Norristown State Hospital: A Case Study

The conditions of psychiatric hospitals were poorly maintained yet again. From the late 1800s until the mid-1900s, the conditions of these institutions were hit or miss. Despite the rising population of those in need of mental health treatment, conditions were deteriorating across the board. This pushed in the deinstitutionalization movement (Nevid, Rathus, & Green, 2014). This was a push to remove patients from state-run hospitals into a more community-based treatment center. In most cases today, there are treatment plans in place depending upon the severity of the disorder an individual may be suffering from. It’s more about treating an individual with any variety of modern techniques or therapies and trying to reintegrate them into society rather than a lifelong stay in an institution. Deinstitutionalization didn’t work the way it was intended. After it was put into place there was a rise in the homeless population and different programs that were supposed to be put into place didn’t live up to

Code §150.2. as of February 1, 2017. Moreover, the Regulations are explicit that “the emergency medical services required to treat an emergency medical condition are only funded by MA until the medical condition is no longer an emergency. MA funded medical services are not available for treatment received after the emergency ends.” 55 Pa. Code § 150.11(emphasis added). In this case, the Appellant’s emergency medical condition ended (February 1, 2017) and she is seeking continuous MA funding for ongoing treatment after that emergency, which is prohibited by the Regulations. Accordingly, the ALJ finds the Department was correct to discontinue the Appellant’s MA benefits because she is a noncitizen who is not in immediate need of emergency medical services and has not provided evidence that a new emergency medical condition

On 6/24/2017, at 1740 hours, at the Durango Jail (3225 W. Gibson Lane, Phoenix, AZ 85009) Inmate Bennett BK# T375249 was escorted to the Durango Medical Clinic by Officer Smith B3168 for odd behavior out of Durango 4. Inmate Bennett was seen by RN Gyle AT061 and ordered to Maricopa Integrated Health System (MIHS) located at (2601 E. Roosevelt Ave, Phoenix, AZ 85008) by PA Fischer CS245 to rule out psychosis.

The Albert J. Solnit Center tour changed my perception of what type of care that is given to patients on the Connecticut Valley Hospital campus. Prior to the visit, I always thought that the patients being treated there were dangerous to the public so this had to be the facility that held the juvenile mentally ill offenders. The reason for this belief is that the Whiting Forensic Division, also on the campus, is known for housing the criminally insane. There have been publicized cases of escape from that maximum-security wing so I was skeptical of even going onto the campus but once I arrived, I knew that I had it all wrong.

On September 15, 2017, the Office of Eligibility received Ms. Heigle’s request for a State Fair Hearing, and her Medicaid coverage was reinstated pending the outcome of her appeal. The State Fair Hearing request was received in the Office of

NDCC 25.03.2-06 creates admission criteria for psychiatric residential treatment facilities, or also known as residential treatment centers. The main criteria outlined is a diagnosis of an mental illness or emotional disturbance by a psychiatrist or psychologist, which cannot be treated at a lower level of care. While in general a seemingly good policy with positive aspects, there are a few issues with NDCC 25.03.2-06 that both policy makers and social workers working in PRTFs should be aware of. This paper will analysis the policy in further depth to determine if changes should be made.

Psychiatric care 80 years ago was quite different to how standards are set today. The cases of Youngberg v. Romeo and Wyatt v. Stickney both played big roles in developing standards that help maintain humane conditions in institutions nowadays. Both cases played a part in determining the rights of involuntarily committed patients under the Due Process Clause of the Fourteenth Amendment. Before both cases, patients may have been living in inhumane conditions, refused the right to psychiatric care, and neglected proper habilitation. But now, standards have been set and it’s been deemed appropriate that involuntarily committed patients’ rights must be protected under the Fourteenth Amendment with such standards.

