Saturday, March 5, 2011
Today I was in meetings for older folks on my caseload. I got to thinking back to when I first started my job and how I was afraid to ask certain questions, even though it was my job I was still apprehensive about how much I should ask. Now I know that I need to ask these questions for the betterment of my people's lives. I need to ask the doctors why they would put an 88 year old on an anti-psychotic medication when prior to admission this person had lived a pretty normal life! Seriously, you wouldn't believe how many elderly people in long term cares are on anti-psychotic medication. So I do ask the questions now and I dont' care about ruffling feathers; its my job to ask and I'm going to do it well. So how is this my miracle, well in my own personal life I've learned to be an advocate for Jacob as well and to not just take what the professionals say. In January we had an appointment at a mental health run agency, my referral was asking for strategies to help Jacob deal with change and cope better so that he felt secure. We left with the "professionals" saying there wasn't much they could do for us because he was coping well, I recognized what the issues were and seemed to be handling it well. They said that I would be getting a report with the outcome of the assessment and that would be it. Well not so; I got a phone message today saying that they had an appointment for us scheduled with the psychiatrist for March 17th, it would be an hour and a half long and then they would set up services for us in my home community. I was totally caught off guard and angry. I called my mom, who attended the appointment with me and asked her what her impression had been when we left, same as mine. I wanted to be sure that i hadn't misinterpreted the end of the meeting. Nope, she thought same as me, get a report case closed. So I called back and left a message, "Thank you for your call but I'm a little confused because I felt I was lead to believe at the end of our meeting that I would get a report and that would be the end of our services with you. Before I commit to seeing a psychiatrist I would like to know the purpose of the visit and what the reasoning behind the visit is. So if you could clarify this for me and we could discuss further I'd appreciate it. Thank you." So i was still fuming. What had changed, how could I get out of this without looking like I wasn't seeing all the needs of my child. Then it came to me. On the lovely referral form that I had filled out I had said that the reason for referral was to "seek out strategies in helping my son cope with change." My confusion lies in that the counsellors, who I would see on a regular basis said that there was nothing that they could recommend and then some psychiatrist reads a report and all of a sudden we need to see them and have "services", nope don't think so. The referral didn't ask for a diagnosis; and then counselling sessions ongoing; it asked for strategies to cope with change, you couldn't provide any so looks like we're done by your own admission! As I write you may get that I'm still a bit ticked. I'm ticked because kids get these labels and then they are stuck with them for life. So I will be having an appointment and asking them to refer to my referral form and tell me what "STRATEGIES" they can suggest and that is all; I don't want to hear the rest of it. I hear so many labels and none are good; they are useless, with the exception of if you need funding, which we don't, and all they do is cookie cutter someone. SO back to my miracle, thanks God for giving me the knowledge to not just accept what the professionals say and let me form my own opinion and realize that I can and will ask the tough questions for the betterment of everyone in my life, clients or son.