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Discussion in 'Psychiatry' started by Faebinder, Jun 3, 2008.
What do you guys think of this?
This is news?
With some Dx's, CBT has been the best empirically supported intervention, while other times there are better interventions. There is also a lot of research that supports combined interventions (CBT + Med(s) = Best outcome for MDD). Nothing too surprising.
I think Faebinder is focussing not on the fact that CBT/CT is beneficial but he is amazed at the sales pitch being employed in this article. He is probably thinking of his own future business model
Welcome to "Faebinder Holistic Mental Health Center". We offer SNRIs at a discounted rate and get a month supply of SSRIs free when you buy our CBT package for $ 320. We also have special pricing for anti-psychotics and mood-stabilizers for patients admitted to our exclusive state-of-the-art inpatient unit. Call 1-800-FHMHC for more information.
Way to go....
Love the free month of SSRIs!
I love it! Absolutely love it! Especially the part about the state of the art facility.
On a side note, I know FP's that d/c patients from the hospital and then look at their clinic that day for a new patient to admit, mainly to keep their census around 5-6. I wonder how often that happens in psych.
I've seen it done, esp with psychiatrists that work nursing homes and geri-psych units. Makes me VERY angry when it's done.
do you mean to keep their census full? this is (unfortunately) a reality in psych in some places given the reimbursement. A big proportion of psych patients are self-pay, so there's an incentive to keep the wards full of "paying customers" so that there's no room for an uninsured patient if they come to the hospital's ER.
One hospital I know of has a strategy to to run their private hospital's ward at 100% capacity and not D/C anyone until they had a paying customer lined up to take his place the same day. Otherwise, they were afraid that they'd have to admit the uninsured overnight. They actually designed their brand new freestanding psych ward with moveable walls, in order to change the capacity of their adult ward as needed. The other side of the walls was their geriatric ward, which is all medicare & thus guaranteed reimbursement. So if they absolutely couldn't find anyone to fill an empty adult bed, they'd move the wall, and re-christen the empty bed as part of their gero unit for the night, and transfer any 18-65 year old uninsureds to another hospital if they showed up.
They did this to keep their system solvent--I'm pretty sure they were non-profit, but they had to close their psych ward 20 or 30 years back because of finances, and once they opened it up again wanted to make sure it would stay solvent. Makes me feel icky, but our mental health system in this country is such a shambles that it's not hard to understand where this hospital was coming from.
My school's affiliated public hospital had the opposite strategy--the psych ER tried to transfer out anyone who did have insurance and needed admission, on the idea that they could "save" their beds for those without insurance & the undocumenteds, since the government would pick up the tab on any shortfalls they had anyway. sad sad system we live with.
can you explain this in more detail DS? is this so that they guarantee that their beds are filled with insured patients, or just so that they're full and don't get called in the middle of the night for admissions?
it's very sketchy in either case.
It's extremely sketchy. It has more to do with reimbursement (i.e., making sure the unit was filled with patients who had remaining billable medicare days) than not wanting to get called.