Holiday Madness

Looking for quick help, some patients instead found themselves locked in a county mental health unit and not going anywhere.

For Kelly Robertson, it all started stupidly enough with a fight on Twitter with her boyfriend. She wanted to leave town; he didn't. She went home, argued with him face-to-face and had a meltdown.

She'd been diagnosed with depression four months earlier, was in a doctor's care and on medication, but it was clear on Thanksgiving Eve that her emotions were careening out of her control.

Her regular doctor was on holiday, and whoever was on call didn't know her, so Robertson reasoned that she needed to look elsewhere for help.

The 29-year-old assistant professor and technical director at the University of ­Houston-Downtown called police. They came to her apartment and told her that she should go to the NeuroPsychiatric Center at Ben Taub Hospital, the mental health emergency facility. Her boyfriend, Mike Switzer, took her over and they arrived about 1 a.m. Thanksgiving Day.

Robertson thought she would talk to a doctor, maybe get some different medication and be on her way. During her conversation with an NPC psychiatrist, Robertson agreed to voluntarily commit herself; she thought she'd be in a day at most; her boyfriend heard "two."

Around 9 a.m., when she still hadn't received any medication or treatment and had started feeling better on her own, Robertson wanted to leave.

"They wouldn't let me," she says. Instead, they involuntarily committed her on the spot and ordered her transferred to the Harris County Psychiatric Center, a 250-bed facility. If, as her attorney says, she had just slipped out in all those hours of waiting, what followed never would have happened.

HCPC, like other mental health facilities in Texas, has 72 hours to bring an involuntary commitment before a judge. Robertson thought, okay, worst case scenario, she'd be out in three days.

But weekends and holidays don't count, she found out. Unless HCPC let her go earlier, the first she could be considered for release would be the following Wednesday, a full week after she went in, she says.

"I tried to reason with them, that I was there voluntarily and they should let me go."

NPC, part of the Mental Health Mental Retardation Authority of Harris County, remained adamant. Around 11:30 that morning, Robertson and other patients were transferred in unmarked cars to HCPC. She spent the rest of that day and the four days that followed drawing pictures, playing cards and sleeping; she even made a graphic comic of her adventures. She missed Thanksgiving dinner with her boyfriend's family and hers. Bill Savoie, an attorney friend, tried to intervene on her behalf and basically got nowhere. Her own doctor talked by telephone with the HCPC psychiatrist, Dr. Alejandra Suzuki, who refused to remand her to her custody. (HCPC says this isn't possible; an outside doctor doesn't have privileges).

When she saw Dr. Suzuki again on Monday morning, Robertson was finally released. She got a referral and a 25 mg increase in her Zoloft dosage.

Thirty-nine-year-old Tammie Hatton of New Caney was in at the same time for depression and feels a similar sense of betrayal.

"I went in voluntarily to NPC. They said I would get individual counseling, I would get group counseling. When I got there, the nurse said, 'Oh no, we don't do that; the only thing we do is get you set up on your drugs and we get you out of here.' I was very angry. I told them, 'I came in here voluntarily; I want out.' They said, 'You're here under depression; you're not going anywhere.'"

Over at HCPC it was more of the same, Hatton says.

"I was told by the nurse they put you on your meds and get you level. That's not what I need. I need to talk to someone about why I'm depressed. She said, 'Well, we don't do that here.'"

What they and several other patients say they found out that weekend was:

• Voluntary commitment does not mean you have the right to walk back out if a doctor believes you are a danger to yourself or others.

• NPC and HCPC aren't the best places to head to if you are ­looking for a lengthy heart-to-heart.

• Time spent with an HCPC psychiatrist is usually limited to ten to 15 minutes and falls along the order of medication adjustment.

• There are a lot of rules at HCPC, and they seem to change all the time depending on what tech is working. Most techs are nice, but some are rude and mean and seem to regard HCPC as a military operation or a prison.

• Group therapy at HCPC is worthless.

• If you have any hope of getting out, you'd better discard whatever persona you walked in with and be agreeable, happy (but not too) and definitely a nonaggressive master of disguise.

• Above all, try not to have mental problems right before a holiday unless you're looking forward to a long stay.
_____________________

Geri Konigsberg is the longtime spokeswoman for HCPC and, of course, she and her organization see these things from a very different perspective.

Just the fact that former patients are out there complaining about their stay points to the irredeemable truth that they are alive to do so. NPC and HCPC kept these people safe while addressing their most immediate needs.

