Monday, October 6, 2008
I thought it was interesting when the old Veteran's Stadium in Philadelphia had a jail and courtroom in the bowels of the stadium because there were so many arrests during football games. They thought a quick prosecution would work well to curb the violence and it did. Now a court building in Washington D.C. is putting a psychiatric urgent care center on the first floor of its facility. They received a large grant to do this "in response to judges who say they see too many people in their courtrooms because of undiagnosed mental disorders". I applaud any effort to get help for these people but I am not sure that these patients were undiagnosed. The problem, for many of them, is compliance and it is unclear how an urgent care psychiatric center will help with that. The major issue is that most of these patients have no insurance or are on Medicaid. Psychiatrists who take this payment are few and far between so it seems to me that follow-up is going to be a huge issue. I guess they can keep getting arrested over and over again so they can get into the "Psyche and Go" for that lithium refill? "Sorry, officer, I only stole that car because I couldn't get a doctor's appointment".
Posted by Authentic Medicine Blog at 5:44 AM