"Sometimes they aren't even willing to listen to the problem because they IMMEDIATELY become defensive the moment you mention someone on their line is unhelpful. It is that negative counter-transference problem and tendency to blame and shame the victim and protect their fellow friends and colleagues (classic problem in most workplace environments), especially easy when those of us who call into these lines have mental health struggles as it is. Add to the problem that there is literally NO oversight on these calls and they have the same power imbalance that therapists do in that they can write whatever they want about you with absolutely zero accountability. This repeats my abuse and shows that sometimes the source of the problem is with the Management and the training or the short supply of empathetic staff - especially in rural areas."

Yes, I am sorry that I left out the most important part of your reply here. This aforementioned is so true, and patients get hurt more due to all of what you mentioned above. Patients sometimes don't get taken seriously due to having a mental illness. So everything is just left as it is.