u/Embarrassed_Syrup476

My husband is an ED attending. He met a child (11) psych patient in the ER 9 months ago. She has some mental health issues (won't say more to protect her privacy).

Shes been on the peds unit for 9 months waiting for a group home or foster home. Cannot be discharged because CPS can't find a home for her. My husband wants to bring her home. I don't know what the ethics of all this would look like? I'm a social worker for adult psych so dual relationships are not allowed but are relationships in medicine different?

I posted a bit about the situation in the emergency medicine sub.

9 months ago my husband (ED attending) had a pediatric case. 11 year old suicidal thoughts. Very polite and chatty. He requested a psych consult. Today he saw her in the hallway with her nurse. She remembered him and gave him a hug. The nurse said yes shes been here for nine months on peds. Can't find a child psych bed and cps can't find a home so she's going to live here until they find a place.

Its so sad because she's healthy but not getting a proper education, her "friends" are ped residents and no family.

Is it becoming more common for kids to live at hospitals?

I see it quite bit with adult psych patients (work on psych inpatient) but we still discharge if they are not harm to themselves

Had a case where a child patient was being treated by an NP. No doctor supervision. Parent brought the child (13) in to NP because she was hitting at school. NP prescribed her Adderall, haldol and risperidone together and diagnosed her with autism. This NP had zero background in child psychology or neuroscience. The assessment was completed on the first appointment based on moms self report.

Mom said the child got worse. Came to ER and they requested psych consult. Myself (psych social work) and the psychiatrist came down, met with the family and admitted the child. The child didn't have autism and was taken off the unnecessary meds

I'm a social worker supporting psych patients (inpatient and outpatient). One of the outpatient client told me they don't like their meds and its giving them severe side effects. I told them to talk to their psychiatrist. She was told again by the psych its a good combo.

citalopram 40mg

chlorpromazine 50mg x3

clonidine 0.05mg

Propranolol PRN

Diagnosis PTSD and anxiety

She said shes falling asleep at work from this combo.

Is this an unusual combo? Or am I being misled by this patient? I don't mind advocating for my patients but I also don't want to interfere with psychiatrists job

The 5G and the bars look normal. Can send and recieve texts no issue. When I call my number from my daughter's phone it goes straight to voicemail.

Tried restarting phone, no luck. It was working fine till tonight

I work in the field of mental health and most of my work is coordinating care. I am a dual citizen so I've worked in Canada and the USA. Currently in Canada now and there's nothing long term for adult patients. Most of the people who stay at psych inpatient are fine after discharge but theres that 20% who cannot function at all and need long term care even if its involuntarily. We have no where to send them and they go through shelters, jails, short term inpatients and ERs. They cannot maintain housing and no landlord wants to rent to them. Or they have eviction orders against them. They go through multiple providers, have a list of medication thats not being properly managed and clearly struggling.

Whenever I bring this up to a psychiatrist they will say "evidence shows people do best in community and community based care is the way". For most people, I would agree. But I also think there are patients who need life long stay at a hospital or secure group home

Thoughts?

There's a phone repair shop in my neighborhood. The owner has 4 employees from overseas and he only pays them $20 a day (same country the owner is originally from) and put them in an one bedroom basement apartment. When he first advertised it, the assistant position was $50 per hour but he took it down claiming not a lot of Canadians applied. It was obviously a scam to bring in workers from overseas but apparently it's legal?

What can landlord do if tenant purposely lied about the number of people that will be living in the unit?

1 bedroom apartment. Tenant said it will be herself and 1 kid. When landlord came to fix a bedroom door, there were 8 kids. Tenant said she "forgot" to mention the number of kids. The kids broke the door by climbing/swinging on it

Every year, the school does "teacher of the year" and it always goes to the teacher who sacrificed the most. This year it was a teacher who worked from 7am to 8pm every day (admin said "an example of true dedication"), birthday cupcake for every student, had a classroom pizza party monthly and responded to parents requests/complaints 24/7. Admin said this is the standard we all need to achieve.

I feel like we are promoting unpaid work and martyrdom

Do you offer coffee and snacks to clients while they wait or during sessions? I was at a conference on Saturday and the presenter said it helps build rapport, provide comfort and something nice to do. Curious what others do

If a client found your home phone number after they googled you, called you on that number what would you do?

In my location, people who own a house pop up on Google and their house number (not cell) attached to it

A "single mom" on ow getting the maximum amount of benefits + child tax benefits. She told her worker the dad helps with diapers sometimes but no money. He makes good money and his address on tax return says he's living with his mom.

In reality, they are living together, everyone knows they are together but because of the 2 different addresses no one can say its fraud?

For end of year field trip, we went to a large park thats attached to a museum. We split into small groups. A student with behavior issues (i told the administrator i dont want to bring him but she said no its against the inclusion policy) ran away on the field trip. I had my back turned for 1 minute helping another student open their thermo lunch. As soon as I saw him running, I ran after him and a parent volunteer stayed with my small group.

He ran into the museum store, knocked over their shelves, cursed at the store worker and slipped hitting his head.

I immediately let my administrator know, my union and his parents.

His mom is saying she wants to sue the school for letting him get injured. Will I be held responsible for this?

On my new lease it says this:

The lawful rent will be discounted as follows: Rental Credit(s): $1,900.00 (09/01/2026) $1.900.00 Total Rental Incentive

They didn't tell me anything about 1 month free rent in person but is that what this means?

When are we allowed to physically hold children? I have a 7 year old that runs into the road or away from me when he is upset. Cps worker said you can try to talk him out of it, run beside them but we can only physically intervene when his life is in danger. I think this is a silly policy? He runs daily

I work part-time time at a hospital (private practice full time). Ive noticed most of the hospital staff will say "ignore, thats attention seeking behavior" when patients especially patients with bpd, threaten self harm or act out.

Ive been taught attention seeking is a negative way to look at things and its more the need for connection.

Is there a way to differentiate between the 2?