Logan Reid
Checking yourself into a hospital can be a daunting thought, especially when it comes to mental health. However, it can be a good place to get the help you need, with dedicated professionals providing support and care tailored to your needs. While the decision is ultimately yours, there are some signs that indicate checking into a hospital might be beneficial. These include experiencing a mental health crisis, having suicidal thoughts or behaviours, substance misuse, or when your day-to-day life is causing you significant stress. A hospital stay can provide a short break, quick access to specialists, and help stabilise you during a crisis.
| Characteristics | Values |
|---|---|
| Mental health crisis | Feeling out of control, having suicidal thoughts, or being a danger to yourself or others |
| Treatment options | Medication management, individual/group/family therapy, outpatient therapy |
| Hospital stay | Temporary, short-term, or longer-term |
| Hospitalization type | Voluntary or involuntary |
| Hospitalization reasons | Stabilization, safety, constant monitoring, escape, quick comprehensive medical care |
| Hospital rules and restrictions | Locked ward, restricted items, scheduled meals/treatments/activities/bedtime |
| Hospital discharge | Development of a post-stay plan, increased risk for suicide following discharge |
| Financial considerations | Hospital stays can be expensive, but financial assistance is available |
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What You'll Learn
Voluntary vs involuntary hospitalisation
Checking into a hospital for mental health treatment can be a challenging decision. Voluntary hospitalisation occurs when an individual decides they need treatment and seeks help at a hospital. This is often considered the best-case scenario as it encourages early intervention before symptoms escalate. It is associated with more autonomy and collaborative treatment planning. Involuntary hospitalisation, on the other hand, occurs when an individual is admitted to a hospital or mental health facility without giving consent. This usually happens when a licensed professional, such as a doctor, crisis responder, or law enforcement officer, believes the person is a danger to themselves or others, or is unable to meet their basic needs.
Voluntary hospitalisation allows individuals to actively seek help and feel more in control of their treatment. They can decide on the level of care they require and choose to admit themselves to a hospital when they recognise the need for extra care. This can be particularly beneficial during a mental health crisis, when feeling overwhelmed, or when having difficulty taking care of oneself. Voluntary hospitalisation can provide stabilisation and help develop a plan for future treatment. It is associated with higher satisfaction rates and a greater perception of the need for hospitalisation.
In contrast, involuntary hospitalisation may be necessary when an individual is unable to recognise their need for treatment or is at immediate risk of harming themselves or others. In these cases, a licensed professional or legal authority intervenes to ensure the individual's safety. While involuntary hospitalisation can be lifesaving in certain situations, research suggests that it may be associated with lower satisfaction rates, higher suicide rates, and lower levels of social functioning.
Regardless of whether hospitalisation is voluntary or involuntary, individuals undergoing psychiatric treatment maintain their rights to safety, autonomy, and dignity. They have the right to be informed about their treatment options, risks, and alternatives, and their consent is generally required. However, in rare emergency situations, treatment may be administered without consent if there is an immediate risk to the individual or others. Even in cases of involuntary hospitalisation, individuals typically retain the right to refuse psychiatric medication unless they are deemed an immediate danger or there is a court order in place.
Both voluntary and involuntary hospitalisation aim to provide stabilisation and support for individuals experiencing mental health crises. While voluntary hospitalisation is ideal as it empowers individuals to seek help, involuntary hospitalisation serves as a critical safety measure when an individual is unable to make decisions due to their mental state. It is important to recognise the signs that indicate a need for hospitalisation, whether it is voluntary or involuntary, to ensure timely and appropriate care.
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Preparing for hospital admission
There are a few key steps to take when preparing for a hospital admission. Firstly, it is important to understand the type of hospital admission. In general, there are two major types: emergent and elective. Emergent admissions usually follow a visit to the emergency department, whereas elective admissions are scheduled in advance, often by a doctor requesting a bed reservation. Elective admissions are usually planned and allow for preparation.
What to bring:
When preparing for an elective hospital admission, it is important to bring essential items only. This includes personal identification, such as a driver's license, and insurance cards, including Medicare and Medicaid if applicable. It is also useful to bring a list of emergency contacts, including names and phone numbers.
In terms of medical information, it is important to bring a list of all current medications, including over-the-counter drugs and supplements, with details of dosages and administration times. Any allergies and medical conditions should also be disclosed, along with a list of previous surgeries. If you have a living will or advance directive, bring a copy of this, along with any other relevant legal forms, such as a power of attorney for healthcare.
It is recommended to bring vision, hearing, dental, or breathing aids, such as glasses or dentures, and personal electronics like phones or laptops. Do not bring valuables such as jewellery, extra cash, or keys, as hospitals are not responsible for lost or stolen items.
Pre-admission procedures:
On the day of admission, ensure you know your appointment time and give yourself plenty of time to get to the hospital, park, and locate the correct building. For inpatient procedures, arrive by the specific time requested by the admitting staff or your physician.
If you have been provided with pre-admission instructions by your surgeon or doctor, ensure you follow these carefully. This may include specific instructions about eating, drinking, and personal hygiene before surgery.
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Benefits of hospitalisation
Checking into a hospital can be a frightening thought, but it can be a beneficial experience for your overall wellness. Here are some advantages of hospitalisation:
Safety and Stabilisation
Hospitals provide a safe space for individuals experiencing a mental health crisis or facing thoughts of self-harm or harming others. The staff in psychiatric treatment centres are well-trained to supervise and monitor patients' safety and well-being without compromising their privacy. They also help develop a plan for future treatment and recovery.
