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jeffw , (edited )
@jeffw@lemmy.world avatar

Spoken like someone who has never been in one. They’re completely different places. It’s incredibly difficult to hold someone more than a day or two in an institutionalized setting. Even SCOTUS has ruled it violates your rights (Olmstead 1999). You pretty much get to a judge within a few days of an involuntary commitment (assuming it’s the weekend, less if it isn’t) and then again within a week or two. Long term holds are insanely rare.

I’ve been in them only to visit, but I’ve heard descriptions from staff (friends) and patients (former clients of mine) and it’s nothing like the 70s. The industry went through massive reforms, partially in response to One Flew Over the Cuckoo’s Nest, but insiders had been pushing since even before that in some cases.

jeffw , (edited )
@jeffw@lemmy.world avatar

The issue with institutionalization (besides SCOTUS ruling it violates the ADA in 1999’s Olmstead v LC, rendering it illegal for anyone with a disability), is that it’s expensive. That’s why Reagan defunded them all.

To be clear, deinstutionalization was a good idea, but unlike JFK’s push, Reagan pushed for it without replacing institutions with well-funded community services. Which would be cheaper than institutions, most of which sit unoccupied and decaying, so there’s also the question of where Trump wants to put these people.

jeffw ,
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Many also ended up in jails and prisons

jeffw ,
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Please stop spreading misinformation. You clearly don’t understand the system. As I explained in my other reply to you on this post, that’s just not how involuntary commitments work. Commitments beyond a few days are difficult, beyond a week requires such crazy evidence that some who could benefit from it don’t get it, and beyond a few weeks/a month is incredibly rare.

Obviously we need wraparound community services, but you’re pushing an outdated fiction about institutionalization.

jeffw ,
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Nice, I also used to work in the disability field (ID/A). And you’re right, although at least in my state we haven’t had cuts, more so just a lack of sufficient new funding.

I will say that I don’t think many in the disability will support this, but some do seem ignorant of the past and the old realities of institutionalization.

And yeah, self-directing is a double edged sword. I’ve seen it done well and I’ve seen it abused by families just to get some extra money, while not really sufficiently meeting the needs of their family member with disabilities. I also think it’s nearly inescapable in the future, given the staffing shortages we already see in direct care and the aging boomer population that will require even more staffing.

jeffw , (edited )
@jeffw@lemmy.world avatar

Regardless of the quality of an individual facility, it’s a myth that people are held long term. Also, the quality of the worst facilities today are still a far cry from the 70s. There’s a large amount of legal protections around people being involuntary held. Nothing is comparable to legitimate torture.

To be clear, you can ONLY be held if you continue to be a threat to yourself or others. The only rights you can lose are those that involve stopping damage, violence, suicide, homicide, etc. and the more extreme the case, the more extreme the intervention. I’m not going to lie and say that people who are physically violent and attempt to harm staff don’t get chemically sedated.

jeffw ,
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I’ve actually met psychiatrists who work in these facilities and medications are notoriously difficult to balance. I’m sorry that you felt condescended to, but considering the insanely high legal threshold for commitment and the fact that you were approved for an entire week reflects how extreme your situation probably was.

jeffw ,
@jeffw@lemmy.world avatar

As I said, SCOTUS has already held its illegal. I’ve seen no case challenging that, let alone one that’s made it to a high level of appeal. Holds are up to 72 hours, meaning you see a judge by the 72nd hour. Like I said, it’s often before that. Getting a judge to extend the hold is insanely hard. The fact that they were able to extend yours speaks to how rough your situation was. I’m sorry if that sounds harsh, but I’m not trying to mince words

jeffw ,
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Partial Hospitalization exists.

jeffw ,
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Partial Hospitalization isn’t super rare. I wouldn’t call it an exception to the rule. Many chose not to pursue it, but programs are out there.

jeffw , (edited )
@jeffw@lemmy.world avatar

Or, hear me out, I’ve seen way more than a sample size of 1 and have heard a bunch of people use that commenter’s complaint. Every one of them was held with good reason. I also don’t support fearmongering about vital treatment that saves lives, so it needed to be said.

That damage to society by people bashing mental health treatment is far greater than the damage to one person’s ego by me explaining that treatment doesn’t happen unless it’s necessary.

jeffw ,
@jeffw@lemmy.world avatar

Sure, I’d love to see a quote from a state law where the 90 day hold is authorized after 72 hours. Never heard of such a model in any state I’ve lived in

U.S. troops in Iraq were directly ordered to murder whole families, including children, and likely committed even worse war crimes, and this is the reason why so many Iraq vets have PTSD.

This literally just occurred to me as I was thinking about it and it makes me sad. And yes, I already know about the heinous shit that went down back then that we already know of, including the use of white phosphorus....

jeffw ,
@jeffw@lemmy.world avatar

Not many people were ordered to kill families. Thats pretty rare, while PTSD isn’t exactly uncommon for vets

jeffw ,
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What languages are you searching in?

jeffw ,
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3 for 3!

