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I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
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The convalescent home he’s at is looking for a place for him to live. Should I find a professional placement person? Which places take a mentally ill person with a schizophrenic diagnosis? he refuses to get more help, specifically ECT.
The convalescent home he's in has their own social workers. Ask if they can give you any help or at least put you in touch with a state social worker who can help with housing. I'm going to assume that your brother is on disability and Medicaid. The quality of his treatment and housing only goes as far as his insurance and disability benefit can get. How sad it is that a person with severe mental illness is almost always refused the services of an actual behaviorist. These were psychiatrists who did actual psycho-analysis of a patient and could get to the root of their issues. Many types of mental illness can be managed well through environment as opposed to meds. Some can't. Unfortunately suffering patients don't get the option of finding out. As for your brother. Does he see an actual psychiatrist doctor regularly? I would say if he does try to convince him to let you go with him to an appointment and talk to the doctor. They might be able to help with some resources too.
I wouldn't give my worst enemy ECT. It is cruel, violent and doesn't do any good for any length of time.
We can't even legally do that crap to prisoners of war for interrogation. Think about that.
He should be assigned a social worker that helps him find housing, jobs, other resources. Tell the rehab to get his social worker involved and doing their job.
As difficult as it is, sometimes we need to step back so the system in place does what it is there for. Family involvement is always seen as an easy solution, dump them on family and make it their problem. You stepping back will get the professionals motivated to help him.
Do you have Guardianship for your brother? If so, yes you could engage a professional placement person - hopefully make this task much easier.
However if your brother is in charge of his own affairs, he could be assisted by this person or a social/advocacy service directly.
Trying to find housing but lacking the authority can be a bus to nowhere land. I took that ride. Eventually I got off that bus...
I did get a good tour, including a lot of knowledge from professionals.
Dr told me something like 75% of Sz patients have 'anosognosia' (lack of insight) where the brain cannot know there is a problem. It differs from denial apparently. People do not recognise their illness so won't accept treatment for it. Is this your brother's situation?
I suppose ECT treatment would be considered 'burdonsome' & many wouldn't want it even if their Dr recommends & all other treatments have failed. (I have heard it can help with long-term depression when meds don't). Sadly there is no cure for Sz - but symptoms can stay managed when the right meds are found. The side effects are often awful though.
Thank you, Betty for the response. I appreciate it. I don’t have conservatorship/guardianship. It’s something I think about, but it is difficult to get here and it would be hard with him very paranoid of me. But it could be what happens. So, he can choose where to live. I’m worried he will decline all the homes he is offered by the people working with him now. I believe the recent diagnosis of Sz may not be accurate because he’s had serious mental issues for almost ten years and wasn’t given this one until recently. Mostly it’s been psychosis and depression. ECT would almost certainly help. He just won’t do it. I wouldn’t like to have it either, if I were in his shoes, but it really would very probably be worth it. Yes, he does not self recognize. That’s what his psychiatrist said. He punched me the last time I saw him, a few years ago, so I won’t see him. Again, thank you for your response. And happy Thanksgiving!
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
I'm going to assume that your brother is on disability and Medicaid.
The quality of his treatment and housing only goes as far as his insurance and disability benefit can get.
How sad it is that a person with severe mental illness is almost always refused the services of an actual behaviorist. These were psychiatrists who did actual psycho-analysis of a patient and could get to the root of their issues. Many types of mental illness can be managed well through environment as opposed to meds. Some can't. Unfortunately suffering patients don't get the option of finding out.
As for your brother. Does he see an actual psychiatrist doctor regularly? I would say if he does try to convince him to let you go with him to an appointment and talk to the doctor. They might be able to help with some resources too.
We can't even legally do that crap to prisoners of war for interrogation. Think about that.
He should be assigned a social worker that helps him find housing, jobs, other resources. Tell the rehab to get his social worker involved and doing their job.
As difficult as it is, sometimes we need to step back so the system in place does what it is there for. Family involvement is always seen as an easy solution, dump them on family and make it their problem. You stepping back will get the professionals motivated to help him.
However if your brother is in charge of his own affairs, he could be assisted by this person or a social/advocacy service directly.
Trying to find housing but lacking the authority can be a bus to nowhere land. I took that ride. Eventually I got off that bus...
I did get a good tour, including a lot of knowledge from professionals.
Dr told me something like 75% of Sz patients have 'anosognosia' (lack of insight) where the brain cannot know there is a problem. It differs from denial apparently. People do not recognise their illness so won't accept treatment for it. Is this your brother's situation?
I suppose ECT treatment would be considered 'burdonsome' & many wouldn't want it even if their Dr recommends & all other treatments have failed. (I have heard it can help with long-term depression when meds don't). Sadly there is no cure for Sz - but symptoms can stay managed when the right meds are found. The side effects are often awful though.
I believe the recent diagnosis of Sz may not be accurate because he’s had serious mental issues for almost ten years and wasn’t given this one until recently. Mostly it’s been psychosis and depression. ECT would almost certainly help. He just won’t do it. I wouldn’t like to have it either, if I were in his shoes, but it really would very probably be worth it. Yes, he does not self recognize. That’s what his psychiatrist said.
He punched me the last time I saw him, a few years ago, so I won’t see him. Again, thank you for your response. And happy Thanksgiving!