We have received the phone call that lets us know that medicaid has decided that our son is “well enough” to come back.
He has not met a single therapy goal but has not tried to kill himself or anyone else in 3 weeks so he no longer requires residential treatment.
The insanity carousel just keeps going round and round and the same song keeps playing. It’s only rider knows how to get a never ending supply of tickets.
Sometimes he lets us ride with him for a week or two, but soon he is holding back his tickets and rides alone once again.
Our son is coming back, but he is not coming home. He will cycle through our house like a tornado and then disappear again and again. All we can do is batten down the hatches and pray that the tornado only harms our hearts and does not destroy itself.
Patience is learning that what will be cannot be controlled, only mitigated.
It has been a long while since I have posted about my son. He is still at the Coastal Harbor Psychiatric Residential Treatment Facicilty in Savannah, GA. As he always does in residential care he is doing wonderfully. He thrives on; the down to the minute constant structure of his day, the 24 hour round the clock care, never having to attach or become emotionally involved with the constant change of personnel or kids, and the constant individual attention.
I have been seeing my psychologist several times a week traveling the road of grieving for the living. Trying hard to create new spaces in my brain to accept the loss of motherhood for my son. I am working to accept the hard truths of the last 2 years.
He doesn’t want or need a mother, he needs a caregiver. He doesn’t want or need my concern for his future he needs food, shelter, and affection on his terms. My mothering love that has been essential to all of my other children is smothering my son, he needs me to be supportive and affectionate but to keep my distance.
So I am working hard to learn how to be my son’s caregiver and not his mother. My needs must be closed off as I work to keep this kiddo alive. For whatever the universe’s reason my son does not want to live as part of a family. So we will have to learn to be just the family that cares for him.
For the past 3 1/2 months everything revolved around our son. His therapist, psychologist, and psychiatric appointments. His self harm, crisis intervention teams, and hospitalizations. His hand crafted daily schedule, his medications, and his school.
Then in the last 3 weeks a flurry of decisions, hours of phone calls, piteous pleadings to any official who had the bad luck to answer the phone, anxious texts at all hours of the day, and fitful nightmare filled nights.
Then came the fast, intense feeling of peace. Which was quickly followed by the drop to your knees guilt.
Now there is just silence and an empty void. I had been parenting like I was on fire and now the fire is gone. Leaving behind a burned out shell, a blackened and charred ghost of the structure it was. Oh how I wish that fire could have destroyed the memories and events that have caused our family such pain. But our most intense memories cling to us no matter the devastation we survive.
Objects and tangible items were not lost in this blaze, but hope was.
Now I begin the tiresome process of finding new hope. I have done this many times before with our son. This time is different. The new hope I persue is so elusive and fleeting that I cannot hear its beckoning whispers or see its shadows of light. I have looked in the places where it was found in the past, but for now it is no where to be found.
It has been a week and a day since Garrett drove our son to Coastal Harbor Psychiatric Residential Treatment.
We had our first family therapy meeting last Wednesday and it didn’t go well.
The therapist asked our son why he was at Coastal Harbor and he responded with “I didn’t make my phone calls when I was in the hospital.”
I managed to stay silent while screaming on the inside.
Therapist- “You don’t get to a level 6 treatment center for not making phone calls. Why are you here?” (Our therapist actually used more “colorful” words but I didn’t want to post them online 🙂 ). Son- “I don’t know.” Therapist- “Try again.” Son- “I didn’t listen.” Therapist-“Listen? You know many many people have shared with me why you’re here. Now we’re going to listen to your parents share why you are here.”
We shared but I am pretty certain only the therapist “listened”.
Current stats of the past 2 years.
*15 months in Psychiatric Residential Treatment Facilities.
*5 months in Psychiatric Hospitalizations.
*4 months (spread out over the past 2 years) at home.
*13 Psychiatric Hospitalizations.
*4 Psychiatric Residential Treatment Facilities.
*6 different schools.
*17 interruptions in his schooling.
*13 different psychiatrists, each of them made medication changes.
*21 at-home intervention therapists.
*18 inpatient-Psychiatric therapists.
*7 case managers.
Tonight is our last night with our son for what will most likely be many months. Garrett will leave with him at 5:30 AM for the 4.5 hour drive to Coastal Harbor in Savannah GA. I have had 3 other nights like this in the past 2 years and they are like a funeral. Saying goodbye to the child I know now, for when he finally returns he is always different. Changed by time, people, and a life I will have no part in for months.
The grief is overwhelming and I try to sound happy and upbeat while making sure I tell him I love him so many times that it becomes a circulating mantra in our conversation.
I used to remind him to brush his teeth, change his underwear, put deodorant on, write in his journal, and listen to his doctors and staff.
Now I just tell him that I love him and will always be here waiting for him to choose life outside of the hospitals.
I tell him I can’t enable him anymore and that we will not visit him while he is at Coastal Harbor. I will not call him. He will need to call us. I remind him that words mean nothing to us anymore. That only actions can speak to us now. I will not allow him to promise or plead to us at Coastal Harbor. Days of good behavior will not be praised. They will be totaled into weeks and months to receive praise.
