what to expect when being admitted to a psych ward (this is from my own personal experiences of being admitted to a mixed involuntary/voluntary facility and a valuntary facility, both for adults, both holding people of all genders):
•when being admitted they are going to ask you a lot of personal questions (mental health history, drug use, triggers, etc), sadly you will have to get used to talking to strangers during your stay
• when they tell you the name of the facility try to remember it, you might be asked where you are later to check your awareness
•they will take your picture for the records
•they will confiscate your phone (this is to ensure that you cant take pictures of other patients)
•they will confiscate all other belongings you have on you and keep them until you are discharged
•they will confiscate your clothes and shoes and have you change into scrubs and the famous grippy socks
•you might be strip searched to ensure you arent hiding anything and to take note of any distingushing birthmarks, scars, tattoos, etc (in my experience this was done by someone who alligned with my sex assigned at birth)
• you will probably have a physical medical exam or just talk to a dr about you medical history and what accomidations or meds you may need during your stay, you may be subjected to blood and/or urine tests
•the doors will be locked and you wont be able to walk out anytime (even in voluntary you have to go through the discharge process before leaving)
•if you use nicotine, depending on the place they will either provide you with nicotine patches/gum or allow you to have cigarette smoke breaks (you have to provide your own cigarettes or have visotors bring them to you and they dont allow vapes because they cant monitor what is in them)
•obviously no recreational drugs or alcohol is allowed
•the place itself will feel bland and clinical (think hospital but devoid of anything you could hurt yourself with)
•you will probably have your vitals checked everyday like compression arm cuff, heartbeat finger monitor and temperature taken
•you might have to wear a face mask at all times in the facility
•if you have a wristband from a hospital you can ask staff to cut it off for you
•you may or may not be roomed with other people (i was roomed with a female since i am afab nonbinary, idk how they room binary trans people)
•the bathrooms will either have a curtain or a door you cant lock (this is for your safety)
•depending on the place and your risk, you will be monitered by staff (in the mixed facility they had to physically see me every 15 minutes, just come into the room and check off a clipboard)
•there will be a front desk that is staffed at all times, feel free to approach and ask for things, ask questions or even ask if they want to play board games with you
•there will be a schedule for meal times and activities, it will be the same every day
•the food will be cafeteria food, think hospital or school cafeteria or possibly worse, they will already be aware of any medical dietary needs of yours but from what ive witnessed they do not do the same for religous or personal dietary needs (like a friend i made in the ward asked if the food was hallal, the staff didnt know but encouraged her to eat it anyway) they will also let you opt out of the prepared meal for something like a sandwich or snacks
•they will also have snack times in addision to the meals, but if at any point you are hungry, ask staff and you might get an extra snack or sandwich
•there might be coffee, it will probably be decaf, and the hours they serve it might be limited
•there might be patients who scream, cry, swear or have psychotic breaks
•there might be patients who are detoxing that might gag, puke or cough repeatedly
•there might be patients with visible self harm/suicide attempt wounds or scars
•there might be patients who are violent and/or sex offenders (the staff should keep you safe, but a patient hurting you is a possibility)
•if you have an outburst or hurt yourself or others, you might be physically handled by staff, given sedatives agaisnt your will, placed in solitary confinement or all three (this should only be done when nessasary to keep you or others safe, if the staff do this without reason or otherwise abuse you, you should report it to police when you have the chance)
•if you cry you will probably be left alone, staff might ask if you want to talk to them
•there will be cameras inside the facility but not in bathrooms, and depending on the place not in bedrooms either (this is for safety, so in the event of abuse there will be proof, i witnessed a patient to patient assault in the ward and the police used the footage to convict the perpatrator)
•there will be landline phones you can use, there may be limited phone hours, and they may limit your time on the phone, the phones are placed by the front desk so staff will be able to listen in on your conversations, they will let you write down phone numbers while you still have your phone during intake so that you can have the numbers later when making phonecalls (in my experience the time limit depends on the staff thats around so some will let you talk as long as you like)
•the phones you use will not allow you to call 911, if you are having a medical emergency you should inform the staff if possible (they will treat you or take you to a hospital if nessasary), if you need to report a crime you should ask the staff to call the police or otherwise file the police report after discharge
•there will be communial TVs with limited hours, you will need to ask the staff to operate the remote (one ward only had cable and the other one only had DVDs and us patients took turns choosing the movie)
