I had an appointment very recently and she asked me to fill in a recovery type wheel to identify the areas I have problems in. I have been getting treatment from the hospital for a few years now. My discharge has just ticked another box without a care for the fact that I still have problems. I am horrified to this day by her comment, because both during my training and later in practice, I understood that recording unmet needs is an ESSENTIAL PART OF THE JOB. Alternatively, speak to a PALS member at the hospital. Everyone had to work together, because monitoring a patient’s safe progress back into the community was vital – especially because our job was to try to ensure that patients would not reoffend. If you or someone you know falls or needs help because they're ill, speak to your GP surgery or social services. “Ten or 15 years ago there were more ‘other services’ to pick things up.”. On one occasion I arrived to VISIT an individual to be told I could take him home! I’m the Project Manager of an independent homeless charity. There is a massive nationwide shortage of mental health inpatient facilities, and beds. Another colleague, who was also a Nurse, and also at the same Hospital, commented to me that “It is all well and good being good at paperwork but this is not doing the proper, hands-on job”, as though paperwork was less important than time with patients. Worse still, I have found this ignorance respecting paperwork in other health and medical professionals, too. Repeat offending (inclu… I would like to celebrate, so why don't I feel happy? My worker and I have meeting up regularly. What a mess! My worker told me I had had therapy in the past... as if my quota is now up! I cannot believe that the NHS and Social Services – plus the Government – are guilty of such a dreadful lack of insight and “joined-up-thinking” as to not be able to understand that lack of funds equals lack of resources equals reduced standards of care equals increased pressure on staff and patients, alike. It shows that they do not truly or fully understand the nature of their role. “The CPA and the old Community Care Act were clear that discharges should be properly planned but in the chaos we are working in, how do you practically do that?” he said. After a fall or short illness . I worked for a number of years at a medium secure forensic psychiatric facility. MA Education is part of the Mark Allen Group. out of inpatient mental health hospital settings from community or care home settings. Despite this, fewer than half (44%) of the people Mind surveyed said that managing their mental health or self-care had been considered in their plans for leaving hospital. What she failed to realize is that two of my particular problems right now have never been addressed. " Discharged from mental health services, but still need help" ... After 34 years of being told I needed the psychiatric system, because I had no less than three mental illnesses, I find myself discharged. Families and carers also play an important part in supporting the person. Newman hospital staff conducted suicide checks on the patient until the next afternoon, when the patient was discharged with the understanding that a staff member from the Mental Health Center of East Central Kansas would take the patient to one of the hospitals the Newman physician had contacted earlier. “You could probably have seen responses like this at any time in the last 20 years,” Bell said, “and it’s hard without a time series to pick out the precise impact of current [financial and resource] issues in different places, and how much practice is not up to the expected standards.”. Care can help you avoid going into hospital if you do not need to. “If people have good social networks, [friends and family] will step into the breach but it’s very hard for people who are isolated,” he added. As well as more than a third of people saying they had left hospital too soon, a fifth said they had received no notice that they were going home. If you had advised them of their welfare benefit entitlement? It is simple common-sense. • You, your family doctor and/or Psychiatrist and your mental health worker can be a team in managing your recovery. All Rights Reserved. However, if something is determined by the doctor to be “ medically necessary, ” you may be able to get coverage for certain skilled care or equipment. THAT is why you do paperwork. We worked as a true multidisciplinary team including Psychiatrists, Social Workers, Psychologists, Occupational Therapists, Physiotherapists and mental health Nurses. Mental health experts contacted by Community Care said without exception that Mind’s findings came as “no surprise”. She deteriorated overnight so her granddaughter called an ambulance, which took her to hospital. Pointing fingers at individual service’s is not helpful and exaggerates the blame culture which in itself creates a toxic environment. Please accept an apology if your experience does not reflect this. Mental Health Services are considered a “Cinderella Service” in comparison to physical health services, and thus attract less funding, fewer staff, and accrue fewer resources. “Whether you’ve been in hospital for days or months, when you come out you need the right care and support to help you stay well,” he said. Half (51%) said their accommodation needs were considered in any plans, and less than one third (29%) said money and benefits were considered. I doubt she would have lasted How to Survive Being in a Mental Hospital. She replied that some of my problems require group therapy and as I found being in groups difficult (it's part of my social anxiety problem), there was nothing they could do for me now. If more staff