We love you but cannot live with you, only your actions can change that.
Make new choices, the old ones haven’t worked.
Good night and goodbye my beautiful and tragically broken son.
We have just entered the Psychiatric Beauty Contest. We have put on our high heels, taped “the ladies” tight together and crammed ourselves into a dress two sizes too small.
We are in a contest to find a PRTF (youth residential care) placement for “Little Big Man”. There are only 5 such facilities in the whole state of Georgia. Let me say that again, 5 just 5. Those 5 PRTFs serve about 450 kids in total(But Georgia has 33 state prisons that house more than 53,000 inmates).
And so our Beauty Competition for PRTF space begins. Now according to all the glossy brochures and department guidelines, youth are taken on a 1st come, 1st serve basis. HA-that’s freaking hysterical. If you have 4-5 kids lined up for 1 PRTF slot who are you gonna pick… The 1st time suicide attempt and runaway who has never been medicated or given consistent therapy? The kid who refuses to talk and cuts himself? The kid who has been through 5 PRTFs in 2 years? The kid who seems to assault others for fun?
Now, none of the choices are great, but add in mitigating factors like..
1. Private Health Insurance pays more per kid than Medicaid.
2. Department of Family & Children Services can make or break your business based upon recommendations to the state on who should serve foster children in need of PRTF.
3. How many resources will we need to use for this kid (we are paid the same rate regardless of an individual kids intensity)?
4. Are parents or family involved (if they are, that’s more resources we need to use toward family and parent counseling)?
Now, who is getting that PRTF slot?
So, beautifully glossy photos of my family have been emailed with detailed explanations of how we believe in the PRTF we are applying for. How we have brought library book donations, staff Holiday gifts, and bountiful weekly staff snack baskets to PRTFs in the past. How we are a low maintenance, mental health educated, but humble family. Finally, I will have our CME call you, or IFI provider call you, and I will call you several times a day. All to ensure you (our chosen PRTF) understand how committed we are to winning this Psychiatric Beauty Contest.
- It is with a heavy soul that I share that “Little Big Man” was admitted to Willow brook Psychiatric Hospital last night. He has been struggling so much since I went back to work. His first 2 days at school were good, but when I came home later than usual on Tuesday he was already in fighting mode. Nothing could stop it, no distraction proved effective, he was gone. We had avoided the hospital several times in the past 10 days but not this time.
All we can do now is pray that he does not choose to repeat his usual cycle. He has not in the past 2 years stayed at home for more than 10 days after a hospitalization. His records of staying home only occurred after he was released from a residential facility not the hospital. One hospitalization leads quickly to another, then another, then another which leads straight to residential care.
We are expecting a discharge date of Sunday or Monday. The countdown will reset when he comes home.
Things I hate today…
- Measuring my time with my son.
- Hospitals where he can refuse to talk to us.
- Having to repeat what happened last night to 5 different case managers.
- Having the emergency room staff say, “Hey ________” when we walk in the door.
- Having the emergency room security staff say “I’m not gonna go over the protocols cause you like must have them memorized by now”.
- Crying in front of my other children before I can race away to hide.
- Having yet another family meeting to try to explain why their brother hurts himself and others.
- Having no control.
- Having a new job where no one knows our story and having to answer “I’m fine”.
- Losing hope.
Today was rough and the crisis team was at our house from 3-6pm. Nothing could stop the stream of anger that Damian was aiming at anyone near him. I arrived home from work at 5:00 to an exhausted crisis team and husband who was beyond done. I tried to distract, disrupt, and soothe for 45 minutes before leaving the room in tears and frustration.
I stepped outside to sit on the porch. I looked up and saw our beautiful neighborhood with children playing and neighbors talking and for 1 quick second the jealousy rose to the surface like hot pain. Then I got up and told the crisis team to carry Damian outside if they had to.
One of my most supportive neighbors has a new puppy and I asked if we could borrow her puppy for some love time with Damian. I told Damian to come with me now and he begrudging went. With the puppy in his arms this sweet woman went on to praise Damian for calming the puppy down with his gentle petting. She continued to praise him the whole time and called out praise to him even as we were walking home. She didn’t question or ask why, she just knew she just acted. She and that puppy just ended a 3 hour crisis. The village is strong and we are so blessed. Thank you neighbor!
It’s midnight and the crisis team just left our house. We managed to use emergency meds to help calm him down and fall asleep. .
Change is good if you don’t have a mental health disorder. If you do, then change is a monumental, slaptastic, horrifying, nightmare inducing pain in the ass. I started back to school this week. He cannot cope with this change and has turned the family upside down again.
He has not slept since Tuesday night. He stopped eating and now will only drink milk that has 3 ice cubes in it. Three ice cubes that he must thoroughly examine before placing them in the milk.
He has definitely begun a manic stage and we are going straight to the psychiatrist in the morning.
Prayers and good thoughts sent out into the universe needed please.