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Compliance – Continued Medication Issues

Compliance – Continued Medication Issues We are in week two of David’s not getting his medication as prescribed. Thus, he is out of compliance, though it appears to be a systems issue. Today, I contacted the detention unit, asked to speak to the medical person, and was transferred to him. When I asked what the issue was, the nurse said “he is not in compliance.” I asked, if he was refusing to take the medication, and rather than providing me an answer, he said “who is the probation worker?” (I use probation worker as a loose descriptor for the person involved in David’s case.) I explained who we are working with, and gave the nurse that information, as well as contact information for the worker. The nurse then said “thank you” and ended the call. So I called and left a message for the probation worker. I also called our

Destroying Success – please pray that we aren’t

I title this post “Destroying Success” for a simple fact. David has been in facility based care before. He has been discharged from such a care to home three times out of the 5 placements he has had. Each time home has resulted in behaviors so volatile that he experiences frequent trips to the mental health unit at the hospital in the city, frequent visits by law enforcement and many trips to safe bed. By volatile, I mean violent aggressive behaviors, not to mention stealing, forging and other activities like trying to kill pets. So he transitioned to his current placement in late June of this year. He is successful. He is always successful in placement. Sure he has rough periods, but what teen doesn’t? Heck, I would wonder what was wrong if he didn’t have rough periods. So why would you destroy the safe world that he is in

Feelings of Futility

We are pending approval for placement in a psychiatric facility. Placement is dependent on the insurance company approving the need. Certificate of Need is generated by the insurance company. This allows placement. Certificate of Need is based in part on the last psychiatric appointment that David had with his doctor. So, we finally received the notes from his last psych appointment. Again, the record is inaccurate. Every time we have to argue with medical records to get copies of the record, the notes have been inaccurate. I understand that doctors are busy people, but when placement hinges on accurate notes, writing things like this destroys any chance of placement. The doctor wrote that “patient swung a shovel at his father and broke the sewing machine, after his father washed his mouth out with soap.” Among other things, David is a known liar. The shovel incident happened because we were holding