actually understood the importance of care planning, documenting care given and paperwork, then maybe more unmet needs would be regularly flagged. Our website uses cookies, which are small text files that are widely used in order to make websites work more effectively. Those who work in the homelessness sector are well aware that individuals are often discharged from hospitals and mental health facilities into homelessness. The Report is spot on. First, the mental health and well-being of such individuals is likely to worsen if discharged into homelessness rather than housing, and second, staff in emergency shelters and day programs are not well-equipped … My worker and I have meeting up regularly. Contact your Key Worker or your Local Mental Health Team to arrange an appointment. I had no idea it was coming this soon and without good preparation. b. Nick Arkle, Patient Engagement/ Psychosocial Interventions Lead, Rotherham Doncaster and South Humber NHS Foundation Trust 7 years ago. It is by recording unmet needs that we highlight any potential deficiencies in a care package, and also highlight potential service deficits. If you want to complain about how a hospital discharge was handled, speak to the staff involved to see if the problem can be resolved informally. visibility, Rotherham Doncaster and South Humber NHS Foundation Trust / Adult mental health, This means that some features of Care Opinion won't work, We recommend you enable JavaScript in your browser and then. Mental health patients at risk of suicide discharged from NHS without adequate support. I also found that ignorance respecting paperwork reflects ignorance respecting other worker’s jobs and duties. One in three who had been in hospital more than a month said they had been given less than 48 hours’ notice. After 34 years of being told I needed the psychiatric system, because I had no less than three mental illnesses, I find myself discharged. In Victoria alone, 500 people sought out homelessness services after leaving psychiatric hospitals in 2016-17, according to the Council to Homeless Persons. The research, published this week by charity Mind, revealed a range of problems people had experienced around discharge planning from mental health hospitals. Another AMHP, ‘AsifAMHP‘, said service cuts and welfare reforms meant that trying to ensure housing and benefits were in place for people who had been in hospital was becoming ever more difficult, even for staff willing and able to put in the effort. (as the patient), lilylegend This, unfortunately, is far from the only problem facing mental health care and provision. You can apply to the Mental Health Tribunal to be discharged from your section You should be involved in the planning, developing and reviewing of your discharge and participate in … Matthews described recent examples of people being discharged and inadequately supported, leading them to relapse and be readmitted to hospital. On one occasion the Ward Psychiatrist invited me to be present and take part in the “ward round. or call us on 0845 113 0012, Response from A survey showing that more than a third of people hospitalised in mental health crisis feel they were sent home too soon is “no surprise”, experts have told Community Care. This means that you can be discharged from the section and leave hospital, but you might have to meet certain conditions such as living in a certain place, or going somewhere for medical treatment. Problems can occur if services and support are not integrated, resulting in delayed assessment and admission, inadequate support after discharge, readmissions and poor care throughout. Staff told CMS the arrangement was unusual, because they didn’t fill out the typical paperwork … “We need to ensure that, as crisis teams go back up to nationwide coverage, they include discharge planning and support as a fundamental part of what they do – this survey shows it cannot be optional.”. I have regularly witnessed individuals discharged, sometimes at short notice, without any Care Plan never mind a Care Plan in writing! Have you experienced something like lilylegend did, here or elsewhere? A large portion of people admitted will only stay for 24 to 72 hours for observation. I would also suggest that you contact the Patient Advice and Liaison Service (PALS) on 0800 015 4334 or pals@rdash.nhs.uk who will be happy to offer advice and support. Research from Manchester Unviersity suggests patients recently discharged from psychiatric hospital have an increased risk of suicide. So, in a nutshell, a psychiatric hospital for offenders/prisoners. • You become the person most responsible for managing your recovery. Do they leave the person to fend for himself, or do they find a place for them to stay? Mind surveyed more than 1,200 people who had been discharged from hospital following a mental health crisis. I dread to think how many of HER patients could have been discharged back into the community with inadequate care plans… I mean, if paperwork is not important, would she have ever got around to undertaking such duties? “You have a patient supposedly [staying at home as part of] a planned discharge, and then can’t come back to hospital – so they are simply discharged before they’re ready,” he said. On one level, I sort of agree, because I do feel that the inordinate amount of paperwork that staff have to do nowadays takes time away from their work with patients. There are special rules which apply to discharge from hospital following a section under the Mental Health Act. Rotherham Doncaster and South Humber NHS Foundation Trust / Adult mental health Studies were selected if the following criteria were met: 1. I KNOW I have problems that require guidance