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I hate it! I hate it! I hate it!
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<blockquote data-quote="timer lady" data-source="post: 98831" data-attributes="member: 393"><p>I'm very aware of the GAF (global assessment of functioning). The tweedles hover between 20 & 40 on any given day. kt has hit an all time high of 48 this past psychiatrist's visit. </p><p></p><p>Here, most decisions on services, admits to hospital, etc, for children are based on the GAF score. </p><p></p><p>However, it is a highly subjective scoring technique & with children can swing wildly during the day.</p><p></p><p>I'm here to tell you as one who has taken on the system (for the past 7 years) you are just beginning to discover - don't give up if you need it! And don't believe what you are told the first or even the second time around. Now is the time for YOU to be the research lead, the team facilitator, the coordinator of care - all in all a major pain in the behind, in other words Mom, for the professionals caring for/educating your difficult child.</p><p></p><p>It's not time to flip, lose your temper, or panic. Organize yourself, put together a parent report for everyone to see; continue to push SD & any other entity you might have out there for evaluations & such.</p><p></p><p>If your difficult child is a danger & isn't admitted, turn around the next day & have him transported to ER again. This isn't a game for you & it shouldn't be for the hospital staff.</p><p></p><p>Plus, most of our difficult children "honeymoon" the first days in the hospital - you can count on it. I believe hospital staff count on it due to the shortage of beds for children. If the child is calm & playing games he can be discharged.</p><p></p><p>This is where warrior mom comes into play. This is where you fight the discharge; have your requests for new evaluations (at least the ones provided at that hospital), medication issues, therapy. What is the discharge plan? Etc, etc, etc.</p><p></p><p>Good luck & take a deep breath.</p></blockquote><p></p>
[QUOTE="timer lady, post: 98831, member: 393"] I'm very aware of the GAF (global assessment of functioning). The tweedles hover between 20 & 40 on any given day. kt has hit an all time high of 48 this past psychiatrist's visit. Here, most decisions on services, admits to hospital, etc, for children are based on the GAF score. However, it is a highly subjective scoring technique & with children can swing wildly during the day. I'm here to tell you as one who has taken on the system (for the past 7 years) you are just beginning to discover - don't give up if you need it! And don't believe what you are told the first or even the second time around. Now is the time for YOU to be the research lead, the team facilitator, the coordinator of care - all in all a major pain in the behind, in other words Mom, for the professionals caring for/educating your difficult child. It's not time to flip, lose your temper, or panic. Organize yourself, put together a parent report for everyone to see; continue to push SD & any other entity you might have out there for evaluations & such. If your difficult child is a danger & isn't admitted, turn around the next day & have him transported to ER again. This isn't a game for you & it shouldn't be for the hospital staff. Plus, most of our difficult children "honeymoon" the first days in the hospital - you can count on it. I believe hospital staff count on it due to the shortage of beds for children. If the child is calm & playing games he can be discharged. This is where warrior mom comes into play. This is where you fight the discharge; have your requests for new evaluations (at least the ones provided at that hospital), medication issues, therapy. What is the discharge plan? Etc, etc, etc. Good luck & take a deep breath. [/QUOTE]
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