After John Oliver's statement on access to mental health services, I'm curious to see others' takes. Is our mental healthcare system broken? Is it inaccessible? With so many digital counseling services and the breaking down of -some- stigmas around mental health, I feel like we have done better. People just need to make the decision to seek help.

like
Posting as :
works at
You are currently posting as works at
Highlighted IconHIGHLIGHTED

Wrong! It’s not as simple as “people just need to decide…”. That comment in itself shows a lack of understanding of both mental health issues and our broken system.
First, it takes A LOT of effort for someone suffering from mental illness to jump though all the hoops necessary to get help. From multiple phone calls to Ins. and potential providers, to follow-up calls/emails, to pre-authorizations, scheduling, paperwork, etc. And for people who are having trouble just getting up and brushing their teeth, this can be an impossible task. It’s great if someone has a loved one that can manage all this hoopla, but not everyone has that.
Second, there really are a lack of resources. It took almost A YEAR to find a psychiatrist for my husband that was covered by insurance, that was seeing new patients, that could get us on the schedule, and that met my husbands needs. And this was with help from my work’s paid-for service specifically made to help with finding doctors for care!
It is mind blowing to me how broken our mental health system is. John Oliver is spot on.

likehelpfulsmart

100% agree, PNP1, in regards to prioritizing mental health care for minors. CCOS1, I'm shocked to hear about the Medicaid restrictions. One would THINK that we woould give better access to at-risk populations. And since many Medicaid subscribers are at-risk (I guess that's an assumption on my part--can anyone confirm or deny?), it would stand that they should have access to good services.

Recent IconRecent

We have done better as a medical community but the general population does not trust those with mental illness. The police force, local and state, also do not trust those with mental illness. A lot of people without access to health care are usually incarcerated instead of getting proper care as access to psychiatric beds are incredibly limited even in suburban areas. I can’t imagine what it is like in rural.

like

Well, so here's my take. The book I'm reading right now, Three Mothers, has a very good analysis of the relationship between people with mental illness and law enforcement. Tubbs says, "There have been numerous cases throughout history where Black people with mental illness have been locked away or even killed by those who were called to help them." She goes on to quote Khan-Cullors who says, "'There are more people with mental health disorders in prison than in all of the psychiatric hospitals in the United States added up." Now, this book is centered on the experiences of black Americans, but I think it makes a good point about individuals with mental health issues being at great risk of incarceration over treatment for their mental health conditions.

I suffer from Bipolar I, Sever ADHD, PTSD. Imagine being black and female to boot. I have tried asking fir help, to maintain my job, my apartment, my dignity and there isn't much help. All I want is to maintain my job, keep my dog and live quietly. I had to move from Texas because the resources were so bad, I didn't want to become one of the homeless. There aren't enough resources in general, the doctors are crummy to you and don't listen. I've said, "I'm going to lose my job" and they don't listen. Ive said, "I'm going to be homeless " and they don't address my fears. The mental health situation is wvery bit as bad as he says it it and shame on you for making a statement that makes us feel like we are the problem. I work hard and want to work and be a part of society. I just need help and only the help you think I deserve.

likehelpful

Hey, CHS1. I just want to take the opp to say I'm sorry for being insensitive. I've struggled with my mental health a lot and my ex has too. My last sentence I think was a reflection of the frustration I had when my ex would say, "Yeah. I need to call the doctor and schedule an appointment to discuss meds" just about every day of our relationship, but when I'd follow up and ask if he'd done it, the response was always a ton of backlash, denial, and "Yeah I said that but I don't want to." Which, hey, could have just been a symptom of his issues. But it was exhausting, frustrating, and heartbreaking, especially coming from someone who was constantly haranguing me to a) find a new therapist b) change my meds c) get over it etc. Still, it was a really insensitive statement from me, and I hope you'll forgive me. I really hope you find a doctor that works for you, listens, and addresses your fears.

