals currently being discussed in California, or look into the differences between LPS conservatorships and probate conservatorships?