The Real Reason No One Helped Gabbie Hanna | Nurse Practitioner Explains Broken Mental Health System
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- Опубликовано: 27 авг 2022
- Last week, popular Tik Tok influencer Gabbie Hanna concerned her over 7 million followers when she appeared to be having a mental health crisis on tiktok. Followers frequently asked the question "why is no one helping gabbie hannah" on tik tok in august 2022, questioning why nobody was checking on her or intervening on her behalf despite having wellness checks performed. Today we take a look at why mental health services, even when they are employed, are not equipped to handle mental health crisis. As seen on gabbie hanna instagram and gabbie hanna live, she has been experiencing symptoms that appear to be mania or pyschosis. We will also learn what defines those conditions, and how to help those you may love experiencing the same. Gabbie hanna tiktok august 2022 is in no way being highlighted here in order to expose her mental health. Rather, to point out that so many others like her experience the same thing every day, and our system needs to step up and fix it.
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I'm in grad school for mental health counseling to hopefully be a therapist when I'm done, and let me tell you, a large part of why there's such a shortage of mental health professionals is pay -- relative to education, the pay for LCSWs, LPCs, and LMFTs (the licenses that primarily work as therapists and in emergency/crisis psych) is ATROCIOUS. These professionals have AT LEAST a 3 year master's degree and make on average $45,000-$60,000. On top of that, they are often overworked with very little work/life balance and poor benefits -- especially for new therapists and pre-licensure therapists -- leading to crazy levels of burnout. Don't get me wrong, I'm so excited to work as a therapist, but, you're right, our system is BROKEN.
Pls everyone, if you're writing to your senators and house representatives already, also ask them to pass the Mental Health Access Improvement Act, which will allow LPCs and LMFTs to accept Medicare, increasing access for those who have that insurance. Also write to your state legislature and ask them to join the counseling compact, which can allow professionals to practice via telehealth across state lines, improving access in mental health shortage areas. These are no where near enough, but they're a start.
Thank you so much for sharing this information!!
@@NurseLiz thank you for shedding some light on just how awful our current mental health system is -- and you barely even scratched the surface. The system is basically being held together by the passion and compassion of its clinicians, but that only goes so far obvs 💕
THIS!!!!!!
100% it's crazy they are offering, here, $20/hr and want you to have a masters degree. How fair is that? I don't get it. I started my young academic career with an AS in psychology and realized I was really only set up for a job that I could have got fresh out of HS. I changed my major.
Sounds like lots of other medical aspects of healthcare.
I love how your content and channel has evolved into education and advocacy for patients, healthcare providers, and reformation of our healthcare system. You’re hard work is seen, and appreciated. Thank you for being you 💙
Thank you for talking about this Liz! I found her TikToks so hard to watch and I was disappointed to find so many people making fun of her online even though this must all be so distressing for her.
Also just to add my own experience with wellness checks. I first saw a therapist when I was 15 and had a wellness check happen at home and it was indeed done by an officer (female, presumably because I’m female as well). But it was absolutely the worst experience I’ve ever had in the mental health field. The officers basically treated me as if it was a bother to even come to my home and told me I was ungrateful for having a “mental health crisis.” It was extremely distressing because I was being actively abused and just serves as a reminder that the mental health system is broken.
The internet can be a cruel place, unfortunately. I can't imagine being her and having to read those comments.
Oh my gosh I am SO sorry you had to go through that! They are so often not helpful at all and can make things that much worse when people need help the most. Thank you so much for sharing your experience!
It’s true, it’s the same way in the hospital when you have certain patients but, you can’t get a 1:1 sitter for them because they are not “actively suicidal “. Mental Health definitely needs more resources. Thanks for sharing you said a mouthful ❤️
💯 it's all so messed up
Thank you very much for this insight and having this conversation 💛
Not done watching yet, however, great work, as always Liz! We do not speak enough about mental health.
