Called the VA crisis line a while back, talked to a case worker and they told me they’d have someone pick me up. A little while later I get a knock on the door from a city cop with his holster unbuckled there to take me to the psych ward of our local shitty hospital.
Spent three days in what essentially was One Flew Over except my nurse Ratchet was a part time psychiatrist that didn’t completely speak English, and was a total dick.
Ended up checking myself out because nothing was being accomplished there beside morning calisthenics. Later that week, I got a bill from the hospital for $1200, and the VA said they wouldn’t cover it because I didn’t call it in within 72 hours… Even though it was a VA rep that started the process, and it was related to a service-connected injury (PTSD).
This was over ten years ago, but it’s comforting to know some things never change.
The VA screwed up my meds by sending them to a non existent address. So I had to go to the local ER to get them. (I’m not sure who would even ask for psych meds that aren’t tranquilizers but apparently they’re controlled just like opiates…) At any rate. Same story, I called first and they told me that’s what I had to do. So I got a rideshare to the hospital because I was also having a really bad day. The local ER was really great. But the VA then sent me a bill. I called their number and they said I was supposed to drive myself 2 hours to the nearest VA hospital. I told them that would have been the worst choice I could have made and they could either pay for it or explain to Congress why I’m paying for their malfunction. And you know what? Somehow, some way it worked. They took it back and I never had to pay it.
But then they got me back on an ambulance ride years later, (after they swore to Congress they’d start paying for ambulance rides).
At any rate, I just wanted to let you know you’re not alone. Get what you can from the VA but never let them get you.
Dam, unfortunately, the system that is so good for those who want to enlist, quickly forgets those who return from the battlefield.
These situations. In my opinion, there should be no costs, and they should not be based on 72 hours, or any type of restrictions.
In addition to not making any sense in this specific case, if it was started this way.
I am honestly surprised they even answered, or did anything at all.
Called them once (same issue with PTSD) and the lady put me on hold, then hung up. It made me laugh at how stupid this whole system is, then I got drunk and fell asleep.
Some online friends called 911 on my son when he was just a few weeks shy of 18 and he was placed on a psych hold for a week for self-harming thoughts.
Don’t get me wrong, I am very grateful they saw signs he’d managed to hide from us, but since the paperwork took a few weeks to process, he not only had to deal with his mental health issues, but also got an 18th birthday present of a $20,000 bill for inpatient services under his name. That definitely didn’t help his mental state at all, and it took years to sort it out.
Later, he told me all he learned from the whole experience was to never tell anyone what he really thinks. As a mom, that scares the shit out of me.
Dear Americans, I’m not writing this to gloat… But what the fuck have you let happen to your country. Health care is a human right!
I’m currently in hospital, for a second time in a month. First time, I came in with a “very nasty pneumonia”, which turned into sepsis, I needed surgery to help clear the crap from my lung. They sent me home after 14 days. They also flew me from my local small hospitals to the bigger one I’m in now.
I was home for 4 days and started getting severe chest pains around my heart. So I’m back, feeling way better now, is a long weekend so no doctors to make decisions… I’m stuck in here till Tuesday at least. On Tuesday it will be a total of 24 days. Various medications and treatments etc…
My expected bill at the end of all of this is $0.00.
The only real cost is the gas from hour each way for my family coming to visit. All meals are covered.
I honestly have no idea how much my time here is costing the national health service. The are no numbers discussed, everything is just what you need to get better.
But what the fuck have you let happen to your country.
Uh. It hasn’t changed.
“All men are created equal”
IS SLAVE STATE
Always has been
Same as it ever was…
Same as it ever was…
Same as it ever was…
Same as it ever was…
Same as it ever was…
Same as it ever was…
- Police arrive on the scene
- Shoot suicidal person
- “Problem solved”
I thought this is how Murica does it, but obviously not, because they want your money.
Crisistextline.org has helped me out of some dark places - it’s no substitute for medical care, but it is free and they are always available. Hopefully someone will see this comment who can benefit from this service.
Told a friend how I was feeling and had a similar bill. $2500 with insurance. Probably won’t be talking about my feelings again unfortunately
♥️ I care about your well-being Internet stranger. I too have those days and have come close to seeing it through. You aren’t alone.
Thanks ❤️ you are awesome. Feel free to reach out any time. Even to chat about nothing
This might sound unsympathetic, but it’s easy to put someone else in a situation where they must call the police / ambulance.
It doesn’t really matter how close a friend is. If you say you’re at risk of harming yourself or others, they don’t have a lot of options.
I work for a mental health crisis line. We are taught, with extremity, to always go for least intrusive intervention possible. We will only ever call Emergency Services after a literal check list to ensure it’s the last resort possible.
Practically the only times we ever call EMS on someone is if they tell us they are actively dying this very second, due to injury or overdose, etc. Or if they, after all of our attempts to listen, empathize, talk about what’s going on, talk about how they’re feeling tonight, work on what options there might be, who in their lives might be able to help, listing resources, and attempting to safety plan; if after all that, they say “yeah, I’m gonna kill myself specifically in this fashion and I’m gonna do it right now, and I have the means available to me.” Then hang up and don’t answer when we call back. Then we call EMS.
It’s drilled into us that EMS is expensive for the person, and potentially dangerous because police are often not great at responding to Mental Health emergencies. So always the last last last resort.
This so much…
Emergency services are like the absolute worst dog shit resource for mental health issues. 99% of the time they just make shit worse, I had to learn this the hard way.
It actually makes me mad that so many people suggest it as what you “should” do if someone is in crisis because it’s just not made for that. Do not call 911 if you are having a panic attack or SI or even self harming in a non SI way, they will do nothing to help you and it will just cost a fuck load. Like you said the only time it makes sense is if you are actually dying from an attempt. Even MH practitioners say to call 911 when they should know better. I am glad your place seems to know what’s up because so many people get the wrong advice on this issue and it actively hurts people. Maybe if the healthcare and police system were different going to the emergency room or calling 911 might be a good idea, but how they are now its just not.
The “wellness checks” are way too often murders. I would never call the cops to check in on someone because they’ll likely shoot them
About three weeks ago, my coworker’s brother was shot by police responding to a wellness check. It’s fucked.
Firstly, this varies by region. Most people don’t live in the US, including me.
Secondly, you’re right in that it will be an unpleasant experience for most patients, but the vast majority of patients will survive the episode. Which is the point.
In the US, surviving the episode and immediatly going into medical debt is why the second attempt happens with them not reaching out to anyone.
This is a really interesting perspective, and obviously you know a lot more about this than the rest of us.
I think you can probably understand that your own training, experience, expertise, and support gives you a range of other options to implement before calling EMS. The rest of us don’t have most of those options.
There’s not much more I can say just because I’m not in the US. Obviously the options will vary by location.
It’s definitely true that my training, experience and employment gives me a lot more resources. I definitely encourage people to help others call us, rather than 911, when they’re able.
Few people are required reporters and those will be medical workers, public school employees, and people who work for universities for the most part. Calling 911 will get your friend shot by the police in the worst case, and traumatized and in debt in the best case.
To be fair, your friends shouldn’t be billing their time to your insurance.
There’s a hotline for a reason. Get them to call that and let them figure it out. They’re also trained to talk people into stabilization, for free.
This is why I never had a safety plan. I literally cannot afford what I need to feel better, and have to keep quiet or risk losing everything and still not be helped. Nobody will know I was in crisis until I’m gone.
This country is rotten.