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  • Mallory 02/12/2010 3:51:00 AM

    Wow, a lot of these comments are so crass and mean. No wonder people have mental breakdowns. No one here knows what happened, please refrain from making judgements. And bottom line: if you have a meltdown at 1am there is NO WHERE to go to. Call your doctor and you will get an answering service, or be told to go to the Mental Health at Ben Taub. Go to Ben Taub and say you are depressed and you will be transferred to HCPC--whether or not you are suicidal. The teacher had "suicidal ideation"--which translates to suicidal THOUGHTS, not threats or actions. I would think the 'mental health professional' up there would know that.

  • Sean C. 01/17/2010 3:38:00 PM

    What ever happened to friends and family for emotional support? I think there is a time for this type of facility and treatment... But when a middle age woman breaks up with her boyfriend over twitter and is "LIEK OMG SOOO SAAAAD!!11one"? And then she has the gall to get butthurt about treatment?

  • A mental health professional 12/29/2009 6:07:00 AM

    HCPC is not a clinic nor is it there for long term treatment. I think this article was totally unnecessary, and more the belaborings of a professional who is upset that she spent time in a psych facility. Get over it - if you make threats to yourself or others you've earned your stay. Let's stay this case turned out differently - patient went begging for help at NPC and was turned back out on the streets only to kill herself - then we'd all here "NPC or HCPC doesn't care, they turned a suicidal patient out on the streets". Can't win for losing. Just suck it and go on with your life. Everybody goes through bad times, we've all been there and life does get better.

  • Lynn 12/28/2009 8:07:00 PM

    What exactly did these people expect to get from their actions? I never thought of a county run psychiatric hospital as somewhere to run if I broke up with my lover, or had a big fight with my boyfriend. And if they had private doctors prescribing meds, why the hell didn't they call the doctors' service? I mean how naive are you people? Yep it's a big drama to have the police come and take you to get help, I'm sure it impressed the heck out of your loved ones....like holding your breath until you turn blue. Sheesh. Yeah the system worked how it was supposed to. Next time opt for your own doctor's help instead of all the drama. And don't yabber at me about depression. Been there done that forever. Stay on your meds and stop using taxpayers money to help you deal with your trifling little breakups or family arguments.

  • Gary Packwood 12/24/2009 12:51:00 AM

    I can think of several 'set-your-hair-on-fire' challenges with the Harris County Mental Health Service System but this issue with NPC|HCPC is not one of them. Lack of services for children perhaps but a college professor and Technical DIRECTOR with advanced degrees in a ...meltdown? No way! If earning an advanced degree didn't drive her into a meltdown, I would have voted to place here in NPC|HCPC as the only option until someone figured out if they were dealing with drama or drugs or both. Looks like the system worked for the good professor. She is alive and functioning...apparently. Hopefully she will continue to stay on her medications as she begins again to work with college students who need a teacher and not a sometimes resident of NPC|HCPC :: GP

  • JT 12/24/2009 12:47:00 AM

    "To be fair, depression wasn't the be-all and end-all of the problems Robertson and Hatton were experiencing. Robertson says she was having some "suicidal ideation," and Hatton, who hadn't been on her prescribed medicine for two months, says her older son says she told him she had a gun and was going to kill herself and her family � statements she denies making." That qualification kind of invalidates both examples right there.

  • Magi 12/23/2009 11:43:00 PM

    Someone was inconvenienced on a holiday weekend? Grow up!! Be glad that you received intervention and you are still alive to complain. Mental health care involves making some tough calls and if there is even the slightest chance that someone could be suicidal then that person should receive mental health treatment, voluntary or involuntary. Bottom line: THE SYSTEM WORKED.

  • lynn 12/23/2009 10:25:00 PM

    So people are involuntarily committed, if they are a danger to themselves or others? I am not sure what the real story is here. This place is an alternative to jail for many people who are suffering from mental illness and a much better alternative at that. It is an asset to the community. Thank goodness, these patients were being observed while they were feeling out of control. While not the most ideal situation, they are all still alive. Why would someone with health insurance want to access this facility? Why would someone want to go here unless taken there by the police (I thought that was how most people got there.) I think the story here should be to let us know where we can go, if ourselves, our friends, or our family is suffering a breakdown at 1 am. Otherwise, the information is a little bit useless. These people, who are so upset, seem to have no idea where they were going or what its purpose is.

 

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