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difficult child II is being released 2morrow -he seems worse
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<blockquote data-quote="timer lady" data-source="post: 52397" data-attributes="member: 393"><p>I've refused discharge for wm in the past. I was prepared to be charged with anything - however, wm was so not stable enough to be discharged & he had some of the tic's you are describing (too high a dose of risperdal). Mental health case manager backed me up the last time. wm ended up in the hospital because of my refusal for 6 weeks until the appropriate treatment setting could be found for him (Residential Treatment Center (RTC)).</p><p> </p><p>Having said that, it doesn't work like this every time & many times the resources aren't available. </p><p> </p><p>Whether husband is a part of this or not, it's time to get a crisis plan in place. </p><p> </p><p>We have an official crisis team number we call however before we call for kt our steps are:</p><p> </p><p>Redirect the behavior (we use humor, magazine ads for bling, favorite CD & dancing).</p><p> </p><p>In the meantime, we administer kt's PRN medication & put away all sharps or anything she with which she can harm herself.</p><p> </p><p>Next step is utilizing the self calming plan; kt loves to shower to calm herself or drink chamomile tea.</p><p> </p><p>While this is going on I remain calm & keep my emotions, reactions in check. I'm very non-committal - almost comatose in my response to all this emotion.</p><p> </p><p>When all this fails, I call crisis team. Keep in mind, on average crisis team is in our home 4 -5 times/month. </p><p> </p><p>Put together whatever you feel will work for difficult child. </p><p>At discharge, ask for a PRN medication for the weekend. A chemical restraint, along with a break in the escalating chaos is better than surviving a 6 hour meltdown.</p><p> </p><p>Keep any & all requests to a minimum this weekend - day treatment starting will help in the long run. You just want to survive the weekend.</p><p> </p><p>I'll be keeping you in my thoughts this coming weekend.</p></blockquote><p></p>
[QUOTE="timer lady, post: 52397, member: 393"] I've refused discharge for wm in the past. I was prepared to be charged with anything - however, wm was so not stable enough to be discharged & he had some of the tic's you are describing (too high a dose of risperdal). Mental health case manager backed me up the last time. wm ended up in the hospital because of my refusal for 6 weeks until the appropriate treatment setting could be found for him (Residential Treatment Center (RTC)). Having said that, it doesn't work like this every time & many times the resources aren't available. Whether husband is a part of this or not, it's time to get a crisis plan in place. We have an official crisis team number we call however before we call for kt our steps are: Redirect the behavior (we use humor, magazine ads for bling, favorite CD & dancing). In the meantime, we administer kt's PRN medication & put away all sharps or anything she with which she can harm herself. Next step is utilizing the self calming plan; kt loves to shower to calm herself or drink chamomile tea. While this is going on I remain calm & keep my emotions, reactions in check. I'm very non-committal - almost comatose in my response to all this emotion. When all this fails, I call crisis team. Keep in mind, on average crisis team is in our home 4 -5 times/month. Put together whatever you feel will work for difficult child. At discharge, ask for a PRN medication for the weekend. A chemical restraint, along with a break in the escalating chaos is better than surviving a 6 hour meltdown. Keep any & all requests to a minimum this weekend - day treatment starting will help in the long run. You just want to survive the weekend. I'll be keeping you in my thoughts this coming weekend. [/QUOTE]
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difficult child II is being released 2morrow -he seems worse
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