Change of Placement.What happens if… David has been in a facility placement since October of 2015. Now he is nearing the end of his time at the current facility. Plans are to transition to another facility when a bed is available. We wanted him to finish out the current school year in his current placement. So placement change will come in the next 6 weeks or so. Interesting enough, his certificate of need (insurance authorization) expires at the same time. So this post is a what happens if… or How can Change of Placement be successful if options aren’t available? What happens if a bed is not available and the certificate of need is denied? The next placement is a step down from his current facility in an effort to ultimately return David to our family home. At present, while we have had successful day passes, no one in the
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.
Got a call this morning from CPS. Child Protective Services received a report that I restrained David by pushing him to the pavement last Friday evening. If I pushed him to the pavement, where are the bruises, scrapes and blood? If I pushed him to the pavement, why did the deputy sheriff not say or do something? This didn’t happen in quite the way it was reported. Yes I restrained him. But it wasn’t by pushing him to the pavement. I restrained him on the steps going into the house because he was trying to hurt me. This is the same child who was trying to hurt me in the ER waiting room and then had to be restrained. David can’t keep his lies straight, and even just a read through of his notes from the current hospital stay, the charts indicate that he hasn’t been consistent in his lies