Tag: hospital

Still Hospitalized

Jerilyn is still inpatient at the behavioral health hospital. Today makes three weeks. There are a lot of agencies and people involved in her care, and I’m encouraged to know they are sending representatives out to check in on Jerilyn. The inpatient psychiatrist decided after the first week, and after taking Jerilyn off all of her meds, that he was then going to release her.

You may interpret this as good news. It was not. His very limited view of Jerilyn consisted of two meetings with her, one in which shePsychiatry_tag_cloud.svg refused to even speak to him. His future outlook for us was bleak, stating she would be in and out of psychosis throughout her life and that we would need to accept she would require 24-hour care.

It is extremely frustrating to me that a psychiatrist can have such an arrogant attitude when he has had such limited interaction with a patient. Not all psychiatrists are like this, but those who aren’t, are in the minority, at least in my experience.

Once he told me they were releasing her without any med to regulate her mood disorder, I made a couple calls and apparently all the different agencies, including DDD and Magellan, came down hard on the hospital. All of a sudden, they stopped talking about releasing her and instead we got approved to start a new medicine.

The thing about Jerilyn is when she is in a new environment she has a “honeymoon” period where her behaviors are better than normal and she stays fairly compliant. Unless a hospital is willing to wait it out, they won’t see what we see regularly. After two weeks in, the “honeymoon” was over and she became non-compliant, refused to take meds, and ended up having a major meltdown where she kicked a few holes in their walls. Yep. Honeymoon over. Reality has hit.

We have another big CFT meeting on Tuesday that will be held at the hospital itself. Jerilyn has been approved for a RTC (Residential Treatment Center) by Magellan and this next week will probably consist of meeting with any of the four RTC’s in the area willing to consider taking on Jerilyn. I’ve been told, by others involved, the likelihood of any of them accepting Jerilyn is very slim, based on her high level of need. If this turns out to be true, we may be looking at out-of-state options.

Although Jerilyn has said once or twice that she wants to come home, she most often is saying she wants to live in a hospital. I struggle to understand why anyone would want to live in a hospital but my best guess for Jerilyn is it is where she feels safe. She needs the intense structure a hospital with a constant 24 hour rotating staff can provide. Also, the “real world” has a ton of moving components all the time, which can be tough for anyone to handle, but Jerilyn’s capabilities are limited and there are too many uncontrollable factors out here. Those uncontrollable factors such as a

rainy day,

sisters who aren’t perfect,

the need to wait her turn, or

the desire to be treated like a teenager even though she is mentally and emotionally a small child still.

            Either myself, or my sister, Kim, have been visiting with Jerilyn at least every other day. It’s challenging since this hospital won’t allow anyone under 13 to visit, or even sit in the waiting room, which means that I have to have someone here watching Ainsley and Daisy so I can go see Jerilyn. Visiting hours are only from 6:30 – 7:30 pm, but with travel time it takes about two hours. Both my brother and sister have dogs/cats so I can’t drop Daisy off there. Sometimes, I really wish I was still in Florida with my awesome supportive friends I could always count on. I feel like an island out here in Arizona. Ironic isn’t it….I actually lived in Fleming Island, Florida….but this Arizona desert is my island since I so often feel alone. I especially want to get out there to see Jerilyn as frequently as I can since we don’t know if the next chapter for us includes an out-of-state placement.

I’m going to ask you to please keep praying for the right placement for Jerilyn. One that can handle both her physical and behavioral health issues with love and compassion.

Prayers Made The Difference

PrayerWarriors-goldThank you to all our prayer warriors out there! As many of you know from my Facebook posts…we did finally make it into a behavioral health facility after 33 hours of waiting.

Allow me to describe the process for you who (hopefully) will never have to experience it. Once you check in to an ER, the doctor sees the patient and makes a determination if the patient is in need of hospitalization. Once the doctor determines that he/she is, you wait and wait and wait until the social worker comes to ask you all the same questions the doctor did. It then becomes the social worker’s job to find a bed available for the patient in either the current hospital or hopefully one in the area. They leave to make calls and then you wait, and wait, and wait for hours to find out whether they have landed a bed for you. There are horror stories of people being in these small ER rooms for days and days while they wait.

Often, the social worker comes back to tell you there aren’t any available beds because it seems that there is a very elaborate algorithm in order to determine if a unit can take another patient. Gender is important. Age is also a factor, a facility may have a bed available for a 16 year old, but not a 13 year old. Then, for us, it is always the added necessity of a one-on-one aid. Jerilyn usually needs one and this requires more staffing, and sometimes they just can’t find staff for it.

