can anyone tell me what the regs are for admitting some one to a psych unit? - page 2
years ago they would have to have them physically examined to rule out a physical problem, has this changed? can we now just admit people directly to a psych unit for court commitment without a... Read More
Jan 23, '05Quote from nurseTIn Illinois, if a patient has insurance, public aid or medicare and presents to the emergency room, they cannot be sent to a state hospital. Thus, involuntary admissions are sent to the floor and a certificate and petition is completed. It is very possible they will not see the judge for a week as hearings are scheduled (for us) once a week and if the docket is full, the patient must wait till the following week.What is a court committment and if that happens, who pays for the hospital stay?
The patient, regardless if he wanted to be admitted is responsible for the bill. His insurance company is billed.
Forced medication or treatments (eg. ECT) is another story and getting a judge to sign off on it takes awhile. Usually, the patient is so agitated, that we end up giving "emergency" medication. This requires completion of a restriction of rights form. Patients always have the right to call the advocacy commission and they have access to the telephone and phone number.
Jan 23, '05Do you ever get a Pt directly from a jail? It's my understanding that since many sates have cut back on their mental health programs, many mental pts end up in jails instead of the hospital. If they come from a jail, does the state mental health board pay for the stay, or is the jail expected to pay?
Jan 23, '05Quote from nurseTI did get patients from jail when I worked in substance abuse. The circumstances of being released was different mainly because the crime they committed was not a violent crime. The patient had to pay for his own treatment.Do you ever get a Pt directly from a jail? It's my understanding that since many sates have cut back on their mental health programs, many mental pts end up in jails instead of the hospital. If they come from a jail, does the state mental health board pay for the stay, or is the jail expected to pay?
In psych, we usually get them before they go to jail. I think people want to try to get things in order before they are confined! If they are being held in the county jail, there are 2 choices. One hospital in the city has a wing for criminals and the state also runs an excellent forensic program about 50 miles from me. This is for women and it is the only one in the state. They undoubtedly have one for men as well and I'm not sure if it is at the same state facility. Unfortunately, not all who need psychiatric treatment actually get it. Really a shame as they suffer needlessly while in jail.
Jan 23, '05Dear Matt,It sounds like you had a bad experience.If one of your friends said they were suicidal,the police can pick them up and bring them to an ER.In ER a doctior would see them.If cause to admit was found,person would be admitted on a temporary hold--most states its a 72 hr period.Are you sure you got all the facts?The patient has to be seen in 24 hours.Wouldnt you rather your friend be examined and inconveinienced than to kill themself?The laws are to protect the people w psychiatric problems.I think patients' rights are a big focus in all the states I've worked.I think your fri end is lucky-they got a chance to decide not to be suicidal--probably were offerred treatment for depression.