Home Visits and Emergency Psychiatric Care in Taiwan - Psychiatry

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I sent this a few days ago and I'm not sure if you forgot about it.
You mentioned home visits; what does that entail and where can I find someone to come? He usually behaves like a normal person and is fine most of the time.
If a doctor suddenly comes for a home visit or forcibly takes him for treatment, I'm afraid he might not handle it well, especially since I've been doing everything secretly.
I'm worried he might find out that I was the one who spoke up, and he could react negatively towards me.
That's why I'm considering taking him for treatment only when he shows symptoms.
However, I'm also concerned about what to do if it happens at night or in the early morning.
Should I report it to the health center and wait for the symptoms to appear to know how to handle it? I wonder if that would work.
During the process of sending him to the hospital, he might cause a scene, right? What documents do I need to bring to the health center? Once we get to the health center, who should I talk to and how should I communicate with them? After speaking with the nurse, will they immediately take my mother for hospitalization? I apologize for asking so many detailed and intricate questions, but I really don't understand these processes.

Qing Tian, 20~29 year old female. Ask Date: 2006/09/08

Dr. Zhang Zhehong reply Psychiatry


Home visits refer to physicians and nurses visiting patients at their homes for consultations.
Sometimes, we use indirect reasons for the visit to first establish trust with the patient, and then attempt to persuade them to seek medical treatment.
Mental health symptoms can be likened to asthma; if treatment is delayed until the symptoms become severe, it becomes more difficult to treat and achieve full recovery.
Therefore, prompt treatment is crucial.
Health centers have dedicated nurses responsible for managing mental health patients, and they possess extensive professional experience in handling such cases.
You only need to provide them with the relevant information about the patient, and they will discuss the plan with you in detail.
They should also be able to provide information on local resources for home visits.
Please call your health center as soon as possible! Wishing you success.

Reply Date: 2006/09/08

More Info


Navigating the complexities of mental health care, particularly for conditions like depression and bipolar disorder, can be challenging, especially when it involves a family member. In Taiwan, there are specific protocols and resources available for home visits and emergency psychiatric care that can help you manage your mother's condition effectively.

Understanding Home Visits:
Home visits in the context of mental health care typically involve healthcare professionals, such as psychiatrists, psychologists, or social workers, coming to the patient's home to assess their condition, provide therapy, or ensure that they are adhering to their treatment plan. In Taiwan, these services can often be coordinated through local health departments or mental health clinics.
To initiate a home visit, you can contact the local health bureau or a mental health clinic in your area. They will guide you through the process, which may include filling out forms or providing information about your mother's mental health history. It’s essential to communicate your concerns clearly, especially regarding her unpredictable behavior and any potential risks involved.

Emergency Psychiatric Care:
In cases where your mother exhibits severe symptoms, such as aggression or suicidal ideation, emergency psychiatric care may be necessary. This can be initiated by contacting emergency services or going directly to a hospital that has a psychiatric unit. In Taiwan, hospitals are equipped to handle psychiatric emergencies, and they have protocols in place to ensure the safety of both the patient and the staff.

If you are concerned about her reaction to being taken for treatment, it is crucial to have a plan in place. You might consider waiting for a moment when she is more stable to discuss the possibility of seeking help, or you may need to act quickly during a crisis. If you anticipate that she may become violent, it is advisable to involve professionals who are trained to handle such situations.

What to Expect During the Process:
When you take your mother to a health center or hospital, you will typically need to provide identification and any relevant medical records. It’s helpful to have a list of her medications, previous diagnoses, and any incidents that highlight her condition. You can explain her situation to the nurse or doctor upon arrival, and they will assess her condition.
In Taiwan, the healthcare professionals are trained to handle sensitive situations and will conduct a thorough evaluation before determining the next steps, which may include hospitalization if deemed necessary. It’s important to remain calm and supportive during this process, as your demeanor can influence her response.

Safety and Support:
Given your concerns about her potential reactions, it may be beneficial to have a trusted family member or friend accompany you for support. This can help you feel more secure and provide additional perspectives to the healthcare professionals about her behavior and history.

In summary, while it can be daunting to seek help for a loved one with mental health issues, there are structured pathways in Taiwan to facilitate this process. By reaching out to local health services, preparing for emergencies, and ensuring you have the necessary documentation, you can help your mother receive the care she needs while also protecting yourself and your family. Remember, you are not alone in this journey, and there are professionals who can assist you in navigating these challenges.

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