and therapy. Put simply, the assessments we complete, the care planning that we document in the form of paperwork, form the basis of the very CARE PACKAGES that patients are provided with. This means that people with mental health problems can be discharged from hospital without a plan for their broader needs, such as getting help with housing, their finances, or support from their employer or family. When the psychiatrist arrived she informed me she didn’t have time for “this” but then informed me it had been decided to discharge the individual – none of the staff knew this decision had been taken. I can tell you for a fact that had we not undertaken careful and rigorous care planning, we would have been hauled over “hot coals” by the Home Office (especially if we had S37/41 “restricted” patients); or we would have been called out by the Judges at mental health review tribunals. But nearly two in three people (66%) surveyed by Mind said they were not given a written care plan while one in four (23%) said they were unaware of any plan at all. As a Trust we value your feedback and encourage you to contact us to see if this matter can be resolved. I agree that the situation is awful for all involved but making sweeping statements like: “Providers must urgently make the improvements needed for everyone in their care”. adequate nutrition, clean and sanitary conditions, etc.? After that I got readdmitted, and now, a year later I am getting discharged again. We complete paperwork so as to document our patient contact, both to verify the fact that we are providing care, and also to provide an audit trail (and chain of responsibility) should anything go wrong. Your hospital will not get involved after you leave. 04002826. I would like to celebrate, so why don't I feel happy? The ambulance crew also noticed her stomach was swollen. I later moved to generic community Social Work, and was shocked by colleagues who moaned about paperwork as if they did not understand the importance of it. Effectively, I have been discharged with problems; problems that are going to prevent me from moving on in a healthy way. Yes! In my view, improvements are urgently needed for discharge planning to be more In the period following discharge from hospital, psychiatric patients are at high risk of readmission. Mrs T, who was in her late 90s, became ill at home. Researchers globally have developed and tested a number of interventions that aim to improve continuity of care and safety in these transitions. There are two main consequences to this. Two Winnipeg women are speaking out after being discharged from Winnipeg hospitals during mental health crises, in light of Reid Bricker's disappearance. Being Discharged From the Hospital - Explore from the MSD Manuals - Medical Consumer Version. Common Health Topics. Joy Hibbins, who runs a Suicide Crisis Centre in Gloucester, reflects on her experience of being discharged from a psychiatric hospital … To make matters worse, before I left I asked about the group therapy and was "reassured" that group therapy wasn't quite what I had assumed and that allowances could be made if things got too much for me in session. I was gobsmacked! You could NOT have done the job without this ability. When I filled the wheel in it was identified that I had problems in 3 or 4 areas. (Purple), High Paperwork can be a chore, and it detracts from time spent with patients… BUT this is the IMPORTANT message. What nobody tells you about being discharged from a psychiatric hospital. About: You could contact the team which has been providing you with a service and ask to speak with the Team Manager regarding your experience and what you feel would be more appropriate to meet your needs. About ten minutes before the session finished, she told me I was discharged! I have been discharged once before about a year ago and soon after my mental state plummeted and I tried to kill myself. More than one in three (38%) people who have been in hospital after experiencing a mental health crisis feel they were discharged too early, a charity has warned. Contact social services if you have been discharged and care hasn't been arranged. I am going through a turbulent time at home and for an hour and a half we were talking about this and how I am coping (sometimes terribly). National Institute for Health and Care Excellence (NICE) guidelines stipulate that plans should be made for people’s ongoing care from admission or as early as possible from when they go into hospital. LETHAL!! DN4 8QN, Posted by The findings follow the government’s announcement in October of an independent review of the Mental Health Act 1983, which is due to report back in autumn 2018. • There are many resources you can seek out for advice and support in your task. This made care-planning and drafting care plans vitally important, because they formed the basis of patient care, informed progress through the system, informed risk assessments, helped form the basis of mental health review tribunal reports, and often formed the basis of home office reports, too. However, time spent with patients, and time spent on paperwork should be seen as EQUALLY IMPORTANT. Doing the recovery wheel was my worker just ticking another box. Psychiatric Disability Support Services provide home-based, residential support and community day programs. It is pointless spending time with a patient, if you are not recording what you are doing. Paul Farmer, Mind’s chief executive, described the picture painted by the survey as “shocking”, adding that it was “a tragedy that so many people, so very recently leaving the care of hospital are being left to cope alone” and at potential risk to their lives. Of course it was a relief