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Hospitalization-Does difficult child have to be...
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<blockquote data-quote="slsh" data-source="post: 179854" data-attributes="member: 8"><p>As a veteran of 20+ hospitalizations with thank you, every time has been if he's been a "danger to self or others". There were a couple of times we showed up to the ER, me bearing significant marks from his attacks, when he *wasn't* admitted because he had calmed down by the time we got there.</p><p> </p><p>One thing you need to understand about a psychiatric hospital admission - it's not a cure. The goal is simply to stabilize him and then treatment is continued on an outpatient basis. You might be able to get some evaluations done on a first-time admission, and they may tweak medications while he's inpatient, but in my experience there's not going to be a remarkable turnaround while inpatient. You also have to remember that your insurance company may actually be the one to determine length of stay - the doctor and hospital will submit clinical information but the final say is the insurance company.</p><p> </p><p>I think Smallworld's suggestion of a partial hospitalization program is a very good one if he doesn't meet the "danger to self or others" criteria. Our insurance company covered it 2:1 - we had a total of 30 days of inpatient pysch care per year. They counted 2 days of PHP as 1 inpatient day.</p><p> </p><p>I do think you need to have a talk with psychiatrist and therapist about supports for you at home. Respite, crisis team, etc. I hear your frustration - do the professionals understand that things are getting pretty critical at home?</p><p> </p><p>Hang in there!</p></blockquote><p></p>
[QUOTE="slsh, post: 179854, member: 8"] As a veteran of 20+ hospitalizations with thank you, every time has been if he's been a "danger to self or others". There were a couple of times we showed up to the ER, me bearing significant marks from his attacks, when he *wasn't* admitted because he had calmed down by the time we got there. One thing you need to understand about a psychiatric hospital admission - it's not a cure. The goal is simply to stabilize him and then treatment is continued on an outpatient basis. You might be able to get some evaluations done on a first-time admission, and they may tweak medications while he's inpatient, but in my experience there's not going to be a remarkable turnaround while inpatient. You also have to remember that your insurance company may actually be the one to determine length of stay - the doctor and hospital will submit clinical information but the final say is the insurance company. I think Smallworld's suggestion of a partial hospitalization program is a very good one if he doesn't meet the "danger to self or others" criteria. Our insurance company covered it 2:1 - we had a total of 30 days of inpatient pysch care per year. They counted 2 days of PHP as 1 inpatient day. I do think you need to have a talk with psychiatrist and therapist about supports for you at home. Respite, crisis team, etc. I hear your frustration - do the professionals understand that things are getting pretty critical at home? Hang in there! [/QUOTE]
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