the facility I work in has a system wide data base. In order for them to see behavioral information they client signs a release. At least where I live behavioral has much stricter HIPAA rules.

The one time I went to the hospital for mental health reasons, I called T first. She asked me to have the Dr. call her because she had preciously worked there and would vouch that I was safe and do everything possible to keep me from going inpatient as she knew that it was not necessary and would cause more more harm than good. They had a couple of phone calls that day and she gave him a plan