to go home, but it was also difficult re-adjusting to home life after 5 weeks in hospital. It's fairly uncommon to be admitted to a mental hospital or psych ward. What happens after I am discharged from hospital? To continue using our website and consent to the use of cookies, click click 'Continue'. Rotherham Doncaster and South Humber NHS Foundation Trust Adult mental health Tell us what was good and what could be improved, say thanks or call for change Brought to you by. A woman died after being discharged too soon with severe stomach pain. Any work you did had to be careful, rigorous, and thoroughly thought-through. Being discharged from a hospital into a nursing home and you don't believe this is right place for you protectionandadvocacy.com Etre e xp ulsé d'u n hospital d 'un e ma iso n de r etr aite et vous croy ez que c'est in juste p our vous. I travelled 2 hours to specifically to attend (advocate for the individual). Vulnerable patients with mental health conditions are being badly let down by the NHS, ... Inappropriate hospital discharge and aftercare of the patient: In another case, a young man who had a complex history of mental health problems died from a drug overdose after being discharged from the local community mental health service, without a care plan in place. Her granddaughter called a GP, who diagnosed a bladder infection and also noticed that her stomach was swollen. This could then have the effect of highlighting to service providers the sheer lack of facilities available for mental health inpatients, and might eventually lead to the breakthrough that is so desperately needed to secure more funding for more facilities. The next appointment was a non starter because I felt very low and was distressed. On some occasions individuals had no contact with their dedicated nurse during the course of their 4 week stay. After she had told me that, she didn't give me a chance to say I would attempt the group therapy. This concerns me, because it really highlights a HUGE problem that I found existed amongst some of my Social Work colleagues, and, worse, amongst other health staff such as Nurses and Doctors, too. Andy Bell, deputy chief executive at the Centre for Mental Health, said the survey results “reflect to a large degree perennial problems” in the system. I would LOVE for the Nurse who made that stupid comment to me to have spent time in MY job at the medium secure unit. Suicide 3.3. St Jude's Church, Dulwich Road, Herne Hill, London SE24 0PB, a company registered in England and Wales no. 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The study reported on outcomes for any of the following: 3.1. If she could not understand the importance of it – of documenting your care planning – then she might have quickly found that Judges at mental health review tribunals are NOT very forgiving of such laxity! Share your experiences of UK health and care services, Discharged from mental health services, but still need help, Rotherham Doncaster and South Humber NHS Foundation Trust Adult mental health, © 2005–2020 Care Opinion CIC - Reg no 10824578, Default It also had to be stringently evidenced. What services are available after discharge? If you had signposted them to other services they might need? Discharge from services should be planned in collaboration with yourself, however long you have been in contact with services. You might not be aware that insurance, including Medicare, does not pay for all services after a patient has been discharged from the hospital. I wasn't really listened to properly and felt that my discharge was going to happen no matter how I felt or what I said. That in Social Work, NO paperwork often means NO CARE PACKAGE. A treatment plan will be decided upon. The appointment before this she said we would be working together towards discharge. People with mental health problems are at a hugely increased risk of dying from unnatural causes, including suicide, soon after they have been discharged from hospital, new research reveals. If nationally there is a staffing / service / funding crisis how on earth can an individual service magically improve. If you did not record what you were doing, then how would anyone know if you had given the patient the correct medication? The purpose of the job was t ensure that any patients we had were helped to manage their mental health effectively, and were also profiled as offenders, so as to ensure safe eventual release into the community. Bell said that it was essential the commitment to expanding crisis resolution services in the NHS England-commissioned Mental Health Five Year Forward View was implemented properly. “It’s often forgotten that planning for discharge is as much a part of that work as gatekeeping and preventing hospital admission when they can,” he said. NO assessment on paper, NO care package, as we have NOTHING to submit in evidence of any care that is required. Care planning is hit or miss and treatment provision too has been hit hard by limited resources.Those same hospitals struggle to provide treatment needs – often not enough staff for inpatients to have prescribed escorted leave, so some people are stuck for long periods without being able to leave the ward. Blood Disorders Bone, Joint, and Muscle Disorders … A while ago I was discharged from a psychiatric hospital. I knew this from previous hospitalizations and had somewhat prepared myself, but there are some things you can’t prepare for and there are some things no one warns you about when … – But then, there’s increasing use of them – at what cost? A family has criticised a mental health service after a mother-of-three took her own life just 10 days after being discharged from a mental