Logan Reid
Checking yourself into a hospital can be a daunting thought, but it is important to recognise when it may be helpful or necessary. This could be due to a mental health crisis, severe depression, anxiety, substance abuse, suicidal thoughts or behaviours, or psychosis. Hospitalisation offers a safe place to receive intensive treatment and support until your symptoms stabilise. It can be beneficial to ask a friend or family member to help with the process and paperwork, and to call ahead to understand the hospital's rules and procedures. While in the hospital, you will have access to specialists, medication management, and individual, group, and family therapy.
| Characteristics | Values |
|---|---|
| Reasons for checking into a hospital | Mental health crisis, severe depression, anxiety disorder, suicidal thoughts, substance misuse, psychosis, mania, violent behaviour, self-harm, panic attacks, avoidance of daily activities, etc. |
| Who can check in | In most cases, you decide for yourself. However, if you are a danger to yourself or others, you can be hospitalized against your will. |
| Items to bring | Belts, razors, shoelaces, and other items you could use to harm yourself will be locked away. |
| Rules and procedures | Initially being in a locked ward that you cannot leave, following a schedule for meals, treatments, activities, and bedtime. |
| Rights | You have the right to be informed about all tests and treatments and refuse any that you deem unnecessary or unsafe. You also have the right to sign yourself out unless the staff believes you are a danger to yourself or others. |
| Aftercare | You will be referred to aftercare services, such as case management programs, support groups, family-focused support, medication compliance support, and life skills training. |
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What You'll Learn
Voluntary vs involuntary admission
Checking into a hospital voluntarily is a good option when you recognize that you need extra care. This could be due to a mental health crisis, feeling out of control, or having a hard time taking care of yourself. If you are experiencing severe symptoms of depression, having thoughts of harming yourself or others, or your current treatment is not helping, you may consider checking yourself into a hospital.
Voluntary hospitalization allows you to have certain rights, such as signing yourself back out, being informed about all tests and treatments, and refusing any tests or treatments that you deem unnecessary or unsafe. Most treatments for mental health issues are voluntary, and hospitals offer various treatment options like medication management and individual, group, and family therapy.
In contrast, involuntary hospitalization occurs when someone else checks you in because you are unable to make decisions for yourself. This could be due to presenting a substantial risk of imminent harm to yourself or others or being unable to care for your physical health and safety, creating an imminently life-threatening situation. Within 48 hours of admission, if the individual continues to meet the commitment criteria, a physician may sign for further evaluation and treatment for up to five business days. During this time, some patients may sign in as voluntary patients. If they do not, they are typically discharged after five days unless the criteria for longer-term involuntary hospitalization are met, in which case a court hearing is scheduled.
Research has shown that involuntarily admitted patients experience higher levels of treatment-related stress and lower levels of social functioning compared to voluntarily admitted patients. Involuntary patients also show lower levels of satisfaction and are less likely to comply with psychotropic medication at the one-year follow-up. Therefore, it is essential to recognize when voluntary admission may be beneficial for your health and well-being.
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When to check yourself in
Checking yourself into a hospital is a major decision that can be challenging to make. It is important to understand the reasons for doing so and the processes involved. Here are some detailed guidelines on when to check yourself into a hospital:
When Your Mental Health is Deteriorating
If you are experiencing a mental health crisis or severe mental illness, checking yourself into a hospital can be a crucial step towards recovery. This includes struggling with severe depression, anxiety disorders, psychosis, mania, substance misuse, or having suicidal thoughts and behaviours. Inpatient mental health treatment can provide intensive care, support, and monitoring to ensure your safety and help stabilise your mental health.
When You Need Quick and Comprehensive Care
Hospitals offer quick and comprehensive medical care for your mental health needs. They provide access to various specialists, including medication management and individual, group, and family therapy. If you are making significant changes to your treatment plan that require close supervision, hospitalization can be beneficial. It can also be helpful if you are too ill to take care of basic needs such as eating, bathing, or sleeping properly.
