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Joanne,


I've delayed discharge by a day or two by demanding a viable discharge plan.  Given the level of aggression & whatnot displayed by your difficult child I think this is something you need to push.


Viable means guaranteed response by crisis team.   Guaranteed re-admit to hospital if necessary.  Possible PRN medications.


Your difficult child is in no way stable; you are in a holding pattern until an appropriate Residential Treatment Center (RTC) placement can be found.  Hospital staff are asking for you to hold a bandage on an open, bleeding wound.  Not viable.


wm's last hospitalization lasted 6 weeks (with a lot of noise on my part) until an appropriate Residential Treatment Center (RTC) bed opened.


Can you, do you have the energy, to push this?  Who do you have as an advocate that will back you up on the need for a viable discharge plan?


Just some thoughts for you this morning.


Will be keeping you & yours in my thoughts this morning.


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