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<blockquote data-quote="slsh" data-source="post: 439824" data-attributes="member: 8"><p>Glad to hear court went well. A should be proud of her grades and her ability to get back on level in spite of challenges. Really, she's doing *great*. I'm tickled that the judge was appreciative of her work and let her know that she's doing well.</p><p></p><p>I think you need to look at the above quote as if it were an IEP goal, and as an IEP goal, it fails epically. " A_______ needs to work out problems on her own and advocate for her own needs without parental assistance." Using what steps? How will it be measured? Who is responsible for assisting her in learning/implementing those steps? Since you have had to (appropriately) intervene when her "problems" are not getting addressed, because those problems relate to her safety and well-being, what safety net (besides you) is in place?</p><p></p><p>I personally don't think you're going to interfere with- her progress if you intervene when her concerns are not being addressed. It's a fine line - you want to coach her to learn how to problem solve and advocate for herself, but at the same time, especially in an Residential Treatment Center (RTC) setting (in my experience anyway), clients' concerns may not be taken seriously by staff and sometimes it takes big bad Momma setting a few posteriors on fire to get things taken care of. Again, not something you should apologize for. If therapist has a problem with- it, she needs to be more proactive in coaching A and following up on issues (followup was always a very iffy proposition with- our Residential Treatment Center (RTC) staff).</p><p></p><p>Therapist thinks you should trust Residential Treatment Center (RTC) staff. Residential Treatment Center (RTC) staff has already shown that they are *not* responsive to A's concerns, and therefore in my book not worthy of blanket trust. I think included in above goal should be some measurements of *staff* response. "When A brings a medical concern to staff, staff will arrange for appropriate medical evaluation within 24 hours, 5 out of 5 trials." Ditto concerns re: harassment, etc.</p><p></p><p>It's a 2-way street.</p><p></p><p>I've got a 20-year-old who still can't advocate his way out of a paper bag. He will at least *try* now, but ... his usual strategy is to just skip it. I'm working with- him lately on following thru. Yes, I'm still intervening most of the time but he's by my side now and hopefully learning as we go through the steps. And we talk a lot about how to solve XYZ - steps, jumping through hoops, etc. Extremely slow progress, but baby steps.</p><p></p><p>When all is said and done, the #1 priority is the safety and well-being of A. If she can't advocate effectively for herself, and if staff can't/won't take the time to lead her thru the steps and address her concerns appropriately, you must intervene.</p><p></p><p>ETA: How did I address concerns? I called. In most of thank you's settings, there was usually 1 person who I knew would address a problem. Vast majority were medical issues, and I have zero tolerance for putzing around. If the problem wasn't addressed pronto, I would take thank you to an outside medical provider (did that several times - goiter that staff RN was blowing off turned out to be lithium-induced - actually made them call staff psychiatrist on a Sunday with I found that lithium taper as prescribed by endocrinologist was not being followed; toe cellulitis that staff RN was ignoring; an episode of what I think was food poisoning where we ended up taking him to ER; etc.).</p></blockquote><p></p>
[QUOTE="slsh, post: 439824, member: 8"] Glad to hear court went well. A should be proud of her grades and her ability to get back on level in spite of challenges. Really, she's doing *great*. I'm tickled that the judge was appreciative of her work and let her know that she's doing well. I think you need to look at the above quote as if it were an IEP goal, and as an IEP goal, it fails epically. " A_______ needs to work out problems on her own and advocate for her own needs without parental assistance." Using what steps? How will it be measured? Who is responsible for assisting her in learning/implementing those steps? Since you have had to (appropriately) intervene when her "problems" are not getting addressed, because those problems relate to her safety and well-being, what safety net (besides you) is in place? I personally don't think you're going to interfere with- her progress if you intervene when her concerns are not being addressed. It's a fine line - you want to coach her to learn how to problem solve and advocate for herself, but at the same time, especially in an Residential Treatment Center (RTC) setting (in my experience anyway), clients' concerns may not be taken seriously by staff and sometimes it takes big bad Momma setting a few posteriors on fire to get things taken care of. Again, not something you should apologize for. If therapist has a problem with- it, she needs to be more proactive in coaching A and following up on issues (followup was always a very iffy proposition with- our Residential Treatment Center (RTC) staff). Therapist thinks you should trust Residential Treatment Center (RTC) staff. Residential Treatment Center (RTC) staff has already shown that they are *not* responsive to A's concerns, and therefore in my book not worthy of blanket trust. I think included in above goal should be some measurements of *staff* response. "When A brings a medical concern to staff, staff will arrange for appropriate medical evaluation within 24 hours, 5 out of 5 trials." Ditto concerns re: harassment, etc. It's a 2-way street. I've got a 20-year-old who still can't advocate his way out of a paper bag. He will at least *try* now, but ... his usual strategy is to just skip it. I'm working with- him lately on following thru. Yes, I'm still intervening most of the time but he's by my side now and hopefully learning as we go through the steps. And we talk a lot about how to solve XYZ - steps, jumping through hoops, etc. Extremely slow progress, but baby steps. When all is said and done, the #1 priority is the safety and well-being of A. If she can't advocate effectively for herself, and if staff can't/won't take the time to lead her thru the steps and address her concerns appropriately, you must intervene. ETA: How did I address concerns? I called. In most of thank you's settings, there was usually 1 person who I knew would address a problem. Vast majority were medical issues, and I have zero tolerance for putzing around. If the problem wasn't addressed pronto, I would take thank you to an outside medical provider (did that several times - goiter that staff RN was blowing off turned out to be lithium-induced - actually made them call staff psychiatrist on a Sunday with I found that lithium taper as prescribed by endocrinologist was not being followed; toe cellulitis that staff RN was ignoring; an episode of what I think was food poisoning where we ended up taking him to ER; etc.). [/QUOTE]
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