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Lost my way...need some guidance
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<blockquote data-quote="Andy" data-source="post: 170200" data-attributes="member: 5096"><p>The major reasons that I saw of return patients to a behavioral health facility:</p><p> </p><p>1. Refused to take medications - usually started feeling better so didn't think they needed medications any longer. Almost always, once the medications have worked out of their system, the problems return.</p><p> </p><p>2. Stated they didn't have money for medications - poor financial management and the little income they did have can't cover food, housing, and medications. I remember a time when I had no money left for me (movies, a treat, new clothes, even food ect) after paying my rent and car payments and gas to get to work - a very depressing downtrodden feeling.</p><p> </p><p>3. Does not have the motivation/responsibility to fill a prescription (doesn't go through the time needed to drop off or call in the prescription and actually go to the pharmacy to pick it up. I honestly believe some of the patients didn't know how to refill prescriptions.)</p><p> </p><p>Since the medication is so important, I would tell him that you will pay for his medications (out of his funds of course) but nothing else. Tell him that you will reimburse him IF he sends you the receipt showing his out-of-pocket expense and date. Otherwise he can ask for the money but not use it for the medications or ask for more than it really is. Keep track of what he is sending you so he doesn't send copies of the same receipt over and over again.</p><p> </p><p>Depending on the amount of his savings, it may disqualify him for medical assistance. He may have to spend that down first. If it is an amount that he needs to spenddown, try to use it on more evaluations on what is medically going on with him now - also physical, dental, vision check up. That way if you are asked what happened to that money you can prove it was spent on his health. (keep receipts as proof of this spenddown) But, don't spenddown until you know that you have to. It would be a shame to spend it and find out you didn't need to. Find out what he is allowed in savings - you should be able to keep some of it. Also check into what his benefits would be if he qualifys for medical assistance - make sure it is to his advantage to switch the savings to medical assistance. Will MA help with housing and food? Many state health care programs also provide a income - how much will that be? Is there a time limit to being on assistance? (If he is employable, there may be a time limit of the help to allow him time to find a job. Then the assistance ends - what will happen then if he still isn't settled in a job?)</p><p> </p><p>I don't know the RSDI (disability) criteria so you can look into that.</p><p> </p><p>If you do cut him off - I wouldn't go cold turkey. I would give 2 - 4 weeks advance notice. In 4 weeks I will be sending the last check. You need to find a job before that check arrives because on most jobs it takes 2 -3 weeks before your 1st pay check. I will help you with cost of medications only after that day.</p><p> </p><p>Cutting that support is so hard -</p></blockquote><p></p>
[QUOTE="Andy, post: 170200, member: 5096"] The major reasons that I saw of return patients to a behavioral health facility: 1. Refused to take medications - usually started feeling better so didn't think they needed medications any longer. Almost always, once the medications have worked out of their system, the problems return. 2. Stated they didn't have money for medications - poor financial management and the little income they did have can't cover food, housing, and medications. I remember a time when I had no money left for me (movies, a treat, new clothes, even food ect) after paying my rent and car payments and gas to get to work - a very depressing downtrodden feeling. 3. Does not have the motivation/responsibility to fill a prescription (doesn't go through the time needed to drop off or call in the prescription and actually go to the pharmacy to pick it up. I honestly believe some of the patients didn't know how to refill prescriptions.) Since the medication is so important, I would tell him that you will pay for his medications (out of his funds of course) but nothing else. Tell him that you will reimburse him IF he sends you the receipt showing his out-of-pocket expense and date. Otherwise he can ask for the money but not use it for the medications or ask for more than it really is. Keep track of what he is sending you so he doesn't send copies of the same receipt over and over again. Depending on the amount of his savings, it may disqualify him for medical assistance. He may have to spend that down first. If it is an amount that he needs to spenddown, try to use it on more evaluations on what is medically going on with him now - also physical, dental, vision check up. That way if you are asked what happened to that money you can prove it was spent on his health. (keep receipts as proof of this spenddown) But, don't spenddown until you know that you have to. It would be a shame to spend it and find out you didn't need to. Find out what he is allowed in savings - you should be able to keep some of it. Also check into what his benefits would be if he qualifys for medical assistance - make sure it is to his advantage to switch the savings to medical assistance. Will MA help with housing and food? Many state health care programs also provide a income - how much will that be? Is there a time limit to being on assistance? (If he is employable, there may be a time limit of the help to allow him time to find a job. Then the assistance ends - what will happen then if he still isn't settled in a job?) I don't know the RSDI (disability) criteria so you can look into that. If you do cut him off - I wouldn't go cold turkey. I would give 2 - 4 weeks advance notice. In 4 weeks I will be sending the last check. You need to find a job before that check arrives because on most jobs it takes 2 -3 weeks before your 1st pay check. I will help you with cost of medications only after that day. Cutting that support is so hard - [/QUOTE]
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