Working in a private psychiatric facility

whopper

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    I recently started working in a private psychiatric facility in the Cincinnati area as part of my larger connection with the U. of Cincinnati, covering for doctors at this facility when on vacation. I will not name the one I'm at though a little detective work on the forums or the Internet could easily lead anyone to what it is.

    There's a few in the country such as the Meninger Clinic. Places like these occasionally advertise in psychiatric journals.

    So anyways, I'm posting here because this is a level of care I would like to see should someone close to me need inpatient treatment.

    A professional chef with nutritional education is on staff and prepares meals for patients and staff members. The food quality is quite good, e.g. almond crusted chicken. There's a menu with a diverse selection. I intentionally skipped lunch at the university hospital so I could get a gourmet meal in from the chef for lunch (paid about $7 for it).

    The quality of the rooms in terms of decoration, cleanliness, and aesthetics are on par with a hotel though the rooms are smaller and are hard-wood, not carpeted.

    The tension is very laid back. Staff members are calm, cooperative, and the type of cynicism often heard of in psych units in medical hospitals doesn't happen here. E.g. we're not fighting with other depts to prevent a patient dump/turf-war.

    Patients have access to a gym of professional quality, a library, can walk the grounds of the hospital (looks like a college campus), and there is very high quality psychotherapy with specialists of most of the major fields such as CBT, DBT, a sensory stimulation room, etc. In fact, some of psychotherapists are actually nationally renown.

    The center allows doctors to have extended psychotherapy sessions with patients, for example, for the 4 hours I'm supposed to spend there a day, I only have to see up to four patients. I can spend about 1 hour per patient per day, even longer because some just want to use half an hour.

    The social workers here really go out of their way to provide the best care. E.g. I got a patient now who is depressed and a major factor is because she hates her job. The social worker is actually helping this lady on ways to find a new job and we have a job counselor coming in to see her. I'm really impressed.

    If I got a problem case that is stumping me, I can ask some of the nation's best psychiatrists for a consult. We have a few of them here, and they are on the administration doing the business end as well as clinical work. I really admire that the business guy giving orders is also a clinician (and a highly ranked one at that) that understands the connection between sometimes having to take a financial hit in the name of good care. I'm actually a little bit intimidated. The closest example I can think of is maybe being a fresh graduate of the Academy on the Enterprise and seeing Picard come in, stern and bold (like he was in the first season of TNG, before he loosened up), though so far they have all been very welcoming and treating me very well.

    The biggest difference with being here vs. out in the "real world" is so far every doctor here I've seen is a quality one, where before it was about 50-50. I'm not dealing with some idiot doctors who don't order labs when they give a patient lithium.
     

    whopper

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      They can walk the ground so long as they are considered safe enough to do so. As for careful patient selection due to certain laws, they can't filter out patients so long as the patients have insurance they accept, but they don't accept government assisted patients as far as I'm aware.
       
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      toothless rufus

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        How many beds do they have there? Do they do detox or rehab? Sounds pretty awesome there. I imagine that it must be wonderful to treat pts as they should be treated, and to be allowed the opportunity to practice psychiatry as it should be practiced.
         
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        whopper

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          I imagine that it must be wonderful to treat pts as they should be treated, and to be allowed the opportunity to practice psychiatry as it should be practiced.

          Yep...Just spent an hour and a half with one patient and his family sitting on a very nice patio, overlooking a landscaped property with the trees in blossom, at a table with one of those umbrellas to block out the sun.

          Man, I better not get used to this because I'm only supposed to work in this facility a few weeks out of the year.

          Detox and rehab? Not sure yet.
           

          digitlnoize

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            They can walk the ground so long as they are considered safe enough to do so. As for careful patient selection due to certain laws, they can't filter out patients so long as the patients have insurance they accept, but they don't accept government assisted patients as far as I'm aware.

            At the state hospital near me (where I did a rotation), patients are allowed to walk the very large grounds once they achieve a certain "level," which is based on meeting very clearly defined goals.

            Much of this is good, because there are various cool groups that occur in other buildings on grounds, so patients who have a high enough level can really benefit (and really enjoy) from some of these groups.

            There is a downside, of course. Although the grounds are secure, and there have been few escapes, the real threat is the "prison economy" that has popped up. There is a lot of trading for cigs, which is a huge problem, but other than that not too much.

            This will be stopping soon though, when the facility moves to its new home sometime in the next year. I actually think it's a shame.
             
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