Eating disorder assessment today at last

[coff33pot]

Update on dd is it has been a hard week.

Good news is she is still off the coke and still on the caffeine pulls and glucose and diazepam.

Bad news is she overdosed again early hours yesterday which resulted in me doing 90mph on phone to 101 who was getting ambulance to meet me half way. Had enough of this scary stuff now.

A&E discharged her at 9 am with a cup water saying there was no longer a reason for her to be there after seeing a psych for 30 secs who told her to ring sic former meds and make an appointment. So yes they discharged a suicidal anorexic on her own with nooner and no batt on phone.

Result in me getting there and dd in a state not wanting to leave hospital. so parked car in an annoyingly prominent spot and marched down to pals. They were appalled, GP was appalled when I phoned her and I was a wild woman shouting that she needs inpatient care now!

eventually with pals and gps help she has an assessment this afternoon. This had better go well as ds is putting all her hopes that they agree to admit her to ed place.

Sorry you are still being so badly messed around. Honking for you, coff33 and hugs for your DD.

Thank you for all your suggestions and advice plus two pms I have read and will reply to :)

the links and tel no were ideal and you have re-set my gears into positive mode. I have read through the London link so far and part of the other.

I am waiting for addaction to phone hopefully tomorrow as left message. DS has his own camhs appt on Monday re meds and well being check up so I have the opportunity there to ask them if they can insist the adult MH Team get in hear due to all this being detrimental to him. It is causing him anxiety with dd in and out of hospital like this etc so it's not a lie. If the adult one won't listen then maybe the children one could be dds ticket to recovery.

I will ring the hospital tomorrow like Maria suggested for pros and cons and argue politely once more with MH team for it to be sorted or go to dds GP with dd to request a referral there if dds won't then I will go to DS GP who helped me get ds to Maudsley.

This is going to take a while and it could still be a no but it beats hanging around. here's hoping I pull it off a second time x

Maudsley ED unit

Thanks mariamma :)

trying to find out if SS is open or contactable. Her MH team phoned alright to offer her a narcotics support group and will be referred to a psychologist for a second opinion and then a dietician appointment. Psych could then deal with trauma they said. DD begged once more on phone to be admitted as she can't do it alone from home. That was ignored. Dd threw the phone at me after screaming her heart out to this cow saying speak to them why I go find a razor because I just can't do this.

MH team nurse told me she can't speak to me as don't have permission which was crap as dd verbally gave this last time that SW would rather she spoke to me anyway. that was ignored. was told about narc support and I again said she has been DX with complex multi impulsiveness, and the rest and said that long reach have complex care package. Said that she was putting us all at risk of a breakdown here how I supposed to keep her safe? Make her eat? Keep her off coke answer was she has done so well though. Ignored the fact that was she because she was trapped in the house avoiding every RL situation.

Got told as she is adult she must accept responsibility for her actions oh and I have a sense of responsibility too. I repeated that dd is being responsible in repeatedly asking for the correct help and she is trying to protect herself by asking them to virtually section her. She said we can't just fund willy nilly and she doesn't fit section criteria either :(

Oh and of course this is all very difficult ......

GP or addaction not available till Monday, pals got message saying they ring you in 24 hrs and the London link haven't phoned me back to discuss the pros and cons.

No I haven't hit anyone ......yet

She so bloody does meet section criteria.

Section 2 (voluntary assessment on ward for 28 days) top priority = AT RISK of self harm. This should be on a SECURE unit (so she can't access drugs, get out and hurt herself etc)

She's bloody gone one step further & self-harmed and been released back into the community against the express wishes of herself and her family. I assume you are her "nearest relative" legally?

That right there is the stuff Daily Fail front pages are made of. Legally if the worst happens in the next month or so the hospital don't have a leg to stand on and not one, but several of them would automatically lose their jobs.

She actually should be on section 3 by now - up to 6 months involuntary for treatment with reduced legal rights as a competent adult (Which means she auto have you as her named relative & an assigned social worker etc to ensure that noone rips her off financially etc while she's ill. The benefits agency aren't allowed to harrass her etc. Basically she can focus on getting well iyswim).

The level of cock up you are witnessing here is unfooking believable. I honestly thought I'd "seen it all" with regards to MH services but this is incredible.

When you can sit down and make a note of every single name you spoke to & the gist of what they said.

Gah! I don't know the technicalities of a complaint to the GMC but there needs to be one.

I'm gonna dig out the written criteria for section 2 admission 4 you over the weekend so you can quote it at the barstewards.

Sorry, Bochead is wrong. Sectioning is only for people REFUSING to be admitted, not those asking for it.

I think what bochead is saying is that she should have been admitted by the hospital psych the last time she was in there instead of letting her go baring in mind this was number 2 visit in less than 3 weeks and number 3 in total over the year also even if it being done as a cry for help etc it is still dangerous and is still self harm.

This is affecting the family now as a whole, the house is a mess as you can imagine darting between dd and ds and appointments. DS bless him even said "mummy why cant DD have a tablet like me! you didnt take her to the stupid man who told me to cut my hair did you? because everyone thinks you are naughty in there" :(

I am considering phoning SS on the younger ones behalf as the NHS seem quite happy for them to live in this depressing stressful environment. Maybe they can push something through to help us. Its just madness itself to expect someone with complex issues and ptsd to be RESPONSIBLE for actions ffs. Being home is adding to the stress and the guilt as if she should be punishing herself for it and feeling bad about it. Its beyond cruel tbh.

You definitely can be given a section even if you consent to admission. Or else every desperately unwell person about to be sectioned would just say "oh alright then" just before the paperwork is signed. And then try to self discharge in the middle of the night.

One of my relatives tried to pull the 'I've changed my mind, happy to come in' trick. Still got a section 28 day admission. Think a 6 month section 3 might be more controversial.

