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15 year old son with Type 1 diabetes: CAF

9 replies

Writehand · 13/02/2011 19:38

My son has had Type 1 diabetes since 2001. He's never had good control. He's described as a "brittle diabetic" but that's a label not a diagnosis.

Since he hit puberty his control is off the clock. His school attendance has dropped over the last 2 years until last term he was making only 1 or 2 days a week. Deciding whether he's fit to attend isn't subjective - we've got a protocol from the hospital. We do his blood sugar every morning, and if it's above or below a certain reading he can't go in. The school were always having to send him home too. Bill has had 5 hospital admissions since September - these are never more than 24 hrs, and sometimes only 12.

At the end of the summer he got a new diabetic specialist nurse - a man with Type 1 diabetes! Bill was so pleased! The consultant sees us for 10 mins every 4 months. The nurse prescribes, changes doses, provides equipment - the nurse is Bill's key worker.

Then in October the nurse revealed that Bill had been self-harming. I had no idea - he'd burnt himself in places that were normally covered by clothes. But thank goodness he had the sense to tell his nurse. Counselling with CAMHS was arranged, and his counsellor is lovely. The new nurse was brilliant - either Bill or me - mostly Bill - spoke to him most weeks last autumn. Then in mid-November the nurse went off sick and never came back.

By half term Bill had given up hope on his education. The school describe him as an "outstanding student" but with 10% attendance his GCSEs were going to be pitiful. He was suicidal. He stopped even trying to go to school.

The counsellor from CAMHS has been amazing. The EWO has been supportive. But the school has not. They've sprung a sort of trap on us - and I suspect it may be to protect themselves legally.

In December we had a meeting at school - staff, SENCO, EWO, but no one from the hospital or CAMHS. It seemed really positive. They suggested a Common Assessment Framework (CAF) document to protect Josh's interests - he'll be 16 in the summer but he wants to do A level and go to uni. The CAF would help guarantee he gets the services he needs. Sounded great!

Two weeks ago we had the follow-up meeting. It was a nightmare. The SENCO had written a CAF full of really serious lurid allegations about me. Apparently I allow truants to hang out at our house, don't wash Bill's clothes for weeks, and my house is a well known hang-out for teenagers using drink and drugs!!! And that's just the highlights. Makes me sound like Fagin - and it's rubbish. Sad

I tried to talk calmly, but I was so hurt and so shocked I burst into tears and ran out. Luckily there was a loo nearby. Bill's CAMHS counsellor came in and hugged me. She said she didn't believe a word of it - he couldn't be the lovely, emotionally-intelligent boy he was if I was the neglectful parent described in the CAF.

We went back into the meeting and she pointed out that self-neglect was a symptom of depression. I told them Bill refused to shower even after I told him he was smelly. She also said that serious emotional problems were common in teens coping with Type 1 diabetes.

She also said that she didn't think Bill would mind her telling them that he'd kicked a friend out of the house a few weeks back because he'd had drugs with him. Bill told her he's got enough troubles without adding drink and drugs to the mix.

Bill was supposed to be at the meeting, but he felt too sad and anxious to attend. The SENCO said it was such a pity he wasn't there. Thank goodness he wasn't! The school intended to spring this document on my hugely vulnerable 15 year old in a room full of adults! Shock It was bad enough for me. I can't believe they thought this was OK. The CAF also breaches Bill's medical confidentiality, and CAMHS are very concerned about this.

I refused to sign the CAF. The CAMHS woman gave me a lift home and said I'd done well not to sign it, that I shouldn't sign it until I felt the CAF was fair and helpful. The CAF is entirely voluntary.

At the end of the meeting the SENCO said she'd send me a revised version of the CAF that I could sign. The new version they emailed had tiny changes - all the serious stuff was still in there. None of what his counsellor had said in the meeting was included.

Bill asked to see the document. He's got the right as he would have to agree to the CAF too, so I let him - though I warned him it might be upsetting. He was devastated. Called it child abuse, abuse of power and character assassination.

He showed me that instead of a x against the CAF option at the top of the document, it's got an x in the box for Child Protection!

Bill is so angry. He says that if this is what the school think of his family and friends he never wants to see any of them again. But all the other 6th form places round here will have gone by now, and the school have already agreed to take him if he gets 5 A-C GCSEs, which he should just about manage. Grandparents are paying for home tuition. His current school may not be ideal, but they may be his only option.