We lost beds this go around after I thought we had them once because she was a female and there were only male beds available and a second time because she needed one-on-one support. It’s so disheartening once you think you have a bed, only to lose it. After waiting a few hours with no response from the social worker this time, I had an aha moment when I realized I could start making these calls and lobbying (literally) to get Jerilyn to the top of the waiting list of as many places as possible.

I was actually told by one facility that it was good I was calling…it makes a difference when a parent was calling. I told him, “Well, Adam, prepare to be my new best friend, because I will be calling often today.” Thankfully, he responded with “I look forward to your call.”  The sad part was realizing a lot of the kiddos who need desperate help are actually just dropped off in the ER with no one to make those calls on their behalf. They sit and wait alone, getting pushed to the bottom of the list, because no one cares enough to make them a priority.

Guess which facility we got into? The one where my new best friend, Adam, worked. I happened to call again just as a bed was opening up for, you guessed it, a 13 year old girl….praise God!!

God inhabits the prayers of his people and so many of you were praying for us. I am so utterly thankful and truly feel prayer is what made the difference.

We also had another CFT (Child Family Team) meeting yesterday. Sixteen participants. Multiple service providers and people involved in coordinating care for Jerilyn. Sixteen is a very large group and that alone shows the intensity of Jerilyn’s case. The blessing was that everyone seemed to be on the same page, understanding of the turmoil Jerilyn is in and ready to start agreeing on solutions. Before this meeting, it seemed that most agencies were avoiding responsibility and busy trying to push off the problems to another agency.

rainbow

We will see if this new understanding holds true once we get closer to Jerilyn’s release from the hospitalization. At this junction, they are expecting her to be in for about three weeks to stabilize her meds.

Obviously, we still need your prayers. Ainsley, Daisy and I have all been sick over the last week. Daisy has been home with her asthmagiving her trouble since Monday afternoon. When it rains, it pours….and sometimes it feels like the best we get around here are the days when it only sprinkles! I’ve decided to look for the rainbow. The beauty of a rainbow is revealed even while it is still sprinkling. Keep praying for Jerilyn!! Our God is a God of miracles and I plan to keep asking for them.

Love you all. Blessings to you!!

Downward Spiral

I haven’t written in a long while. Life has been rough the last couple months and I admit I found myself in a downward spiral. It started with a scheduled court date in mid-October to address child support and the many areas my ex was currently in contempt of, which basically means things he was required to do by the court, but just wasn’t. I was looking forward to getting in front of our judge but he forced us to mediate first. After false promises and misleading information, my ex and I came to an “agreement” which negated our need to go to court. Of course, once I gave up our court date, my ex refused to follow through on our mediated agreement.

Within hours of arriving back from Florida and my failed court attempt, I found myself in the emergency room of Children’s Hospital with Jerilyn. She needed to be admitted again to the bio-behavioral unit.

After about twelve hours in a tiny room with Jerilyn raging and on a one-to-one nurse watch, a bed opened up for her. Apparently one had opened up about six hours earlier, but they “forgot” to tell us. Oh joy. The stress of that day pushed me over the emotional ledge I was only barely hanging on to.

A lot of people ask me how I keep going with all of the challenges we constantly face. I usually say I take it one day, one moment, at a time. However, sometimes I get an overwhelming sense that I can’t keep doing it.

I felt depression pulling me down…down…down. I’ve dealt with episodes of depression a couple of times before when life’s circumstances were overwhelming. This time was one of the most difficult to bounce back from though. I had a hard time getting out of bed, talking to anyone, even eating.

Jerilyn stayed in the hospital for about ten days. During that time, our respite worker quit. Great day. (Read that sarcastically.)  A respite worker is basically a one-on-one helper for Jerilyn. We can’t seem to hold on to a respite care worker. Ugh!

Within two weeks of Jerilyn being released from the hospital, I was at the end of my abilities. They had adjusted her meds, but stability was still not achieved. Every day was extremely difficult. I finally broke down and had to admit to myself that we needed more help. I called her Intensive Case Manager and told her through sobs we needed to talk about out-of-home placements.

I felt like a broken woman. A broken mother.  A failure.

We started the process for a temporary out-of-home placement. It’s been a few weeks now and we did receive approval from the insurance company, which was a big hurdle. Now we are trying to see if there is actually a therapeutic group home which will work for her. Apparently there are three in the area. One already bowed out. The second one has a two month wait list. The third, and final one, interviewed Jerilyn and I yesterday and we will hear back by the end of the week about whether they will accept her.

My prayer had been that God would show us just the right home for her and close the other doors. I am hoping that since only one group home is still in the running…it is the one God wants her in.

Some of you may be wondering how Jerilyn is taking the news of the temporary move. Eagerly is the best description. The same way she looks at going to a hospital. She knows she needs more help than we can possibly give her, and I think she sees it as an adventure of sorts. A chance to meet other kids she can relate to. At least, that is my best guess.

