Understanding Hospital Admissions: Voluntary vs. Involuntary and Their Typical Durations

Hospital admissions, particularly those related to mental health, can vary greatly in duration and are largely determined by the individual's needs and circumstances. This article delves into the differences between voluntary and involuntary hospital admissions and explores the typical lengths of stay for each.

Voluntary Admissions

Voluntary admissions to a hospital, especially a psychiatric facility, occur when an individual agrees to be admitted for medical or psychological treatment. Unlike involuntary admissions, patients are not compelled to stay and must give their consent. However, they still need to meet certain criteria, such as posing a threat to themselves or others. In the US, individuals who are not actively threatening themselves or others are often sent home with outpatient resources and advised to seek continued treatment elsewhere.

Voluntary Stay Lengths

The length of a voluntary admission can vary significantly depending on the individual's response to treatment and the specific needs of the patient.

Shorter Stay: Some patients may require only a few days of adjustment and medication changes. For example, my shortest voluntary stay was 5 days, and my medications were regulated and I was sent home.

Extended Stay: Other patients may need a longer period to adjust to new medications or to stabilize their condition. My longest voluntary stay was 3 weeks, during which my medications took longer to reach a therapeutic level, and I was helped to apply for medical assistance to be admitted to a residential treatment facility.

Longer-Term Care: In some cases, voluntary stays can last for months. I know of one individual whose voluntary stay was three months, and they were provided assistance in finding a group home.

Involuntary Admissions

In contrast to voluntary admissions, involuntary admissions are mandatory and occur when a person is deemed to be a danger to themselves or others. This decision is made by a medical professional and often involves legal proceedings. In most US states, including Minnesota, the initial involuntary admission is typically a 72-hour hold. If the patient remains a threat, they may be subjected to a longer involuntary commitment.

Involuntary Stay Lengths

The duration of an involuntary stay can also vary, but it is generally more defined than a voluntary stay.

Initial 72-Hour Hold: The first stage of an involuntary admission usually involves a 72-hour hold to assess the patient's condition and determine if they pose a risk. During this time, the patient is monitored closely, and their medications may be adjusted.

Further Assessment: If the patient continues to pose a threat, a doctor may apply to the courts for an involuntary commitment. In Minnesota, these commitments are typically for 6 months, with the option to extend if necessary.

Hospitalization Until Stabilization: Generally, patients are held in the hospital until their medications are stabilized and they are no longer a threat. At that point, they may be transferred to a residential treatment facility or, if applicable, allowed to complete their commitment on an outpatient basis.

Successful Outpatient Completion

In some cases, patients who successfully complete residential treatment may be discharged with the option to continue their outpatient commitment. This involves regular check-ins with a social worker to ensure ongoing progress and support.

Tldr

In conclusion, the length of a hospital admission, whether voluntary or involuntary, is highly dependent on the individual's medical and psychological needs. Both voluntary and involuntary stay durations can range from a few days to several months, with the specific length determined by the patient's progress and responses to treatment.

Keywords

Voluntary Admission Involuntary Admission Psychiatric Hospitalization

Conclusion

Understanding the differences between voluntary and involuntary admissions and their typical durations helps ensure that individuals receive the appropriate care for their mental health needs. Whether a short-term adjustment period or a longer-term commitment, the focus remains on the patient's safety and recovery.