Ah! The poll arrived. Now I understand what you are asking.

My therapy has always been completely voluntary and is not tied to my psych meds in any way, shape, or form.

I know that the hospital I use does require all patients to have an appointment set up with both a pdoc and a therapist before they are released. That doesn't mean they actually check on you later to see that you followed through though--they don't, but they do try to get patients to set up these appointments for continuity of care. It was a non-issue for me as I was already seeing my T before my first hospitalization, and it was actually through the hospital that I met my pdoc and continued to use him as my private pdoc after I got out. But neither my pdoc or my T require I see the other. They prefer it, but it isn't a requirement.