Some patients may be referred to outpatient care when inpatient care is no longer required. This is called subacute care. Restriction remains the focus. Patients are provided with beds, meals, medication, group therapy, and optional activities, the aim still being 24-hour supervision. But these patients receive more autonomy and independence. Now they get to choose what they do.
So Austin is back. Big surprise there. He was released into outpatient care for a number of weeks until I assume shit hit the fan. I finally read his chart last week. Austin has ADHD and bipolar disorder and is currently being treated for both with medication. He is given lorazepam, mirtazapine, and the combination of olanzapine/fluoxetine on a daily basis for the stabilization of his mood, a clash between irritable and flat-out deceitful.
My advice for Austin is simple. Until he is able to channel his behavior, often perceived as insolent and bothersome, into a creative, practical outlet, the LRC may very well be his final destination, at least for now.
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