This is such a worthwhile conversation. As a nurse manager of a locked unit in LTC with primarily mental health diagnosis residents I value mental health resources tremendously. I have had to turn down multiple referrals because the individual was too sick for my unit to handle as a result of our staffing challenges. My LTC is known and often the last option for many of the mental health referrals I receive. It pains me to turn them away as the will continue to stay in a hospital despite not requiring the acute care they required at the time of admitting to hospital. Not to mention all the regulations around psychotropic medications. Gradual does reductions because the individual scores "not depressed" on an assessment is a joke! It's all so very frustrating. I am trying my best to manage the lack of resources so my mental health stays stable. It's extremely frustrating.
🥰🥰🥰🥰🥰
Thank you so much for the work you do! I absolutely believe that is super frustrating and I wish you all had all the resources you need!
You ever get so bad when you feel like there's no hope left well that me the past 2 days
Canadian with BPD here: the thing about police coming to calls is something I have been yelling about for years. With my condition I'm often viewed as dangerous even if I'm not, which has lead to police being very verbally aggressive with me. One RCMP officer even handcuffed me because "the last one of these I didn't cuff tried to grab my junk." This happened in spite of a psychiatric nurse attending the scene and repeatedly telling the officer I did not need to be cuffed. The police have no place at mental health calls.
This gap in service is the most dangerous time for someone with SI. If someone ends their life within 72 hours of seeking help in the healthcare system it is “owned” by the facility as a sentinel event. I have investigated several of these cases. It is worse for those under 18 because there are fewer pediatric psych beds than adult beds.
I fortunately live in a place with an inpatient adolescent psych hospital that takes these kids straight from the ED, or direct admission if they are medically stable. They work with a clinical and medical team over weeks not days.
I don’t know if this model exists in any other state. I know it has saved lives.
Can we force adults to get help? No.
Can we force teens to get help? Yes.
There is still so much to solve.
thank you for sharing!
this video was absolutely FANTASTIC!!! Thank you so, SO much Liz for doing this! As a burnt out mental health professional (LCSW), I can't thank you enough for explaining this (well said) deeply broken system for everyone. You answered a perfectly timely question with a beautifully rich understanding of the complexities and damage of our current system. Thank you, thank you, THANK YOU!!
thank YOU💜
Im obviously in the dark I haven't heard about this, but thank you for talking about this topic bc its so needed
Wellness (or welfare) checks are also done by police here in Ontario, Canada 🇨🇦. They are definitely NOT qualified to handle the mental health aspects at all.
exactly. It is such a huge problem! I'm sorry it's happening in Canada too!
These days, in the US, people are getting shot for pulling into the wrong driveway or ringing the bell of the wrong house. I would never feel safe going to a person's house who is having a mental health crisis.
I’m a pmhnp student. You have shown me my future work load here. Thanks Liz!! 👍
And let me add this! I WILL make a difference with my education!!! I will pull others up. I will help other healthcare members advance themselves. I will help to change this world and educate the public about mental health.
I love the enthusiasm!
I saw this issue with mental health in the medical world. My solution; I first received two Psychogy degrees with a minor in substance abuse. Now, I am going through nursing school. I already feel more prepared than many of my peers to help more mental health patients as a nurse with many tool boxes at my will.
Maybe considered psychiatric mental health nurse practitioner
You explained this so well
thank you!
I had no idea how bad it was elsewhere. In CT, we have an abundance of psych beds (may wait a couple of days in the ED at most - I have waited up to 5 days, but that was a unique circumstance). Here, officers, social workers or the crisis team can "paper" you, which is a hold until you are evaluated. Then it is up to the social worker and provider in the ED to decide to either discharge or put you on a 15-day hold. And every ED I've been in has a psych section (some are better than others though).
Thanks for sharing! At least it's something, but we absolutely need to do better everywhere
Thank you for making this video and educating your viewers about this national crisis. Most of us have similar examples of people in our lives that have struggled to get mental health help.
