My experience began with being told by the phone intake person, I would be placed in the less…read moreintense program (aka IOP -- Intensive Outpatient Program). Billing called me, and I was told what I would be charged on my first day in the program. When I came for in person enrollment, I was told I would need to attend the more intense program (aka PHP -- Partial Hospitalization Program). I was told I would be required to attend that for 3-5 days, and then I would be moved down to IOP. When I arrived for treatment the following day, I was told I would be required to complete PHP (14 days) and then I would attend IOP. I had to get billing to call me to discuss the new rate. No one had told billing they had changed my program. Billing told me this lack of notification was a common problem. This was being done AFTER my first day of treatment and only because I reached out. On top of this, they knew I am a Mom with child in school and had a pickup schedule to deal with. They knew, in advance, I would have to miss one hour of the program a day. They also had no availability to offer me their advertised service of nuerofeedback therapy due to my schedule. I also had to miss treatment time for my personal psychologist and psychiatrist appointments because I was in treatment all of the regular times I could do those. The Meadows had me do my personal psychiatrist and psychologist appointments virtually during treatment times. If I had been in IOP, I could have attended every minute of programmed treatment, received nuerofeedback therapy, and attended my regularly scheduled appointments on my off time. However I feel, The Meadows knew this way they got payment for the entire program without actually needing to provide it. Insurance would pay as long as I was on site at least half of the day, which means, they got paid for the hour each day I couldn't attend as well as the few hours a week my outside providers offered me care while in The Meadows facility. My therapists RARELY started the day or the start after a break on time. The Clinical Director came in to speak with us to tell us to be sure to be present because they seemed to be getting more and more peer review requests from insurances lately, and he didn't know why. I can tell them why! My story should alarm any insurance company or self pay patient.
The Nurse Practitioner there was not extremely helpful. She had the attitude of "I know what I'm doing. You should just trust me." I came to her one morning, as she was walking in, with a concern. My regular psychiatrist had just gone into early labor that morning, and her admin had asked me to please follow up with the NP of my program. The NP yelled at me, and walked away. I left for the day upset and working on finding another doctor to help me. The two doctors I called told me to go to an ER, but I knew it wasn't an ER situation. I just needed to be seen ASAP. After I repeatedly called the front desk, the NP called me back and told me the reason she hadn't wanted to follow up was that she had seen me the previous day. She knew I "was fine." AND, to be fair, I was "fine." She did recommend a medication change, but was argumentative about providing lab work to support the need for the medication change. She claimed the labs were not reliable, but refused to tell me why. Once I did press her, she did give me a reason and told me to research it myself. I did! AND these particular labs CAN most certainly be unreliable, but not for any of the reasons she laid out to me. I question her competency. AND her bedside manner is awful! If you are a person who is willing to "trust blindly," she will probably work for you, but I want reasons and research presented to me when "trusting" a doctor with my health.
The first week in the program definitely gave me some helpful group times and gave me the accountability and safety I needed. However, as the program "dragged on," I realized between the fact that I was no longer willing to see the NP, all the "wasted" time, and the fact that because of my time schedule not lining up with the program's schedule I was not receiving all of the treatment from the PHP program, this program was not for me. I presented my safety plan as well as plans for follow up care to the treatment team. The treatment team did not feel my plan was intensive enough, so I chose to discharged myself AMA (Against Medical Advice) and follow through with my personal safety plan and follow up care.
I know good mental health care is extremely hard to find in Texas. I have no outpatient programs (within the last eight years) in which to compare this, so maybe this is the best you can get? But this was not an acceptable solution for me. It kept me safe for the week I needed it!
If you NEED someplace to help keep you accountable and safe, this WILL work! Be vigilant about evaluating whether The Meadows is helping or keeping you in treatment to receive payment from you and/or your insurance.