Tashawn Pellington was 22 weeks pregnant in August 2024 when she walked into a Knoxville detox facility carrying her overnight bag. The intake nurse looked at her belly, then at her chart, then told her the program could not accept pregnant patients and she should go to an emergency department. Tashawn had been using fentanyl … Read more
The pediatric ED at Stanford Children’s admitted Anneliese Toomey at 5:42 a.m. on a Sunday in October 2024. She was 16, weighed 78 pounds at 5’5″, and had a resting heart rate of 36. Her potassium was 2.8, her phosphorus was 1.6, and her ECG showed a prolonged QT. The intake nurse told her mother … Read more
Damien Halsey arrived at a 28-day program in Bend, Oregon, in February 2024, three days after his last methamphetamine hit. He had been smoking ice for nineteen months, lost a CDL job, and was sleeping in his Subaru when his sister drove him to the facility. The program had a single substance-use track. Day one: … Read more
U.S. eating disorder treatment guide: levels of care, average costs, what insurance must cover under parity, evaluating centers, and free or low-cost resources.
Sergeant First Class Marcus Eriksen completed his fourth deployment in 2017 and spent the next six years quietly disintegrating in a rental house outside Fayetteville, North Carolina. He started drinking after the third deployment and never really stopped. He startled at fireworks, at car doors, at his daughter dropping a plate. He could not sit … Read more
The Phase Most Patients Underestimate Discharge from inpatient psychiatric hospitalisation is the moment most mental health care narratives end. The patient was in crisis, then in the hospital, then home, and the story is over. The clinical reality is the opposite. The discharge is the start of the most consequential phase of the recovery arc. The decisions … Read more
Why Substance Use Has Its Own Levels of Care The continuum of mental health care has a parallel continuum specifically for substance use disorders, with its own terminology, its own clinical structures, and its own evidence base. The American Society of Addiction Medicine, often called ASAM, has codified this continuum into a set of levels that providers, … Read more