For my current assignment at the ER, here are the steps
Pt brought in to the ER
UA,UDS,CBC,CMP,Alcohol
If everything is good, pt is medically cleared.
Then we contact behavior health crisis . The psy assessor will assess the pt via zoom and make a decision whether the pt will be admitted to inpatient psy facility or can be discharged and follow up with out pt psy.
The ER doc then will sign a 10-13 and after this is a waiting game for a psy facility to accept them. It can take awhile and the pt will stay at the ER. Usually with paper scrub and empty room.
If the pt has underlying medical conditions, the process is even worst.
Pt will be monitor with a sitter . Some facility has one , some facility use the security guard as a sitter. The primary nurse has to chart every hour .
Great job Liz. As a board certified mental health nurse, yes, burned out Plus provider panels fight with allowing us Clinical Nurse Psychiatric Mental Health nurses receive insurance compensation. What an all around US tragedy.
Well said! As a fellow APRN, I find that the longer I'm in the profession, the more I'm wanting to get involved in legislature & policy. Our healthcare system is so broken. We need to stand up for ourselves & for our patients.
Same, but I’m a fully licensed masters-level counselor (our letters vary state to state). There’s so much more to this… and complicated by how medical/hospital/insurance systems dictating psych treatment without understanding it even on a surface level. This means we have to contort to try to fit in a “medical model” but most mental health professions and training left that framework for more strengths-based and systems approaches several decades ago (dt effectiveness and ethics)… also mental healthcare is often now just a scapegoat for adult victims of systemic social issues, like public school teachers are for children. Individual interventions alone in these cases are a bandaid on a bullet wound
I happened to be another Live that was covering this case IRL that covered the “strangers” feed in real time. It was disturbing. Thank you for covering this hot topic
I can't imagine how such an invasion of privacy would feel
As a therapist who worked in community and php/IOP/residential settings, including with many clients with bpd/bpd-features, for many years (in 2 states in different parts of the country) until burning out last year and now looking to comeback in private practice, I wanted to add some context in defense of therapists sending clients back due to symptoms not being appropriate for outpatient, 45-60 minutes sessions no more than 2x week (why they do it, but some are not great in how they do this and do it too often). A lot of the time those symptoms manifest in no-shows, late cancellations, and/or not following safety plans. The cost of missed/partial sessions and the safety liability isn’t something most practices can afford. Such behaviors indicate a need for higher level of care… in some regions that means sending people to their PCP, which is an issue of insurance and the history of mental healthcare evolving in and around medical systems...
Unfortunately because the systems (not really one system but a matrix of public and private systems that barely communicate) are so underfunded, or funds misappropriated as profits are administrations’ top priority, and how insurances approve treatment, there’d be times when maybe 75-90% of clients were at least one level of care below where they should be. this is also a big factor in burnout rates bc we end up having to do way more than should be provided at that level and those things don’t always count toward quotas/billable hours, but the risks are too high to not do them. It isn’t that big of a deal when these cases are the exception and occur only sometimes but it’s become the rule…
The whole thing is a horrible situation. Most clinicians are doing the best they can but trying not to sacrifice themselves. You’d be surprised how many of us fight going to private practice but do so out of self preservation… We need a real mental health system that is funded, well resourced, and accessible… We need to respect mental health professionals for our expertise; stop looking to medical professionals and/or cops who too often manage to say/do objectively wrong interventions for that situation… When politicians try to avoid issues by blaming “mental health”, use that as an opportunity and call their bluff. If the issue is mental health, then we need to invest in mental healthcare… but also be mindful that counselors/social workers are taking a role similar to teachers in these conversations, expecting us to magically cure systemic problems that we have no chance in fixing with individual interventions
Sorry for the rant. Too many bad experiences sharing cases with medical professionals, esp nurses surprisingly, who were disrespectful and undermined my work… some parts of this video triggered those memories
I am in school now to get my PMHNP. Tonight before I saw your video, I was thinking about ending school and stay an RN. At 45 years old, maybe I just need to stay put. I have bipolar disorder and lived many years in a dark, miserable hell in a rural area with no help. I thought I wanted to help people like myself but I feel, like myself, it will be impossible to help people with the lack of resources we have. Our country fails miserably regarding mental health care. It's too overwhelming and school is very difficult.
just curious,,,what lack of resources would help?
