MB update

[eggbutt]

True, but they are beginning to move north as well. TIEC and VHC have major CDIs now with more to come. Barisone is going to be just fine.

[hut-ho78]

@eggbutt

Lala enjoys saying Ann Klein is a maximum security psychiatric hospital. For some reason she must feel the added emphasis of maximum security makes it sound more harsh, serious, dangerous, secure, punitive, whatever.

The following is from the Ann Klein website - notice nowhere are the words maximum security mentioned!

"The Ann Klein Forensic Center, a 200-bed facility, is the state’s newest psychiatric hospital and serves a unique population that requires a secured environment. Our facility provides care and treatment to individuals suffering from mental illness who are also within the legal system.

The clients at Ann Klein Forensic Center are special in many respects and require an interdisciplinary team approach. The care plan is comprised of both independent and interdependent contributions from our staff and is communicated to the medical security officer assigned to each client. We work as a team, with each member treating the other with courtesy, consideration, and respect. We serve our clients without judgment, applying professional knowledge and skill to achieve a positive outcome.

Safety is an important component in our work for both the clients and the staff. Every aspect of this is closely monitored for compliance so an environment of physical and emotional safety will be maintained for everyone."

Thank you! “Secure environment” and “within the legal system” are exactly the point.

[Danvers]

Thank you! Good to know!

[ekat]

@trubandloki

Are you sure about this?

I understood that was not the case. Not just from the informative posts by @Warmblood1 who appears to work at a facility.

Here’s NJ law on the subject, which sounds like Warmblood1’s post:

30:4-27.20. Discharge of voluntary patients
A voluntary patient at a short-term care or psychiatric facility or special psychiatric hospital shall be discharged by the treatment team at the patient’s request. The treatment team shall document all requests for discharge, whether oral or written, in the patient’s clinical record. The facility shall discharge the patient as soon as possible but in every case within 48 hours or at the end of the next working day from the time of the request, whichever is longer, except that if the treatment team determines that the patient needs involuntary commitment, the treatment team shall initiate court proceedings pursuant to section 10 of this act. The facility shall detain the patient beyond 48 hours or the end of the next working day from the time of the request for discharge, only if the court has issued a temporary court order.

[Einhorn]

@hut-ho78

I think there is a vast difference between a psychiatric ward for involuntarily committed patients shown to be a danger to themselves or others and a psychiatric ward for voluntary commitments for depression or other treatable psychiatric issues

I think you would be surprised. Also, I don’t know if you mean to imply this, but many psychiatric conditions are treatable. Often what decides which are not responsive to treatment have more to do with comorbidities in the patient than the treated condition.

So one person with depression may not have the successful outcome that another with schizophrenia does.

[Warmblood1]

@hut-ho78

Voluntarily committed patients can walk out the door any time they please. They are not locked in.

LOL. You’re right, every doctor is going to risk their medical license and the safety of the public or their patients by allowing a patient who has admitted they have intent to kill themselves or someone else to just walk out the door any time. No problems there.

And you’re right, every window and door is left wide open, unlocked. Because that’s how facilities house patients that are a danger to themselves and/or others. Let them leave at their will to commit homicide.

/sarcasm

By the way, most patients in private facilities are voluntary. I’d say 8/10. Once they are admitted, protocol is no different from voluntary versus involuntary. Does not matter.

[KurPlexed]

There was a saying… something to do with pigs and lipstick

[Sdel]

@CurrentlyHorseless

I have never posted comments on YT

Ok, but LK has so few “supporters” and fewer that seem to have managed to mention things that can only be attributed to CotH. Specifically ones that make references that seem to relate directly to you two.

[CurrentlyHorseless]

@Sdel

@CurrentlyHorseless

I have never posted comments on YT

Ok, but LK has so few “supporters” and fewer that seem to have managed to mention things that can only be attributed to CotH. Specifically ones that make references that seem to relate directly to you two.

Either that, or opinion on the interwebz is not quite as lopsided as you imagine.

