Hospital psychiatric wards now feel like prisons, some say

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New safety standards aimed at limiting suicide risks have led to overhauls inside hospitals around the country, with psychiatric facilities and wards removing bathroom doors, stripping artwork from walls and requiring patients to wear paper gowns instead of their own clothes.

In this Oct. 1, 2019, photo, the “What Brings You Joy?” wall is covered with people’s writings at the office of the nonprofit Advocacy Unlimited in New Britain, Conn. The wall is for people to write what brings them joy, such as a family member, reading or a pet, and post it on the wall. The nonprofit organization works with people dealing with mental health issues, addiction, and homelessness, among other traumas.

New suicide prevention requirements took effect on July 1 on orders of The Joint Commission, an agency that works with the Centers for Medicaid and Medicare Services and accredits the vast majority of the country’s psychiatric hospitals. Several organizations with the Michigan Health and Hospital Association have struggled to comply with the new requirements in the timeframe expected by The Joint Commission, said Laura Appel, the association’s senior vice president and chief innovation officer. She said empty rooms may be safer but they’re also significantly less comfortable.Mental health advocates have raised concerns that less comfortable environments for patients could be less healthy.

Her father, Beresford Wilson, co-chairs the Connecticut Behavioral Health Partnership Oversight Council. He raised his daughter’s experience at a September meeting and said it had too much of a punitive feeling. “If you perceive the environment as a prison — and prisons are a place of punishment — then you can’t help but think you are being punished, whether consciously or unconsciously,” he said.

 

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