{ "media_type": "text", "post_content": "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.", "post_id": "62e948f8722430001f5e760b", "reply_count": 32, "vote_count": 2, "bowl_id": "5e77c585cba148001ab93ed9", "bowl_name": "Healthcare", "feed_type": "crowd" }

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

How do I go about finding a Primary Care Provider that is familiar with the health issues affecting gay men? Looking for a new GP as I have recently moved and sadly “hot gay doctor” is not a search option on Cigna

likefunny
funnylike

Best heath insurance (price/coverage) in NYC for a single male? ACA?

Hello does anyone have any experience working for the NYS Office of Menta Health? Pros? Cons? Thanks in advance!

like

One of my Amex expenses was bounced out after it was payed by T&E now they say I have to do an out of pocked reimbursement after showing I payed Amex. It's like 1k what happens if I don't do it?

like

What are 6 figure salaries in commercial insurance?

like

This bowl waiting for deal flow to pick back up so they can resume posting about how they’re basically working ib hours for half the pay, the job being unpredictable and damaging to their health/wlb, followed by the undercover A&M recruiters telling us to might as well join them since you get compensated for the hours worked.

Post Photo
likefunnyhelpful

So I’m currently a 2nd year at a small criminal defense firm. I feel like my work/life balance is awesome, the partners are great, my base pay + bonus is great, support staff is great, they even have sent my gf and I to Hawaii twice now on their dime. I have been recently offered an in house gig doing insurance defense work with a big insurance company. The base pay is better, but I’m not so sure about making the switch. Has anyone here made a switch? Anyone with insurance defense experience?

like

Hi hi! I changed jobs and have 10k from an ex employer pension and I’m wondering what I should do with it now? I have an employee 401k and a Roth IRA, wondering if I should put it in an index fund? I wanted to do something for my kid, what are the best options here ? Appreciate any insight!

like

Random question: Getting my MBA and just accepted a BCG internship offer this summer. (Super stoked!!!). Do interns get health insurance? There are a few things I want to get taken care of this year, but would prefer to wait until I have great insurance and won’t have to pay as much.

likehelpful

Any reason to sign up for the company health insurance? Our family has Tricare under my active-duty spouse. I’m also doing FIRE so my budget is extremely tight down to the dollar so want to avoid unnecessary bills -wondering if there’s any benefit I’m missing out on or if only having Tricare could backfire in some way?

like

I am trying to get into big 4 healthcare transformation strategic consulting coming from a large EHR vendor as a strategic consultant. Looking for advice, guidance, and networking connections.

like

Hey Fishes, got an offer from PwC India. However It does not contain the values for the expected Variable Pay,appraisal cycle,no. of leaves, types of leaves employee would get, Reimbursable Flexible benefits available etc.. These all have just got mention in the offer letter and would be applicable as per Human Capital policy (which is not shared).

Is this standard PwC India offer template? If yes, can somebody share some insights. I have to take a decision soon. Thank you! PwC India

like

anyone else exhausted by the constant dialogue around mental wellness in the workplace this year? Never ending emails/about making space, mental health benefits, etc. I’ve already received 2 emails this week, one was resent to me asking to brainstorm more ideas support the team through “tough times”. I think I’ve been good about checking in with teams, pushing back on clients as best I can, making accommodations for those who’ve asked for them - but the incessant pressure to manage others’

likesmart

Moms, especially twin moms, how much time did you take off for maternity leave? My firm offers 12 paid but I can take up to 6 months w/the difference unpaid. I’m a FTM so 0 idea what to expect.

like

Can anyone confirm pay for Elevance Health Case Manager I? I am seeing 100k+ as the salary. Thank you for your time.

like

Hello All,

Please guide me in choosing the right company in terms of learning, wlb and future growth opportunities from the below options. I have 3.3 years of experience.

1. Citiustech- 17 lpa fixed
2. Redbus- Expecting to be between (14-17 lpa)
3. Siemens Technology - 13.5 lpa fixed + 1.3 lac jb 4. EY - 13.5 lpa fixed + 5% variable

Thanks in advance!! Siemens Redbus Citiustech Healthcare Technologies EY

like

Is Google dental insurance good? Covers orthodontic work at all?

like

I work in insurance defense and we are getting slammed as far as workload and have been for some time. It’s nice because I haven’t had to beg for billable work and always hit my goals. My question is whether this has been the norm at other insurance defense firms. My other question is how other states are dealing with COVID restrictions on jury trials. Has anyone tried anything during the pandemic?

like

How long does it take to get approved for unemployment benefits after you apply in nyc?

like

Additional Posts in Healthcare

How many of y'all are on CCPA projects and how are you staying sane?

