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General Parenting
Let me Pick Your Brains About This...
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<blockquote data-quote="SgtReese" data-source="post: 413972" data-attributes="member: 11152"><p>Although our situation isn't very similar to yours, I will tell you what happened in our experience. difficult child was leaving acute care after an involuntary commitment. The doctor there recommended residential, but we didn't have Medicaid and couldn't afford PRT on our own. Next best thing--in-home treatment. Our case mgr sent a Multi-Systemic Therapist (behavioral specialist) out. I was upset, as I didn't see the point in engaging another therapist (his third in 3 years). Moreover, I resented the implication that we needed parenting instruction. But, I took a cautiously hopeful approach and was determined to not come off as adversarial. </p><p>Good things began to happen. First, the MST gave us very positive feedback on what we had been doing as parents. He also gave us a few new "tactics" that, while no panacea, have proved to be helpful. Next, he spent a couple of hours with the kid and agreed that his problems weren't behavioral but psychiatric, exacerbated by substance abuse. He hooked us up with the county contractor for Intensive In-home. This involves a team of people who come every week (one a day, four days a week). The MST guy also recommended a local neuropsychologist that changed his medications. So, right now, we are doing Intensive In-home, keeping our medication schedule faithfully and hoping for the best. So, I guess the bottom line is, let the new therapist give it a shot and enlist him/her in your cause. Most of these people are very dedicated and caring and really want the best for the kids that they serve. </p><p>I hope this helps. All the best to you and yours.</p></blockquote><p></p>
[QUOTE="SgtReese, post: 413972, member: 11152"] Although our situation isn't very similar to yours, I will tell you what happened in our experience. difficult child was leaving acute care after an involuntary commitment. The doctor there recommended residential, but we didn't have Medicaid and couldn't afford PRT on our own. Next best thing--in-home treatment. Our case mgr sent a Multi-Systemic Therapist (behavioral specialist) out. I was upset, as I didn't see the point in engaging another therapist (his third in 3 years). Moreover, I resented the implication that we needed parenting instruction. But, I took a cautiously hopeful approach and was determined to not come off as adversarial. Good things began to happen. First, the MST gave us very positive feedback on what we had been doing as parents. He also gave us a few new "tactics" that, while no panacea, have proved to be helpful. Next, he spent a couple of hours with the kid and agreed that his problems weren't behavioral but psychiatric, exacerbated by substance abuse. He hooked us up with the county contractor for Intensive In-home. This involves a team of people who come every week (one a day, four days a week). The MST guy also recommended a local neuropsychologist that changed his medications. So, right now, we are doing Intensive In-home, keeping our medication schedule faithfully and hoping for the best. So, I guess the bottom line is, let the new therapist give it a shot and enlist him/her in your cause. Most of these people are very dedicated and caring and really want the best for the kids that they serve. I hope this helps. All the best to you and yours. [/QUOTE]
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