Shedding light on involuntary hospitalizations

Delivered every Monday by 10 a.m., New York Health Care is your guide to the week’s top health care news and policy in Albany and around the Empire State.
May 15, 2023 View in browser
 
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By Maya Kaufman

Driving the Day

Among the many questions and concerns prompted by Mayor Eric Adams’ directive to hospitalize people who appear unable to meet their basic needs because of untreated mental illness: What would happen to them once they were brought to the hospital and evaluated?

New NYC Health + Hospitals data, which was obtained by the New York Civil Liberties Union and shared exclusively with POLITICO, finally shed some light.

The data indicates 38 people have been brought involuntarily to public hospitals by law enforcement or outreach workers since Adams announced the directive this past November.

Most of them were admitted after receiving a psychiatric evaluation, although 12 were admitted only for medical needs and not for mental health concerns.

Of the 31 people who were admitted to hospitals, the majority were discharged to homeless shelters or smaller and less restrictive “Safe Haven” shelters.

Seven of them were instead discharged to the state-run Manhattan Psychiatric Center’s new transitional housing unit, which was launched last year by Gov. Kathy Hochul.

As far as continuing care, the patients who were admitted were largely referred to street outreach teams, whose primary mission is to connect homeless New Yorkers to shelter and services.

But seven patients were also referred to the city-funded intensive mobile treatment program, which often serves people who are homeless and suffering from severe mental health issues, substance use or both.

The program, while promising, has limited capacity and is administered by nonprofits that struggle with limited funding and staffing shortages.

The data underscores hospitals’ reliance on the same few options to provide continuing support to patients once they are discharged, in the eyes of Beth Haroules, NYCLU’s director of disability justice litigation.

“The discharge planning is a joke,” she told POLITICO in an interview.

The city has yet to release data on the people caught up in Adams’ directive and their outcomes, which would provide more insight into how the directive is being implemented.

It is unclear how many of the 38 people sent to public hospitals were taken there due to an inability to meet their basic needs — the expanded criteria laid out in Adams’ directive.

A Health + Hospitals representative said the health system does not specifically track that.

But city officials maintain that they are building out an interagency infrastructure for reporting numbers related to Adams’ directive.

IN OTHER NEWS:

Nearly 300 resident physicians at Flushing Hospital and Jamaica Hospital in Queens called off plans for a five-day strike starting this morning after reaching a midnight deal with their employer, MediSys Health Network.

The tentative contract agreement includes an 18 percent wage increase over three years and limits on patient loads and non-physician tasks, such as clerical duties.

The state issued its last news release Friday on Covid-19 cases and vaccination rates. The data will continue to be available on the state Department of Health's online tracker, but dashboards tracking Covid breakthrough data, regional vaccination data and pop-up vaccination data will go offline as of this week.

ON THE AGENDA THIS WEEK:

Today at 11:45 a.m. The City Council hosts the Department of Health and Mental Hygiene for an executive budget hearing.

Tuesday at 10 a.m. The City Council hosts NYC Health + Hospitals for an executive budget hearing.

Tuesday at 10:30 a.m. The New York State Assembly Committee on Health meets.

Tuesday at 12:30 p.m. The New York State Assembly Committee on Mental Health meets.

Tuesday at 6 p.m. NYC Health + Hospitals hosts its annual Bronx public meeting at Jacobi Medical Center.

Thursday at 9 a.m. The state’s Drug Utilization Review Board meets.

GOT TIPS? Send story ideas and feedback to Maya Kaufman at mkaufman@politico.com.

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What you may have missed

— NYU Langone Health and Brown University’s School of Public Health are teaming up on a first-of-its-kind, federally funded study of the efficacy of overdose prevention centers in New York City and Providence, R.I. The four-year research project marks the first time that the federal government has funded a study of the centers, which are illegal under federal law because they permit people to test and use controlled substances.

The work will be supported by a $1.4 million annual grant from the National Institute on Drug Abuse, part of the National Institutes of Health. The grant will enable the researchers to enroll about 1,000 participants who have visited an overdose prevention center or used other drug-related services and track their health outcomes over time. Money will not be used to support the operation of the centers.

Odds and Ends

NOW WE KNOW — An ultrasound device implanted in the brain could make chemotherapy more effective in brain cancer patients.

TODAY’S TIP — How to find affordable therapy in New York City.

STUDY THIS — People who have sleep apnea seem to be at higher risk of developing long Covid, according to a new study.

What We're Reading

New baby bonds bill seeks to help kids who lost parents to Covid, THE CITY reports.

NYC’s largest supportive housing provider sues tenants to collect $1.1 million in unpaid rent, Gothamist reports.

Via The Wall Street Journal: Many Americans have moved on from Covid. She’s trying.”

FDA approves new drug to treat hot flashes, The New York Times reports.

National Maternal Mental Health Hotline received over 12,000 calls and texts in its first year, NBC News reports.

Dysfunctional federal disability programs force the poor to pass up money, KFF Health News reports.

The federal government’s $1 billion National Health Service Corps program is recruiting next generation of doctors at risk, The Associated Press reports.

“‘Why aren’t you taking care of us?’ Why long COVID patients struggle for solutions,” PBS NewsHour reports.

Via Axios: Inside HHS' plan to develop next-generation COVID treatments.

Odds and Ends

— “‘It ain’t gonna be good’: Green card freeze imperils health system,” Kelly Hooper reports.

Via POLITICO’s Daniel Payne:The pandemic changed a lot — but not the core of U.S. health care.

Top industry group for drugmakers loses third member in six months, Megan R. Wilson reports.

MISSED A ROUNDUP? Get caught up on the New York Health Care Newsletter.

 

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Maya Kaufman @mayakauf

 

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