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As if we don't have enough issues
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<blockquote data-quote="hexemaus2" data-source="post: 198285" data-attributes="member: 4560"><p>See, back in May when difficult child 2 was in patient, the psychiatric hospital wanted to send him for follow up through our local Community Mental Health. At that time, he was seeing Dr. S, who was part of a local program called Georgia Safe. In order to have him seen through CMH (Community Mental Health) the psychiatric hospital had to call Dr. S and ask her to release difficult child 2 as a patient and agree to the transfer. She was fine with it, since we would then have access to respite care, in-home counselors, and other services that we couldn't get with Dr. S. </p><p> </p><p>Well, those services never materialized. In fact, all they did was heap MORE tdocs on us. In fact, the therapist in charge of our IFI services would constantly bring up issues during therapy that sent difficult child 2 into rages by the time we got home. Not a good experience, to be sure. </p><p> </p><p>Before this last inpatient stay, I had decided to discontinue have difficult child 2 seen through CMH. I just hadn't started the process yet before difficult child 2 wound up having a huge meltdown which landed him back in the child psyche unit at our local children's hospital. One of the requirements for discharge from this particular psychiatric hospital is that difficult child must have a follow up appointment with a psychiatrist within 14 days of his discharge. I had told the staff that I did NOT want them making a follow up appointment with his psychiatrist at CMH. They asked who to make the appointment with then. I said his old psychiatrist, Dr. S. So, they made the appointment & discharged difficult child 2.</p><p> </p><p>The next day is when Dr. S's office called back to the psychiatric hospital to say they couldn't take difficult child 2 back as they were no longer equipment to provide the services he needed. (I did not know that she had move to private practice since we saw her back in May.)</p><p> </p><p>She (Dr. S) can't rx a refill because difficult child 2 technically hasn't been her patient since May.</p><p> </p><p>The psychiatric hospital can't rx a refill because difficult child 2 has been discharged from the hospital. He's no longer under their care, so they can't write a script for him.</p><p> </p><p>The old psychiatrist out at CMH can't rx a refill because they have been terminated as difficult child's psychiatrist/tdocs. (Because we were taking difficult child 2 back to Dr. S.)</p><p> </p><p>So basically, difficult child 2's under no one's care except his pediatrician. The pediatrician won't rx Geodon because it's outside his realm of experience & causes a liability issue for him. (He's not a psychiatrist, doesn't not routinely rx SSRIs, antipsychotics, etc. so he'd have trouble explaining any issues with an rx he wrote to his malpractice insurance carrier should some sort of issue arise.) </p><p> </p><p>Dr. S did make a referral for us to this new practice. I called them on the way home from Dr. S's office. Apparently, she had had her staff call ahead and let them know what was going on & to please help us get the earliest appointment we could. That's the appointment we now have for the 14th. Hopefully, we won't have a long, drawn out intake process with these folks that would prevent us being able to get refills on the 14th. (We ran into that problem when difficult child 2 was initially transferred to CMH. Our first appointment was with an intake counselor/therapist, rather than a psychiatrist. We didn't get to see the psychiatrist until a week or so later & difficult child 2 ran out of medications in the meantime. Hopefully that won't happen with this organization.)</p></blockquote><p></p>
[QUOTE="hexemaus2, post: 198285, member: 4560"] See, back in May when difficult child 2 was in patient, the psychiatric hospital wanted to send him for follow up through our local Community Mental Health. At that time, he was seeing Dr. S, who was part of a local program called Georgia Safe. In order to have him seen through CMH (Community Mental Health) the psychiatric hospital had to call Dr. S and ask her to release difficult child 2 as a patient and agree to the transfer. She was fine with it, since we would then have access to respite care, in-home counselors, and other services that we couldn't get with Dr. S. Well, those services never materialized. In fact, all they did was heap MORE tdocs on us. In fact, the therapist in charge of our IFI services would constantly bring up issues during therapy that sent difficult child 2 into rages by the time we got home. Not a good experience, to be sure. Before this last inpatient stay, I had decided to discontinue have difficult child 2 seen through CMH. I just hadn't started the process yet before difficult child 2 wound up having a huge meltdown which landed him back in the child psyche unit at our local children's hospital. One of the requirements for discharge from this particular psychiatric hospital is that difficult child must have a follow up appointment with a psychiatrist within 14 days of his discharge. I had told the staff that I did NOT want them making a follow up appointment with his psychiatrist at CMH. They asked who to make the appointment with then. I said his old psychiatrist, Dr. S. So, they made the appointment & discharged difficult child 2. The next day is when Dr. S's office called back to the psychiatric hospital to say they couldn't take difficult child 2 back as they were no longer equipment to provide the services he needed. (I did not know that she had move to private practice since we saw her back in May.) She (Dr. S) can't rx a refill because difficult child 2 technically hasn't been her patient since May. The psychiatric hospital can't rx a refill because difficult child 2 has been discharged from the hospital. He's no longer under their care, so they can't write a script for him. The old psychiatrist out at CMH can't rx a refill because they have been terminated as difficult child's psychiatrist/tdocs. (Because we were taking difficult child 2 back to Dr. S.) So basically, difficult child 2's under no one's care except his pediatrician. The pediatrician won't rx Geodon because it's outside his realm of experience & causes a liability issue for him. (He's not a psychiatrist, doesn't not routinely rx SSRIs, antipsychotics, etc. so he'd have trouble explaining any issues with an rx he wrote to his malpractice insurance carrier should some sort of issue arise.) Dr. S did make a referral for us to this new practice. I called them on the way home from Dr. S's office. Apparently, she had had her staff call ahead and let them know what was going on & to please help us get the earliest appointment we could. That's the appointment we now have for the 14th. Hopefully, we won't have a long, drawn out intake process with these folks that would prevent us being able to get refills on the 14th. (We ran into that problem when difficult child 2 was initially transferred to CMH. Our first appointment was with an intake counselor/therapist, rather than a psychiatrist. We didn't get to see the psychiatrist until a week or so later & difficult child 2 ran out of medications in the meantime. Hopefully that won't happen with this organization.) [/QUOTE]
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