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New and in a crisis.
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<blockquote data-quote="slsh" data-source="post: 533879" data-attributes="member: 8"><p>Hi Tonya, and welcome. I've been wracking my brains for an alternative solution but... aside from the grant, the only one is to dig your heels in and tell hospital/psychiatrist/admitting agency that it is impossible for a child to be monitored 24/7 in the home setting - they know this and they need to be reminded forcefully that even in hospital or Residential Treatment Center (RTC) setting, 24/7 supervision is iffy at best, even though they have far better staffing than you have at home. Your son has demonstrated very dangerous behaviors and by insisting that he be discharged home, the powers that be are putting *you* and your other children at risk. </p><p></p><p>There needs to be a very solid discharge plan, including supports for your family which, in my humble opinion, should include another body in the home to keep eyes on him. IL is advanced in having the grant program but woefully behind when it comes to community services and supports - if discharge planners can't find a body to keep eyes on him, then they need to look at in-home nursing, PCA, whatever it takes. I agree that he cannot return home unless you've got supports.</p><p></p><p>Personally, I would focus on the fact that even if he was your *only* child, it is impossible to maintain 24/7 eyes on supervision in the home setting. It's not that you have other children you have to protect, although obviously you do, but it's the fact that there is simply no way a family can institute the type of supervision your son requires. </p><p></p><p>I've been out of the grant loop for a few years now, but I would think/hope you could work with- the local MH agency on this. What services can they provide? Is there emergency respite/therapeutic foster placement? I know "crisis team" was a term no one understood in my corner of the state, but maybe there's one in your area? They simply cannot discharge him home with the plan being you are going to "supervise" better. It's ridiculous.</p><p></p><p>Hugs - hope you are able to get the powers to use some common sense. Welcome to the board.</p></blockquote><p></p>
[QUOTE="slsh, post: 533879, member: 8"] Hi Tonya, and welcome. I've been wracking my brains for an alternative solution but... aside from the grant, the only one is to dig your heels in and tell hospital/psychiatrist/admitting agency that it is impossible for a child to be monitored 24/7 in the home setting - they know this and they need to be reminded forcefully that even in hospital or Residential Treatment Center (RTC) setting, 24/7 supervision is iffy at best, even though they have far better staffing than you have at home. Your son has demonstrated very dangerous behaviors and by insisting that he be discharged home, the powers that be are putting *you* and your other children at risk. There needs to be a very solid discharge plan, including supports for your family which, in my humble opinion, should include another body in the home to keep eyes on him. IL is advanced in having the grant program but woefully behind when it comes to community services and supports - if discharge planners can't find a body to keep eyes on him, then they need to look at in-home nursing, PCA, whatever it takes. I agree that he cannot return home unless you've got supports. Personally, I would focus on the fact that even if he was your *only* child, it is impossible to maintain 24/7 eyes on supervision in the home setting. It's not that you have other children you have to protect, although obviously you do, but it's the fact that there is simply no way a family can institute the type of supervision your son requires. I've been out of the grant loop for a few years now, but I would think/hope you could work with- the local MH agency on this. What services can they provide? Is there emergency respite/therapeutic foster placement? I know "crisis team" was a term no one understood in my corner of the state, but maybe there's one in your area? They simply cannot discharge him home with the plan being you are going to "supervise" better. It's ridiculous. Hugs - hope you are able to get the powers to use some common sense. Welcome to the board. [/QUOTE]
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