When You Need a Safe and Structured Environment
If you are at high risk of harming yourself or others, hospitalization can provide a safe and structured environment. You will be constantly monitored by trained staff who will ensure your safety and the safety of those around you. Hospital stays for mental health are typically short-term, ranging from a few days to a week or two, giving you time to stabilise and create a plan for ongoing care.
When You Need Help with Basic Needs
Hospitalization can be beneficial when you are unable to take care of your basic needs, such as eating, bathing, or sleeping properly. The structured environment and support from healthcare professionals can help you get back on track and improve your overall well-being.
When You Need a Break and Monitoring
Sometimes, checking into a hospital can provide a much-needed break from your everyday life. It can offer a safe and supportive environment where you can focus on your mental health and well-being. Additionally, if you feel like you can't trust yourself or are afraid of hurting yourself or others, the constant monitoring in a hospital setting can be beneficial.
Remember, the decision to check yourself into a hospital is a personal one, and it is essential to consider your specific needs and circumstances. If you are unsure, seeking professional advice from your healthcare team or mental health professionals can help you determine the best course of action.
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Preparing for admission
Checking yourself into a hospital can be a daunting experience, especially if you are doing it for the first time. Understanding what to expect can help alleviate some of the anxiety associated with this step and prepare you for the journey ahead. Here are some things to keep in mind as you prepare for admission:
Understand the reasons for checking yourself in
Recognize the signs that indicate you need to check yourself into a hospital. This could be due to a mental health crisis, severe depression, anxiety disorder, suicidal thoughts or behaviours, or psychosis. If you are experiencing any of these issues and feel that you need extra care, then checking into a hospital may be a good option for you.
Choose the right hospital
Research different hospitals and their programs to find the one that best suits your needs. Consider factors such as location, availability of specific treatments, and insurance coverage. Contact the hospital to learn about their rules, procedures, and what items you are allowed to bring with you. Understanding the hospital's policies and what to expect during your stay can help alleviate some of the uncertainty and anxiety associated with the admission process.
Prepare the necessary information
Compile important information in one place, including your medical history, current symptoms, medications, and any previous treatments. If you have an advance directive or medical power of attorney, make sure to bring those documents with you as well. This will help the hospital staff understand your needs and develop an effective treatment plan upon admission.
Expect a structured environment
Inpatient treatment facilities follow consistent daily schedules filled with therapeutic activities aimed at addressing your mental health needs. This may include individual and group therapy sessions, medication management, and other specialized treatments. While the loss of control over your daily routine may be uncomfortable at first, many people find it comforting to have a structured schedule that allows them to focus entirely on their recovery.
Plan for your aftercare
Even before you are admitted, start thinking about your goals for your hospital stay and what you want to get out of the experience. This will help guide your treatment plan and ensure that you are getting the most out of your time in the hospital. Remember that hospitalization is just the beginning of your recovery journey, and aftercare is crucial. Work with your treatment team to develop a plan for your ongoing care after discharge, as the transition back to your regular routine can be challenging.
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What to expect during your stay
Checking yourself into a hospital for mental health reasons can be a challenging decision. It is important to know what to expect during your stay to help you prepare for the experience. Here are some key things to keep in mind:
Structure and Routine:
Mental health hospitals typically provide a structured environment with a daily schedule that includes therapy sessions, medication management, group therapy, and supervised care. This routine is designed to help patients establish stability and maintain their well-being. The duration of your stay will depend on the severity of your condition and your progress. On average, voluntary hospital stays range from 3 to 10 days, but some individuals may require longer periods of treatment.
Safety and Security:
Your safety is a top priority for hospital staff. Upon admission, certain items may be locked away or stored securely to prevent any potential harm. This includes items such as belts, razors, shoelaces, and electronic devices. You may also be placed in a locked ward initially, with restricted access to ensure your safety and the safety of others.
