David has been home for most of 10 days. Has it been perfect? No. Do I expect perfection? No. I am proud of the changes that I am seeing in him. Does he still have mental health issues? Yes. He is not cured. Not by any means. For now, I will take it. We are still struggling with getting therapists and psych teams set up. Since he has been in facility for more than 2 years, he is considered a new patient by his last psychiatrist. As a result, it will be April before we can get in and see her. I am begging for a spot on the call list. You know, the list that they can call if an opening happens because of a cancellation. Playing phone tag with mentoring. 🙂 At least that is on the schedule. As far as medicaid is concerned, no news. Since the
So, evidently, a majority of David’s team at the Psychiatric Residential Treatment Facility (PRTF) thinks that he is ready to come home. Never mind the self-harming and manic episodes from last month. Never mind the negative behaviours or need for him to have a highly structured environment. So while his Mother and I don’t think that he is ready to come home, and that his primary doesn’t think he is ready to come home, and that some of his care team that has been with him since basically the beginning of our struggles to get him services doesn’t think he is ready to come home… There is a pretty fair chance that he will be released in the next two to three weeks. Today I was asked if there was a discharge plan in place. HELLO?!? Up until last Friday we had no idea this was even on the radar!
David was away from his residential Psychiatric Residential Treatment Facility. He was undergoing a med wash at another facility in our state. Since David is a special needs child, and was a special needs adoption to begin with, he is covered by Medicaid until he turns 18. In order to be placed in a facility, something called a certificate of need (CON) is generated periodically. Typically, 90 days. David’s latest CON is for 30 days. Why? Because while David was away from the facility we didn’t undergo family therapy. David has a number of diagnoses, including Reactive Attachment Disorder. Because of David’s birth history and prenatal care, he has a tolerance for medications. He builds up a tolerance very quickly. Any med will only be good for about six months. We learned this through experience, and explained this to the staff at the facility where he resides. As I stated,