While exploring my options for future work in the
field of mental health policy, I learned this
interesting tidbit:
When someone is hospitalized for suicide idealation or
a suicide attempt, the doctors must make a change in
thier medication regime so that the insurance
companies will be conviced of the necessity of
hospitalization. In other words, wanting to kill
oneself is not a good enough reason to be hospitalized
(although there was a time when it was). The reported
reason for hospitalization becomes 'the patient must
be observed while he/she alters their medication
regime.' The irony is that most medications used to
treat mental illness require 4-6 weeks to take effect;
the average stay in the hospital is probably somewhere
around 5 days.
Do you think drug companies had anything to do with
the change in policy? I have an incling they did.
Thursday, January 13, 2005
What Does it Take?
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1 comment:
On the one hand, it seems like some change in medication (or start of medication) would be a natural outcome of being hospitalized in these circumstances - after all, the previous medication regime was probably not working that well if suicidal thoughts or an attempt was the result. On the other hand, it's ludicrous that the stated reason is to observe the person while their medication was changing - that assumes that a) the person is there long enough to be fully observed, which you point out is definitely not the case and b) that medication is the only treatment in this situation, which I'm guessing it very much is not. Also, there seems to be some sort of assumption that all people hospitalized for being suicidal end up at that point because of the same combination of factors, when my very uneducated guess is that there's a lot of variation in how one gets to that point.
In sum: our health care system is retarded.
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