•there will be daily group therapy, depending on the place it could be manditory (in the voluntary ward i asked why i hadnt seen any group therapy like the schedule said, and they said no one was asking to go, so i asked and i was the only person in the group therapy lol)
•they might have activities like yoga, art therapy, craft time, music time or other things (if you see it in the schedule you can ask them to tell you when its happening)
•there might be outside time in a fenced off area or there might be no outside time at all (this is for safety)
•the windows might be frosted, tinted or have a dotted film over them (this is for privacy)
•there will probably be activities that you can always access like coloring pages with crayons and/or colored pencils, puzzles, board games and paperback books
•you will get your clothes you came in back probably the next day, they might wash it
•visitors can bring you clothes but it has to have no strings (like drawstrings or shoelaces) no metal bits, and no graphic or offensive prints on clothes
•jewlery is not allowed unless its a piercing
•visitors can bring you books as long as its paperback, and journals as long as it doesnt have a metal spine, and other safe activities like paint by sticker books
•visitors cant bring blankets or towells, that will be provided by the facility
•anything visitors bring has to be checked by staff before they can give it to you
•you might not be able to recieve calls unless the person has an access code that they will provide for you, so you have to call first
•there can be meetings with visitors, it could be limited to certain days of the week or certain hours, your visitors may be subjected to a search, and your visiting time might be monitored by staff
•you will be given your psych meds as normally perscribed, they may have you open your mouth and lift your tounge after you take them to show that you actually swallowed them, you might be able to meet with a perscriber to get a med change
•you will probably have short daily private appointments with a counselor, this wont be as in depth as therapy but rather a way to check your progress, it could even just be like "on a scale form 1-10 how depressed are you?"
•you can still have any phone/telehealth appointments you already had planned, just inform staff and you might be put in a private room with a computer
•ask staff for things! like deoderant, toothbrush, toothpaste, blank paper, to print out an image of something that can cheer you up, honestly anything just ask
•ask staff if you want to shave, clip your nails, or apply makeup, you will probably have to do it in front of staff at the front desk
•for showers ask staff for towells, shampoo, conditioner and maybe body wash (the shower usually has a soap despensor in it) the shampoo and stuff will come in little cups, also if you can, ask for extra towells to place on the floor for when you get out
•your shower time might be limited, the shower probably wont get very hot (to avoid people burning themselves) and it will probably be a timed button that sprays water for 30 seconds at a time so youll have to keep pressing it to shower long enough
•the bed will probably not be very comfy, like thin foam matresses and scratchy sheets
•you can ask the staff for over-the-counter meds like ibuprofen, laxatives, sleeping pills, etc
•the days will feel long, try to keep yourself occupied with activities and phonecalls
•i encourage you to talk to the other patients! you can connect and relate to people in simular situations, older mentally ill people with experience, and just to make friends while youre there (ive even witnessed two men agree to have a romantic relationship only during their time in the ward, they called eachother "hospital boyfriends")
•i encourage you to journal about your experience and feelings while youre there
•how long youll be there really depends on your situation, although both times ive gone they said the usual stay was one week or less and thats how long i stayed both times
•they may require you to do certain things before you are allowed to discharge like get a med change, improve your mood, set up appointments with drs or counselors in the future, get stabalized on meds or show recovery in other ways
•even if you are voluntary, you will need to go through the discharge process before leaving like signing paperwork, collecting your belongings, setting up a ride to leave, and confirming that you have somewhere to go (ive witnessed staff hire taxis, and help people apply and get into shelters)
i dont say all this to scare you or keep you from volunteering yourself into a psych ward, just to warn you about things so that you dont have to be shocked by a totally new environment all at once like i was
everyones experience in psych wards is different, every place is different, i didnt cover psych wards for people under age 18, or gendered wards, or addiction recovery wards or otherwise specialized wards because i have no experience there
but despite the bad parts, my time in psych wards has seriously helped me, it kept me safe from myself when nothing else could, literally saving my life twice, it gave me very important med changes, and it gave me experience with other mentally ill people, like the older woman who told me "as mentally ill people we cant always trust our insticts" and other advice that has helped me
it may feel bleak, it may make you feel trapped, you may feel like you dont belong there, but the bottom line is this is place meant to help you, even if just in the most basic form of keeping you safe, housed, fed and properly medicated
and remember youre still a human, you still have rights, if anything unjust happens to you there you have every right to report it to the police
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