Reply to CNMC for neuropysch eval?

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Reply to "CNMC for neuropysch eval?"

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[quote=Anonymous]The only thing the CNMC psych ER does is decide whether a kid can be admitted. If they aren't admitting the child, they won't provide medication and no psychiatrist will meet with the child. They just give you a list of community resources. Calling ChAMPS can be helpful sometimes--they can help deescalate a situation or call 911 if they think it's necessary, and having them accompany you to the ER can help increase the likelihood that the child will be admitted.

Admission doesn't guarantee improvement though--it's more like respite care with some new meds added in. There's a bit of group therapy, very little individual therapy (and no time to build rapport), and some nurses are better than others about calming kids down (if they can't, the options are seclusion, Benadryl, and/or Haldol). The kid will miss a week of school, and there is no followup with CNMC after release.

If you truly cannot keep your kid safe at home, then inpatient is the only choice. But if you don't want inpatient, there is no reason to go to the ER. You will sit for a few hours, chat for 10 minutes with a social worker, your kid will eat pizza and watch cartoons (if you are lucky enough to get a room and not be in the hallway) while wearing a hospital gown and there will be a bunch of other families in crisis around too. [/quote]

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