Abstract
Objective
By examining Lake Alice and other historical examples, Part 1 is an attempt to understand how a dedicated care facility might become a place of abuse. Whether this could occur in the current rights- and community-based model of care and if so, how could that risk be reduced, is discussed in Part 2.
Conclusions
Although known risk factors include vested interests, inadequate funding and an isolated organisation, it is the neglect and lack of advocacy for the vulnerable, alongside a lack of regulatory oversight that underwrites the abuse.
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