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´╗┐Lack of options for mentally ill

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I know there are people who are hoping we can move ever closer to a way of treating mental illness that is coercion free. I'm all in favor Nike Air Force 1 Low Grey Junior of that being Nike Air Force 1 White And Gold

I remember when I was practicing in Massachusetts, it was considered a health crisis when hospital bed occupancy rose to more than 85 percent. That was considered insufficient capacity to respond to any disaster situation. And when we are at around 120 percent capacity here for mental health beds, what does that mean about care in Vermont?

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I know I saw the flooding of the old Vermont State Hospital as an opportunity for positive change. And the new "State Unit" at Rutland Regional Medical Center is a lovely facility, where very ill people are treated with respect for their rights and their dignity. But the beds are always full, and turnover is low, partly because of laws in this state that make long term commitment and court ordered medication a long, drawn out process that I compare to giving a shot very slowly so that it will hurt less, and partly because of the struggle to find post hospital placements for the patients.

Emergency room looking after four patients committed for dangerousness. Each requires a 24 hour, one to one sitter and must be confined to a small examining room because ERs are full of sharp objects and fragile people. All except one has been Red Nike Air Force 1 High Tops

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But the dark underside is that Vermont emergency rooms and prisons have become de facto branches of the defunct state hospital. We are fooling ourselves if we think "deinstitutionalization" is a purely benign process that improves things for everyone. We have gone from one extreme to the other. And patients suffer.

there for several days because there are no beds anywhere in the state.

most symptoms. If you think that a generation or so ago the census of the Vermont State Hospital was almost 3,000, and for the past decade it has hovered around 50, to me that means that most of the care has moved to local communities, and many more people with "issues" are living more self directed lives.

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