Owen, a brilliant job as always summarizing a plague on modern psychiatry and the absence of evidence supporting its continued practice. That being said, let's for a moment assume that involuntary hospitalization was at parity with another option, as opposed to the data you share in this piece. Another consideration that would weigh heavily against hospitalization, and encourage clinicians, family members, religious stakeholders, politicians, employers, payers, hospitals and virtually anyone else with a wallet or soul that matters, including the patient themselves, is captured by the following: https://journals.sagepub.com/doi/full/10.1177/23743735221079138 Trauma is not uncommon amongst those hospitalized against their will, especially in bipolar patients, and if other methods for managing emergent conditions are available without the longitudinal concern of trauma, lower engagement with mental illness services and the like, they should perhaps be considered, no?
If we could get rid of involuntary hospitalization first, that would be a strong first step. The ability to do things against someone’s will let’s people be lazy in a really pernicious way, in my opinion. So I basically agree…the change to voluntary only inpatient care would push us in the right direction.
Owen, a brilliant job as always summarizing a plague on modern psychiatry and the absence of evidence supporting its continued practice. That being said, let's for a moment assume that involuntary hospitalization was at parity with another option, as opposed to the data you share in this piece. Another consideration that would weigh heavily against hospitalization, and encourage clinicians, family members, religious stakeholders, politicians, employers, payers, hospitals and virtually anyone else with a wallet or soul that matters, including the patient themselves, is captured by the following: https://journals.sagepub.com/doi/full/10.1177/23743735221079138 Trauma is not uncommon amongst those hospitalized against their will, especially in bipolar patients, and if other methods for managing emergent conditions are available without the longitudinal concern of trauma, lower engagement with mental illness services and the like, they should perhaps be considered, no?
If we could get rid of involuntary hospitalization first, that would be a strong first step. The ability to do things against someone’s will let’s people be lazy in a really pernicious way, in my opinion. So I basically agree…the change to voluntary only inpatient care would push us in the right direction.
I wholeheartedly agree; I’ll look to connect with you separately.