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We had to call crisis this morning
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<blockquote data-quote="katya02" data-source="post: 255203" data-attributes="member: 2884"><p>I'm so sorry to hear about this, and I hope yesterday's evaluation went smoothly. I also hope you've had some rest and peace over the weekend.</p><p></p><p>Re patients being held for 72 hours, NAMI should probably be a little more careful about making statements like that. A patient can be held involuntarily for 72 hours for evaluation IF he/she is demonstrating suicidal intent, homicidal intent, or is so demonstrably unable to care for him/herself that he/she is about to come to imminent harm. If someone can give a reliable history of any of these factors that is also acceptable. Suicidal intent has to be more than a statement, particularly during high emotion, that he/she is going to kill him/herself. There has to be history or evidence of a plan and some attempt to work the plan. Also, a gesture with a lethal weapon such as a knife or gun is taken at face value.</p><p></p><p>It is extremely frustrating for families who know their relative is in crisis, yet can't be held. For example, mere psychotic thinking is not cause for involuntary admission. Someone can be hallucinating like mad and it won't get them admitted. This comes from the concerns of those who fear that people will be held involuntarily for insufficient reason, or merely on the report of 'strange' behavior by a relative who might have ulterior motives for getting them admitted. It has been a political issue for patient advocates.</p><p></p><p>The other difficulty getting patients admitted is insurance. Companies won't pay unless there's a dire situation and even then they pay for too few days of admission. The situation is no better with universal insurance - in Ontario we used to call all over the province to find a bed and would end up sending someone from, say, Hamilton to a place hundreds of miles away, like Ottawa or North Bay. Not a good thing. Many people who should have been admitted were sent out due to a lack of beds. I don't know the answer.</p></blockquote><p></p>
[QUOTE="katya02, post: 255203, member: 2884"] I'm so sorry to hear about this, and I hope yesterday's evaluation went smoothly. I also hope you've had some rest and peace over the weekend. Re patients being held for 72 hours, NAMI should probably be a little more careful about making statements like that. A patient can be held involuntarily for 72 hours for evaluation IF he/she is demonstrating suicidal intent, homicidal intent, or is so demonstrably unable to care for him/herself that he/she is about to come to imminent harm. If someone can give a reliable history of any of these factors that is also acceptable. Suicidal intent has to be more than a statement, particularly during high emotion, that he/she is going to kill him/herself. There has to be history or evidence of a plan and some attempt to work the plan. Also, a gesture with a lethal weapon such as a knife or gun is taken at face value. It is extremely frustrating for families who know their relative is in crisis, yet can't be held. For example, mere psychotic thinking is not cause for involuntary admission. Someone can be hallucinating like mad and it won't get them admitted. This comes from the concerns of those who fear that people will be held involuntarily for insufficient reason, or merely on the report of 'strange' behavior by a relative who might have ulterior motives for getting them admitted. It has been a political issue for patient advocates. The other difficulty getting patients admitted is insurance. Companies won't pay unless there's a dire situation and even then they pay for too few days of admission. The situation is no better with universal insurance - in Ontario we used to call all over the province to find a bed and would end up sending someone from, say, Hamilton to a place hundreds of miles away, like Ottawa or North Bay. Not a good thing. Many people who should have been admitted were sent out due to a lack of beds. I don't know the answer. [/QUOTE]
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We had to call crisis this morning
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