The Daily Item, Sunbury, PA

Politics

January 23, 2013

Psychiatric patients wait in ERs as inpatient beds are scaled back



By Olga Khazan

The Washington Post


WASHINGTON — One day in October, Rena Dubin got a call saying her 15-year-old daughter, Mia, who has Asperger’s syndrome and an anxiety disorder, had a panic attack so severe it caused her to run from her school building in Reisterstown, Md., and toward a busy road.

Confused and delusional, Mia was taken to Northwest Hospital in nearby Randallstown, Md., the closest emergency room, where her mother hoped she would be swiftly transferred to a hospital that accepts adolescents for psychiatric inpatient treatment.

Instead, they waited. For nearly 24 hours, Mia lay on a gurney in Northwest’s emergency department. Finally giving up, the Dubins checked Mia out and drove her to Johns Hopkins Hospital.

There, they waited in the emergency department for another day until Hopkins staffers tracked down an inpatient bed for Mia at Children’s National Medical Center in Washington.

“We just felt like we were in a holding pen,” Dubin, who lives in Columbia, Md.,, said. “I was the one taking care of her in the ER, but the whole reason we brought her to the hospital is because we feel like we need help.”

The Dubins’ experience is an increasingly common one nationwide for psychiatric patients. The “boarding” of mental health patients in hospital emergency departments is a widespread problem that experts say is on the rise, in part because of cutbacks in inpatient hospital beds.

As states trimmed their budgets in the economic downturn, resources for mental health patients were among the casualties. Twenty-eight states and the District of Columbia reduced their mental health funding by a total of $1.6 billion between fiscal 2009 and 2012.

Virginia, for example, eliminated funding for 19 acute care beds at the Northern Virginia Mental Health Institute in Falls Church in 2010, reducing the total from 129 to 110, though 13 have been restored through temporary funding. Restoring all 19 beds permanently would cost $1.4 million a year.

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