like

The healthcare system for mental health is absolutely broken and needs to be blown up and rebuilt from the ground up. There is not nearly enough middle of the road services for those who find themselves somewhere between stable and “an imminent risk” to themselves or others. We have to get out of this “go to the ER and wait days for an acute psych bed” mentality only for patients to get very substandard acute care and then get released with little to no meaningful transition of care.

likesmart

I have a friend who worked in psych triage before going to to graduate school, but I never really dove into her experiences. I should have asked for about it. Come to think of it though, I have definitely seen someone in psychiatric distress be discharged from the ER for, presumably, not being severe enough while I was in for a pregnancy complication. It was very loud and very confrontational, and I remember being shocked they were shooing this poor girl out the door. My pregnancy fog totally obscured that event until now.

like

It is definitely still very broken! Especially here in MD. Even if you have a loved one who is not themselves and displaying mental breakdown. They make it very difficult to get them help if they are an adult. Even getting EPs is very difficult and close to impossible without any threat to themselves or the community. Even despite obvious mental breakdown.

likehelpful

Hey, thanks for sharing. I'm learning a lot and finding my mh treatment situation has been very privileged and atypical.

The wait list for outpatient services in community mental health is months long, and it is even worse if you have need for specialty treatment, i.e. trauma-focused therapy, ABA, DBT, etc. To see a psychiatrist average wait is 6-8 weeks for adults, 4-6 months for children under the age of 14.

likehelpful

Holy moly. I've seen the 4-6 wk gap between appointments because my office is understaffed, but I had no idea how much worse it was for others.

like

Absolutely. I have been working in healthcare for 12 years and I have only seen it get worse (I think at this point largely due to demand). I do see there being a major culture shift in terms of people being more open about their struggles, especially with Gen Z and as a result of the pandemic but, like many have said in this thread already, access to care is awful and navigating insurance is confusing. I’ve been paying out of pocket for therapy for years now even with good medical insurance because my plan either didn’t cover therapy or because there is nothing in network and I have a huge deductible for out of network. My sister is a therapist and says the same thing. And these digital services like Better Help have been under scrutiny for selling personal data. Awful.

likehelpful

28/32 health apps NOT meeting privacy standards?? This is outrageous to me. Outrageous. We can do better. We have to do better. I guess I'm going to largely stop advocating for counseling apps. In case of emergency, maybe?

Not a physician .
I have a nationwide, major healthcare provider. My doctor's office can't figure out how my deductibles and copays work. Even though I settley balance at each visit, the number is always changing.

Also, while in very grateful to have insurance,. It is worth noting that before my deductible is met, the bill for two family members to have psychiatric visits ( for med management ) and counseling visits, and pay for meds (;yes we use coupons) the bill is over 700$/ month. Copays on weekly therapy for one pt are 280$/mo after deductible is met.

like

WHAT? Seriously, this is blowing my mind. I have never ever ever had an issue with my insurance, copays, med costs, etc. It's all been super low deductibles for me. Thanks for sharing.

What’s was John Oliver’s statement?

I'm going to have to go back and rewatch it with some of these other viewpoints in mind.

Related Posts

Strategy& healthcare peeps…How is the practice? what kind of projects in provider/provider world?

like

Yoe - 7
Current CTC - 15.4 lpa
Profile - Senior QA

Got an offer from Thoughtworks,
Fixed 21.3 lpa + benefits 1.5 lpa
CTC 22.8 lpa

Please suggest whether it is a decent hike and pay or should I ask for more Fixed pay.

like

Hello, looking for supervisor positions in healthcare within NYC, I am looking to start ASAP. I have my Bachelors in Health Services Admin and Economics, 5 years of experience in the industry and I am currently working towards my PMP certification, as well as going for my MBA or MHA, depending on what program I can afford. I am currently located in Queens. Thank you!

