itsjudyd
A:

Hi itsjudyd,

Nice to hear from you. This is a good question.

I am sorry to hear your husband is struggling with depression, and not yet getting the help he needs. I can understand why you would be considering inpatient treatment. There is a lack of adequate inpatient treatment nationwide. Many state-run facilities have been reduced in size or closed, so the number of available beds is less than in the past. And as you experienced, care may be limited t medication management. This is not say that medication is not helpful, because it can be very helpful for someone who has been diagnosed with depression. But I also agree that counseling can help as well, alone or in conjunction with medication.

There are facilities that offer what you are seeking. The problem is that this level of care can be very expensive. Depending on your ability to pay and your insurance plan, you may find that some of these facilities are available to you and some are not available.

When I have clients in your situation, I recommend they call the behavioral health, or mental health, department at their insurance company and ask for a list of approved inpatient facilities, as well as the discuss the procedure for gaining admittance. Your insurance company probably has a specific procedure as well as a list of approved facilities. Your insurance company may be surprisingly helpful. A recommendation from a psychiatrist may be needed. If your husband has a regular psychiatrist, this would also be a conversation to have with him/her.

If you have Medicaid coverage, then you would also want to talk to someone at your Medicaid office about what is involved in finding in patient care.

I did a quick Google search on inpatient mental health facilities in Southern California and came up with the following links that you might want to check out:

https://www.psychologytoday.com/us/treatment-...

http://mental-health-facilities.healthgrove.c...

http://losangeles.networkofcare.org/pr/servic...

I am sorry to say that I don't have any contacts in Southern California so I unfortunately can't make any recommendations. I also can't vouch for these sites, but they popped up at the top of the list on Google. As always, do your own careful due diligence as you explore the options.

In the past, clients have done their own Google search and found sites that provide a list of facilities, like the links I gave you. They then did their own calling or emailing to facilities that looked interesting, and then talked to a rep about what is involved in getting admitted and what the financial requirements might be. They were then able to go through the process of getting a bed there.

Your husband is fortunate to have such a supportive partner. I encourage you to continue to be an advocate, to talk to your insurance company, or Medicaid/Medicare, and find out what your options are.

You might also want to consider getting some of your own counseling, if you aren't already. Get some support for yourself as you travel the road ahead with your husband. Care for the caregiver.

I hope you will stay in touch. Let me know how you're doing.

Gary

Answered By Answered by Dr GaryCA
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