Recent comments in /f/newhampshire

Outrageous-Door8924 OP t1_jajdgg8 wrote

It is true, that most of these "SuperFacts" and "Fact of the Day" style accounts post a lot of claims without any source or substance. However, as I mention in my comment on this thread, I checked all the others. And to my surprise, all of them (except for one) are true, no matter how dumd they may seem today.

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Aloha_Snackbar357 t1_jajd34b wrote

This problem isn’t just young people experiencing a mental health crisis, it involves the elderly awaiting placement in a geriatric psychiatry unit as well.

I work in a Hospital in NH and there have been multiple times where 30-50% of the ED beds are occupied as “psych holds” which puts an unbelievable stress on the ED. Usually it’s 2/3 young people and 1/3 elderly patients. Many times those elderly patients are unceremoniously dropped there by their families “because we can’t manage him/her anymore”. Other times they are sent in because of “altered mental status” from their home nursing facility. Frequently these patients are genuinely dangerous to be around or are a genuine danger to themselves due to progression of their cognitive impairment.

Often these patients have end stage dementia of one sort or another (god forbid Lewy body) and are unfixable. You can quell the symptoms sometimes with antipsychotic medications, but more often than not, you are just sedating them. Even if they move out of the ED and into the hospital for one reason or another, it just moves the problem to a new venue.

I had one patient spend close to 90 days on a general medical floor as their family just refused to take them back home. We ended up having to wait for public guardianship and long term medicaid to place them in a facility for the rest of their life.

This is a society-wide problem, and giving hospitals a month to come up with a plan is laughable. Unless they call out the Army to permanently fully staff a dozen new long term care psych units, this issue isn’t going to go anywhere.

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Sirhc978 t1_jajblzc wrote

>But in general, maps of "interesting facts" found online are complete and utter hogwash.

Not necessarily. There are tons of "weird" laws on the books from a century or more ago that made sense at the time. They are just not enforced anymore and there is no political motivation to spend the effort to remove them.

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GraniteGeekNH t1_jaj91hs wrote

Kidderville is just a village in Colebrook - it doesn't have laws of its own.

Colebrook was a starch manufacturing hub (from potatoes) in the 1880s or so so maybe it had some laundry-related ordinances.

But in general, maps of "interesting facts" found online are complete and utter hogwash.

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Zephyr-4444 t1_jaj8ndq wrote

Hello, We are supposed to get another 5-8 inches of snow Friday night. That means you will be breaking trail on Mt Major in Alton unless you wait till later on Sunday. You may need snow shoes. I haven't ridden at Ramblin Vewe in Meredith but the trails would be powdery fun. You might want to look at Ahern State Park in Laconia as well, there are lots of riding trails there.

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DemonDuo t1_jaiyx0j wrote

I am currently on the construction team for the State Prison and the NH Mental Hospital. I am in these facilities daily updating infrastructure to modern day standards with future proofing in mind. Special Patient Unit will be added to the mental hospital within the next two years. This will be appropriate housing for the criminally convicted insane which frees up resources at the prisons and opens more beds for the mentally ill at the appropriate state hospital facilities. Most of the beds at normal hospital psychiatric units are being taken by inmates who cannot be helped within the prisons. The hospitals therefore cannot take in average person having a mental health crisis who need care for over a couple days. Soon there will be changes!

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ZacPetkanas t1_jahzsln wrote

> You want to go back to asylum's? Really? Also, they were in the process of closing when he was elected. Hyperbole that he waved his hand and cut funding for them is ridiculous.

Forty years on and Reagan is still the shallow-thinker's boogeyman. If only there had been a Democrat president with a majority Democrat congress since 1988. Oh well, what could of have been I guess.

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NJP220 t1_jahxhwd wrote

As far as the music in the ambulance, unfortunately a lot of the trucks don't have great speaker setups. Ambulances have completely custom bodies usually and music isn't a priority in their design. That being said, the service I work for has speakers in the back and we try to provide music to our psychiatric patients whenever we can. We also have provided a laptop with Netflix open before. Anything to make the process easier and less stressful for all involved.

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Sensitive_Plane_3925 t1_jahx2vk wrote

Well said. More investment in preventative measures including educating in the school system about how to properly care for your brain- i.e the importance of meditation, exercise, sunshine, engaging in fun activities, hikes, etc. Our society focuses way too much on "fixing" something after its gone awry rather than using some preventative steps. And way too often those "fixes" aren't effective and can cause more issues.

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nyx_moonlight_ t1_jahvo2i wrote

Went thru this, can confirm. That long distance trip from Portsmouth ER/pod was disturbing. I was a suicide risk so I had to be bound in the stretcher and then in the back of the ambulance alone in the dark. I had been in the holding area for days which had been highly stressful - a tight space with nothing to do but watch the TV in your room, no windows, you share one bathroom, a lot of the other people are screaming and throwing things. After finally getting loaded up in the back of the ambulance, I asked if they could play music from the front to soothe me, they said I wouldn't hear it. I sang to myself to ease my anxiety. By the time I got to the treatment center in Derry, I was throwing up from stress and empty stomach. New Hampshire is TRASH for mental health.

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ThrowAway03202021 t1_jahrdlj wrote

I used to work at New Hampshire Hospital. At that time, it was a bed availability issue. Units were full and the availability to bring in patients who needed the help was an issue. Leadership has changed, so I’m not sure how it is now, but there were providers who were not comfortable discharging patients because there were minimal resources for a psych patient to remain stable upon discharge, thus creating this feeling of a “revolving door”. Psychiatry is challenging, patients get stabilized on their meds and start to feel better, so they stop their meds, and then BOOM back in a mental health crisis.

As someone posted previously, we need more resources in the northern part of the state. We need more mental health resources all around, not just hospitals and psychiatrists, but intensive outpatient programs (like cardiac or pulmonary rehab but for MH concerns), and supports for patients to take their meds and report changes sooner so they can prevent worsening of their condition, which leads to escalation of the MH symptoms. Another barrier was housing. If someone had been in a MH crisis, they might have lost their job and/or apartment. The social workers were golden at finding housing for these patients so they could be discharged, but it still was affecting bed availability. It’s a huge constellation of factors that need to be addressed. Having worked in an emergency department as well, it’s not fair to ED staff to have a psych boarder while waiting for a bed at a facility, nor is it fair to a patient who is having an acute MH flare to be held in the ED. You can’t put 30 lbs of pasta in a tiny colander and expect it to work. The State needs to actually do something to make it work better for it’s residents, not create another task force and hope it all falls in place

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