Category Archives: appeal

Compliance – Continued Medication Issues

Compliance – Continued Medication Issues

We are in week two of David’s not getting his medication as prescribed.  Thus, he is out of compliance, though it appears to be a systems issue. 

Either give him the medication he was prescribed or tell me how to fix it.  It’s not difficult.

Today, I contacted the detention unit, asked to speak to the medical person, and was transferred to him.

When I asked what the issue was, the nurse said “he is not in compliance.”

I asked, if he was refusing to take the medication, and rather than providing me an answer, he said “who is the probation worker?” (I use probation worker as a loose descriptor for the person involved in David’s case.)

I explained who we are working with, and gave the nurse that information, as well as contact information for the worker.

The nurse then said “thank you” and ended the call.

So I called and left a message for the probation worker.  I also called our watcher with Social Services.  (the person from Social Services who is keeping an eye on the case)  Since her voicemail isn’t setup, I had to draft an email. In reality, I don’t mind sending email.  I prefer that in a lot of ways because it leaves a trail and lets us hold people to their word. It also allows people to hold me to my word.

Reaching out to the chain of command

We then reached out to the top person at the correction center for youth.  The superintendent guy.

He took my call, I explained the issues, explained the steps that I was trying to take to resolve it, and that we had given all new prescriptions that were filled at the pharmacy since they don’t do that for kids in David’s situation.  In addition, I explained that David continues to be out of compliance and I couldn’t get anyone to help correct it. As well as, I told him about how it’s been two weeks since David had all of his medication. That you can see the agitation in his body.  David isn’t sleeping very well.  He for sure isn’t getting the REM sleep that his body needs.

Possible issues related to medication denial

All of this bodes for problems.  Tentatively, he is due back in court on Tuesday next.  If foster care is the plan, he will have to spend his first month there getting his body attuned to the medication.  Same will happen if he goes to residential care, or another facility placement.  We will see an increase in behaviors related to his mental illness.  He will be easily agitated and angered for no apparent reason.  There will need to be an increased vigilance in those who provide his care.

It’s simple really.  Either give him the medication he was prescribed or tell me how to fix it.  It’s not difficult.

Because medication compliance works two ways.  Please get in compliance with the medication that David needs.

Destroying Success – please pray that we aren’t

I title this post “Destroying Success” for a simple fact. David has been in facility based care before.  He has been discharged from such a care to home three times out of the 5 placements he has had.  Each time home has resulted in behaviors so volatile that he experiences frequent trips to the mental… Continue Reading

Feelings of Futility

We are pending approval for placement in a psychiatric facility. Placement is dependent on the insurance company approving the need. Certificate of Need is generated by the insurance company.  This allows placement. Certificate of Need is based in part on the last psychiatric appointment that David had with his doctor. So, we finally received the… Continue Reading

Good morning.

Good morning.  How about an angry tantrum to start your day? David starts school today.  As a result he seems to want to get the whole days attention in the half hour before he gets in the car that takes him to school. He is now accusing us of child abuse because we have to… Continue Reading

Off to college

Participating in orientation for our eldest daughters college enrolment. Information overload. Here is a tip: Don’t offer the participants food and drink and then take them into a room where that food and drink isn’t allowed. Also, if you have participants using assistive technology to get around, give them time to get from point A… Continue Reading

if I pull any more hair out, i’ll be bald

David is in full form tonight.  He is all wound up and attention needy.  Which means that he will do whatever it takes to get attention. Positive or Negative. Now, some people say “ignore him”. Easy for you to say, you don’t live with him 24/7.  When he gets like this the other kids hide,… Continue Reading

>Appeal results

>We received notice of our appeal determination today.  Evidently the only people who can appeal the decision is the person found to have committed the abuse or neglect.  Our appeal was denied because we weren’t the ones who had been accused of the abuse of neglect.   So evidently, in the state of North Dakota,… Continue Reading

>a moment of brilliance

> Every once in a while, not often mind you, but once in a while I am struck with flashes of brilliance. When I talked to the psychiatrist this morning, I complained about how people were requesting records for our son from the hospital. Interesting thing happened then. She pulled up our son’s file and… Continue Reading