Is this disruptive healthcare? Is this quality care? Is this good care? Are the benefits worth the risks? Those are my initial questions of this New York Times article. http://www.nytimes.com/2013/12/26/health/er-costs-for-mentally-ill-soar-and-hospitals-seek-better-way.html?smid=pl-share My appreciation to Valeria Bilby for sharing such a very interesting article about a pilot program for the mentally ill in North Carolina.
Psychiatrist suck at psychology. Often both psychiatrist and psychologist are in dire need of MENTAL HELP themselves. Why would paramedics be better at identifying and triaging people severe mental illness? What safeguards are in place to ensure these unskilled professional do not misdiagnosis causing more harm than good? In the article the main diagnosis is “psychosis.”
Psychosis is a sign of illness usually severe mental illness in someone with a history of mental illness. Moreover, medications used to treat mental illness can cause psychosis, so can other non-psyche medications. Other causes of psychosis include but are not limited to head trauma, infection, metabolic derangements, etc.
In North Carolina, the diagnosis is determined by Emergency Medical Services who then transport these patients to a facility, WakeMed who admits or finds a bed. What measures of success are being used for this pilot program? What are the safety and quality protocols? Does this circumvent HIPAA?
WakeMed is staffed only by folks trained in mental illness, danger, danger, danger. Look at the ratio and tell me the staff will not be over-worked and probably abusive. Please read the article and share your thoughts.