I have just come off of working 12 years in a hospital without a psych unit and with the nearest psych unit being over 35 miles away. It is a mystery that continues to haunt me.įinally, there is the issue of psychiatric hospitalization in the first place. But not any positive, non warehousy residential placement. However, they will help with sensory items once the kid gets out of residential. Even if you are asking a help with a month or a couple weeks. They will not help you if you have insurance and you find a residential placement that will help your child thrive. They will pay for your child to go to a DCFS kid warehouse residential for the next couple years and not get better. Then you have to have a pushy parent to get anything from them. They are also hardly ever alerted until the kid is on thier 6-7th hospital stay. SASS is suppose to follow these kids, however, they are understaffed and underpaid.
Some can be longer depending upon the child's issues. Residential programs can be 30-90 days and up to 6 months if they are done correctly. With a team of professionals working together on these kids' issues. Which is longer term inpatient treatment services. These seriously messed up kids need residential services. Which is why most of these kids fall through the cracks. Upon discharge you may be given a referral to a psychiatrist (if you have Medicaid, good luck getting one) and a therapist (unless you are referred to me, good luck, you will be on a waitlist again or get someone that doesn't know what they are doing). Then they will be transferred to PHP (partial hospitalization program), which is a day program for 2 -4 weeks, and then stepped down to IOP (intensive outpatient program) which is 12-9 hours a week for 2-4 weeks and discharged. Because if your child is suicidal, they are only going to stay a week in the hospital for an attempt on thier lives, until the crisis is stabilized. Hospitalized=go to the psych ward and stay a week. So like be hospitalized 5 or more times in a 6 months. Adolescents have to fail at like a bunch of inpatient treatment. The mental health side isn't much better. I thought about it for a while, any client that can stay clean for 60 or more days, does not make ASAM criteria (the standardized criteria that addictions professionals use to place clients at the appropriate level of care) for rehab services. Clients, never talked to a person, they punched in a code. Then when I worked in a Drug Court program, I remember another local Chicagoland program had a waitlist for clients that was 90 days minimum. Many of them would need to be detoxed a couple of times while they waited to get into rehab. Clients would be required to call daily or they would fall of the waiting list. Then I remember, when I worked at a local Chicagoland program that would discharge clients from Detox (5-7 day program) and put them on a 30-60 day waitlist for a 28 day Rehab program. So, this waiting period is counter productive. Anyone that has spent time with an addict knows that you have a finite amount of time to get them to agree to go to treatment. The other part of that is that there are 4-7 day waiting lists to get into detox programs. They cannot be admitted if they drank earlier that day, they have to have drank within the last hour or 2.
A prime example is an addictions client that wants to get into detox, cannot get into detox without being intoxicated. The lengths that clients have to go through to get the proper help that they need is unbelievable. One thing I have learned or re-learned is that the system for these clients is broken beyond belief. Anyway, this summer I have had some real highs and lows with clients in my practice in the mental health, addictions and cooccurring disorders areas.
DIMENSION 5 TRANSDIMENSIONAL RAR DOWNLOAD PROFESSIONAL
In addition to being a licensed mental health professional (LCSW), I am also an addictions professional (CADC), a distinction that I have had longer and have probably more accolades in than general mental health, despite being a specialist in both areas for the past 25.5 years. I decided to write this blog today because I wanted to talk about things on the front lines of treatment.
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