Good morning! I need to clarify- I agree with a mental health CM being needed- I had asked for one a few mos ago but that was another issue with difficult child already being on probation- they said his PO was his CM. That's another thing I thought the GAL should have been trying to get, instead of spending her minimal time on the case trashing me.
Anyway, this CM that I am referring to in this thread works for state juvy and is at the place where difficult child is now. The other divisions that I'm referring to- the school difficult child will attend and the mental/physical health profs- are all state operated and have nothing to do with any local jusrisdiction' Department of Juvenile Justice, sd, etc. State juvy is all encompassing- which is why I thought his CM there would be keeping up with all aspects of his requirements (corrections, education, and mental health).
Another thing that makes me nervous about this- a psychologist will be in charge of his mental health treatment, including determining what info gets passed along to a psychiatrist. difficult child will only see a psychiatrist the legal minimal amount of time for the psychiatrist to write rx's. Given difficult child's sensitivity to medications and the way some (even allergy medications) have triggered mood cycling or something, I'm a little worried about this. What happens if a new medication is tried, difficult child falls asleep in school or gets really hyper in the "living quarters"- does staff even realize that it could be the medication change and does the info make it to the psychiatric? Does the psychiatric relay it to the psychiatrist? How many weeks does it take? difficult child is not to a point where he always sees it is the medication that contributed. If the point is not to consider or depend on the medications, and they are going to try to do this with behavior mod alone, then I want him taken off medications.
I didn't want to bombard them with info, but I'm sending a copy of neuropsychologist testing, the MDE report, the last letters written from his treatment team I had him with, the treatment plan, discharge summary, and recommendations from the psychiatric hospital that the local detention tdo'd him to in Feb, and a 1 page bulleted list of previous acute psychiatric hospital stays, medications tried in the past, and an "other" category that includes medications he has had adverse reactions to (like zyrtec, albuterol, and SSRI's), and his seasonal pattern of depression and legal trouble. Then, I wrote a sentence saying my and difficult child's preference that he not be on any medications if their behavior mod or other therapy alone can get this under control- and letting them know that they can contact me if they need further info or release forms signed so they can verify any of this.
They wouldn't have known any of this- the only info they got was sent by the PO and she didn't even believe in mental health issues, much less know what an SSRI was or that difficult child's crime spree 2 years ago could have something to do with it. I'd bet my house that the PO doesn't even have it in her file that difficult child was on prozac at the time that happened or that he'd been given abilify for 3 days before he whipped this knife out on me. The way things work here, the mental health treatment might as well be thrown out the window if a kid is involved in Department of Juvenile Justice. They will allow/provide/require mst in some cases but, at least the guy we have here, did nothing but a behavior contract and wanted things difficult child's time with other therapist cut out.
I have seen the issue this way for 2 years- Department of Juvenile Justice wants to be in control of my and difficult child's lives (local level and now turned over to state) and want to require mental health treatment, yet the people in Department of Juvenile Justice overseeing us 1) ignore the profs recommendations 2) apparently believe mental health treatment is only supposed to be behavior mod, and 3) don't accurately document or make required decisions when it comes to mental health treatment- they just tell me that "they think I'm the source of the problem and they don't know anything about mental health stuff". So basicly, it ties my hands and leaves them in control but then they won't do anything to address the issue before it becomes another legal charge. This will be the first conversation I'm going to try to have with the parole officer as soon as I know who it is in a couple of weeks (so I've been told). How that conversation goes will have a lot to do with my future decisions regarding where I live and whether or not difficult child comes back home.
I'm getting Occupational Therapist (OT)- sorry-