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I’m a client associate working at Merrill. I started out as an intern at my office and worked with a team part time for 4 years. Once i graduated college, I joined a different team and was hired on full time.
I make about 58k…. I’m not registered but I’m also not compensated by my new team, even though I have worked with them for 2 years now.
I am in Northern CA… Would you say that pay is standard and fair? It feels low to me, but I know that I am still young and gaining experience Merrill Lynch
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.