Curious thoughts: What would you say puts the most pressure on insurance companies to settle cases? Upcoming trial, risk of bad faith exposure, a bad witness, a screw up pre-suit, etc?

like

Hey Klick Health folks! Has the “Big Brother” stuff gotten better or worse since the pandemic started? Honestly curious.

like

I’m not the heaviest I’ve ever been - I’ve lost some weight due to stress - but I’m easily in the worst shape of my life. I go for walks but it’s just not enough to combat the sedentary wfh lifestyle. Any advice on how to make more of an effort to at least try to do better? I have no equipment other than a yoga mat and can’t afford a peloton or anything. But I went to the office to pick some stuff up and took the stairs 3 floors up, and felt like I was going to die 😭 any advice appreciated!

like

What are solid healthcare consulting firms in NYC? My girlfriend is looking to move from Chicago to NYC to join a firm. She’s currently a fellow at The University of Chicago and has an MPH. ~3 years of work experience post grad

like

Hi ladies, hope you are all keeping well? How you cope working in business who is downsizing due to Covid and to be able to stay afloat having to take on extra unmanageable responsibilities is it time to move on? Health and work life balance first?

like

anyone have any insight in Apple's work culture, workloads balance and benefits in genera? i'm in interviews with them right now + Twitter Apple

likeuplifting

Anyone gotten covid tested at Tufts recently? How have the lines been in early AM? Comparable to summer/fall?

like

I've been at my current company for 15 years and 17 in the insurance industry. I'm struggling to even get a callback to interview. In a year, I've had one callback. I've sought out input on my resume from folks at the Executive level and there aren't any red flags. Am I just too entrenched and the long tenure scares employers or what?

like

Any one please provide info on Cisco WLB and benefits,wfh Cisco

like

What can legally be asked for maternity leave? My sister got a big packet of questions involving questions about her pregnancy, medications she’s on, etc., from her HR dept to be “approved” for leave. Feels wrong. I have not had to give them anything other than dates for my two leaves.

like

Is Covid finally becoming endemic? Most Omicron cases (according to my ER wife nurse) are very mild, and not worth the hospital visit. How will/should this impact us as educators?

Realtors who work in big cities: have you ever considered working with listings in the Midwest? Or do you prefer the challenge of a ruthless market but that can bring greater benefits?

like

When watching the news about people getting hospitalized with COVID, I noticed that many of them were catching pneumonia while in the hospital, and subsequently getting intubated. I suspect that for a not-insignificant number of people who catch pneumonia while hospitalized with COVID, this infection puts them over the edge and causes them to have to get intubated. Once intubated, people who didn't have pneumonia prior to intubation are now much more likely to get it....

like

Best place to open up a Roth? I’ll be paying off my student loan in October w/bonus. I’m currently investing 10% (or 11% I can’t remember) to my 401k. I have it set to increase 1% every Jan 1st..cont.

Is anyone here an underwriter for Intact Insurance in Canada?
Please share your experience with the company. Positives and negatives about work environment, management, work life balance, etc.
Currently debating if I should accept an offer from Intact or a higher paying position at another company.

like

More Posts

Two part question:

1. What time do you wake up and go to sleep?

2. Any recommendations on how to regulate one's sleep schedule? I've been going to sleep between 1-2:30am. It's just really difficult to fall asleep and in turn, it's so hard to wake up in the morning and I'm exhausted during the day. It is hard to explain, but I'm tired enough and want to sleep at a decent time (between 10-11pm), but part of me is also very anxious and overwhelmed with having to restart a new day.

like

I’m currently interviewing for Electronic arts as a lead data engineers. Could anyone please share your experience about work culture and future job prospects for de at EA

like

So is the government gonna start paying down some of my mortgage?
With all this virtue signaling and bailing out student loans I'm getting pushed more and more to the right.

likefunnyupliftingsmart

I am looking for a job/on-site opportunity in South East Asia/UAE, most preferred Singapore.

Which software profiles/tech stack are most demanding in these places to get a job?

