2022 LC Thread—New Year, New Thread

I get why it is set up like this but it is nearly impossible to hospitalize someone against their will for mental illness in this country. Kanye has a prior diagnosis of bipolar and is quite clearly psychotic.

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As someone who does exactly this several times a week, this simply isn’t true.

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We are just going to have to agree to disagree. I also have significant experience here.

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Sure… this is also a big part of my job though. It’s not easy to get admitted for psych issues for sure, but I do it, minimum, 10 times per month.

They put Britney in conservatorship for decades for being an order of magnitude less unhinged than Kanye.

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He should be Brittney’ed.

Are most cases you run into situations where the person has a record of mental health problems that justify the constraint? I think that in Ontario it is pretty hard to hospitalize someone without their explicit consent, but once somebody is “in the system” as having been held without consent then it’s much more likely that lever is pulled again for a range of behaviors.

Ontario has a two-step process if I understand it correctly. the first is hold someone for an assessment without their consent. That “only” requires an evident risk of harm and a psychiatric disorder diagnosis. Kanye is ranting about Jews and stuff but does that make him an evident risk or does it just make him a deplorable?

So the way it works is a little complicated. I put people on the initial hold, and then psych has 24 hours to see the patient. I technically get final say on if a patient gets discharged, but I have overridden psych exactly once in my career.

Most common reasons for people to get admitted are:

  1. A suicide attempt - I won’t send you home if you said you took 10 Tylenol pills to try to die
  2. Won’t contract for safety - basically saying they can’t go home and come back if feeling more suicidal
  3. Psychotic

Prior history comes into play, but we discharge a ton of people with previous psych issues too. We discharge most people as well, but almost always with follow up the next day.

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Obviously you can hold suicidal people. I was referencing psychotic people. People with bipolar and other diagnoses get good over time at not saying any of the magic words that get them admitted against their will.

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I’m sure it’s orders of magnitude harder to hold someone whos a rich celebrity vs some homeless guy screaming in a public park.

this. plus there’s a lot of docs that confuse suicidal ideation with intent, somehow.

Mostly because he can hire endless lawyers to challenge things.

This is an appalling attack on our nation’s institutions:

https://twitter.com/MilesKlee/status/1579872230376210433?s=20&t=BBKkAr2P1sU8-xyg8wV0SQ

Without the clause about his children I wouldn’t see him as appropriate for involuntary admission.

Oh, so the fat bear stuff wasn’t a sanctioned bear fighting thing? I completely misunderstood what was going on there.

All those are categories of people likely to engage in imminent harm to themselves or others. I think Riverman was describing the more common scenario where someone is having an acute breakdown but not quite hitting the harm to themselves or others standard.

Meanwhile it’s 747 vs 901 in the finals. These bears are both so fat.

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Bear Force One is winning rn, but it’s close.

Yeah I’ve gotten people for far less than what Kanye is doing. He sure seems manic af