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Residential Treatment Center (RTC) ahead
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<blockquote data-quote="timer lady" data-source="post: 136828" data-attributes="member: 393"><p><span style="color: DarkRed"><strong>Christy,</strong></span></p><p><span style="color: DarkRed"><strong></strong></span></p><p><span style="color: DarkRed"><strong>First of all, let me say how sad it is that the treatment plan at outpatient isn't being effective. However, both kt & wm attended outpatient day hospital day treatment programs & medications could be & were changed there on a semi-regular basis. I'd also like to offer you that both of the tweedles have been in day treatment for 2 & 3 years respectively now. </strong></span></p><p><span style="color: DarkRed"><strong></strong></span></p><p><span style="color: DarkRed"><strong>We are just beginning to see light with kt. wm is another story. It takes time for the maladaptive behaviors to be "unlearned" & replaced with healthy & safe skillsets & behaviors. </strong></span></p><p><span style="color: DarkRed"><strong></strong></span></p><p><span style="color: DarkRed"><strong>This is a stretch for many states but have you looked into in home help before Residential Treatment Center (RTC)? Our state would rather & find it's cheaper to try this before Residential Treatment Center (RTC). I'm not saying psychiatrist is wrong but if you cannot get the funding this may be another route.</strong></span></p><p><span style="color: DarkRed"><strong></strong></span></p><p><span style="color: DarkRed"><strong>My first step was to contact my local county mental health department for children. We were assigned a mental health case manager & things took off from there. Because of the level of needs that kt & wm displayed we were assigned a CADI manager (she's the lady who approves & pays for the services). I had to go before the state medical review team with the tweedles information & they have been designated as disabled. Because of that designation we have been able to tap into in home services, such as PCAs, regular respite, homemaking services (when available), in home therapy, occupational therapy, etc. We've utilized every one of these services at one time or another.</strong></span></p><p><span style="color: DarkRed"><strong></strong></span></p><p><span style="color: DarkRed"><strong>Again - I have no idea what your state has to offer. I'm just mentioning this as a stop gap measure if the funding for Residential Treatment Center (RTC) isn't available. And this may not be available to you either. And I'd like to warn you some of this can be time consuming. Plan on finding other "survival" techniques in the meantime. Put a crisis plan in place, if you don't already have one. Ask psychiatrist if a PRN medication would be appropriate for difficult child. Utilize the hospital day treatment as long as possible. Utilize the staff at day treatment for ideas on redirection, self calming & any thing else you need at home in managing difficult child. </strong></span></p><p><span style="color: DarkRed"><strong></strong></span></p><p><span style="color: DarkRed"><strong>In the meantime, you are stressed enough as it is. Please, if you can, take this one day at a time. Put it to bed at night & find an hour or two for yourself doing whatever it is you love best & is therapeutic & calming. Share time with your easy child - maybe the two of you can take up a nightly game of scrabble after difficult child is in bed. </strong></span></p><p><span style="color: DarkRed"><strong></strong></span></p><p><span style="color: DarkRed"><strong>Most of all - be gentle with yourself. Take care of you. If you don't no one else will. <img src="/community/styles/default/xenforo/smilies/emoticons/flower.gif" class="smilie" loading="lazy" alt=":flower:" title="flower :flower:" data-shortname=":flower:" /></strong></span></p><p><span style="color: DarkRed"><strong></strong></span></p><p><span style="color: DarkRed"><strong></strong></span></p><p><span style="color: DarkRed"><strong></strong></span></p></blockquote><p></p>
[QUOTE="timer lady, post: 136828, member: 393"] [COLOR=DarkRed][B]Christy, First of all, let me say how sad it is that the treatment plan at outpatient isn't being effective. However, both kt & wm attended outpatient day hospital day treatment programs & medications could be & were changed there on a semi-regular basis. I'd also like to offer you that both of the tweedles have been in day treatment for 2 & 3 years respectively now. We are just beginning to see light with kt. wm is another story. It takes time for the maladaptive behaviors to be "unlearned" & replaced with healthy & safe skillsets & behaviors. This is a stretch for many states but have you looked into in home help before Residential Treatment Center (RTC)? Our state would rather & find it's cheaper to try this before Residential Treatment Center (RTC). I'm not saying psychiatrist is wrong but if you cannot get the funding this may be another route. My first step was to contact my local county mental health department for children. We were assigned a mental health case manager & things took off from there. Because of the level of needs that kt & wm displayed we were assigned a CADI manager (she's the lady who approves & pays for the services). I had to go before the state medical review team with the tweedles information & they have been designated as disabled. Because of that designation we have been able to tap into in home services, such as PCAs, regular respite, homemaking services (when available), in home therapy, occupational therapy, etc. We've utilized every one of these services at one time or another. Again - I have no idea what your state has to offer. I'm just mentioning this as a stop gap measure if the funding for Residential Treatment Center (RTC) isn't available. And this may not be available to you either. And I'd like to warn you some of this can be time consuming. Plan on finding other "survival" techniques in the meantime. Put a crisis plan in place, if you don't already have one. Ask psychiatrist if a PRN medication would be appropriate for difficult child. Utilize the hospital day treatment as long as possible. Utilize the staff at day treatment for ideas on redirection, self calming & any thing else you need at home in managing difficult child. In the meantime, you are stressed enough as it is. Please, if you can, take this one day at a time. Put it to bed at night & find an hour or two for yourself doing whatever it is you love best & is therapeutic & calming. Share time with your easy child - maybe the two of you can take up a nightly game of scrabble after difficult child is in bed. Most of all - be gentle with yourself. Take care of you. If you don't no one else will. :flower: [/B][/COLOR] [/QUOTE]
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