Today I'm spending 24 hours to raise awareness about Mental Health for CAMH's Darkness to Light... come join me! (It's also my birthday!)

As a former employee of CAMH I disagree. CAMH is systemically an awful organization. Publicly they tout a policy of holistic care but in reality client care is dominated by the medical model. There is no multi-disciplinary 'team,' there is a clear hierarchy where psychiatrists dominate client-care, which ultimately leads to the over prescription of medications and a lack of support for patients when they leave hospital.

The fiscal problems in CAMH are primarily a result of this model. The staffing structure is overly dependent on expensive psychiatrists. CAMH employees almost 400 psychiatrists. That's double the amount of social workers, and 8 times the amount of occupational therapists. There are only 2 nurses for every doctor.

Do you remember the nurse that was beaten so badly she went blind? This is because there are not enough nurses. While there were 3 nurses on staff that night, CAMH saves money on staffing costs by employing agency nurses. 2 of the nurses on that night shift were agency nurses, and the only trained nurse was being beaten. The other two nurses had no idea what to do because they had no training and no idea where the panic buttons were to call a code. They ended up calling the main line, waiting through the welcome message and calling the operator...

For every psychiatrist CAMH could employ another 3 or 4 nurses.

I can tell you why the OP was discharged after a 30 minute discussion. It's because of their diagnosis of BPD, which is not readily treatable with medication. A therapist or social worker with DBT training would have been able to provide proper care in hospital and connect the OP with resources out of hospital.

However, the medical model dominates. Psychiatrists are quick to discharge patients with personality disorders because they require a lot of actual work beyond writing 'scripts.

One of the psychiatrists I worked with consistently sent over half of their patients, primarily with BPD, to receive ECT. Why? Because otherwise they would have to actually work with the patients. It's much easier to simply send them to get their brains fried, play candy crush, and then bill for the entire session.

The amount of improper billing is out of control. I have seen psychiatrists force other staff to put their billing number on discharge plans because "it's their patient," despite doing none of the actual work.

For every psychiatrist CAMH pays they could hire 3-4 other staff members. The OP could have received DBT from a therapist and been given support in the community. Instead he sat with a psychiatrist for 15 minutes who discharged him immediately with no plan. Which is basically the status quo for care at CAMH.

/r/toronto Thread Parent