Thank you for sharing your experience! I am so sorry your had to experience such a dark time with no help
@@StayPositive-sd8op just more people to work in mental health. More services for mental health issues, federal law and aid towards mental health care and treatment. This country is notorious for mistreatment of mentally illness. To the level of abuse not even 50 years ago.
I do have to say, after watching Nurse Liz's video on being "able to do hard things", I decided to stay in school. My first day of the semester was today, first class -- advanced pharm 🎉😭😄
@@NurseLiz Wow, thank you for responding! I will say, your videos have encouraged me to stay in school. Thank you for all that you provide by being honest in your videos. I appreciate you so much
*mental illness
Hi, I went through a weird psychosis in my twenties…
I was stressed at work (new computer system) and had some Mepergan (sp.) I took some to sleep. Got it for Wisdom teeth extraction. So, I was also under stress to show up for Army Reserve Drill to teach BLS. I was not trained to teach BLS at this at that time. I had an episode of panic and dissociation, with a pseudo - seizure situation at drill. I was taken home and my mother and husband took me to a Mental Health RN, two days later. I went into treatment and was wrongly diagnosed. I ended up going to a psychiatrist that put me through some analysis and decided I had a Major Depressive Episode. I have no idea how this diagnosis came about, but he hit the nail on the head, when he recognized I could feel no emotion. It took months and years to be aware and attempt to overcome and accept, I’m a crazy cat woman, divorced (he said, if I didn’t have sex with him, he would find, someone to have sex with….) I was on antidepressants trying to overcome a wrong diagnosed, major depressive episode. I should have left him at that second…
All this to say, you never know what is going on, just be kind! Let them talk!
Great job breaking things up for me.
Part of the problem is the complete corporatization of our health care system. When I went to my most recent Dr appointment I am given a lengthy email questionnaire including questions about anxiety, depression, stress. Interestingly, there were ZERO questions about fibromyalgia, pain or pain management! One would think that would be important! I am reading this thing and thinking that anyone who answers these questions honestly is a fool because your answers could easily be used against you and your 2nd Amendment rights. Very sad but many of us no longer trust the medical system or the judicial system.
You’re right- the answers could have unexpected outcomes. The answers to those questions are broad enough to identify nearly everyone with anxiety/depression.
Not only are there legal implications to a “positive” PHQ-9, you might also be affecting your ability to get life insurance- ever.
The questionnaires are usually skipped by healthcare providers, but more often, they are not addressed.
you got that right. and also the cdc that has the doctors to stop any benzos if the patient is on a pain med. They put me on one 9 years ago which I've been in the pain med for the past 20 years. So last year I was taking off the benzoyl and I haven't been right ever since..It's disturbing as ecer
YES! The fact that healthcare is a money-making business in this country is appalling.
@@NurseLiz Not sure what answer is here. I believe the medical costs is a separate issue from doctors giving control of our medical records to some 3rd party that reports our emotional status to the government. I do not think it is a good idea to turn more control over to our government; unless, it is to regulate and bring down pharmaceutical pricing. I have seen Medicare payments and it is almost embarrassing how little some of these doctors are getting paid for procedures. Would government controlling more of these costs further hurt doctors ability to keep their practices going? Will it effect the quality of people willing to go into the medical profession?