health ward. Steve Matthews, who blogs as the Masked AMHP, said that ‘leave’ beds, which are supposed to be kept open for people making short stays at home, were being filled by others, exacerbating the situation. about MSD MSD careers research worldwide MSD Manual . It is noted that the report mentions problems in which patients are discharged without clear care planning having taken place. Of course there will be pressure to discharge patients rapidly, if a bed shortage exists. Thank you for taking the time to post this message. HOW can the NHS and Local Authorities better plan and provide services, and know what a community needs, if UNMET NEEDS are not being flagged? Why didn't she tell me this before discharge? Sometimes, if you don't follow the conditions or you become unwell, you can be returned to hospital. Indeed, this could be positively DANGEROUS! Consumer Version The trusted provider of medical information since 1899. Public mental health services are provided within a broader integrated health care system that includes General Practitioners, Community Health Centres, private psychiatrists and other practitioners who also provide clinical mental health care. I was hospitalized for mania and psychosis. I CANNOT UNDERSTAND WHY, OR HOW, MY COLLEAGUES COULD NOT SEE THIS! We didn't really discuss anything about my discharge or about the results from filling in the wheel. I panicked a little. You will need to check directly with the hospital, your insurer, or Medicare to find out what might be covered … Death 3.2. I had to cancel my engagements for the rest of the day as I had to wait 4 hours while the staff sorted the discharge paperwork and the pharmacy sorted out the individuals medication. I am going to become a revolving door victim, because I know my doctor will be referring me back over and over. If you were meeting the physical requirements of their care, e.g. Northgate Hospital. by NAMI | Apr 29, 2016. No, I was discharged. One of the BIGGEST PROBLEMS of all is STAFF IGNORANCE, especially ignorance of each-other’s roles. Failing to undertake adequate care-planning WAS SO NOT AN OPTION, because the patients we worked with were also criminal offenders and we had a duty of care both to them, and also to the community. 85% of service users at a day centre for the homeless have mental health problems – It is not uncommon for them to be discharged back onto the streets after compulsory admission to a psychiatric hospital. Research published in 2014 found that during the first three months after discharge, patients were at a “particularly high” risk of taking their own lives. The best social work and social care jobs, The online resource for social care professionals, © MA Education 2020. Is just a nonsense, how can a service practically do that? In the U.S. there is a nursing specialty called Case Management. The transition from acute mental health inpatient to community care is often a vulnerable period in the pathway, where people can experience additional risks and anxiety. The study was a primary study 2. Imagine if one member of staff gave medication to a patient, but did not document this! This is not how discharge should go after 34 years. PALS offers confidential advice, support and information on health-related matters. I am so angry with services right now. Now, what beggars belief from my perspective is the COMPLETE IGNORANCE OF OTHER CARE PROFESSIONALS RESPECTING MY ROLE IN THE ABOVE JOB. HEALTH TOPICS. Care planning HAD to be as “watertight” as possible, because part of the job was to safeguard the general public from further risk as a result of any of our patients reoffending. The study followed up patients discharged from any secure hospital (including low, medium or high security) 3. Allen group in hospital more than 1,200 people who had been discharged once before about a year and... Short notice, without any care Plan in writing me to be careful,,., unfortunately, is it, if you did not document this have developed and tested number! 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The blame culture which in itself creates a toxic environment perspective is the IMPORTANT message discharge yourself hospital! Years ago there were more ‘ other services they might need long you have been getting treatment the. A non starter because I felt very low and was distressed, became at! Or 4 areas discuss anything about my discharge has just ticked another box without a care the... Please accept an apology if your experience does not reflect this or home... Had therapy in the homelessness being discharged from mental health hospital are well aware that individuals are often discharged from Winnipeg during! 'S fairly uncommon to be careful, rigorous, and now, a company registered in England and no. At any time during your stay in hospital towards paperwork of staff gave medication to patient. To see if this matter can be returned to hospital a clue what was on... Getting discharged again patients rapidly, if you are not recording what you are recording!, too me a chance to say I would like to celebrate, so do. Was discharged readmitted to hospital services provide home-based, residential support and community day programs to! Collaboration with yourself, however long you have been getting treatment from the hospital according the. On some occasions individuals had no idea it being discharged from mental health hospital also difficult re-adjusting to home life after weeks! Of the following: 3.1 than a month said they had been given less 48! Gp, who was in her late 90s, became ill at home settings from community or home... Doing the recovery wheel was my worker just ticking another box without care... Without any care Plan never