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Can you imagine total chaos? 26/01/2010

Posted by Sir Ralph in how it came about.
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I bet you can´t! Imagine a room, full of half eaten sandwiches, empty plastic packs of youghurt or quark, chocolate bar wrappings, tons of sheets of paper, cut and torn clothes…

This was the state in which Susan´s room was in. And this was not the work of a week or even days. Susan could create a mess like this in a matter of two hours.

But how did she do that? Where did she get all the things from? For months now, we have been locking the kitchen the copying paper has been locked away in my study, we supplied her with sweets of all kind for a case of emergency – and still, she found ways to access our supplies, partly stored in the fridge in the cellar. Shopping for the week has become an incalculable adventure, not knowing how much there would be left of anything.

The same, Susan is unwilling to put her clothes into the wardrobe or take worn clothes to the washing machine in the cellar. It was all spread out on the floor of her room.

And you better don´t criticise her behaviour, unless you are prepared to get an aggessive outbreak and slammed doors.

We ask ourselves constantly what might go on in her mind that makes her do the things she does. We know that because of neglect in her early years of childhood, she was storing food and drinks in her room. We know that cutting and tearing her clothes derives from her urge to destroy what she likes, and the same goes for enjoyable situations. But why does she tear sheets of paper and spread them out on the floor?

Many times, I helped her with tidying up her room, or at least part of it. As a result, one hour later, the state was as before. Some people say that her room was a sort of mirror of her inner self: chaotic, unstructured, messy.

We decided that we couldn´t go on with Susan like that, and bear her behaviour that was destroying our family. An immediate solution of the problem had to be found. This would definitely mean an admission in a mental institution where we could rely on a special trauma treatment. It would mean that we would be integrated in the therapeutical process, so that Susan could return to our family and would be able to go on with a trauma therapy to bring relief to us all.

There is no question of why we are doing all that. We´re in too deep. Can we really manage all that and find an acceptable solution?

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.

The Escape 18/11/2009

Posted by Sir Ralph in how it came about.
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Susan was gone. About two o´clock she left our home, uttering “I am gone now.” What was that supposed to mean? In former similar events, she went for a walk or through the garden and returned very relaxed. We had hoped that it would be the same this time.

The cause didn´t stand for an easy outcome. When we entered Susan´s room we found it in a chaos of torn paper and clothes scattered about on the floor and in her backpack a bar of chocolate and a bag of chocolate sweets which Ruth had put on the living room table in order to take them with her to work the following day. Furthermore, we found in her room a box with apples cut in half, three of Janet´s brushes and my headphones among used underpants. Did she plan her escape?

How ofted had I tried to help Susan with tidying up her room and keeping it tidy. Sitting on her bed and reading or talking with her was all I had to do. In vain. Hardly an hour had passed and chaos had taken over, again. How much chaos would there be in her head and in her mistreated soul! I wished we could have organised some sort of help for her. So I made a clear decision: I would now contact now mental institutions with a good reputation for treatig traumatised children. I really should be able to get professional help for Susan.

At half past four, I phoned the Children´s Emergency Hotline. This is a national institution run by the fire brigade. They put the caller through to the local emergency hotline. The official on duty recommended me to inform the police. The police told me it would be best to search for Susan at locations which would be familiar to her. So Janet and I set off to her best girlfriend and learned that both of them had gone to see a third friend of theirs. So we started following the hint.

The girlfriend´s mother was a nice person, but a bit naive. She wouldn´t have believed that the other two kids didn´t tell their parents where they went.

When they returned, the police had already arrived. They had to assure themselves of everything being ok. Susan didn´t feel guilty in the least. She declared that she had informed us when leaving and that she would have returned home.

Was that merely a good show? Or had she really forgotten about the cause of her leave? It seems so. She denied taking away the sweets from the living room. She couldn´t remember. It was as it always had been.  She did something, couldn´t remember and relapsed into her shadow personality when being confronted with real situation. Than she either becomes aggressive and rampages about or sits there in silence and not listening to anybody. We could not see any progress in her development. We knew her problems, but were lacking competent help that would lead to an improvement.