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Help! Is this normal for a private Residential Treatment Center (RTC)?
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<blockquote data-quote="Copabanana" data-source="post: 745847" data-attributes="member: 18958"><p>Believing him is not the issue. The issue is whether she can trust the staff and the facility.</p><p>That is true. Except for one thing. The staff and facility can make it harder. By 24 hour watch. By removing all personal property and anything that can be used in an attempt. Which would be clothes, belts, even bedding.</p><p></p><p>It sounds way better that L is in a higher level of care. It sounds like he likes it better. And he may be more motivated to make it work. It also sounds like he is thinking about the potential benefits to himself... from a long-term stay. This is good. And very interesting to me. A seriously disturbed young person would not be making these kinds of strategic or self-interested evaluations of long-term options. I find this encouraging, but also perplexing.</p><p></p><p>While he may be manipulating, and trying to hold out for the best deal for himself he is also impulsive, immature, and inexperienced. He is not playing with a full deck. He thinks he controls the game, and this is illusory, impossible and dangerous. I agree with SWOT. As long as he has this mindset he is dangerous back home. And I agree here with her, too. It is hard to think what would curb this, for right now.</p><p></p><p>I think the best options you have are to evaluate the current facility, and to keep him there if it is good enough, or to find another one, if it is not.</p><p></p><p>I am unimpressed that the facility is poo-pooing whatever attempt he made as</p><p>manipulation. It sounds like it was. But that does not mean it is no big deal. Manipulative attempts can be dangerous. But it sounds like they responded appropriately by putting him in a higher level of care.</p><p></p><p>This kid lies, manipulates, acts out, is aggressive and impulsive. He is untrustworthy and unstable. But he is also at risk. There are other facilities.</p><p>I don't agree. There are all kinds of scenarios possible whereby what is wrong can be determined, he can be treated and stabilized. The thing is, nobody yet has found out what's going on.</p><p>B did not say don't medicate him. What she requested, is that she be advised, prior to her child being medicated. I think this is an entirely reasonable request.</p><p></p><p>In the settings where I worked, usually but not always with adults, we got new consents for every single new medication that was prescribed. Every single one. So. What she is asking is not out of line.</p><p></p><p>I agree. In a facility such as this, to refuse to allow medication is to refuse treatment. They would have every right to eject him if this was the case. But as I understand, B does not have this position.</p><p></p><p>Did they talk more about the tests, B?</p></blockquote><p></p>
[QUOTE="Copabanana, post: 745847, member: 18958"] Believing him is not the issue. The issue is whether she can trust the staff and the facility. That is true. Except for one thing. The staff and facility can make it harder. By 24 hour watch. By removing all personal property and anything that can be used in an attempt. Which would be clothes, belts, even bedding. It sounds way better that L is in a higher level of care. It sounds like he likes it better. And he may be more motivated to make it work. It also sounds like he is thinking about the potential benefits to himself... from a long-term stay. This is good. And very interesting to me. A seriously disturbed young person would not be making these kinds of strategic or self-interested evaluations of long-term options. I find this encouraging, but also perplexing. While he may be manipulating, and trying to hold out for the best deal for himself he is also impulsive, immature, and inexperienced. He is not playing with a full deck. He thinks he controls the game, and this is illusory, impossible and dangerous. I agree with SWOT. As long as he has this mindset he is dangerous back home. And I agree here with her, too. It is hard to think what would curb this, for right now. I think the best options you have are to evaluate the current facility, and to keep him there if it is good enough, or to find another one, if it is not. I am unimpressed that the facility is poo-pooing whatever attempt he made as manipulation. It sounds like it was. But that does not mean it is no big deal. Manipulative attempts can be dangerous. But it sounds like they responded appropriately by putting him in a higher level of care. This kid lies, manipulates, acts out, is aggressive and impulsive. He is untrustworthy and unstable. But he is also at risk. There are other facilities. I don't agree. There are all kinds of scenarios possible whereby what is wrong can be determined, he can be treated and stabilized. The thing is, nobody yet has found out what's going on. B did not say don't medicate him. What she requested, is that she be advised, prior to her child being medicated. I think this is an entirely reasonable request. In the settings where I worked, usually but not always with adults, we got new consents for every single new medication that was prescribed. Every single one. So. What she is asking is not out of line. I agree. In a facility such as this, to refuse to allow medication is to refuse treatment. They would have every right to eject him if this was the case. But as I understand, B does not have this position. Did they talk more about the tests, B? [/QUOTE]
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