Sanman
O.G.
- Joined
- Sep 2, 2000
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And it doesn't even help people. Why did we go into the profession?
To pay off student loans, it turns out.
And it doesn't even help people. Why did we go into the profession?
I'm not even joking by saying that they think they can effectively differentially diagnose all disorders in the DSM-5 including (and especially) PTSD in...
15 - 20 minutes.
Friggin wizards, they are.
VA will continue to use unproven drug touted by Trump to treat Covid-19 despite FDA saying it has 'known risks'
The Department of Veterans Affairs says it is continuing to use an anti-malarial drug touted by President Donald Trump to treat coronavirus cases in a manner "consistent with current FDA guidance" despite the Food and Drug Administration warning it's not proven to work and could cause deadly...www.cnn.com
Thought folks in this thread would find this interesting....
Ah no big deal, It was just sarcasm...
Fact check: Trump lies that he was being 'sarcastic' when he talked about injecting disinfectant
President Donald Trump lied Friday when he said he was being "sarcastic" when he asked medical experts on Thursday to look into the possibility of injecting disinfectant as a treatment for the coronavirus.www.cnn.com
VA will continue to use unproven drug touted by Trump to treat Covid-19 despite FDA saying it has 'known risks'
The Department of Veterans Affairs says it is continuing to use an anti-malarial drug touted by President Donald Trump to treat coronavirus cases in a manner "consistent with current FDA guidance" despite the Food and Drug Administration warning it's not proven to work and could cause deadly...www.cnn.com
Thought folks in this thread would find this interesting....
Ah, the forgotten Nelly defense. “I’m just kidding like Jason...unless you gonna do it”.
I read this, but a lot of doctors are still using this cocktail in and out of the VA.
This isn't a vent but I'm wondering. Outside of the VA, how do MH patients react when they show up and find out that their appt has been cancelled or something? Do they also often get very upset and act rudely towards the front desk staff? I guess I'm wondering if this is a MH thing or a VA thing. I've never had a clinical job outside of the VA so I wouldn't know.
I think the real question is why would this ever happen.
They don't get the cancellation phone call, like let's say their provider calls out sick that day. More recently it's been people who weren't aware their appt was switched to phone or video.
I once crashed a private party w. Nelly. Super nice guy. He impromptu did an entire set of Jackson Five songs. It was really good, and you can tell he was a big fan. Yes, he wore the band-aid under his eye.Think we can get Trump to do some Nelly Karaoke? Maybe instead of a presidential debate. Would be the most useful thing he has done since the pandemic started.
France banned it. Like...straight up said no.If more than a decade in healthcare has taught me anything, it's that a lot of doctors are science illiterate.
I've seen this happen at a non-va medical clinic and went over to check on the staff after. It was weird to see it in the wild.This isn't a vent but I'm wondering. Outside of the VA, how do MH patients react when they show up and find out that their appt has been cancelled or something? Do they also often get very upset and act rudely towards the front desk staff? I guess I'm wondering if this is a MH thing or a VA thing. I've never had a clinical job outside of the VA so I wouldn't know.
This isn't a vent but I'm wondering. Outside of the VA, how do MH patients react when they show up and find out that their appt has been cancelled or something? Do they also often get very upset and act rudely towards the front desk staff? I guess I'm wondering if this is a MH thing or a VA thing. I've never had a clinical job outside of the VA so I wouldn't know.
I've never had this happen outside of VA.
One of the biggest and most helpful changes I experienced leaving VA was a reception/support staff who were competent, motivated, and super on top of their and my stuff. Maybe a relation there.
1) working with veterans is coolNot really a venting or problem-solving related question...but what are the things I need to know when considering a temporary/NTE VA position?
Also what is the difference between the direct hire process vs. the usajobs posting process (in terms of interview, on-boarding, etc.)? Why might a facility go that route?
Not really a venting or problem-solving related question...but what are the things I need to know when considering a temporary/NTE VA position?
Also what is the difference between the direct hire process vs. the usajobs posting process (in terms of interview, on-boarding, etc.)? Why might a facility go that route?
