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Old 11-14-2017, 01:03 PM   #11
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Default Re: Ineffective Mental Hospital Techniques?

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The adolescent residential unit was mostly worthless. It mostly focused on getting you to go to school full days. Some had individual therapy (usually either CBT or EMDR, sometimes also PMT, some had medication and saw the psychiatrist once a week or once every other week). On Thursday you chose a new "week goal/sub goal" (something you'd work on the next week) and then on Mon, Tue, Wed every afternoon after school there was tea and after tea was sub goal discussion, where everyone stated what their goal was and how they'd worked on it that day. Given that you'd spent all day at school, most hadn't had time to work on it a lot so a lot of people said "I'm going to work on it this evening" or "I'm going to do x this evening".
The unit was useful basically for: getting back to school (most who got there had had to stop school due to depression, anxiety, ocd, ptsd, stuff like that, which was one of the reasons they went to the unit in the first place) and having the ability to talk to someone when you need to vent (unit was staffed mostly by social workers and a few nurses, who were usually available if something was up). It was good for the practical stuff - if you needed help breaking through OCD rituals - as in, so someone could 'physically prevent' them from washing their hands - for example, and I remember there was one boy whose medication made him sleep and fall asleep a lot and needed a lot of help in the morning so he got out of bed instead of waking up, turning off the alarm clock and/or waving off the nurse, and falling asleep again), and, as I mentioned, getting back into a school rhythm. But it didn't do much to actually treat your problems.
Exactly. Looking back, we've spent too much time focused on how to manage practicalities and too little on actually changing some bad attitudes some of us had (towards ourselves). I feel like I've learnt a lot concerning other people but what now broke my neck again was that my abysmal self-esteem and inferiority complex haven't changed much.

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I think the best part was how easily I made friends with a few people. I am never one who easily makes friends, so I was pleasantly surprised at how easily I was able to make friends with these people. I remember one night, the staff let a few of us stay up past bedtime to watch a movie, that was awesome.
Absolutely, the people I've met there were absolutely great. Sadly, I haven't had much contact with them lately. But I remember not wanting to go because I've never been part of such a deep-rooted community. Not even my family had been able to give me such a sense of belonging.
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Old 11-14-2017, 01:05 PM   #12
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I haven't kept in contact with any of them, and I couldn't find them on Facebook to try and keep in touch. It was great to be around people who understood what I was going through, and actually enjoyed the time I spent with them.
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Old 11-16-2017, 09:32 PM   #13
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The hospital is meant to stabilize you and help you through crisis. To get the techniques for day to day life or long term healing you need to go to like an intensive outpatient program or therapy. People in crisis aren't ready to practice long term techniques. Think of the psych ward like the ER they want to keep you alive and get you stable and transfer care to your regular psychiatrist and therapist or outpatient resources.
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Old 11-16-2017, 10:02 PM   #14
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Default Re: Ineffective Mental Hospital Techniques?

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The hospital is meant to stabilize you and help you through crisis. To get the techniques for day to day life or long term healing you need to go to like an intensive outpatient program or therapy. People in crisis aren't ready to practice long term techniques. Think of the psych ward like the ER they want to keep you alive and get you stable and transfer care to your regular psychiatrist and therapist or outpatient resources.
I think that really depends on the institution. My hospital was a psychosomatic clinic, where they were specialised in intensive psychological care for their patients. It was more of an intensive psychotherapy centre.
For the really severe cases, there's the psych ward or the hospitals you describe. But at least in my case, a lot of patients in my hospital actually transferred there from such a hospital for severe cases, where they could get stabilised first as you said.
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Old 11-16-2017, 10:14 PM   #15
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Default Re: Ineffective Mental Hospital Techniques?

Ineffective- punishing a patient for a behavior. There are other ways to work with people than to be punitive.
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Old 11-17-2017, 01:59 PM   #16
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I think that really depends on the institution. My hospital was a psychosomatic clinic, where they were specialised in intensive psychological care for their patients. It was more of an intensive psychotherapy centre.
For the really severe cases, there's the psych ward or the hospitals you describe. But at least in my case, a lot of patients in my hospital actually transferred there from such a hospital for severe cases, where they could get stabilised first as you said.
We don't have anything like that where I live. This psychosomatic clinic you mention. Those would be considered residential treatment centers and most insurance doesn't cover it or if it does you still have massive copays. It's hard to get affordable quality mental health care these days. Inpatient is all just hospitals for people who are a danger to themselves or others here.
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Old 11-17-2017, 03:38 PM   #17
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I know when I was inpatient they told me that the cost was $1700 per night, and I was there for 3 weeks but the insurance covered most of it so the copay at the end was only about $200. Thankful for my mom having good insurance.
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Old 11-17-2017, 07:31 PM   #18
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Default Re: Ineffective Mental Hospital Techniques?

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We don't have anything like that where I live. This psychosomatic clinic you mention. Those would be considered residential treatment centers and most insurance doesn't cover it or if it does you still have massive copays. It's hard to get affordable quality mental health care these days. Inpatient is all just hospitals for people who are a danger to themselves or others here.
Fortunately, my insurance covered it. It was a really good institution, and it came at a price. To be admitted there, you had to be on private insurance. Everyone either made enough money or their parents were rich enough...it was so cruel when I realised (and my therapist later indirectly confirmed) that people who weren't as lucky to have rich parents had to go to far less well equipped institutions...

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I know when I was inpatient they told me that the cost was $1700 per night, and I was there for 3 weeks but the insurance covered most of it so the copay at the end was only about $200. Thankful for my mom having good insurance.
Exact same case for me. It's a disgrace in my opinion that good mental care is still not available to everybody.
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Old 11-17-2017, 08:18 PM   #19
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Exact same case for me. It's a disgrace in my opinion that good mental care is still not available to everybody.
Yeah it is definitely a shame. I definitely needed the inpatient stay, but I know there are people who were worse than me that could have used it if they were given the same chance as I had. My mom works for the government so her insurance is great, my medication copays are at a minimum. But there are people who cannot even afford treatment, so they suffer with nowhere to turn to. It's a shame.
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Old 11-17-2017, 10:18 PM   #20
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Default Re: Ineffective Mental Hospital Techniques?

it is written into my Treatment Plan that no Therapist nor Psychiatrist may initiate conversation about Psychiatric Hospitalization.

i have such a horror of them from seeing what happened to other people and from going to school with people who later became 'staff', that i cannot imagine putting myself in their hands (i do NOT say 'care')

when someone says they had a good hospital experience, i wonder if they are rich or something. one thing i did learn was how to make a Living Medical Will, which could protect me IF i couldn't avoid being forced to go; it's called a W.R.A.P plan, and details what you want done, including visitors, meds, and other treatments, or the lack thereof.

Wellness & Recovery Action Plan:
WRAP is . . . | MentalHealthRecovery

there is more information at: https://www.google.com/search?q=W.R....hrome&ie=UTF-8

stay safe~!
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