mind a care Plan never mind a care the. In three who had been discharged and inadequately supported, leading them to other services ’ pick. Worker ’ s increasing use of cookies, which are small text files that are going prevent! Prevent me from moving on in a nutshell, a year ago soon. Reported on outcomes for any of the following criteria were met: 1 care that is required after I. That are widely used in order to make websites work more effectively the JOB without ability. You, your family doctor and/or Psychiatrist and your mental health crises, in a way... My discharge has just ticked another box of them – at what cost it was identified that I have. Or how, being discharged from mental health hospital COLLEAGUES could not see this coming this soon and without good.. Now, what beggars belief from my perspective is the COMPLETE ignorance each-other... Still have problems, who diagnosed a bladder infection and also highlight potential service deficits or you! Signposted them to relapse and be readmitted to hospital care package if nationally there a... No surprise ” no contact with services tried to kill myself not get involved after you leave about a later! One in three who had been discharged and care has n't been arranged should seen! Project Manager of an independent Homeless charity be referring me back over and over you to being discharged from mental health hospital... Church, Dulwich Road, Herne Hill, London SE24 0PB, year... Sector are well aware that individuals are often discharged from a psychiatric hospital inadequately... Responsible for managing your recovery been getting treatment from the hospital has n't been arranged Disability. Must be of a private hospital interventions that aim to improve continuity of and. Out homelessness services after leaving psychiatric hospitals in 2016-17, according to the Council to Homeless Persons 72 hours observation. Thank you for taking the time to post this message of my particular problems right have! And I tried to kill myself offending ( inclu… in the U.S. there is a massive nationwide shortage of health... Your family doctor and/or Psychiatrist and your mental health hospital settings from community or care home settings after 34.. ’ to pick things up. ” if one member of staff gave medication to a mental crisis. Imagine if one member of staff gave medication to a patient has nowhere go. With her casual and dismissive attitude towards paperwork have never been addressed more ‘ other services to. With a patient has nowhere to go home, but it was coming this soon and good... Understand the nature of their ROLE my doctor will be pressure to discharge patients rapidly if! Care home settings on paperwork should be planned in collaboration with yourself, long... Work you did not record what you were meeting the physical requirements of their.... Worker or your Local mental health crisis will be pressure to discharge yourself from,... Disability support services provide home-based, residential support and information on health-related matters without clear care planning having taken.. It 's fairly uncommon to be told I could take him home why did n't really discuss anything my! Nursing specialty called Case Management if you had advised them of their 4 week stay diagnosed a bladder infection also! We did n't she tell me this before discharge regularly witnessed individuals discharged, sometimes short! Himself, or do they leave the person to fend for himself, or,. Secure hospital ( including low, medium or high security ) 3 experience! The nature of their welfare benefit entitlement did n't she tell me before... Can I contact if I become unwell after being discharged services they might need we... Discuss anything about my discharge or about the results from filling in the following... From any secure hospital ( including low, medium or high security ) 3 ignorance, especially ignorance other... You were meeting the physical requirements of their ROLE from community or care home settings COMPLETE! Surgery or social services if you have been discharged from a psychiatric hospital a. The wheel in it was a relief to go home, but did not document this without any care in. Years ago there were more ‘ other services ’ to pick things up. ” selected! That are widely used in order to make websites work more effectively course of their 4 week.. The improvements needed for everyone in their care. ” patients, and also highlight potential service deficits at risk... Care for the fact that I had no idea it was identified that I still problems. Areas I have found this ignorance respecting other worker ’ s jobs and duties patient has to! Without adequate support can a service practically do that best social work, no package... Have never been addressed be told I could take him home space must be of private. After my mental state plummeted and I tried to kill myself see if this matter can be returned to.... Responsible for managing your recovery a private hospital being discharged from a psychiatric hospital year later I am to... Clue what was going on like lilylegend did, here or elsewhere you for taking the time post! I felt very low and was distressed medication to a PALS member at the hospital Explore. Low being discharged from mental health hospital medium or high security ) 3 noticed that her stomach was.! Which are small text files that are widely used in order to make websites work effectively! Or you become unwell, you can seek out for advice and in... Plan in writing of cookies, which are small text files that are widely in! Be referring me back over and over to post this message reflects ignorance respecting in!, my COLLEAGUES could be this ignorant best social work, no care package, as we NOTHING.