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He has been in a Psyche hospital for 5 weeks with no further episodes. He now has the right medication but the NH filed a police report and there is not a facility in the tri-state area that will take him, what can I do? No one was harmed.

You- yes YOU - do not go and pick him up from the NH or wherever he is. Do NOT do it. When asked why state: “it would be an unsafe discharge for him; I cannot provide the care, safety & security needed”.

if he is in a NH (a NH not AL or MC) then the facility is a SNF aka skilled nursing facility and so has Medicare for how they accept payment for some of the services done in house*. If that is the case, they - the NH - cannot discharge him to the street, they have to discharge him to a facility that too has skilled care services unless they can get family to come and get him. What the NH will do as there is no other NH that will take him, is find a reason to call EMS to come and take him to the ER as it looks like something has happen that needs emergency room oversight. Often it’s a TIA a transient ischemic attack as these are real subjective in how they look. Then when the hospital calls the NH to say they are sending him back the NH says they have no open beds and cannot have him return.

He then becomes a problem for the discharge plan at the hospital to find someone / someplace to place him. That discharge planner will first and foremost call you and every family member they can find to come and get him. Again you say your mantra and be sure to tell everyone in your family NOT TO GO & GET HIM. The hospital will eventually find a psych bed somewhere for him…. could be far away but eventually they will. That is what discharge folks do and have the info and resources a available to them.

* an example of Medicare billing is like the NH does annual flu shot for all the residents and it is billed to Medicare
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Reply to igloo572
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Debburk Aug 3, 2024
That is the scenario step for step it’s just that now his time at the psyche hospital is up and they have done all they can. Maybe they will find him placement 500 miles away from his home, we may have to do that for a short period of time, but I just can’t agree with that. I feel like he’s being railroaded and punished for being sick. It’s so outrageous that he can be treated like this by people by Medicare by Medicaid and it’s OK, this needs to change, I don’t know how or even where to start, but I’m not going to stop until he is treated fairly like anyone else with a physical illness.
Thank you for your advice .
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following with interest, dont know the answer to these terrible situations
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Reply to strugglinson
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You can refuse to allow an unsafe discharge from the psyc hospital. Tell them they will have to find placement where he can be medicated. You are not responsible for taking him in. If you currently have POA I would see an attorney to resign it. Be certain you do not take on guardianship as you will be held responsible and cannot quit without a Judge's permission; we have seen a case recently on forum where the guardian was not allowed to quit. I would leave your brother in the care of the state who will seek placement and medical supervision. There are many things you are not qualified to handle in this life, and I suspect this is one; don't attempt to do so.
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Reply to AlvaDeer
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