Psychiatric Hospitalization

What to Expect During Hospitalization

A hospitalization is often unfamiliar and stressful for both the patient and family.

Hospitals vary in how well they support patients through a mental health crisis. Some do not have psychiatric units at all, or have no beds available, in which case the patient may be admitted to a different hospital than where they were first evaluated. Admission may even be in another city. This is surprisingly common, and it adds logistical challenges.

The hospital may ask the family to bring the patient’s personal belongings. There are safety policies about what items are allowed, so check those before packing.

Privacy laws govern the process of getting information from the patient’s treatment team. If a parent or family member is not listed on a Release of Information (ROI), hospital staff may respond that they “cannot confirm or deny” whether a person is admitted. It is distressing to hear that, but it is a standard practice.

It is helpful to ask early whether a Release of Information (ROI) form is available for the treatment team. It is also important to understand that consent may change during the course of a hospitalization, and permissions may be given or withdrawn at various points during care.

Experiences during hospitalization vary widely. Some stays may feel chaotic or distressing, and some patients make emotional or difficult phone calls home. Others find structure, stabilization, and relief. Length of stay may also vary, and discharge may seem rushed or may involve more detailed planning.

Regarding discharge planning, the young adult should be involved in the aftercare planning ahead of time, including, what the next level of care should be, whether any referrals or appointments have been made, and what to do if symptoms worsen.

Some hospitals have a patient rights advocate available but this varies. Both the young adult and caregivers are welcome to contact that person with questions or requests for assistance.