Coff so sorry this is still going on and on. I cannot believe how ineffective MH services are being. Has anyone actually done anything except pat her on the back? And what is the point of saying she is an adult and must take responsiblity when MH issues diminish responsibility but she is already doing as much as she can.

For what its worth as I have no experience to offer really, I would try SS re impact on Ds and Dd2. I know that when Ds was really ill the impact on Dd was one of the things that did make people jump up and down.

Coffee - didn't respond yesterday as i had no words. Typed and deleted a few times.

I still don't.

Coff, like oureyve, I didn't post because I am frankly speechless, but I'm here reading and sending much bad karma to those who are failing your family. Wondering what their justification for a salary is and whether they in fact help ANYONE!

I'm aghast as well. If there's any way you can swing a Maudsley referral, either for EDs or for PTSD/anxiety, to avoid the local clowns.

hi coff, we found someone to help my dd after the system failing her for many years, have you got, mind in your area? its a charity and they might be able to help your dd, they help with all mental health needs, take a look at their website, hoping you have mind near you and they will help your dd, (my dd says they do drop-in sessions at the one she uses) she has appointment every week and can use drop-in daily if she needs it......hth

Addaction phoned me and got another appt for Thursday. I told her all that was going on and how she was treated and please could they do what she is asking and send her to long reach for the complex package. Was told that long reach is secondary as they won't admit her if she is still using. I told her she hasn't touched anything at all but she is trapped here and that the trauma side of things is becoming too much. Plus she has out on weight and so she is no longer fitting criteria for admission that way. Tries to say her weight has ballooned in the opposite direction due to pills and no coke and this is a yo yo thing because she will starve again in a minute when she do ds something to help her do it. Now she is punishing herself by eating all crap in sight. :(

She was triumphant when she showed me the weigh slip that said she was underweight and now she is hating herself for being disgusting and flabby as she puts it.

addaction said if she hasnt used then that shows she can do it. My reply was that is because I am thinking of every fucking placebo under the sun for her to take to hang on and bide our time till she is admitted properly. All I am doing is pacing it out but her mental health is cracking and I can't hold that in limbo :(

She left the house last night for a walk and I haven't seen her since and no answer on phone I am beside myself with worry hoping she is ok. I have her pills here so she can't take those as I am now responsible for collection and distribution of them. But I am still waiting for a call saying something has happened.

How would you feel about foster care for you DS?

Threatening it will get you listened to but you'd have to be prepared to go through with it if you threaten it.

So basically, she can't receive help if she is using, and she can't receive help if she isn't.

There MUST be something going on that we don't know about. Are these places only given on order of a court in the way most educational provision is only given on order of a tribunal?

How would you feel about foster care for you DS?

Threatening it will get you listened to but you'd have to be prepared to go through with it if you threaten it.

So basically, she can't receive help if she is using, and she can't receive help if she isn't.

There MUST be something going on that we don't know about. Are these places only given on order of a court in the way most educational provision is only given on order of a tribunal?

Tbh if that is what it takes then I would take the gamble star. I got his appointment on Monday and I am going to ask them to refer us to ss. I hate them for not helping dd when she was small and trust me this is a last resort for me. They were 10 yrs too late for her when she ended up forced by her dad to take him to court. I truly think this is part of the PTSD issues with recent on top that has took her over edge so to speak.

These services are playing batt and ball with each other due to the complexity if years of being ignored. She is a clever girl who has learnt to hide emotions well infront of others so I know if she is asking for help she damn well needs it.

There are 2 types of section relevant here and a stepped approach. Section 2 & section 3. One is voluntary, the other involuntary.

The last sort of section is when you have to call the police and it's involuntary - this is used for MH patients who are violent towards others needmy. Tbh I'm not sure which "number" this one is allocated as I didn't personally need it. This last type is irrelevant to the OP and tbh the sort every relative wants to avoid if at all possible. It's the one the general public are most familiar with for obvious reasons.

I'm as sure of my facts as it's possible to be, having helped a relative through the 2 types I mentioned (& a MH tribunal!) this summer. However it's why I said I was gonna hunt out the literature - so that the OP can go in Monday morning with her facts in black in white to present to these idiots.

There is a yawning gap between adult and children's services that means neither seems to be obligated to acknowledge the presence of issues with the other. I've just changed GP and done a number of sneaky things to avoid being in a very similar situation to yours to protect DS as I can't physically care for both sets of needs alone.

Coff has quite enough to cope with without trying to get her daughter sectioned.Anyone who is assessing for a detention under the act is obliged to follow the principle of "least restrictive option" so if you are agreeing to come in, the least restrictive option effectively prevents detention under section 2 or 3.
There is a special police officers section (136) which effectively allows police to pick -up someonein a public place that an officer suspects of suffering mental disorder and hold them for specialist assessment, which might be of some use, but only to get as far as assessment by people qualified to detain, not to guarantee an admission.

See Rethink website for more details.
" The Mental Health Act is the law under which someone can be admitted, detained and treated in hospital against their wishes.
 To be detained or ?sectioned? someone must be suffering from a mental disorder which requires assessment or treatment and this needs to be given in hospital in the interests of their own health or safety or to protect other people.
 Someone can be given treatment such as medication, against their will whilst under section."
receivewww.rethink.org/document.rm?id=700.

Tbh I want to consider all options I have left the way things are going I might need it myself.

The ways things keep coming at me from all angles for the last few years is keeping me going in motor drive and when it is all sorted I am going to come crashing down from a big height. I am scared of what will happen if I snap as the smile is wearing very thin.

Coff no advice, just massive (((((hugs))))) to you and your whole family, my heart really goes out to you all and especially you who is trying to be strong and do everything possible to care for and help everyone xxxx