KevinMD October 5, 2023
I started my career at a state hospital but transitioned to a VA hospital in 2007. I had been a resident at the hospital and was familiar with the unit and population. The unit had 19 beds, and typically these were filled. Often, admissions were for crisis stabilization due to suicidal ideation, and recidivism was very high. Typically, an unmet need other than psychiatric care was being addressed in many of these admissions. Many of the highest-utilizing individuals were unhoused or marginally housed. In their lives, basic needs were not being met, and the hospital became a way to meet some of these needs. Admissions appeared to increase in times of extreme temperature or weather.
The impact of the lack...
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