Care level in the county’s mental health system

My intention to write these posts is to share What I experienced with my sonStarted with the first symptoms of his illness, and our journey through many episodes thereafter. In addition, providing explanations as a parent and psychiatrist about the problems caused by these experiences, such as how the diagnostic process in mental health works and how to cooperate with treatment providers and medical workers. Is also the purpose. medicine problem. I hope that it will be useful for those who have mental health issues, their families and friends.

Like most public mental health systems, there was a general hospital in Dane County, Wisconsin, which provides acute treatment. Psychiatric Inpatient unit as a general entrance for severe mentally ill. For patients who could not manage their actions, and patients who needed long -term hospitalization, the Mendta Mental Health Research Institute and the State Hospital called Winnebago State Hospital were used.

Unusual in the system of Dane County was the number and diversity of the treatment environment with low concentration and less restrictions. It is useful to compare this series of services with those that can be used in other locale and think about what is needed to improve the service. These treatment environments include residential treatment facilities where patients can step up from hospitalization or stay while searching for a place to live. Partial hospitalization spent time in a very structured environment with observation and monitoring. The approved regional care home was an alternative living facility that provided medical care. medicine。

This series of services was born as a widespread lobby activity on the mentally ill alliance (AMI) side, a group of parents who defend mentally ill children in the 1960s. The group was vigorously attended the budget meeting and applied for an increase in funding. According to Nancy Abraham, one of the only surviving members of the original member, “It is boring process to track the place where the meeting is held because the place was not open to keep the process more or less secret. It was.

The family has been tenacious, cautious and determined, gaining funds to increase the type and number of services. The group has developed into a national organization, a national mental illness alliance (NAMI), and is now the largest mentally ill -defended organization. In addition, services by academic institutions have been significantly improved. collaboration Leonard Stein and Mary An Test, teacher at the University of Wisconsin, have developed the program with their colleagues. aggressive Regional treatment (PACT). The service subsidy, which was provided by NIH, was paid to many services in addition to the services provided by Dane County.

The basic PACT model was not to expect a patient to come to the local mental health center, but to treat patients where they live. In this model, patients were taught and instructed on everyday life, such as washing and shopping for groceries. In addition, if the patient requires injections such as injections, the team member tracks the patient and provides what they need. By working closely with the patient, the team members were able to build a supportable relationship, part of the mechanism to stabilize the patient.

In most of the countries in the country, these loose options are even more or not. In many cases, there is no choice but to be hospitalized or at home or on the street. In the case of patients with severe mental illnesses, this continues to develop acute diseases and minimal symptoms, and the cycle of acute diseases continues again and repeats.

Try to intervene in long distance

I was concerned about the fact that the building seemed to be a physical delusion or at least the growing focus. This is not unusual in the world. Mania。 “you Sleep got it? “I asked him.

“That’s right,” he asserted me, but according to his diary, sleep time was already decreasing.

“I’m going to call the recovery house staff and tell them what they are worried about,” he told him. I told the phone that the building was unstable and asked if the medicine could be administered additionally. They said they would call their doctors and respond on -call, but they knew later that he had not been administered. As a family member, this is one of the most difficult aspects in providing support. It is not possible to have a meaningful effect on the treatment process while contacting each other. Additional information that must be conveyed (for example, knowing that they are hiding the medicine, or stated that they can hear the voice again) are important information to inform or inform the care plan. This is very frustrating. It also causes family problems. “I am overwhelmed too much?” Do you have the right to disclose information that your family has not given permission to disclose? Is this a loss of relationship with them? All of these problems are all. It is even more frustrating to be in a position to know important information while being a bystander.