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Doctor: Maryland needs assisted outpatient treatment so I can save my patients. – Maryland Matters

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Doctor: Maryland needs assisted outpatient treatment so I can save my patients. – Maryland Matters


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By Dr. Cynthia Lewis

The author is a board-certified psychiatrist and director of Grownup Psychiatric Emergency Companies on the Johns Hopkins Hospital in Baltimore. The views expressed are hers and don’t symbolize her employer. She could be reached at [email protected]

As a doctor, I took an oath to first do no hurt. Maryland’s lack of an assisted outpatient remedy regulation for civil dedication of these with severe psychological sickness, doesn’t enable me to stay as much as that oath. This has left me and plenty of of my colleagues upset, pissed off, demoralized and fearing for our sufferers’ lives.

My ardour lies in treating individuals with extreme psychological sickness reminiscent of schizophrenia and bipolar dysfunction, who are sometimes among the many most disenfranchised and susceptible.

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Whereas working within the Neighborhood Psychiatry Program at The Johns Hopkins Hospital, I used to be capable of type a collaborative relationship with most sufferers. Nonetheless, voluntary providers didn’t work for a small variety of sufferers with extreme psychological sickness who desperately wanted remedy and wouldn’t, below any circumstances, search it.

These sufferers, by no fault of their very own, lacked perception into their sicknesses. They genuinely had no consciousness of their signs and have been at a excessive threat of being victimized, arrested, or having their bodily well being deteriorate quickly as they did not deal with comorbid circumstances.

Later, as director of Grownup Psychiatric Emergency Companies, I noticed the results of remaining untreated. I’m uninterested in seeing the identical sufferers, typically a number of occasions every week, arrive in disaster, biking out and in of the emergency division, hospital inpatient unit, homelessness and jails, their signs  : criminalized.

The sample is acquainted. After hospital discharge, a affected person doesn’t have interaction with outpatient care. Remedy is both refused or not taken persistently. Psychosis escalates till dangerous sufficient to warrant hospitalization, both voluntarily or involuntarily. We begin the cycle once more when they’re admitted to the hospital, are handled, get higher, and are deemed stabilized sufficient for discharge.

No doctor believes that hopping from disaster to disaster does no hurt to sufferers. However presently docs haven’t any capability to intervene in these conditions outdoors of the hospital, and we’re helpless to cease the cycle.

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One thing is damaged in Maryland’s psychological well being system.

Maryland’s remedy legal guidelines lack a crucial device, one particularly for this susceptible inhabitants. We’re certainly one of solely three states whose civil dedication legal guidelines don’t embrace assisted outpatient remedy, or AOT.

AOT is for these with extreme psychological sickness and a historical past of not adhering to remedy, which might result in repeated emergency division visits, hospitalization, arrest, homelessness, victimization, suicide and loss of life. It provides courtroom supervision to a remedy plan, guaranteeing that the system can’t merely drop sufferers once they go away the hospital. I knew AOT may very well be lifesaving for my most at-risk sufferers.

Maryland’s inaction is traumatizing these of us on the frontlines. A 20-year-old affected person I highlighted in a presentation to my colleagues as somebody who wanted assisted outpatient remedy, died inside a 12 months of my presentation.

I knew she would die with no mechanism to maintain her in remedy. My employees required intervention from our Disaster Administration Staff after her loss of life, fighting the guilt of being a part of a psychological well being system that failed her. I’m offended that my sufferers are needlessly shedding their lives.

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I’m demoralized from calls with relations, begging me to assist their family members who lack the perception to simply accept care. I’m exhausted from having to elucidate that as a result of they stay in Maryland, their beloved one is allowed to be unwell and deteriorate. The state is extra involved about their proper to refuse care than their proper to lifesaving remedy.

I’m offended that my taxpayer {dollars} are being spent on a damaged system that fails us all and can’t present lasting stabilization.

There have been efforts for a few years to move an assisted outpatient remedy regulation in Maryland. I gave private testimony for AOT companion payments Senate Invoice 480 and Home Invoice 823. Now that I perceive that assisted outpatient remedy is what I’m missing to assist my sufferers, I’m decided to not relaxation till I’ve it.

Maryland’s failure to behave has led too many sufferers with extreme psychological sickness to fall via the cracks. They’re being denied any likelihood to steer protected, wholesome and dignified lives.