Treatment Options:
During your stay, you will have access to various treatment options, including individual therapy, group therapy, family therapy, and medication management. You will collaborate with psychiatrists, psychologists, and therapists to address your specific concerns and develop a comprehensive treatment plan. The goal is not only to stabilize your current symptoms but also to provide you with the tools and resources for ongoing recovery.
Aftercare Planning:
Before you are discharged from the hospital, your treatment team will work with you to create a plan for your ongoing care. This may include outpatient therapy, medication, and support from loved ones or support groups. It is important to follow this plan and seek help if you experience any difficulties during the transition back to your daily routine. Remember, the first few weeks after leaving the hospital can be an adjustment period, so be kind to yourself and don't hesitate to reach out for additional support.
Your Rights and Choices:
When you voluntarily admit yourself to a mental health hospital, you have certain rights and choices. You can exercise a degree of control over your treatment plan and discharge. You also have the right to sign yourself out, unless hospital staff determines that you pose a danger to yourself or others. It is important to understand your rights and the hospital's policies to make informed decisions during your stay.
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Discharge and aftercare
The hospital will discharge you when you no longer need inpatient care, but this does not necessarily mean that you are fully healed or recovered. You may still have a medical condition that requires attention and care. Before discharge, your healthcare team should ensure that you understand your injury or illness, including any new medications, how to manage your health condition, symptoms to look out for, and what caregiving you'll need at home. Ask for a list of instructions and make sure all your questions are answered. If English is not your first language, you can request language assistance.
If you feel you are being discharged too soon, you can talk to your physician, ask your insurance company to delay your discharge, or speak with the hospital's patient advocate. Hospitals may discharge patients prematurely due to occupancy limitations, short-staffing, and insurance reimbursement policies.
Once discharged, you will go through a transition of care, which may involve being sent to another type of facility, such as a skilled nursing facility or a rehab facility, or transitioning to home care. Before you leave, you will receive an after-visit summary (AVS) with detailed discharge instructions on how to care for yourself and continue your recovery. Make sure you understand the type of care you will need, what to look for if your condition changes, and who to contact if you have questions or problems. You should also ensure that family members or anyone assisting you with your care understands these details.
To help prevent hospital readmission, carefully follow all instructions from your healthcare providers. This may include taking medication, caring for bandages, and attending follow-up appointments. You can also refer to guides such as "Taking Care of Myself: A Guide for When I Leave the Hospital," which can help you track your medication schedules, upcoming medical appointments, and important phone numbers.
If you are discharged from a hospital in New York State, you must receive a written discharge plan before leaving, which should include information on your discharge date and how to appeal if you disagree with the notice. Additionally, you can contact the Island Peer Review Organization (IPRO) if you believe you are being discharged too soon.
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Frequently asked questions
Checking yourself into a hospital is a good idea if you are experiencing a mental health crisis or having a hard time taking care of yourself. Some common signs that indicate that you should check yourself into a hospital include:
- Suicidal thoughts or behaviours
- Psychosis
- Mania
- Substance misuse
- Self-harm behaviours
- Severe fatigue
- Lack of concentration
- Extreme emotional distress
Checking yourself into a hospital can be beneficial as it provides a safe place to receive intensive treatment until your symptoms stabilize. During your stay, you will have constant monitoring and support from trained professionals. You will also have access to various treatment options such as medication management and individual, group, and family therapy. Before you are discharged, your treatment team will work with you to build a plan for after your stay, which may include referrals to pharmacies, therapists, and other specialists.
When you voluntarily admit yourself into a hospital, you also have the right to sign yourself back out. However, if the hospital staff believes you are a danger to yourself or others, they may not release you. You also have the right to be completely informed about all tests and treatments you will receive, including their risks and benefits. You can also refuse any tests or treatments that you deem unnecessary or unsafe.
If possible, it is recommended to call the hospital ahead of time to learn about their rules and procedures and ask about what items you are allowed to bring. You may also want to ask about visiting hours and telephone access. Additionally, you may consider preparing an advance directive and medical power of attorney if you wish to give someone the authority to act on your behalf in making medical decisions.