Comprehensive Care
Hospitals offer comprehensive care, including medication, therapy, and lifestyle changes. They can provide quick access to specialists in mental and physical health, all under one roof. This integrated approach ensures all your health needs are met, which can be challenging to manage outside the hospital setting.
Structured Environment
Inpatient programs provide a structured 24-hour care environment, which can be beneficial for individuals who are unable to care for themselves or are facing severe mental health issues. This structure can bring a sense of stability and routine, aiding in the recovery process.
Time for Self-Care and Reflection
During a hospital stay, daily tasks such as meals, laundry, and medication management are taken care of. This frees up time for self-care, reflection, and focusing on your mental health. It provides an opportunity to escape from the stressors of daily life and gain a new perspective.
Continuity of Care
Hospitals assist with continuity of care by providing referrals to pharmacies, therapists, and other specialists for follow-up appointments. They may also help with the financial aspects of follow-up care, such as providing coupons for medications and assisting with insurance coverage for subsequent treatments.
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Hospital rules and procedures
Checking yourself into a hospital is a brave decision that can help stabilise your mental health and keep you safe. Hospital rules and procedures vary depending on the country and state, but here are some general guidelines:
Checking In
Before checking in, it is important to talk to your healthcare team about whether inpatient hospitalization is the right choice for you. Most treatments for mental health issues are voluntary, and you have the choice to seek help. However, if you are in immediate danger or are having thoughts of suicide, call 911 or a crisis helpline, or go to your nearest emergency room.
During Your Stay
Hospitals have strict rules regarding patient safety and wellbeing. You will be expected to be courteous to hospital staff and other patients, minimise noise, and keep the number of visitors to a reasonable level. Smoking is prohibited in hospitals, and you must not damage or remove hospital property or the property of other patients.
During your stay, the hospital will help stabilise your mental health and develop a plan for future treatment. Treatment options may include medication management and individual, group, and family therapy.
Checking Out
Before you are discharged, work with your treatment team to create a plan for your post-discharge needs and ongoing care. The hospital will securely store any items that you were not allowed to have during your stay and return them to you upon checkout. Remember that the first few weeks after leaving the hospital can be an adjustment, and it is important to reach out to your therapist or loved ones for support if you are struggling.
Legal and Regulatory Procedures
Hospitals are required to follow certain legal and regulatory procedures to maintain their permits and licences. These include having an established governing body, complying with food service laws and rules, maintaining clinical laboratory services, and providing respiratory/pulmonary services. Hospitals must also have policies and procedures in place for outpatient departments, drug administration, and medical record-keeping.
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Post-discharge challenges
Checking yourself into a hospital is a big step, and it's important to be aware of the challenges that may arise post-discharge. Here are some key points to consider:
Understanding Your Condition and Treatment Plan:
Upon discharge, it's crucial to have a clear understanding of your medical condition, any ongoing treatment requirements, and potential challenges. This includes knowing what medications to take, how to care for any wounds or injuries, and recognizing any potential red flags that might require further medical attention. Ask for a written discharge plan and ensure all your questions are answered before leaving the hospital.
Transition of Care:
After leaving the hospital, you will likely experience a transition to a different level of medical care. This could involve moving to a skilled nursing facility, a rehabilitation facility, or transitioning to home care. Ensure you follow the instructions provided by your healthcare providers to prevent complications that may lead back to hospitalization.
Emotional Adjustment:
Returning to your daily routine after a hospital stay can be challenging. You may experience difficulties sleeping, feelings of loneliness, or emotional ups and downs. It's important to seek support from your loved ones or therapist during this adjustment period. Research indicates an increased risk for suicide following discharge, so having a safety plan in place is crucial.
Financial Considerations:
Hospital stays can be expensive, and understanding your financial responsibilities is essential. Review your hospital bills and insurance coverage to avoid unexpected charges. Know your rights regarding challenging unexpected bills or disputing charges. Medicare patients, for example, have the right to appeal discharge decisions and receive necessary post-discharge services.
Discharge Planning:
Discharge planning is a critical aspect of the hospital's responsibility to ensure a smooth transition. Contact the discharge planning department as early as possible to discuss your needs after discharge. Identify a caregiver who will be involved in your discharge planning and post-discharge care. Ensure you have a ride home from the hospital and consider arranging for extra help during the initial days after discharge.
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Frequently asked questions
Checking yourself into a hospital is a big step, and it's normal to feel scared or confused about the process. If you're experiencing a mental health crisis, you might consider voluntarily checking yourself in. Some common reasons for checking oneself into a hospital include: experiencing psychosis, mania, substance misuse, or suicidal thoughts/behaviours. If you are in immediate danger, call 911 or go to your nearest emergency room.
Hospital stays for mental health are usually short, ranging from a few days to a week or two. During your stay, you will be monitored by professionals who will keep you and those around you safe. You will also have meals prepared for you, your laundry done, and your medication administered by nurses at scheduled times. Before you are discharged, your treatment team will work with you to develop a plan for future treatment.
There are many alternatives to checking into a hospital, including: scheduling an appointment with a therapist, trying medication, joining a support group, or making lifestyle changes.
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