Assisted outpatient remedy is a device, and it’s a device that’s wanted to avoid wasting lives. My sufferers should stay in a state that may roll up its sleeves and repair what wants fixing. Let’s deal with this just like the emergency that it’s.

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Maryland

How to watch, listen and stream Michigan State football at Maryland on Saturday

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How to watch, listen and stream Michigan State football at Maryland on Saturday


Michigan State football heads out east looking to open Big Ten play with a big-time victory.

The Spartans will play at Maryland on Saturday afternoon in their first conference game of the year. Michigan State enters this matchup with a 1-0 record on the year following last week’s win over Florida Atlantic. Maryland is also 1-0 thus far on the season, picking up a blowout non-conference win over UConn last week.

Maryland enters this game as a more than touchdown favorite depending on the sports book. The Terps have won the last two meetings between these two schools.

Below are the details for Saturday’s matchup between the Spartans and Terps:

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Game time: 3:30 p.m. ET on September 7

Location: SECU Stadium (College Park, Md.)

TV: Big Ten Network

Live Stream: fuboTV (try it free)

Listen: Spartan Media Network or MSUSpartans.com

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Contact/Follow us @The SpartansWire on Twitter, and like our page on Facebook to follow ongoing coverage of Michigan state news, notes, and opinion. You can also follow Robert Bondy on Twitter @RobertBondy5.





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Partial victory in effort to preserve historic Black cemetery in Maryland

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Partial victory in effort to preserve historic Black cemetery in Maryland



Partial victory in effort to preserve historic Black cemetery in Maryland – NBC4 Washington







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Maryland issues a new suicide prevention action plan for schools, families – WTOP News

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Maryland issues a new suicide prevention action plan for schools, families – WTOP News


Suicide is the third leading cause of death for young people between the ages of 10 and 24 in Maryland. That’s according to a new suicide prevention action plan produced through the state’s Department of Health.

Suicide is the third leading cause of death for young people between the ages of 10 and 24 in Maryland. That’s according to a new suicide prevention action plan produced through the state’s Department of Health.

Scott Poland, the director of the Office of Suicide and Violence Prevention at Nova Southeastern University College of Psychology, talked to WTOP about the action plan he authored with his wife, Donna, who is a career educator.

The “Maryland Action Plan to Prevent Suicide in K-12 Schools” serves as a reference guide to school administrators and the community, and was developed in cooperation with the state health department’s Office of Suicide Prevention.

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Poland said one thing that surprises people is that children as young as 8 years old may consider taking their own lives.

“I hear from school personnel all around the country (asking if they) have to take it seriously (if a fourth or fifth grader is talking about suicide). And the answer is absolutely yes,” Poland said.

Among the data points in the action plan is a survey of students in the “Youth Risk Behavior Surveillance Survey of 2021/2022.” According to that survey, 21% of high school students “seriously considered suicide” in the past year, and 27% of middle schoolers considered suicide at some point in their lives.

Poland said it’s important to talk about suicide with young people, and that the idea that talking about it might encourage a young person to consider suicide is a “myth.”

“When we actually bring it up, it gives someone a chance to unburden themselves, to realize that they’re not alone, that there are alternatives and that there is help available,” Poland said.

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But he said young people are most susceptible to imitating suicidal behavior: “It is important that we not glorify the suicide victim.”

Instead, Poland said, the emphasis after a suicide should be on healing those affected and helping them find appropriate ways to deal with their emotions and mental health.

The plan released this week includes providing intervention action plans for a young person who may be considering suicide.

“Part of that, of course, is removing lethal means and developing a written safety plan with them,” he said.

Poland said that can include helping people understand “the importance of calling 988, doing things that can calm themselves down,” and reaching out to the nearest trusted adult.

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People can reach the national resource for crisis response services and suicide prevention by dialing 988.

Poland said social media is “wreaking havoc” on children’s emotional well-being, often making them feel “not smart enough, not rich enough, not good enough.” Poland said he’s currently working with the state of South Dakota on developing tools to help “young people be a little more mindful and make better decisions about their screen time.”

Poland said parents can help — when it comes to the hours and hours that many people spend online — by modeling healthy amounts of screen time themselves. And he said adults need to think about how they introduce technology to their kids.

“We’re in too (much of) a hurry to give kids smartphones and 24-hour internet access,” Poland said.

“I really have to compliment Maryland,” Poland said, on coming up with the new plan.

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Poland said Maryland does not have an especially high rate of suicide, but “I think we all recognize that losing one young person to suicide is one too many.”

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