“The occupational therapy provided by Niagara Therapy LLC from 7/29 to 09/15/15 was not supported by records as medically necessary/standard of care. The medical necessity of ongoing therapy depends upon making measureable progress in functional goals. The documentation does not support that this patient meets this criteria. The patient received 12 visits through 7/27/15 and improvement in function was not documented. Also, there is a lack of literature support for long term OT for this patient’s condition. The patient could have continued a home program after 7/27/15. Occupational therapy after 9/15/15 would not be supported as medically necessary due to the lack of documented progress and lack of support for the efficacy of long term therapy over practicing skills with a home program.”

Presenting Problem: Pt is 16 y/o female who is currently at Tuckers Pavilion Acute facility. 8/7/16 Kelly refused to take her medication, and was generally noncompliant to staff directions. She communicated AWOL intent; she also broke a lightbulb to make a number of superficial cuts to her arm, but refused to turn in the glass an dstated that she had flushed it down the toilet. She refused first aid and refused to cooperate with staff directions. She also communicated that she was going to do worse things to herself, Intercept contacted crisis stabilization which transitioned the child to Tuckers Psychiatric at 6am. 8/12/16, Pt was upset to find out she was not getting discharged from Tuckers. Require hydroxyzine 50mg at 1530 medication

D.D. is a 50-year-old, African American male presenting with a number of anxiety and depressive symptoms. The client reports that he came to counseling for “extra support and someone to talk to.” D.D. has been struggling with mental health issues since he was young. Since the age of 15 he has been hospitalized on and off for “hearing voices.” In the early 1980’s he was diagnosed with schizophrenia and prescribed Risperdal to treat the symptoms. Since then, D.D. has been in a variety of mental health settings, including hospitals, day programs, and outpatient treatment. The client has an extensive alcohol and drug use history that he believes impacted his Schizophrenia. In the early 1980’s the client would use alcohol every day “to avoid the voices,” drinking “anything he could get his hands on.” He was also heavily involved with drugs at that time and regularly used marijuana, PCP, cocaine, and heroine. In 2000, the client was sentenced to eight years in jail for four bank robberies. While in jail, D.D. received mental health treatment and alcohol and drug treatment, which was greatly beneficial. When the client was released from jail in 2008, he was drug and alcohol free and was taken off of Risperdal.

In the United States, over the past 200 years, the practice of federal and state governmental treatment and geographical disposition of the seriously mentally ill has seemed cyclical. Essentially, persons with serious mental illness went from community-living to incarceration to hospitalization to community-living and finally back to incarceration (Matjekowski, Draine, Solomon & Salzer, 2011, Ostermann & Matjekowski, 2014 & Raphael & Stoll, 2013). Currently, the United States has a federal mandate that all incarcerated persons with mental illness have access to at least basic mental health care. However, there is no such policy for these same persons once discharged (Aufderheide & Brown, 2005, Coffey, 2012 & Maloney, Ward & Jackson, 2003). The following provides an overview of the process of institutionalization of adults with serious mental illness, a description of the population, the current treatments available, and the current concern surrounding the lack of adequate discharge planning for incarcerated adults with serious mental illness.

There are 20 beds in the inpatient behavioral health unit, at Silver Cross Hospital. Unfortunately, questions such as, how many patients visit the unit within a year. The unit is hospital is currently under review. Due to this, the program director was unavailable to answer certain questions. Patients can stay on the unit from anywhere between 3 to 7 days. Patients have remained on the unit longer than the 7-day period. This occurs when a patient isn’t in compliance with their treatment and is refusing to take their medication. At this point, a medical petition is placed and their

Most healthcare plans only cover services when there has been a demonstrated need or medical necessity, established by clear, consistent and concise documentation with relevant diagnosis. However, sometimes it's not always clear whether a patient's conditions meet the established criteria for medical

There are many reasons a claim may be denied, including obtaining treatment in an inappropriate medical setting (U.S. Department of Treasury, 2011, p. 37216). For example, obtaining medical treatment normally performed in an outpatient

MMM was released after 72 hours into an outpatient program where she was assigned to a group therapy circle for those suffering from Borderline Personality Disorder. She also signed up for individual therapy with a therapist on-campus specializing in the treatment of Personality Disorders. It is up to MMM to follow-up with her treatment plan. Because her suicide attempt occurred on campus, the Dean of Students