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Mental health servicesDear Plain Sense: When talking about mental health services I have heard the terms "inpatient" and "outpatient" treatment. What is the difference between these? The term "inpatient" treatment, or hospitalization on a psychiatric unit, applies when a person becomes so overwhelmed by a situation or stressor, or by their mental illness, that they are unable to function in their daily life. A person can be admitted for inpatient services when they are a danger to themselves (suicidal) or others, are not able to meet their own basic self-care needs, and as a result are unable to make an informed decision about their own treatment. It is clear that someone in this condition needs more intensive treatment, and this is when inpatient hospitalization becomes the most appropriate treatment option. Sometimes people avoid inpatient treatment because they think they will "never be able to get out," or that they will come out forever changed and never be the same. In reality, most hospital stays are on an average of three to five days and primarily serve as a way to plan for dismissal to regularly scheduled outpatient treatment. Inpatient treatment provides a safe place for the patient, and as the stressors are reduced, future plans can be discussed and medications initiated if appropriate. When the person is discharged from the psychiatric unit at the hospital, they are referred to outpatient services so that further treatment and healing may begin. For most people who experience a mental illness such as major depression, bipolar disorder, anxiety, or alcohol/substance abuse problems, treatment through outpatient services is most common. For the person who is able to function without the need of hospitalization, arranging to meet with a mental health professional for outpatient services is much the same as going to an appointment with a family physician or dentist. The psychiatrist or therapist will provide information and work with the client regarding treatment, with the intention that the person consider and apply this to their life. Outpatient treatment means that a person is able to remain in their community, living at home and continue to work or go to school while at the same time working on psychological recovery. One benefit of the outpatient approach is that friends and family can be available to provide emotional support. Contributed by Ken Loos, MS, LMLP, LCP, Prevention, Education, and Outreach Dept. Mail questions to: High Plains Mental Health Center, PLAIN SENSE, Consultation and Education Department, 208 East 7th, Hays, KS 67601; or visit www.highplainsmentalhealth.com. Date: 11/19/07
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