I am planning to learn a new technology/skill

YOE - 9
Current tech - Java/.NET backend developer

like

Tax counsel jobs seem to be rare, compared to the more common tax senior analyst/manager/director roles. Anyone have any insight into compensation and whether companies put a premium on JDs? Looking at HCOL areas for 5-8 yrs of exp and want to understand reasonable salary bands.

like

PwC India Hi,
What is the Salary range which is offered for Senoir Associate - Reviewer - Assest Wealth Management at PwC ?
Can someone please help me with this.PwC India

like

Tips for just getting started, with the day especially, or even just a bad task later on after a few productive hours? I can have a stack of billables to do, but if it isn’t truly urgent, it’s just like a giant mental wall preventing me from getting things done. Medicine doesn’t help. It’s like I need the fear of god in me to get anything done and the moment I’m not scared of getting fired, I just... can’t. Things are OK at 2 am for some reason though.

like

Anyone know if Discover currently has a hiring freeze?

like

Mississippi lawyers/associates...what is your salary level and experience? If you can include where you are located that’d be great. Could also extend to Alabama, Louisiana, and Tennessee. Pretty much the southeast...

like

Any one working with Wells faro project from Persistant systems. As i heard we need to work from client office and also what is the skill bonus in offer letter will that effect if shift to any other skills

like

Salaries for Executive Assistants

like

Best dating app for india.?. Sick of being single in wfh

like
like

Out of Cognizant, persystent, Hughes Systique, Gspan, Which company should I join.
YOE 7+ and package is pretty similar in all companies Cognizant Persistent Systems Limited Hughes Systique Corporation Gspann

I have a video interview this afternoon for a role I applied to even though I didn’t think I was quite qualified for yet. I applied because it does align with everything I know besides bookkeeping. I figure they must be interested to request a video interview. Any tips on how I should go about selling myself and making myself stand out even though I am not experienced in the bookkeeping part of this job?

like
like

MBB manager in Life Sciences: struggling to find a good exit. VC/PE - feels like consulting toolkit not really useful, and I’m competing with analysts. Big pharma - in my country too pharmaco not hiring consultants. Startups - don’t sponsor visa. Feels stuck! Any ideas/advice?

like

Anyone moved from EY-GDS to TCS recently? Please let me know your experience and the pros and cons. Anyone felt that EY-GDS was better and should have stayed there instead of TCS? Please let me know
YOE = 14, Technology = Data warehousing.

like

Are marketing agencies really required to have their employees come into the office? We all work using computers and sharing our files in the cloud, the only time we see each other is for meetings, which can absolutely be done through Zoom. How is your job handling this atm?

like

Does EY pay for global entry renewal fee? If so how do I expense it?

like

Additional Posts in Healthcare

Nurses (or anyone) in biotech/pharmaceuticals/medical device sales: I am interested in making a switch and growing my career in one of these fields. Love the idea of making greater scale impact on patients. Looking for tips and advice on how to break into the industry as I start the process. Currently have 10 years of experience as an RN ranging from Multi-system/transplant, cardiac, and burn/trauma ICUs, to NICU and currently pediatric ED. Please feel free to DM me instead. Thanks in advance!

like

Anyone know what a Social Worker with LCSW in Ohio should make?

like
like

I work in urgent care, AR Credentialing Specialist. Two years credentialing experience, 6 years intake/AR with an associates in medical coding. Checking salary rates in the Portland, Maine area. Any input is much appreciated!

like

There are many reasons why the current atmosphere for clinicians is a total shit show. What irks me the most is when companies say they treat everyone like “family” but do things like micromanage you or treat you like crap. Currently work for Legacy as a DPT and when my contract is up in a couple of months I’m out of there! Stay away from this company.

like

Medical Technologist ASCP certified, what’s the average salary in Maryland for an MLS with one year experience?

like

We put our families at risk every day to help our communities. Why do some see us as the enemy?

like