White patients are more likely than Black patients to be given opioid medication for pain in US emergency departments (theconversation.com)

White people who visit hospital emergency departments with pain are 26% more likely than Black people to be given opioid pain medications such as morphine. This was a key finding from our recent study, published in the Journal of General Internal Medicine. We also found that Black patients were 25% more likely than white...

jeffw OP ,
@jeffw@lemmy.world avatar

From the data, it is trending down overall

Trump, who once appeared to defend January 6 threats against Pence, calls on his former VP to endorse him (edition.cnn.com)

“Because I had a great successful presidency, and he was the vice president, he should endorse me,” said Trump, the front-runner for the 2024 GOP nod. “I chose him, made him vice president. But … people in politics can be very disloyal. I’ve never seen anything like it.”...

jeffw ,
@jeffw@lemmy.world avatar

Time to find out how much of a cuck Pence is. Let’s see if he does it

jeffw ,
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It’s illegal in the Emergency Room. Anywhere else they can. Poor people end up relying on Emergency care, ignoring bills, and the hospitals write it off as “charity care,” which helps them justify their non-profit status, when they’re non-profits

jeffw ,
@jeffw@lemmy.world avatar

Unless you enter through the ER, a healthcare system can deny you.

Also, the ACA requires hospitals have a charity care program and notify people about it (often buried pages deep in your discharge papers). If you qualify, they’ll write off your debt and count it towards their “charity care,” which helps them justify their non-profit status, when applicable. The ACA has no rules about what charity care looks like and the hospital can set whatever criteria they want (some may have charity for those under 100% FPL, others higher).

Source: I’m in a masters program studying this

jeffw ,
@jeffw@lemmy.world avatar

One thing others haven’t mentioned: most states accepted the ACA Medicaid expansion, which means most poor people qualify for Medicaid (at least in 80%ish of states). Medicaid is pretty cheap out of pocket. It can get complicated around who accepts the insurance, but almost any hospital where you go to give birth will.

jeffw ,
@jeffw@lemmy.world avatar

You distinguished between medical centers and hospitals, while most practices are hospital-owned now. It just sounded like you didn’t quite know that, sorry.

Black Mississippi Woman Discovers the Police Who Were Asked to Help Find Her Son, Were Also Responsible for His Death (www.theroot.com)

After more than 7 months, specifically 172 days, Bettersten did not hear one update about the whereabouts of her son. As any loving mother would be, she figured that she would never learn about her son’s fate. She would call the Jackson Police Department often asking for updates, but the lead investigator would tell her there...

Top Philips Executive Approved Sale of Defective Breathing Machines by Distributors, Despite Tests Showing Health Risks (www.propublica.org)

After tests showed that breathing machines made by Philips Respironics could spew dangerous particles and fumes into the lungs of patients, the company in April 2021 decided to stop shipping the devices from its factories near Pittsburgh....

if I finish my coursework over the summer, how is graduation handled?

Pretty much what the title says. I’m likely going to graduate after a few extra summer classes, and I’m trying to figure out how graduation will work. Is it University-specific? Or is there a general rule of thumb? I have a baby on the way and I’d like to start my career asap just to help take care of him.

jeffw ,
@jeffw@lemmy.world avatar

Probably university-specific. Often times you can choose when you walk if you finish at a weird time

jeffw ,
@jeffw@lemmy.world avatar

Except it’s not hot

jeffw ,
@jeffw@lemmy.world avatar

Veganism is about sentience

jeffw ,
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Is this a joke or are you a moron? We forcibly impregnate cows and steal their children… and then do it over and over again until they die

I’m not vegan, but do you seriously not get how animal suffering works? Go watch Earthlings or Dominion if you’re curious

jeffw ,
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Which, to be clear, .00001% of human consumed milk doesn’t involve torturing cows and stealing their babies

jeffw ,
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You’re being purposefully obtuse. It’s not entertaining

jeffw ,
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Except 18 innocent lives?

jeffw ,
@jeffw@lemmy.world avatar

He’d make them watch porn?

“Come on guys, l know we do it every morning, but my wife’s sex tape is hot, let’s watch it again!!”

jeffw ,
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Huh?

jeffw ,
@jeffw@lemmy.world avatar

This just in, Elon bans getting high at work

jeffw OP ,
@jeffw@lemmy.world avatar

Already a law in Maine. They have a yellow flag law to stop this. We can’t go around knocking on every gun owner’s door and asking g if they hear voices.

legislature.maine.gov/…/title34-Bsec3862-A.html

jeffw OP , (edited )
@jeffw@lemmy.world avatar

Sounds foolproof. People being involuntarily committed never lie to the people locking them up!

jeffw OP ,
@jeffw@lemmy.world avatar

If you ban the sales, cops don’t have to hunt down individuals

jeffw OP ,
@jeffw@lemmy.world avatar

No, it’s not a good law. Red flag laws are bad enough. Maine’s law is a joke

www.nbcnews.com/news/amp/rcna122541

jeffw OP ,
@jeffw@lemmy.world avatar

Yes, that’s exactly what I said /s

Ban assault weapons

jeffw OP ,
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“It’s too late to try, let’s give up on everything!!”

Great take bud

jeffw ,
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I think they’re saying the GOP is dirt, so it can’t get any worse?

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