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The Search goes On 21/12/2009

Posted by Sir Ralph in How it went on.
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Searching is one of my main activities these days. Today I am searching the virtual world of the Internet for a pulmonologist. Ruth has fallen ill with an asthmatic cough. The excitement during the last days finally shows also in her physical health. All doctors we are calling, however, have a waiting list of three months or more. How can it be that in a civilised country like ours, you have to wait for an appointment with a medical speciaist for months?

Finally we succeeded. The diagnosis is evident. Asthma. Ruth now has to stay under constant surveillance. All exciting situations are problematic for her health.

Second search. We decided to finally tackle the problem from the very basics. Janet is refusing to begin with a therapy. She needs our help and support when being confronted with a therapist; no chance for a male therapist. So I am trying to find a family therapist.

An enquiry at the health insurance turned out that systemic family therapies wouldn´t be paid for for what reason whatever. No chance to get costs reimbursed by the youth welfare office.

So I looked for welfare organisations who offer this sort of coaching for free. After a while I found out that again, there are responsibilities according to areas of service. Finally, I found a social welfare organsiation which was willing to make an appointment.

Unfortunately, we had to discover that this sort of assistance was not sufficient. Ruth and Janet were calling it a “tea-time small talk”. Both ladies really did their very best, but we had to notice that they hardly had an insight into our problems.

Many specialists had already told us that our situation was extremely difficult and complicated. Still, what´s that good for if we don´t get any assistance?

Besides, there are lots of foster families fighting just the same as we do to obtain the best results for the kids for whom they are responsible. We know some of them. It is only that far to few people know what ist means to bear responsibility for children who had to endure such a lot during their shot lives.

I still remember the quote of a well-known psychiatrist during a coaching for foster parents:

Foster parents are obliged to stand for the interests of their traumatised foster children. Who else will do that if not them? They have to show their foster children full solidarity by unconditionally taking their part.

When will authorities, therapists and clinics finally accept this fact and begin helping foster parents and their traumatised foster children, regardless of specialist discussions and responsibilities?

Not in charge of mental disasters 13/12/2009

Posted by Sir Ralph in how it came about.
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If you are in need for help in case of mental distress, don´t count on assistance of medicl institutions if you live in Germany.

This is a letter I wrote to the head psychiatrist of a mental clinic for juveniles in the atempt to organise help for our foster daughter Susan and the result that came from it.

Dear Mr XXXXXXXx,

We are turning to you because we are in urgent need of help for our 12-year old foster daughter who has been living in our family for more than five years together with her older sister.

For one year, the symptoms of a post-traumatic stress disease caused by a crime in her family. She is transferring her traumatic experience inflicted by her biological mother to my wife, is over-reacting aggressively to her, is restaging in our family the situations she had experienced and is putting herself into isolation in our family because of her uncontrolled behaviour. Beginning puberty is causing aggressive outbreaks. Dyscalculia has been diagnosed, and is leading to problems at school.

In cooperation with the local youth welfare office in charge, we see the necessity of helping Susan in a fast and competent way. For us, the precondition for a diagnosis and therapy is being treated and cared for by a multiprofessional team specialised on traumatology, as well as the inclusion of the foster parents and psychological parents into decision-making and therapeutical processes. We class your institution according to the description of your therapeutical methods and treatment plans in your Internet presence as most suitable and would like to discuss the futher steps with you in a personal contact.

The present crisis in the development of our foster daughter is calling for immediate action. On the other hand, we refrain from putting Susan into an institution which does not ensure our taking part in the therapeutical process and the use of appropriate therapeutical methods.

We would like to urge you to assist us in this situation of distress which we are not able to bear much longer. We are available by e-mail or the above-mentioned mobile number at any time. I would try to contact you during the next days, at any time which will be convenient for you.

Yours sincerely

P.S.:

The reply reached us in form of a call by the secretary of the head psychiatrist who let us know that Susan could not be admitted because we weren´t living inside the clinic´s service area.

P.P.S.:

This is horrifying. There is no way to choose the best treatment for our foster daughter. You have to take what you get, no matter if it is first or second best or not suitable at all. In our country, for those who have to suffer the most terrible fate there is the least help. Fates and experience are administered, there is somebody in charge for every problem, everything is socially balanced. Who does really care for the psychic state of these traumatised people? Why is it left to circumstance which treatment they are entitled to and if the clinic in charge for the service area really fits the needs of the individual person? Why is the traumatised kid not entitled to the latest, best, most efficient methods of treatment? Why are there so few trauma therapists who are fully booked for years? Why are some therapists still allowed to class EMDR and other trauma therapies as ineffective? And why do youth welfare offices still trust in those who are discrediting trauma therapies?

The most important of all questions is why those who are in need of a special therapy but are not able to meet the costs to get the best of all therapies are denied financial support. Why may biolgical parents in custody of the kids they have mistreated so often prevent such a therapy by refusing ther consent, and thereby provoke a legal conflict in court the outcome of which is more than uncertain?

This is the end of my efforts. So much for the search for a suitable mental institution for Susan.