[eggbutt]

@Einhorn

I think you would be surprised. Also, I don’t know if you mean to imply this, but many psychiatric conditions are treatable. Often what decides which are not responsive to treatment have more to do with comorbidities in the patient than the treated condition.

This is a very important comment. It is my opinion that MOST mental health issues are treatable. It is to Barisone’s benefit that he sought medical help years ago and had learned skills to help him with life.

I hope Dr. Simring has been able to communicate with Michael professionally and has coordinated with the medical staff at AK, if appropriate.

I think of all the men I know who returned from Vietnam with severe PTSD. Of those who sought help all became successful, happy individuals. Those who ignored help seemed to flounder in their private lives, my brother included, and were never quite whole again.

[Hightale]

@hut-ho78

Voluntarily committed patients can walk out the door any time they please. They are not locked in.

Complete and utter codswallop

[Angela_Freda]

@CurrentlyHorseless

Either that, or opinion on the interwebz is not quite as lopsided as you imagine.

If you read it you would see, it’s numbers after all dude, how the majority feel.

[Warmblood1]

@hut-ho78

I think there is a vast difference between a psychiatric ward for involuntarily committed patients shown to be a danger to themselves or others and a psychiatric ward for voluntary commitments for depression or other treatable psychiatric issues.

You do realize that involuntary patients and voluntary patients are housed in the same ward, yes?

A patient is not committed on the sole basis they have depression. They have to show imminent danger to themselves or someone else, or be significantly unable to care for themselves to an extent that they present imminent danger to themselves or others.

Also, whether the psychiatric conditions are “treatable” has no bearing on threat or risk. That is not how commitment is determined.

ETA: regarding treatment, every psychiatric condition is “treatable.” Not every psychiatric condition is curable. There aren’t any psychiatric conditions where their doctor would say, do not apply any treatment, there is no potential for response. Any psychiatric condition has the potential to respond to treatment.

[IdahoRider]

@CurrentlyHorseless

It’s a state psychiatric hospital that serves patients committed via the court system.

It is also an assessment site, where people go to be assessed regarding their current mental status and the safety of the person being assessed and the larger community’s safety if they were to be released now. In other words, you don’t have to be committed in order to be there. You could be there for an assessment prior to release.

I think Barisone will be home in time for Christmas, figuring in delays in the court system.
Sheilah

[IdahoRider]

@hut-ho78

Voluntarily committed patients can walk out the door any time they please. They are not locked in.

Not true. They are in a locked unit just like the involuntarily committed patients. Difference is they can discharge themselves. That is the ONLY difference.
Sheilah

[KurPlexed]

Here’s the deal. LK is losing (lost) in the court of public opinion. LK doesn’t know how to lose. Daddy O has never allowed that. She doesn’t know how to handle the big L. She will continue to get the big L as long as she stomps her feet and screams at her windshield. Well adjusted people have introspect and grow. That’s not the case here and that’s why so many people are astounded by her actions.

[edit]

Just my 2 cents.

[Warmblood1]

Great post, @KurPlexed.

[KurPlexed]

Dare I say, the majority of us here are “with horses” and are are all too familiar with the big L, unfortunately

[Warmblood1]

Hear, hear. Horses usually humble most and the ones that are humbled are usually excellent horse people. There seems to be a small group of people attracted to riding who are all about control, however. Trying to control all aspects of their life and I feel controlling horses can fuel that need.

[MHM]

@Virginia_Horse_Mom

@Joanne

Before LK entered dressage, I believe she was doing hunters/jumpers. Has anyone from there ever commented if there were personality/behavior problems?

She never competed in any significant way in hunters/jumpers, as far as anyone can tell. So it seems like there is scant information. It doesn’t seem like she was doing much of any horse back riding in the early aughts during her young adult years. She was a more active addict back then, apparently.

I did not see any competition results under her name on the USEF site before the first dressage results a few years back. Obviously, that would not exclude the possibility of unrecognized hunter/jumper shows.