Has anyone had experience or know of anyone that has transitioned from a SE to a security analyst/network engineer role? Any tips?

like

Does anyone know how much TD employee referral bonus is for corporate employees?

like

MD of my practice took me out to lunch and we started talking about climate change and he said he wasn't sold on climate change yet because the "jury was still out". 😡Should I roll off or resign?

like

Is there a big difference in cost of living between San Francisco and NYC?

like

Is this offer too low for Supervising Associate with 7YOE relevant experience. Please suggest@

Post Photo
like

Feeling really isolated since lateraling. I’m just asked to generate work product, I’m not getting to know my colleagues better and I don’t feel like I’m working on a team, which is one of the few things I liked about being a lawyer. Any tips?

like

Finance transformation in KPMG Global Services or F&EP in DUSI?

like

Even without LinkedIn, I see a lot of people younger than me in much better roles. They started off with relevant jobs right out of college. I graduated in 2009 when the economy tanked and worked in retail for years before I was finally able to land in corporate. Does anybody else struggle with this as well? I’m constantly comparing myself to others who are younger than me.

like

I don’t care about users. We are in appease the client mode.

likefunny

I have $5K in a Rollover IRA. I’d like to transfer funds into a Roth IRA I’ve recently set up and start investing for retirement. I estimate about $1.7k between tax & penalty fees. Is it worth transferring?

like

Got an email late last night from my partner asking where my comments were. The email was fine, but they replied all to everyone in the email. So annoyed, but also very glad I am giving notice tomorrow.

likeuplifting

Do accepting offer letter is a commitment to join the organization and cannot join another organization? I am getting lot of calls from HCL that you are part of HCL but I already joined another organization. I have not attended the onboarding session.

like

People joining in June 2022 are eligible for performance bonus in October 2022? Plz advise

like

Hey designers out here! I'm curious why you pivoted to the design field... 🥰 What was your happy accident to make you think to become a designer? How was your journey to your career switch?

like

How much have you saved from refinancing your student loan?

If you leave J2 and get another (new) J2, does the first J2 show up on new J2 background check? Assuming these are w2 roles. If so, how do you explain that? 🧐

like

Looking for assistance with landing a role in North American REPE markets from the UK. Anyone done this and have any tips or willing to lend a hand?

like

I’ve used head and shoulders my entire life (I know I know) and want to delve into non-sulfate nice shampoos/conditioners. The problem is when I switch, I immediately get dandruff! Anyone have any reccs or am I doomed to use head and shoulders forever?

like

Anyone done Certified Technical Architect program here ? What was your experience? How difficult it is to do with a full time consulting job for a single full time parent?

like

Additional Posts (overall)

For people who have expeirence working outside the US, what are your thoughts on socialized medicine?

like

How many times do you allow a potential employer to reschedule an interview before you move on? Had a interview scheduled for today and they canceled and rescheduled this morning.

like

For nurse cases manager positions:
Sedgwick or Enlyte?? Any feedback would be much appreciated.

like

What is salary/hourly rate for LMSW in a hospital?

like

HR just got back to me about my application which I applied to 2 difference positions.
I'm curious to know how much do each positions get pay. Is it wrong to ask which one get pay more?

like

Can anyone confirm pay for Elevance Health Case Manager I? I am seeing 100k+ as the salary. Thank you for your time.

like

Hey! Considering negotiating my pay after 1 year of CT experience. In Florida my base is $29/hr. How much of a raise should I ask for (if they don’t automatically give one)? And should I wait to be a travel tech with another year of experience?

like

Anyone working at the CDC Atlanta willing to refer me to a job?

like

Need help. RN with over 20 years experience need help with contacts to work from home position

like

Are there any registered pharmacy technicians here that transitioned to hospital pharmacy before obtaining their certification? I'm planning to schedule my test within the next couple months. I've been trying to leave retail and nothing seems to stick. I'm in Florida if that matters.

like