Please continue to pray for us. This is only a snippet of the real life drama we are living every day over here. I could fill up a book with the more detailed version….oh wait…I am. Stay tuned.  🙂

Home Again

Jerilyn is home again. She is doing wonderfully. It makes me so uber-grateful for places like St. Joes that work with children that are struggling, providing the extra help they need to stabilize again. What a blessing!

She isn’t exhibiting any oppositional behaviors and, although happy at the hospital, she was also happy to come home. I had a meeting this afternoon with her Family Child Team the therapy case manager set up. The state department that has approved us for respite/habilitation services (DDD) was there as well. It was great, because we all know it takes a village to raise a child…and those of us who have special needs children know that it takes a village with tons of money and services as well!

I’m hoping some of the changes we are making around here will help keep Jerilyn in a good place emotionally. I made a huge

I just liked this picture!

schedule mimicking the schedule at the hospital (color coded even…I know…you’re impressed.) We also have a music corner for her now. She is pretty amazing on musical instruments lately…she will teach herself to play a short piece by ear and then transfer it between the piano, recorder, xylophone, drums, and her keyboard.

I’m also excited because although we got approved for services, I hadn’t found the right fit and I think I may have now. I got a call today from a woman who sounds like a good fit. Heck, she even came right out and said that she wanted to let me know that she was a Christian who often prayed with her clients. Amen, Sister! Things are looking up. The pendulum is on the rise once again.

My other girls left for Florida this last weekend to spend Spring Break with their father. It’s always hard to see them go, but I’m jealous that they will get to go to the beach this week. 🙂  Actually, I will get to go to Florida to pick them up next weekend…so maybe I’ll get a glimpse myself.

Let me close with just saying thank you so much for all the prayers this last week…I know that they made the difference. May God bless YOU for your faithfulness.

 

Jerilyn’s Home, But She Wasn’t Alone….

 

Well, Jerilyn was ready to come home on Friday (at least according to our insurance company).  They took her one-on-one aid off on Wednesday and she did fairly well participating with the groups.  Unfortunately, to add to our list of diagnoses we now have Bipolar. This has been a tough pill to swallow…on one hand, if she is on the right meds they can really help level out her moods, on the other hand, this will be a life-long struggle for her…and us.

You may have noticed that I wasn’t blogging a whole lot last week…now I’m going to let you in on the new crisis that took my attention and then you can all feel REALLY sorry for me. When I went for visitation with Jerilyn last Monday she was itching her head and guess what I discovered….yep….LICE. Ugh!!  When I mentioned that I could stay and help treat her hair….the nurses jumped on that faster than….well, faster than lice spreads to an entire wing of children.

That’s when my night turns from bad to OMG Horrible. They said they’d order the shampoo and have it sent up. I told them I would go grab something to eat and pick up a movie for Jerilyn to watch while I went through her hair. I know I need a movie because, unfortunately, lice has been my nemesis this year. Six months ago there was an outbreak at Ainsley and Daisy’s school that would not die!!! I probably spent 4 weekends having to go through every strand of their hair. I HATE LICE!! In fact my head started itching right now just with the thought of it.  I know you just started itching too, but I’m fairly certain that you can’t get them just from reading about them…but don’t quote me on it….they are sneaky little blood suckers!

Anyway, so after leaving and getting lost approximately three times in a very bad part of town, eating at a McDonald’s where I had to hold my breath when standing in line because the people around me stunk so bad, and then finally making it back to the hospital I find out three things:

  1. They haven’t shampooed Jerilyn’s hair yet….like I asked them to.
  2. The main area which has the TV now also has children on cots sleeping there with the lights turned down low.
  3. Jerilyn has been given her night meds and is totally out.

I go to talk to Mr. Nurse who acts like I don’t know what the hell I’m talking about when I tell him that HELLO…we have to have good lighting and that it’s going to take 1 ½ – 2 hours to pick through her head.  He tells me it won’t take long…really?? Sure…in your world….where you shampoo a kid’s head, take a quick glance, and send him home for his parents to really deal with it. I have two other girls and I am NOT bringing this back into my home!!!

Luckily, there was ONE nurse that night who understood. Why? Because she was a mother of a daughter who had it before, of course. She helped me go through Jerilyn’s hair and tried to make her as comfortable as possible. And boy did I feel for her the next day when I went for visitation…every kid on the wing had lice and she had endless heads to pick through.

When they told me on Thursday that Jerilyn would be released on Friday you’ve got to believe I had an Anti-Lice Plan in place. I stripped that girl in the garage and put the shampoo on her head again. Everything that came home is getting thrown away, washed on “sanitary” cycle or burned. In the name of Jesus….Lice be gone!!  LOL