A hand hold and advice needed

[mindgoinground12]

So ive posted on her before about Ds's mental health, used to post on children's health but he's 18 know so thought id post on here, tell me if im in the wrong place!!
So DS was disharged from a 10 month hospital admission a couple months back and things have been going okay. Last night was the first time we sort of hit crisis, he SH last night, i wouldnt say it was massivly bad it was about 4 cm across but deep enough to have probably have needed stiches, it was on his leg btw. he was in a dissociative state and wasnt responding to me so i called an ambulance as i was the best thing i could think of. The police arrived first, i didnt ask for them apprently ambulance did. Que DS freaking out getting restrained a couple times, i hate hearing my boy scream. When the ambulance turned up, he refused hospital and any treatment for his leg. They tried to persuade him otherwise to no avail. After him kicking of a couple times more the ambualnce decided he needed assesing under the mental health act. Que 12 hours of police in my house and a not very happy DS they arrived, they decided he did not need sectioning to a mental health ward, which i would agree with because in many aspects hospital just made him worse and said he needed to see his worker or someone from his team today. Somebody tried to ring but apart from that nothing. Hes in a much worse place today after yesterday hes saying that he feels like a faliure, the voices in his head are much worse and hes screamed a few times, he keeps saying he wants to make his SH cut worse to make him feel better im at a lose as to what to do know, i dont think he needs sectioning to a mental health ward but he needs medica attention. I dont know what im asking or saying if you got this far thank you

I don't know his condition but massive hand hold. Are you able to ring his team or out of hours?

He has PTSD, anxiety and is on the autistic spectrum. should have mentioned that!
OOH would be 111

Has anyone from his care team been in touch today? If you can get through the night then should contact then tomorrow. Otherwise if you feel like he is really struggling the only other option (as far as I know) is A&E. Sorry you are in this position, it is so difficult to get the right medical treatment for mental health issues.

Ah- does his team not have an emergency number? I'm under SABP and we do as does SLAM in case you could do with either number.

Does his dissociation keep him from harm or is he better grounded?
For me, dissociation isn't great, but in the past was a protective measure and breaking through the dissociation would drop me in all those feelings and I'd turn to unhealthy coping mechanisms. It really sounds like he needs his team x

He ideally does need to go to a&e but he catogorely (sp?) wont go, hes team arent in tommrow as its saturday and hes ridiculously not under crisis team

111 will give you access to an out of hours GP which I have found useful when DH has been in crisis in the past. There should also be a specific mental health out of hours crisis service (possibly the ones who assessed him last night) that you should be able to access the number should be available if you call his mental health team out of hours, the normally have it on their answer phone service. In general I've not found this service in our area much help and in all honesty the most helpful people in an immediate crisis tend to be the police, although obviously they didn't help your situation much this time.

I have had PTSD and found that both dissociation and self harm were coping strategies rather than an actual problem in themselves (obviously depending on the severity of the self harm) DH experiences voices as part of psychosis so I have some understanding from both sides. From a discussion perspective essential oils can be useful to help bring someone back to the present. Has his mental health team done any work with you both around coping/management of crisis? We have found this a very useful thing to do with support from my husband's CPN. We now have a traffic light system of early warning signs and strategies to use to avert a crisis, which we find very useful.

You should still be able to contact crisis team out of hours in a crisis even if he is not under them for day to day care.

Hoping things have got sorted for you OP.

Well eventually we ended up ringing get police again and DS was not in a good state. He was restrained for about 4 hours straight he ran outside at one point so they 136d him. He was assessed and they decided he needed to be in hospital on a section 2 this was 4 days ago know he's come home today as they can't find him a bed so the ride who's section isn't complete, he has capacity and has calmed down emensly. They're still finding him a bed and will re asses when one is found but they all said that as he's saying crisis has passed he shouldn't need it. I would say main crisis has passed but he isn't well still he's already said he's struggling but he dosent want to come across as a failure. Ahh I don't know what to do again.

It sounds really difficult mindgoinground12. Here is another handhold.

Is he being seen by the home treatment team? Ideally a CPN should be seeing him everyday if is at home waiting a bed. I do hope something gets sorted soon for you and your DS.

Hes in hospital know, where he needs to be at least for a bit. It involved the police dragging him out in handcuffs and he took ages to calm down once on ward but apprently know doing well