The CAMHS counsellor told me to postpone telling them I wasn't going to sign for as long as possible. Bill's 6th form application is going through, and it would be best if that's confirmed first. Also Bill sees the cons. psych for the first time this week and his views are key. We may not need the CAF. The psych can make them provide everything we need - LEA home tuition, etc.

Tomorrow I'm going to have to let the school know I'm not going to sign their CAF. If the x against Child Protection isn't a mistake, then I'm terrified of what they'll do next.

The CAMHS counsellor read through the whole of Bill's hospital notes. She also looked through his brother's. She says all three of us - but specially Bill - have been let down by outside agencies again and again. She called a CAMHS team meeting and did a presentation about all the injustices and harm done to Bill, his brother and me. She tells me the whole CAMHS team are on our side. She assures me that CAMHS have no Child Protection concerns.

She said "I'm going to be Bill's champion. And I'm going to champion you and Mungo too"! But I've been this way before - I don't trust the processes - and I'm not sure what she can do to protect us from the school.

I suspect that the whole CAF thing is to protect the school. Bill is very, very bright. He's always well behaved and always does his homework. What did I do to deserve him? His education has suffered because of his health but has the school always done all it could to help him?

The answer would have to be "No". Vague promises of work sent home which never materialised. No support when his erratic attendance left him feeling lost, both socially and with the curriculum. Bill says the SENCO, who wrote the vile CAF, hasn't had a one-to-one with him during the 4 years he's been at the school. The SENCO has a reputation for being a class A b*tch.

But if the school can produce a document that shows his home environment was appalling, they can use it to show that there wasn't much they could do. After all, they were fighting a losing battle with my lousy parenting...Angry

On top of all this, when I rang the diabetic clinic to find out what cover had been arranged they told me that the service has been cut. Now Bill's only diabetic care is 10 minutes every 4 months with a consultant. There's no one to help or advise us day to day. This is appalling. I'm going to see if Diabetes UK can help, and am expecting a call from our GP on Monday. The GPs locally don't deal with Type 1 diabetes, but our GP's going to have to if there's no one else.

OK, they can't take Bill away - he's 15. But I am a mass of anxiety and this horrible sense of injustice and fear of what people may do or may be planning. It's totally screwing me up - I can't sleep, I can't eat, I obsess about it. I'm a nervous wreck. Which isn't good for my kids. Sad

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scaryteacher · 13/02/2011 21:04

I can't advise anything, as I don't know enough about it, but didn't want your post to go unanswered. You sound as if you are doing all you can.

If the diabetes is affecting his attendance, then may be another year to resit GCSEs if he doesn't get the grades he needs, plus concentrating on controlling his diabetes, may be the answer and go on to sixth form a year later. There must be arrangements in place for children who have been ill to do this.

I would also be asking for the SENCO to substantiate with evidence the allegations in the CAF document. If she can't, then a solicitors letter may not go amiss.

sugarcandyminx · 14/02/2011 00:08

What an awful situation, your poor boy Sad.

Please come and post on the SN board - there are, sadly, other parents who have had to deal with allegations and getting the right support from schools/local authorities and you'll get lots of advice there on how to deal with their tactics. Have you been in touch with any of the educational charities, like IPSEA, ACE or SOS SEN?

You're in a difficult position now, but there are things you can do which will help, like making data protection requests for paperwork, getting someone to witness meetings and logging any contact with authorities. It's good news that CAMHS is supportive.

Is your son on School Action Plus and is he getting regular IEPs? I would normally suggest applying for a statement as it's clear your son needs extra support at school, but it would have to be finalised before your son is 16 and they take at least 6 months to process.

I think it would be worth asking about alternative sixth form places though, even if you think they'll be full. Your son needs to be somewhere with good SN provision and the SENCO clearly isn't helpful at his current school.

Writehand · 14/02/2011 13:10

Thank you, scaryteacher. The serious allegations are all put as "here say" (the SENCO can't spell).

What gets me is that she's never had a one-to-one conversation with my son, let alone visited the house. None of them have been to this home they're insulting.

I've just been on to Diabetes UK who are getting me free legal advice. Hurray!

