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A psychiatric emergencyWhen someone is experiencing a medical emergency such as a heart attack or stroke, family and friends would not hesitate to call 911 for help. In those situations, the physical signs are readily apparent that something needs to be done quickly. In the field of mental illness, emergency situations are also very common but are not always easy to recognize, nor are most people trained in how to respond. A psychiatric emergency can take many forms. Often a person's symptoms intensify such as an increase in depression, anxiety, or hallucinations. They may display a sudden or erratic change in their behavior or personality. Some individuals lose the ability to take care of themselves and fail to meet their daily needs. When a psychiatric emergency occurs, there can be a fair amount of confusion for those involved. If the person in crisis recognizes the need for help and seeks it willingly, most psychiatric emergencies can be quickly addressed. However, because of the nature of some mental illnesses, there are times when the person does not recognize or accept that they need help quickly. In addition, family and friends can be confused about how to react, or not even sure that they should respond. There is also a hesitation on the part of the larger community to become involved in a private or family matter, or that they might make the situation worse. When there is concern for the personal well-being of someone with a mental illness, the extended family should be notified. If the person refuses help or treatment, then a spouse, parents or other responsible family members can file a mental illness petition through the local county attorney, with the result that the person can be hospitalized for psychiatric treatment. To accomplish this, it helps for those involved to have current information about the person's changing behaviors, and to know the reasons why others are concerned. If the situation is potentially dangerous to the person in crisis or to anyone else, law enforcement should be contacted immediately. Law enforcement officers are trained and responsible for bringing the person in crisis to the attention of the mental health system, and can do so in the safest way possible during an emergency. Just as help is available with a call to 911, there is also help available for psychiatric emergencies. If you have concerns, contact your local physician, hospital or mental health center for assistance. Contributed by Ken Loos, MS, LMLP, LCP Prevention, Education, and Outreach Department. Mail questions to: High Plains Mental Health Center, PLAIN SENSE, Prevention, Education, and Outreach Department, 208 East 7th, Hays, KS 67601; or visit www.highplainsmentalhealth.com. 3/10/08 Date: 3/4/08
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