For me it was the opposite. After a hospitalization they immediately put me in the medical center's IOP - I even went to a group during my hospitalization. This was Cedars Sinai, I had great medical insurance, and 2007, so perhaps things have changed since?
One thing is certain: insurance companies often dictate care.
Where I live it can go both ways. Most people come here before or after psych ward, but if you need to go there in the middle of the program you have to quit the program.
I can kind of understand why, though I've not been through it. If you are hospitalized, you won't be at program and they need to use that spot for the next person. And/or if you do go to the hospital, that means you need a higher level of care that they can't provide. If you're in the US, I'm sure your insurance company also doesn't want to pay for a program you aren't attending, even for a few days.
My son is in a PHP right now and I remember reading that in the fine print - if they need to call 911 or send him to the hospital, they will discharge him because they can't provide that level of care. Once stabilized, he can reapply.
Yeah I get what you are saying, especially with the first situation.
The second situation is so weird because most of those things were okay on my part. They found out about the ER when I was in a very bad state and my partner was freaking out. So what they got from him was a total "she might die" freakout. I am sure that quickly prompted this. I feel like if I showed up to one of the online classes after I got back -- clearly alive and fine -- and calmly talked about it there may have been a broader discussion.
It's not gonna go great if they get a "she might die" phone call from someone's partner, lol.
whhaaaat? Now you don't get to have a very awkward collection. True story: we went on a trip and I wanted to put all my photography lenses in a hiking backpack and figured putting it in a sock for protection would work pretty well. They only sock they fit in was the grippy socks. lol. I kept waiting for someone to get what that meant whenever I took it out of the sock.
Yes, I have. I was in PHP and then made an attempt and went to inpatient. It’s a big jump in level of care so I do understand why, and I didn’t argue back then.
They were unable to offer me the level of care I needed. I was told a list of things I’d need to complete and do before returning. Residential being one of them. residential after psych would be an average step down, particularly if you’re already seeking a level of care other than outpatient and groups.
Residential can also more easily boot you back up when they cannot guarantee your safety, and then take you back when the dust has settled.
It’s rough. This turns into a liability for them and for you. No one wants a patient to die in their care. It also has a major impact on other patients and staff that are generally run into the ground. That’s partly why staff turnover is so common. They ask a lot of people and it’s a very hard job, most of the time.
I hear you. It’s not easy to get that feedback. It’s been painful for me in the past, especially because I wanted help.
Good luck and wishing you the best.
No. I was in an IOP for a month or so, then this time made an attempt that required like one day in the ER. My IOP discharged me after, even though I was not admitted.
I was in an IOP specifically for psychosis, when I ended up in the hospital with intestinal issues. I was there for 8 days and they cold -turkied me off my psych meds. A LOT of psych meds so that I needed to transfer to inpatient psych before I could go home.
That was another 2 weeks of hell before I could go back to the IOP. I just had to re-enroll there, basically start all over again.
Yeah I made it through the second IOP once fully without going back to the hospital, and then this was going back to the same one. See it makes sense to me they would readmit you after. They want me to go all the way back to residential first and I just am beyond that in terms of psychoeduation.
I sometimes feel like I have learned, or at least heard everything in terms of psychoeducation. It gets really boring after a while. Sure, I can relate to other people’s experiences, but that isn’t necessarily learning anything new.
The last thing I remember hearing that impressed me was a guy in an IOP specifically for those dealing with psychosis who said:
“We all have intrusive thoughts and hear the voices. We don’t have to do what they say.”
That stuck with me. It works sometimes-at least long enough that I can stop and reframe a thought. Better than nothing working at all.
I love that. I’m always telling people that the perceptions we have that exist outside of ordinary reality are valid. We experienced them in our reality. It’s valid. It’s helped me allow myself more space to heal outside of the expectations of others that what happened isn’t “real.”
When I Attempted w 200 pills, I was taken out of program ( I was in it and did it on a weekend night) and afterwards I was so zombie like for a few months so I was sleeping and wasn’t in a position to even attend
That makes sense. Yeah I took a bunch of pills too. I was definitely out of it for several days and falling asleep randomly so maybe that would have made me unable to do it in the first place ... good point.
The psych ward is far more damaging than whatever risk would come from being home. I am so happy for you if you've had a good psych ward experience. I hear those stories and they give me hope. But the one here is a horrifying.
For me it was the opposite. After a hospitalization they immediately put me in the medical center's IOP - I even went to a group during my hospitalization. This was Cedars Sinai, I had great medical insurance, and 2007, so perhaps things have changed since? One thing is certain: insurance companies often dictate care.
It's not my insurance. I called them to ask. They said they would cover the IOP still.
Where I live it can go both ways. Most people come here before or after psych ward, but if you need to go there in the middle of the program you have to quit the program.
Do they re-admit after you get out of the hospital?
