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Nevertheless, I think we’re in agreement except in the places where you attribute to me opinions I do not hold. The OP’s gf is a member part of the population you describe in your first two paragraphs: mentally ill, not aware that hospitalization is for her own good, refusing to get help, in no frame of mind to want help etc. You write: “The only reason why a patient, with or without insurance, would be given absolutely no resources after a 72 hour hold is because they went to the court and won a writ of habeas corpus.” Evidently, I did not make it clear that I assumed the OP’s gf would seek a writ of habeus corpus. Of course, I'm aware that a hospital cannot release an actively suicidal patient and that, under those circumstances, staff is obligated to oppose a patient’s appeal for release. What’s not clear is how that plays out when a patient assures the judge she is not suicidal. I’m glad to hear that someone with your experience thinks the staff evaluate the patient carefully and seek evidence beyond a patient’s denial of suicidality. This is precisely the kind of info the OP needs to hear. Regarding insurance, I said essentially what you did – that being uninsured dictates which hospital take her. Unfortunately, I wrote a sloppy sentence that made it sound like I think hospitals deliberately short-shrift the uninsured. That was a miscommunication. My point was those places are busy and busy-ness might affect care. Please note I went on to say that it is possible the OP’s county has a high quality county hospital. I’m sorry if my post read as if I were criticizing psych hospital workers (or as if I take posts on psyfo at face value). That was not my intent. I was only trying to explain that doesn’t have a magic wand and that it is not easy to involuntarily commit a loved one who is refusing care. Seeing as you're in the biz, can you help allay the poster's fear that involuntary committment push his gf over the brink? Can you help you him envision a positive outcome? IMO, he's sorely in need of both kindness and information. Please bear in mind the on the street doesn't know nearly much as you do about involuntary commitment and psychiatric emergencies. Adult wants sex San Juan Puerto Rico
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