I lived in Canada for 6 months and their healthcare system is not a good one. Most of the citizens are not happy with the delays in needed procedures and the overall process. I agree, thr cost of medical insurance for the non Medicare insured needs to be brought down. However, I am completely against Medicare for all. I have had to fight on several occasions for aggressive care for several elderly. The “they over 80 and we will make them comfortable “ attitude is a disease in itself in the medical system. There is no doubt in my mind that Medicare for all would further this attitude, hurt the elderly in attitude and benefits.
Man, I thought Louisiana had horrible mental health care availability, but in my 17 years as a nurse, and in my experience with my family's mental health care and my own, I've never heard of waiting that long to get in to see a physician or for an inpatient stay.
Also, as a RN I was astonished to find out that there is no licensing reciprocal agreement across states. Especially during the lock down.
Ooo when you said police officers I instantly thought are they even trained. Yup no…😕😕😕
I literally had a crisis that was too much of a crisis for my local crisis center...
Thanks Liz ! Hoping people listen and we are not preaching to the choir.
Hi Nurse Liz. I graduated from Licensed Vocation Nursing program in California in 2012. I passed the HESI exit exam and when I went to take the NCLEX exam I did not pass. I became discouraged and gave up. I asked myself how did I graduate, pass the Exit exam but did not pass the NCLEX exam? I thought I knew all my stuff! I was devastated. It has been years but, Lately I have been going over refresher content I have from the flash drive my school gave me so long ago because I forgot the labs levels, med math and pharmacology. I want to retake the NCLEX exam and get my license. I am scared to fail again. Do you have any advice for me as far as what is a good source to study so that I can retake the NCLEX exam? Also, I just seen a video where you discuss that being a new nurse is hard, does that apply to Licensed Vocational Nurses as well? Or only Nurse Practioner? Is it hard for us too? I have also heard of new nurse bullying does this happen to new nurses too? 😔
Yes I need something concrete to fight this
The peer movement is the way to improve all of this...
Can I ask a question, is it possible for myself or someone in the mental health profession to consult with someone in a police station or local government to encourage or explain how it would/could benefit mental wellness checks and perhaps help situations that are mental health risks like psychosis when they are called?
even being seen in a specialized mental health facility can be traumatizing which is made even more likely since those facilities often have a shortage of staff as well and floor staff in those conditions get injured and burnt out at a significantly higher rate. Thank you so much for this video
absolutely, and your most welcome!
it's very interesting how when she was making expose videos of everyone who's ever done her wrong last year, everyone told her (correctly) that her ADHD isn't an excuse for how she acted, like she tried to prop it up as. but now all I see is comments like "she can't help that she called herself colored she's manic"
Most citizens do not know many states have mental health crisis units, that are often mobile! Look it up and spread the word 🥰
A lot of providers take insurance anymore! Found out that therapist are taking cash because they’re not getting insurance reimbursements that allow them to practice.
Together we can change the world 🤗
I'll keep my comments cool and respectful I've seen some other thing's on Miss Hanna and she has been accused of narcissistic behavior and attention seeking etc.. lots of strange things meantime I personally do not know here nor have I ever met her so who knows just hope she takes care of herself and perhaps get's Help.
They’re also only trained in pharmaceuticals. Many of us have exhausted those options after being a guinea pig for decades. Turns out much of what i was over medicated with was unnecessary. It was dairy and sugar etc. 😞🤷♀️💊💊💊💰💰💰💰💰💰
I listen to another YTer whose son committed suicide a year ago. He said that an organization called NAMI has been so helpful.
Mental health in the United States should be a big priority more than it is.
I’m confused. Do practitioners just show up at your door when in crisis? People and their families need to seek help
The mental health system here in Canada 🇨🇦 is SEVERELY broken...
ugh I am so sorry it's the same there!
That sucks! I’m in the US and I hear great things about the Canadian system. I bet it’s much better than here.
It is also different in different states
Also i have problems of clients listening to non health providers in the internet then their providers
Wellness checks need to be done with well trained social workers or trained medical personnel
You can't help an adult that doesn't want help. The cops did visit her. She didn't want help. You can't force help.
