Purpose of this site:

My goal is to provide information that may be helpful for family members, caregivers, and friends of those who suffer from severe brain disorders (severe mental illness) and who are at various stages of intervention, treatment, and 'recovery'.

You are not alone!

This site is designed for posting articles either written by myself or others that contain helpful information in managing our lives while caring for others. Also, to provide information about how to help those we love who suffer from a severe brain disorder (severe mental illness).

This site is a 'Take What You Need and Leave the Rest' approach to shared information. Some links may come from pharmaceutical companies, elder care sites, advocacy websites, etc.

Some of the information you will read will be applicable to your needs and some may not. All information is useful. It's in what you do with it.

If you keep an open mind, find what might work for you and take just that information and see how it fits in your situation, I think that you'll find merit here.

There is no magic bullet for these illnesses. I don't believe in blocking any path that could lead to relief for anyone. Everyone has the right to be well.

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Friday, November 1, 2013

Can you get inpatient treatment when needed?

Will the Mental Health Parity and Addiction Equity Act of 2008 Successfully Encourage Employers to Provide Benefits for Inpatient Mental Health Treatment? By John T. Seybert, Esq. and Edward Stumpp, Esq., Sedgwick, Detert, Moran & Arnold, LLP 1 "...The Dispute Over Whether Residential Treatment Is Medically Necessary Mental illness or drug addiction can have a profound effect on the individual as well as his or her family and friends. 5 In many cases, the mental health provider recommends inpatient treatment for approximately twenty-eight days to remove patients from their “toxic” environment to a controlled residential facility. Most insurance companies, however, will not provide coverage for residential treatment for mental illness or addiction unless the services are deemed “medically necessary.” In general, a plan defines “medically necessity” as “accepted medical practice or community standards of care; not for the convenience of the patient or provider; not experimental or investigational; and appropriate and effective.” 6 ...7 Many state laws also require a medical provider to make decisions as to whether treatment is medically necessary..." Read the full article here: http://www.americanbar.org/content/newsletter/publications/aba_health_esource_home/Seybert.html
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2 comments:

  1. Deborah FabosNovember 1, 2013 at 6:13 PM

    According to the Mayo Clinic, inpatient treatment may be needed, especially for the treatment of Schizophrenia.

    Why then, is it so hard to get inpatient care? The top hospitals, lawyers, and some current laws agree that it is medically needed so why are patients released too soon? Do you agree that it's a matter of insurance over a matter of law?

    Treatments and drugs
    By Mayo Clinic staff
    “...Hospitalization and residential treatment programs
Sometimes mental illness becomes so severe that you need psychiatric hospitalization. Hospitalization is generally recommended when you can't care for yourself properly or when you're in immediate danger of harming yourself or someone else...” Full article: http://www.mayoclinic.com/health/mental-illness/DS01104/DSECTION=treatments-and-drugs

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  2. Deborah FabosNovember 1, 2013 at 6:48 PM

    Here is a book that has a template I used to keep my son from being prematurely discharged from inpatient care. I used this book as my bible!
    'Surviving Schizophrenia' by E. Fuller Torrey, M.D.
    Also, Treatment Advocacy Center is a wonderful resource for advice and information on getting the treatment your loved one needs:
    http://www.treatmentadvocacycenter.org/

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