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girthemoose t1_jaatxv6 wrote

I read it as come up a plan. There is no easy or straight forward solution to this issue. However boarding patients in the ED for weeks at a time isn't a good solution. I have seen pedi waiting for over a month. This sounds like trying to get pysch involved or providing quick outpatient care rather than boarding them in a room and making their mental worse.

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BelichicksBurner OP t1_jaawb1e wrote

They've done this before, the feds have. I can assure you: there will be no plan and the state will be found out of compliance. I can't say this loud enough: THERE IS NO QUICK OUTPATIENT CARE. Might as well wait for the easter bunny to bring them all candy baskets. Psych is already involved and has been since they started doing this about 12-15 years ago. They're all local community mental health centers, non-profit organizations that haven't been able to keep up with demand for years now. They already have outreach teams that go to the hospital and try to develop a safe discharge solution. They already have staffed crisis apartments for people who aren't safe in their homes. That's the problem: it isn't enough. The local psych providers literally can't handle the numbers and haven't been able to for a very long time. This ruling is basically the equivalent of asking someone with 15 maxed-out credit cards to get another credit card so they can pay off their existing credit card debt. There's nothing more left to provide. It's a simple money and numbers issue. State psych providers have been out of both for years.

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Lower-Permission4850 t1_jab2btf wrote

The crisis teams are really designed to just move the people along I’m sure of this. I’ve watched them do it too many times to believe anything else

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MsTomHardy t1_jabbh71 wrote

This is where the mental health care system breaks down. There is not enough care at a variety of levels. You can not send someone who needs intensive treatment to an outpatient therapist and expect anything good to come of it. It is so, SO broken. No one wants to fund anything appropriately. Most people do not understand what is even going on. It is a dumpster fire.

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