I find it almost unreal, but there it is. I used to work in an inpatient acute psych ward. The ER would just send them there. There was one time I had to get the house supervisor to pull staff off the floor so they could be supervised in the front lobby (easy front door access if they wanted to leave). I would not even have known they were there except I spotted people outside the window as I walked by to do an eval we had gotten. I had several medical patients who came down. During the course of a month I sent five cardiacs who ER had sent to me for depression. Glad none of them coded while I was evaluating for depression, all postCABG. I see them in the waiting room, living in the parks. I am not sure what to do. I even dropped off pamphlets at the law enforcements' offices to educate them on psych patients and substance abuse, often self-medicating because they can't get the medical help they need. Don't know how to fix it. Nurses might be able to do something if we united as one voice. There are certainly a large number of nurses across the USA. But how to fix it, that is unexcusable. She should have never died because of neglect.