My understanding is that the direct hire position allows them to make certain types of flexibilities (don't have to have certain things on your resume/qualifications?, can hire folks easier/quicker [this i am pretty sure is the case]). I talked with some MH recruiter types and they made it sound like usually the usajobs posting process (instead of the direct hire process) is a result of HR not really knowing what they are doing (and thus posting on USAjobs and then often rejecting qualified trainees that the VA just spent oodles of money training). From what I hear, this is a pretty bad problem broadly (and costs the VA millions of dollars), hence the VA hiring recruiters to smooth this process over...
I personally know a few qualified trainees who were completing their fellowships and applied to staff jobs via usajobs and HR rejected them immediately and the recruiters/mh admin were less than pleased that it was posted on usajobs in the first place. If you want to stay in the VA as a trainee at the staff level, I recommend considering the MH recruitment process they have (fall and spring I think). This process is in place to smooth out all of these issues and secure the investment the VA made in trainees. May not be as helpful in competitive metros, but there are quite a few VAs really looking for psychologists. For a VA process, the MH trainee recruitment event is a pleasant surprise: it is not a hot mess.
Thanks for your response. I am actually a psychologist in a VA position currently and was actually initially hired the recruitment initiative which was seemed to go well w/ some facilities and less well with others, but I was grateful to get a job out of it! I'm curious about what might be different in a direct hire process vs. a usajobs process in terms of interviewing and onboarding. I'm also curious about any cons to a time-limited/temporary position (thinking on the benefits side of things...is there any sort of step/rank increase I won't qualify for? is there any sort of leave I wouldn't be able to receive? I believe EDRP is automatically off the table? etc)
I don't know too much about the benefits - EDRP is likely off the table I imagine as well. I think paid trainees fall into this category of employee (or a similar type of time-limited) and get all benefits that other employees get with the exception of access to TSP (and matching funds). Also, trainee time does not count towards pension. Aside from that, I think everything else is similar. Again, that is what is true for paid trainees, but I know HR has talked about us as time-limited before...
My only guess is that direct hire makes it a bit quicker - they may not have to wait as long as required if it is posted on USAjobs? I don't know if anything would make onboarding quicker at the VA...
In terms of the nte, if the appt was less than 1 year, you're considered temporary in some situations which can affect your eligibility for some benefits. You may not be eligible for certain retention bonuses. It used to be the case that you were not eligible for health benefits for the first year but I believe that changed - you should confirm with hr. Also may be some limitation in retirement as others mentioned.Not really a venting or problem-solving related question...but what are the things I need to know when considering a temporary/NTE VA position?
Also what is the difference between the direct hire process vs. the usajobs posting process (in terms of interview, on-boarding, etc.)? Why might a facility go that route?
Thanks for your response. I am actually a psychologist in a VA position currently and was actually initially hired the recruitment initiative which was seemed to go well w/ some facilities and less well with others, but I was grateful to get a job out of it! I'm curious about what might be different in a direct hire process vs. a usajobs process in terms of interviewing and onboarding. I'm also curious about any cons to a time-limited/temporary position (thinking on the benefits side of things...is there any sort of step/rank increase I won't qualify for? is there any sort of leave I wouldn't be able to receive? I believe EDRP is automatically off the table? etc)
I once got VA HR to respond in a timely, reasonable, and logical manner to a request. A proud and rare accomplishment indeed.If hr hadn't royally f-ed up, I could have been hired in 6-8 weeks.
I once got VA HR to respond in a timely, reasonable, and logical manner to a request. A proud and rare accomplishment indeed.
Tbf, it was in response to something illogical, baffling, and problem-causing that they did, but at least they corrected it...?Must have been their first day.
Must have been their first day.
I once got VA HR to respond in a timely, reasonable, and logical manner to a request. A proud and rare accomplishment indeed.
'increased mental health access but no plan for improved access to ongoing care'
THIS x 1000!
The idiot administrators in mental health (at the level of implementation) are implementing the whole 'initial access' push at the level of 'same day access' (which I agree is cool and make sense) for a triage intake and/or a full intake (arguably 'session #1'). Fine.
