Doctor insights on:
If they know what: Is ethical, moral, and just, they should. ...Read more
Community health ctr: There are 2 separate questions here. I will provide info for one. Funding for community health centers varies. However, the federal government is one source of funding. You can read this article for the bigger picture: http://www.Hhs.Gov/recovery/programs/hrsa/index.Html. ...Read more
Level of care: Honestly there is considerable variation from place to place about how this works. However if you want to get a sense of how things "ought" to work you should search for the "level of care and utilization system" of the american association of community psychiatrists. It is a bit complicated but covers the factors that determine medically appropriate residential care. ...Read more
No.: But if you are seeking second opinions for everything you really should consider getting a better primary opinion to begin with. ...Read more
Similar standards: Each mental health practitioner type has its own professional code, but there are important similarities. All should be compassionately present with you, maintaining both confidentiality and appropriate therapeutic boundaries. They should use your session time to address your needs as a patient, rather than their personal needs, etc. Divergence from these standards would be abnormal. ...Read moreSee 2 more doctor answers
Where do you live?: I know here in virginia there are a few. Depends where you live really. Some places are out of the way, and others are in populated centers. Your local hospital, especially if it has a department of psychology, will have a list. Otherwise you can consult with the state board of psychology for a local list. You will usually need referral from your physician to get in. ...Read more
VA state psych laws: States have some provision various types of involuntary civil commitment. A short term one: like the ca "5150 hold" to a mh facility ; it requires danger to 1) self, 2)others 3) or gravely disabled or substantially unable to care for self. In va usually this is argued by family, mental health practitioner or law enforcement and heard by admin law magistrate. 5250 type holds in va go 14 days. ...Read more
What constitutes interference of health care? Facility wants to evict elderly resident due to visits from friend allegedly interfering with her care.
The answer: is a LEGAL one NOT a "medical" one! 'Interfering" needs definition and more information needed to define! Forcing the RESIDENT out does NOT seem "fair"!! Hope this helps! Dr Z ...Read more
How to handle self-harm/suicidal urges AT HOME, without psychiatric help, hospitals, psych units, therapists or professionals. Self-help only please.
Suicidal/Self-harm: The basic thing to remember is that these urges always are time-limited- as bad as they feel, they always go away, so your strategy, planned in advance is best, is to get with someone who cares about you, don't stay alone. Occupy yourself with activity, with a person, if possible, do something to burn off the feelings- aerobic exercise is powerful in reducing depression, do daily!! ...Read more
Do medical doctors/nurses/hospitals have legal accountability to me (consumer/customer) or the insurance company?
Lawyer : Talk to your lawyer if you want legal help, this site is addressing medical concerns. ...Read more
Insurance co-pays: I cannot know about every state and every insurance company, but to the best of my knowledge yes. And why wouldn't they even if they were not required? Health care providers who participate in these plans are generally receiving less than their normal private fees anyway. ...Read more
Little difference: Big medical organizations are usually for profit where as the community hospitals not for profit. Big medical institutions may have better superior medical care, as they may more specialists, more recent technology. ...Read more
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