Mon
Dec 26 2011
06:57 pm

Reading this made me go back and read some Lakeshore related articles. It looks like there may be more expansion needs in community services than just absorbing Lakeshore patients.

MSNBC Article ...

Across the country, doctors like Sullivan are facing a spike in psychiatric emergencies - attempted suicide, severe depression, psychosis - as states slash mental health services and the country's worst economic crisis since the Great Depression takes its toll.

"Often you have a patient strapped to a gurney in a hallway outside of the emergency department where social workers are desperately trying to find an inpatient bed," he said.

The woman asked Sullivan to switch her prescriptions to drugs that could be found on the $4 discount list at Wal-Mart and other discount stores.

"I didn't feel comfortable doing that," Sullivan said, noting that emergency physicians are being asked to deliver specialized care that should be handled by a psychiatrist.

article

Bbeanster's picture

Sad and truly frightening.

Sad and truly frightening.

Robert Finley's picture

Yes. Well,...

...there's no way anyone could have predicted this.

bizgrrl's picture

+1

+1

bizgrrl's picture

This Lakeshore thing has me

This Lakeshore thing has me concerned as well. I am very much against them closing Lakeshore. There is no real plan for after it is closed. It's like no one cares anymore, it's all about the benjamins.

The National Association of State Mental Health Program Directors (NASMHPD)...estimates that in the last three years states have cut $3.4 billion in mental health services, while an additional 400,000 people sought help at public mental health facilities.

In that same time frame, demand for community-based services climbed 56 percent, and demand for emergency room, state hospital and emergency psychiatric care climbed 18 percent, the organization said.

CathyMcCaughan's picture

sad and inevitable

Lakeshore's closing has been clearly visible for more than a decade. When Nashville opened their new mental health facility, complete with a swimming pool, several of us asked about getting a new facility in East TN and the response was a head shake. For years, Lakeshore has been left to crumble and sold to those more interested in parking lots than historic buildings while most potential patients are referred elsewhere. The consumers who remain in Lakeshore are the least likely to have family, friends, homes, or communities. These consumers will be on the street or in the shelters. The forensics patients will likely be placed back in the jails.

The immediate result is that the people who most need the medical care, advocacy, and basic needs that Lakeshore once provided, are and will be subjected to the homeless hate that dominates the KNS comments section. I just wonder how long the future of the property will be the subject of bitter fighting before the developers cannibalize it.

bizgrrl's picture

The immediate result is that

The immediate result is that the people who most need the medical care, advocacy, and basic needs that Lakeshore once provided, are and will be subjected to the homeless hate that dominates the KNS comments section.

Just don't see why that has to be inevitable.

Up Goose Creek's picture

Generics

The woman asked Sullivan to switch her prescriptions to drugs that could be found on the $4 discount list at Wal-Mart and other discount stores.

"I didn't feel comfortable doing that," Sullivan said

This bugs me no end. And we wonder why our health care system is so expensive/inaccesable?

Pam Strickland's picture

There is a difference in the

There is a difference in the genetics and the name brands. And with the psychiatrist it can cause problems. What is important us that the patient have close follow-up care with the physician and when the patient is at the ER that can't be the case. If the patient had close follow-up at a clinic that was guaranteed it would be different.

I'm taking a medication now that isn't on the $4 list but as a name brand used to be $200-plus per month. I can get it at Belew's Drug Store for $8.40. At Kroger, where I get my $4 scripts it's $60plus, or was the last time I checked. I had been on it when I had health insurance to gteat success, but gave it up when I lost insurance until it went generic. And what i'd been doing wasn't working very well. I had horrible side effects for the first two or three months I was on it that I hadn't had when I took the name brand back when I had insurance. My doctor kept telling that it would get better, and I knew the medication had helped tremendously the first time around, so I toughed it out. Without access to the doc, I don't know that I would have.

pd246's picture

the fly in the ointment

May have something to do with desk jockeys whose main purpose is to save a few bucks for their company so that the company will give them a bigger bonus. Try to imagine the frustration of a doctor, who has spent many years learning to care for his patients, being told that he cannot prescribe a certain medication because there is a generic that may be almost as good and costs less. Before you defend generics, remember they are being made by other companies trying to shave costs. Before you defend the FDA and regulators, ask yourself how many Madoff's and Corzines and DIIIs and Baumgartners, etc are doing the regulating or "taking care" of those who do.

Bird_dog's picture

I thought the doctor's reluctance...

In the example was about changing a psychiatric prescription because he was not a Psychiatrist, but an ER doctor...

Maybe it was about generic choices, but that was not how I read it...

Pam Strickland's picture

It could very well be. Again

It could very well be. Again from my own recent experience, I was having a minor problem with my psychiatric medications and the nurse practitioner at the clinic said that she didn't feel comfortable dealing with my combination of medications. The clinic had recently list it's psychiatrist and hadn't yet replaced him. He has been replaced now, and I will be able to confer with the psychiatrist soon. In the meantime, the minor problem appears to have worked itself out. Patience is an amazing thing. Something that it had taken me over 25 years of dealing with a psychiatrist and various types of psychotropic medications to learn. And I'm not always good at it. Plus my condition isn't major. It's basically routine and easily manageable. Yet even I take four different medications and require regular visits with a psychiatrist and a social worker. I call them my reality checks.

Up Goose Creek's picture

ER

Good point Bird dog. I hope the state will use some of the money it "saves" to hire psychiatrists for county health clinics and to be on call for ERs.

gonzone's picture

Ron Paul said to just let

Ron Paul said to just let them die.

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