"They Die with their Rights On” - Our Broken System of Emergency Psychiatry

Interview with Lynn Nanos, L.I.C.S.W. 

If you’ve ever wondered why our loved ones aren’t getting the help they need, Lynn writes about her side of the process in the book Breakdown: A Clinician's Experience in a Broken System of Emergency Psychiatry. 

Stories about her patients open our hearts, and she shares clear and valuable solutions to  help fix the problems. 

"They died with their rights on” - what’s wrong with that?

How do inpatient units discriminate against those who are most sick?

How can discrimination be curtailed or eliminated?

How common is it for you to evaluate people who are clearly sick enough to be in the hospital, but there aren’t enough markers to warrant hospitalization?

The law only cares about what is “imminent.” Why? 

Psychiatric involuntary transfer and hold laws

The revolving door of cycling in and out of hospitals and jails.

AOT - Assisted Outpatient Treatment

Peer specialists - do they go too far?

The antipsychiatry movement - harmful or helpful?

IMD exclusion

HIPAA

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Randye Kaye
Mindy Greiling
Miriam (Mimi) Feldman

Chapters

• 1:33 3 Moms and sons in Brief
• 3:40 They died with their rights on
• 10:46 Lynn's Work as LICSW
• 12:26 How do inpatient units discriminate against those who are most sick
• 16:25 there aren’t enough markers to warrant hospitalization
• 17:37 The law only cares about what is imminent
• 19:47 Civil Commitment - varies by state
• 20:48 The revolving Door of Psych Hospitals and Jails
• 22:30 Anosognosia
• 23:15 AOT
• 25:06 Peer Specialists and Anti-Psychiatry
• 28:41 Mental Illness or Hidden Trauma?
• 29:59 IMD Exclusion
• 30:10 HIPAA solution
• 33:13 Final Messages