However, this has resulted in some areas--especially in CBOCs or in 'open access' 'generalist' mental health settings such as post-deployment clinics, psychology clinics, etc.--being placed in the ridiculous situation of being so overloaded with clients (HUGE caseload numbers) such that the AVERAGE time between sessions (even ignoring no-shows or cancellations) would have to be between 30 and 60 days IN BETWEEN SESSIONS.
No mental health provider can consider such infrequently occurring therapy sessions to constitute standard of care/practice psychotherapy. However, whenever this is brought up to administrators, they immediately play 'blame the provider' and default to 'you need to manage your caseload better.' Now, this MAY be a fair point or argument to make, assuming equal influx and efflux of cases across clinics. However, there are often HUGE shifts in rate of referrals to various clinics (and extreme inequities in terms of patient flow) and basic arithmetic/logic and logistical planning in order to try to influence caseloads to be approximately comparable across clinicians or clinics is never applied to the problem of an overloaded clinic (at least at my facility). The problem is either ignored or explanations arbitrarily and automatically blame the provider in some way.
Compounding the problem are inflexible 'mental health no-show followup' policies/procedures that MANDATE that--after any no-show, for example--the provider MUST call (and document on separate days) at least three attempts to contact the veteran by phone, then the clerk must send a letter to the veteran, then (if 14 days have passed with no response), the ball gets kicked back to the clinician who has to do a 'risk assessment' of the client/situation to determine 'what to do from there' (including performing a welfare check by the cops). And try to document a 'risk assessment' process when a) you have no client information to feed into that process (since it's likely been several weeks or even months since you had any contact with them) and b) you have to justify why you're NOT taking the step of sending the cops over to their place to check on them. What is so ridiculous about this is that there are tons of folks who are simply in the pre-contemplation phase (or they vacillate up to the contemplation or action phases of a transtheoretical model of behavior change and then back down again) and who are simply trying to self-select (passively) out of therapy. Now, of course in the context of repeated no-shows, not answering phone calls, etc. as a therapist I directly address this behavior with the veteran when/if I get ahold of them or when they come back into therapy 6 to 18 months later. However, many veterans (esp. those who depend on service-connection for income/housing/medical/educational benefits) are EXTREMELY reluctant to acknowledge either not needing or wanting therapy at any point in time because they figure that it will 'mess with their benefits.' The whole system is a dumpster fire because there is absolutely no leadership above the level of the rank-and-file clinicians who are willing to a) acknowledge and address certain inconvenient truths in the system (e.g., that we are paying people to be and to remain sick and this influences their behavior) and/or b) make a choice between logically contradictory philosophical approaches to, say, outpatient mental health service delivery (on the one hand, OMG we have to provide it to everyone, all the time, with no limitations or rationing because #BeThere and one suicide is too many while, on the other hand, OMG we have a budget crisis so we need people in your caseload to only be there for the 12 weeks it takes for them to successfully complete an EBT protocol and get better so they never have to use the MH system again).
Wow, where is this crazy no-show policy and procedure in place?
Is it three appts and a letter or two appts and a letter? Having no actual appts in the system I don't remember.
Every VA has this, although some are more leniant with who makes the phone calls and how many days you have to make the three attempts.
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Oh, we have the three calls and 1 letter requirement. Thats it. And we can do that all in one day. If no response in 14 days from the letter, we enter a discharge note. To me thats already a lot. We can also discharge for a pattern of cancellations or not engaging in treatment (not working on goals).
I'm jealous of your 14 day rule! We can cancel future appts after two consecutive NSes or late cancellations, and the patient isn't allowed to schedule therapy appts again until they've demonstrated they can attend (by, say, attending a group a few times). We theoretically can discharge for lack of treatment goals, but... it's not as clean in practice.
I'm jealous of your 14 day rule! We can cancel future appts after two consecutive NSes or late cancellations, and the patient isn't allowed to schedule therapy appts again until they've demonstrated they can attend (by, say, attending a group a few times). We theoretically can discharge for lack of treatment goals, but... it's not as clean in practice.
Three calls and a letter. At least where I am. I used to do two calls and a letter but then they made it VERY clear that it was three calls, lol.