this post was submitted on 11 Jun 2024
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[–] [email protected] 2 points 5 months ago (3 children)

If you live in the US and experience a psychotic episode, a suicidal crisis, or another mental health emergency - where do you go?

[–] [email protected] 17 points 5 months ago (1 children)

Don't need to go anywhere. The police will come and shoot you.

[–] [email protected] 11 points 5 months ago (1 children)

Americans are so lazy, everything has to be a delivery service.

[–] [email protected] 4 points 5 months ago

Fucking hell, this was cold and I am a terrible person for laughing at it.

[–] [email protected] 2 points 5 months ago (1 children)

Real answer? Social Services is probably the number to call unless there is a emergency medical issue in which case just regular 9-1-1.

Likely you will either ride in an ambulance or with two social workers in a car to the hospital. 24-48 hours out-patient while you are stabilized. If it is a temporary situation, say you had an insanely high fever and were delirious you would just go home. If it wasn't temporary highly likely assigned a case manager for placement.

Despite what you see in the movies/TV you will not be thrown into an mental institution you will not be forced to take a cocktail of drugs that make you a zombie.

[–] [email protected] 2 points 5 months ago (1 children)

My experience does not come from movies. I am an outpatient psychotherapist (in a country with a reasonably functioning psychiatric system). I have repeatedly seen patients slip into psychomental crises where outpatient care is no longer sufficient. The local psychiatric clinics were sometimes real lifesavers. That's why I find the idea of healthcare without emergency institutions confusing. I would find it terrible not to be able to offer my patients anything in such emergencies.

[–] [email protected] 0 points 5 months ago (1 children)

Ok well I am not sure what to say except my entire family is crazy so I have seen the procedure, also my wife is a hospital nurse. Pretty much every hospital has a floor for emergency mental health admissions.

[–] [email protected] 1 points 5 months ago (1 children)

Ah okay. So deinstitutionalization in that context was meant to include psychiatric institutions into general hospitals? Because that I can totally get behind.

Based on the other comments I got the impression that there simply is no inpatient treatment plan for mental health in the US.

[–] [email protected] 0 points 5 months ago (1 children)

There used to be huge asylums. Now there are almost none and the few that remain are nearly empty. The big thing is stabilize the patient and setup a plan so they don't have to come back again. Which usually involves housing, assigned case manager, medication, food stamps etc.

[–] [email protected] 1 points 5 months ago

That sounds really good. Glad to hear it.

[–] [email protected] 0 points 5 months ago* (last edited 5 months ago) (2 children)

You hope that being talked at over the phone is enough to save your life, lol. Other than the suicide hotline or a regular doctor's appointment, you've got no options. Dial 988 for mental health crisis.

[–] [email protected] 2 points 5 months ago (1 children)

Bleak.

I don't quite understand how deinstitutionalizing was supposed to work here. That's like dissolving the fire department because we want to avoid cars. Was there no way to reform or replace the institutions? Just getting rid of an emergency service seems kinda like the situation you're describing was part of the plan.

[–] [email protected] 1 points 5 months ago

The institutions were reformed. By conservatives. The Reagan Administrations "reformed" them into something that the federal government doesn't pay for, while also cutting taxes.

[–] [email protected] 0 points 5 months ago

Crisis services