No one will let him re-sit GCSEs round here. However if the cons psych recommends 5 hrs LEA home tuition his current (private) tutor reckons he'll make 5 A-C grade GCSEs this summer easily. He's very bright, and he makes an effort too - when he's not feeling ill.

The school have just agreed by email to let CAMHS take charge of the CAF, which is a huge relief. Bill's counsellor has visited us at home twice, and I know she knows Bill's much loved and that I don't run some sort of thieves' kitchen.

Bill's older brother cheers me up. He read all these allegations and commented "They missed out the sex-trafficking business I'm running from the attic..." Smile

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PixieOnaLeaf · 14/02/2011 19:20

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katefaz · 15/02/2011 16:30

I'm really sorry to hear what you and your son have been going through. I don't have much experience of the agencies that you have been working with but I do have a teenage daughter who has had type 1 diabetes since she was two. You don't have to carry on on your own without any support and you shouldn't have too. I joined an email support group called children with diabetes about four years ago. The other mum's all have kids with diabetes, many of them teenagers, and many of them are accessing the best hospital care available either through living near a really good hospital or by having moved hospitals to get that care. They can help you and Bill by sharing their considerable knowledge so that he doesn't have to miss so much school and can truly achieve everything he is capable of. My own daughter's control has improved massively from everything we have learnt from this group. You can find out more and join the group by visiting www.childrenwithdiabetesuk.org and clicking on Mailing lists. It is like having your own email specialist nurse twenty four seven.

LordofthePies · 15/02/2011 16:40

How awful for you all. I'm just wondering, If he is having to miss school through this sort of diabetes, has anyone spoken to you about getting a Navigator device? This monitors blood sugar constantly so helps keep it on track.

Its expensive and not available on the NHS where I am but, but it might make a real difference to his quality of life and there are still some Grants out there towards the cost.

MickyCUK · 15/02/2011 16:46

We are under the same hospital as you. My son is 7, diagnosed in January last year. To cut a long story short we are now at the end of the process of moving to a different hospital. it is a straight forward process and can be done quite quickly. I'm a member of the list mentioned in the post above me (by katefaz). please come and join us. Also, not sure how to send a private message on here but if you can than please get in touch.

janejoesmum · 16/02/2011 21:17

Hi i was really appalled by your experience of the CAF process. I have a 10 yr old T1 son who has recently been through this and has the CAF in place. He had missed lots of school through endless chest infections and his school was talking SATS whilst I was talking blood glucose levels! The CAF was organised by an outside agency - The Excellence Cluster. I dont know if this is only local to Hastings but it was a definate advantage having someone neutral to administer the process and the form. Unfortunately they have now lost govt funding so the onus will fall to the schools and when the parents and the school are at odds this doesnt work so well. Luckily it was very positive and really helped the school to understand the issues.
You dont have to sign anything if you dont want to. I think the advice you have already had to seek legal advice would be very helpful as it seems as if there are points of issue here that go beyond your child and into the realms of slander and libel.
I also have a 16 yr old son who was self harming, this was raised by his school chaplain. Ironically one of his issues was to do with being the 'neglected, non diabetic sibling' Sometimes you cant win!
I know that it has already been mentioned, but I have found the Children With Diabetes online forum to be a great source of help and there is always someone who has been through something similar and it is a deep vein of knowledge and support.
If you want to email me directly that would be fine, if its possible through this list, if not, post on the CWD list and I can reach you through that.
Also have you considered college for your son? If they offer the right A levels he would get a lot more support as they have a specific department set up with dedicated learning support tutors waiting for students to arrive in September. Funding is for up to 19 yrs so he would have time to resit his GCSEs if they offer the right ones.
I really hope you get this sorted out as the CAF can be a very helpful process which seems to have been perverted by your sons school. Best of Luck!!

Writehand · 18/02/2011 17:34

I have only just got back onto this thread. Really ironic that after frantically trying to get a diabetic nurse and advice, Bill got really severe DKA and was rushed into hospital in an ambulance two days ago.

His counsellor from CAMHS has raised an NHS Incident Report - Bill's life risked by a clear failure in the service.

Lots of things have happened in the past couple of days, mostly good. Bill is fine now. But I'm too shattered to post properly. So, so tired. Will post properly tomorrow. You've no idea how much your support means. Thanks Smile

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