The Psychiatric Hospital: Keeping You Safe


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The first time I was hospitalized in a psychiatric unit, I was twenty-nine. The stress in my life along with my mental illness just became too much for me to handle. I was unsafe, I had already cut my arms that week, and I was suicidal. In this state, when someone in a mental health crisis calls 911 and asks for the paramedics to come, they automatically send the police, because they don't know if the person might become violent. Well, the officers weren't very understanding, but the paramedics were helpful. Apparently, there is a new program that helps police understandd and respond to mental health calls. It's like sensitivity training or something. When I heard about that, I was thrilled, because I remembered my first experience with the police and how they handled my mental health situation. I have been hospitalized in the psychiatric unit eight times, and I honestly don't remember how police responded to me, so it must not have been in an aggressive manner, like the first time. Or maybe I was just too messed up to register it. I'm not sure. Like I said, I have been hospitalized eight times for my mental illness, so I know the drill, even though each hospital is a little different. Each hospitalization helped me in a different way; I always learned something. There was one exception: this place called Sundance. The majority of what they did was visual: you know, writing, drawing, etc. and I couldn't participate in any of that, since I couldn't have a computer or notetaker with me. They also screwed up my psych medications as well. However, I learned from every other hospitalization, though. Even though psychiatric hospitalization is hard, because I always feel like I'm stripped of almost everything, it's all designed to keep me safe and help me get well.

What is Psychiatric Hospitalization Like?

Here's how the process works:
  1. The psych safe room in the emergency department: This is where you'll start. You start out in the emergency room because they want to make sure you're physically healthy. A psych safe room has bare walls and is void of anchor points (for hanging) and objects that one might use to harm him or herself. They are also positioned so that staff can easily see these rooms from a distance. However, this article indicates that the current design isn't effective and may actually induce more psychological harm. If you're suicidal, someone may be assigned to sit with you. At some point, you'll be evaluated by a psychiatrist to determine if you need to be hospitalized.
  2. The forms: You'll be met outside the psychiatric unit by a staff member with a form. This form states that you'll be entering a locked unit until the psychiatrist determines that you're ready to leave. You sign this form before you enter the unit. Then you are asked a series of questions about your mental health, drug use, any history of trauma or abuse, suicidality, things of that nature. You're given a copy of the mental health bill of rights. You sign a series of forms before the next step.
  3. The search: This is quite uncomfortable, but it's necessary. At some hospitals, they do a strip search. This is to find any scars, marks, burns, etc. That way, they can tell if you self-injure while you're in the hospital.
  4. Medication: Next, you sign forms allowing the hospital to give you psychotropic medications, as determined by the doctor.
  5. Room Assignment: At this point, you're asigned a room. Hopefully, you'll get a few hours of sleep before the next step.
  6. The physical: At around 4:30 in the morning, you'll be awakened to see the doctor. He or she reviews your medications, asks about any diseases or conditions you might have, listens to your heart and lungs and writes orders for your medications.
  7. Scheduled activities: You attend scheduled activities (meals, group therapy,etc.) until the psychiatrist officially admits you to the hospital.
  8. Admission: Finally, there is your admission to the hospital after your first meeting with the psychiatrist. He or she will interview you, take a family history, ask about your mental health and why you think you need to be hospitalized.

What Do you do at the Hospital?

There are many group therapy sessions at the hospital. Some are based on developing goals. Others focus on discharge planning (what you'll do after you're discharged from the hospital, and how you'll avoid returning). Some group therapy sessions are faith-based, and others are music therapy. Many hospitals have art supplies so that, when patients are feeling anxious or just need something to do with their hands, they can use coloring sheets and crayons. Coloring books with staples and pencils with sharp points are not allowed in the psychiatric hospital. When writing is required, the therapist brings pens or pencils, supervises the activity and collects the pens/pencils at the end of the session. During free time, patients can play card games, dominos, color with crayons and printed coloring sheets, talk on the phone (during certain times), read provided books, write in provided journals or watch television/movies. Most of those things are pretty boring or even impossible for me. When I was in the hospital, I would spend a lot of time thinking and praying and talking with the hospital chaplain if one was available.

I have been out of the psychiatric hospital for eight months, and that's something to be proud of. There have been a few times when I thought I might have to go back, but I have been able to use my coping skills and crisis resources to help me stay out of the hospital. These things can help you, too. Remember that, if you do have thoughts of hurting yourself or of suicide and you can't get relief with coping skills or crisis help, do not hesitate to go to the nearest emergency room or psychiatric hospital. Even though some aspects are a little uncomfortable, it's worth it to keep yourself safe and alive.

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