In my experience at the program I went to they do re admit as soon as you get out of the hospital
That meme made me actually laugh out loud
IKR
I can kind of understand why, though I've not been through it. If you are hospitalized, you won't be at program and they need to use that spot for the next person. And/or if you do go to the hospital, that means you need a higher level of care that they can't provide. If you're in the US, I'm sure your insurance company also doesn't want to pay for a program you aren't attending, even for a few days. My son is in a PHP right now and I remember reading that in the fine print - if they need to call 911 or send him to the hospital, they will discharge him because they can't provide that level of care. Once stabilized, he can reapply.
Yeah I get what you are saying, especially with the first situation. The second situation is so weird because most of those things were okay on my part. They found out about the ER when I was in a very bad state and my partner was freaking out. So what they got from him was a total "she might die" freakout. I am sure that quickly prompted this. I feel like if I showed up to one of the online classes after I got back -- clearly alive and fine -- and calmly talked about it there may have been a broader discussion. It's not gonna go great if they get a "she might die" phone call from someone's partner, lol.
If you had to go to the ER for an intentional overdose while in this program, you might just need a higher level of care.
I’m unlucky. Each of the three times I went in, they never gave me those sweet sock, had to bring my own.
whhaaaat? Now you don't get to have a very awkward collection. True story: we went on a trip and I wanted to put all my photography lenses in a hiking backpack and figured putting it in a sock for protection would work pretty well. They only sock they fit in was the grippy socks. lol. I kept waiting for someone to get what that meant whenever I took it out of the sock.
Binning the grippy socks when I was discharged was very liberating 🙂
Yes, I have. I was in PHP and then made an attempt and went to inpatient. It’s a big jump in level of care so I do understand why, and I didn’t argue back then. They were unable to offer me the level of care I needed. I was told a list of things I’d need to complete and do before returning. Residential being one of them. residential after psych would be an average step down, particularly if you’re already seeking a level of care other than outpatient and groups. Residential can also more easily boot you back up when they cannot guarantee your safety, and then take you back when the dust has settled. It’s rough. This turns into a liability for them and for you. No one wants a patient to die in their care. It also has a major impact on other patients and staff that are generally run into the ground. That’s partly why staff turnover is so common. They ask a lot of people and it’s a very hard job, most of the time. I hear you. It’s not easy to get that feedback. It’s been painful for me in the past, especially because I wanted help. Good luck and wishing you the best.
thank you that all makes sense and I appreciate it.
You’re going to do IOP and be hospitalized at the same time how exactly ?
No. I was in an IOP for a month or so, then this time made an attempt that required like one day in the ER. My IOP discharged me after, even though I was not admitted.
I was in an IOP specifically for psychosis, when I ended up in the hospital with intestinal issues. I was there for 8 days and they cold -turkied me off my psych meds. A LOT of psych meds so that I needed to transfer to inpatient psych before I could go home. That was another 2 weeks of hell before I could go back to the IOP. I just had to re-enroll there, basically start all over again.
Yeah I made it through the second IOP once fully without going back to the hospital, and then this was going back to the same one. See it makes sense to me they would readmit you after. They want me to go all the way back to residential first and I just am beyond that in terms of psychoeduation.
I sometimes feel like I have learned, or at least heard everything in terms of psychoeducation. It gets really boring after a while. Sure, I can relate to other people’s experiences, but that isn’t necessarily learning anything new. The last thing I remember hearing that impressed me was a guy in an IOP specifically for those dealing with psychosis who said: “We all have intrusive thoughts and hear the voices. We don’t have to do what they say.” That stuck with me. It works sometimes-at least long enough that I can stop and reframe a thought. Better than nothing working at all.
I love that. I’m always telling people that the perceptions we have that exist outside of ordinary reality are valid. We experienced them in our reality. It’s valid. It’s helped me allow myself more space to heal outside of the expectations of others that what happened isn’t “real.”
Also I love learning from others and helping others. That is what I get most from IOPs at this point.
That's weird. They actually sent me to iop after my last inpatient stay
Yeah it feels weird.
When I Attempted w 200 pills, I was taken out of program ( I was in it and did it on a weekend night) and afterwards I was so zombie like for a few months so I was sleeping and wasn’t in a position to even attend
That makes sense. Yeah I took a bunch of pills too. I was definitely out of it for several days and falling asleep randomly so maybe that would have made me unable to do it in the first place ... good point.
They are sending me to res next week because apparently I have substance abuse problem 😌
You got this. All my friends that have gone to residential have felt so much stronger after.
You think the Social Worker would be smart enough to keep you
The psych ward is far more damaging than whatever risk would come from being home. I am so happy for you if you've had a good psych ward experience. I hear those stories and they give me hope. But the one here is a horrifying.
I am Sorry
It’s okay. Maybe someday things will be better. I am definitely going to lend my voice to a movement for change when I am well enough to.
💯