David is on a track to potential discharge in March of 2016. I won’t go in to the ins and outs of his program. I don’t necessarily agree with discharge at this point. David has been having difficulties the last two days. And a couple of times over the last month. If his care and issues aren’t properly documented, my fear is that he will not get the care that he needs. His behaviors are escalating. Please, don’t do him any favors by not documenting his care. If he does something, please document it. It is the only way to ensure that he is getting the care he needs. We saw this in his last placement where things weren’t documented in the lodge/cottage/residence. He ended up being discharged against doctors orders because Medicaid said he needed to go home since he wasn’t making any progress and was not regressing either.
When I question something relating to David’s care, it isn’t me questioning you or your integrity. In most cases, I am not questioning your company or organization policy. I am questioning the system of care that forces archaic and anarchistic ideas on a population who doesn’t understand why things are the way they are. So when you say “this is the way it is”, my first question is going to be one of two things… “Why?” “How can we change it?” In most cases, there should be no need to relinquish custody to get mental health care. Am I saying that I am against giving custody? No. I am just saying that it shouldn’t be the only way to get him care. what is so magical about custody when needing mental health care? Why does giving custody to the state grant the appearance of more or better care? We will
Last summer we heard from the psychiatrists, “in order to get the level of care he needs, you need to give up custody.” I asked then, “why?” Again this month we are hearing “will you give up custody to do this… ” and the answer isn’t easy. It is something that we have struggled with. Yes, in the event that was the only way he could get the care he needs, we would do that. Giving up custody doesn’t mean that we aren’t his parents. It is the next level of care. I have a question though. If he can access all these wonderful services while in the custody of the state, or county, why can’t he access those same services when he is in our custody? What is so special about state custody? He has already been abandoned once. Why would we want to make him feel like it