Look up psychosis before commenting.
@@jill6979 Oh Honey bunny, as someone that has had to deal with family members like her, I'll comment on everything I want. In the US, unless you are a danger to yourself and/or others no one can do anything for you if you don't want it. And even if the family says they are a danger, the cops can deem it as they see it. That's probably why when they checked on her she didn't get a 5150. So please, shut up.
the “help” that was presented was from police who were not trained in mental health crisis and mocked her. i think we have a lot of work to do. can’t blame everything on the ppl in crisis
Someone who has mania/psychosis isn’t capable of determining if they need help in most cases. The high of mania makes them feel like nothing is wrong, so they won’t seek help even when they are in grave danger to themselves.
@@Followmybliss777 Yes. I know this very well. But, in the end, if the cops don't think you are a danger to yourself or others no one can help her without her consent. Have you ever had to deal with the cops? You should know this.
us kids would try with my parent that would stop the lithium and went manic for a few months. she would never look to the cops she wasn't danger hersrlf.. We were finally able to get power of attorny
No. Because it was a skit. And she knew that kid that came over. All for clout.
Wouldnt it be useful to do training for medical treatment by psychologists?
it might help a little but I doubt it would fix the whole thing. Plus, with how stretched our psychologists are already in the system, I think it would be hard to do. But maybe it could be a starting point.
@@NurseLiz that makes sense :( I know there is a higher influx of psychologists than psychiatrists but it is still a very underserved population
San Antonio police have a mental health unit made up of trained CIT (crisis intervention trained) officers Earnie Steven’s San Antonio police officer (Ret) was one of the founders I believe of the Mental health unit
Austin police have a Crisis intervention officer who is also a police officer who is also a LLMSW
This is great -- should be implemented in other areas, in tandem with social workers & health care workers!
Remember Charlie Sheen's manic psychosis, 2011.
Why is governments in our Healthcare and mental Healthcare?it just limits the possibility to ever grow our mental Healthcare.
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It was much longer the 3 days
Can you help Eugenia Cooney?
Let’s give you five months and thrown onto a million different dangerous drugs, yeah of course the health system is messed up. Safer medicine is much needed and quicker help.
I’m pretty hopeless when it comes to modern medicine but I’m hopeful of future medicine even after being harmed, it’s better to be hopeful than hopeless
If we are going to be down health providers we are going to need better treatments, we really need a reform in health care and medicine
you don't truly know gabbie hanna, and what she's done.. do you?
Interestingly, why is there usually always a religious aspect?! 🤔
🤷🏻♀️
I love Gabby but she is such a tortured soul
honest question, why? She has been a bully most of her career. I really and honestly want to know why you really like her. It is an honest question. Like people who still support Trisha, I always wonder why.
@@nurseliz631 scammer!
No friends? (IRL)
Why does religion come into it. Let’s say religions didn’t exist. How would that play out. If that makes sense. What would be the underlying reason.
And even though they do - why religion. I don’t get it.
No clue! The people often aren’t even religious in a non manic state necessarily.
It’s very simple: we don’t need another “system”.
Our country needs God. Follow the 10 commandments. Do the right thing. Make smart choices. Learn a skill. Find a hobby. Get some grit.
Don’t have sex before marriage. Don’t do drugs. Don’t drink poison alcohol. Don’t lie.
Maybe your life will change if you think you’re having a mental breakdown? Try it, what’s the worse thing that could happen other than positivity if you try these options for one year. Maybe you’ll find your life going on a better direction?
Absolutely need help from many angles. But mental illness is like other illnesses, but the body system affected is the mind. Sometimes a biological issue. Praying for all who suffer.
If you find help if religion, then I'm happy for you. But this isn't a reality for most people and mental health diagnoses are real diseases that need real treatments. If this works for you, great, but please understand that we need a medical system that works for people who need a medical solution, too.
Well it’s a good thing Gabbie thinks she’s God