[Blogger’s Note: This blog entry was written by a friend, who wished to remain anonymous, for the protection of privacy for her family and her son.]
Parenting is always difficult. Sometimes it’s the hardest decisions that turn out to be the best decisions. This is about how I knew my son needed more help than I could give him and that I couldn’t do it alone. As parents, many of us will have to ask ourselves about our children’s options. When is it best for for our children to live in the community, but not with us? A lot of us have gone through this and many more of us will at some point. Our kids deserve to live as happily and as independently as they can, but how do we know when and where that is? Parenting a child with special needs can make us feel isolated. Whatever decision we make as moms and dads, I want parents to know that they’re not alone! We make our decisions with the best of intentions and the most hope for our kids!
About three and a half years ago, my then 15 year old went through a “crisis”. He is autistic, non-verbal, doesn’t type or communicate well, he has intellectual disabilities, and now epilepsy. I knew that I had to reach out and seek help in order to help him, but I had no one to turn to for advice or experience. I didn’t know anyone who had been through this before me. I knew I’d be judged. It’s inevitable in parenting, and especially special needs parenting, someone will have an opinion. Sometimes it’s a relative who has all the answers. Sometimes it’s someone on the internet who has the solution to your individual situation. You should or shouldn’t medicate. You should or shouldn’t try this therapy or that treatment. Their experience with autism, or any other condition, is yours. My son and I had to reach bottom for me to not give a shit and do what was best. I placed him in a “crisis” placement through our state’s agency that coordinates services for people with disabilities. Since then he has lived in a group home during the week and at home Friday through Sunday.
I knew his crisis was bigger than what I could handle when he was breaking windows, eloping at home, school, and his after school program. He began being aggressive, something he never had been. He was also putting himself in horrible danger. Even though he was in a harness, he somehow got out and bolted from his school bus. He had such a meltdown at school, throwing furniture, it took four male adult staff members to restrain him. It was during a no-demands moment. He would literally go days without sleeping in kind of a manic state. One of the issues in our decision to label it a crisis and request the help was that we live about 35 miles from his special education school. I couldn’t transport him safely and with our urban traffic, it could mean a 2 hour bus ride with stops for other kids. It got so serious, I literally couldn’t be with him alone, and I was afraid of what would happen if I couldn’t ensure his safety. At about the same time, he had his first tonic clonic (gran mal) seizure. I believe the behavioral and psychological crisis and the onset of seizures were related. After the seizure, his psychiatrist called me and urged me to have him see a neurologist as soon as possible to start anti-epileptic drugs, as she thought the behaviors could be related to auras or other seizure symptoms. I’ll never know for sure what was what, but he is very stable now. He has gone back to being his happy, silly, gentle and kind self. He sleeps again. He doesn’t bolt or wander.
The “crisis” placement was an intensive group home placement with only one other resident. They got him stabilized from a psychiatric perspective and we worked on the seizures. The placement was great, because it wasn’t a psychiatric hospital, but they worked directly with a psychiatrist. They were experienced in helping kids of his functioning level. No other treatment team wanted to work with someone like him: non-verbal and intellectually disabled. The staff was great. We’d all meet once a week to have a good plan. Interventions were implemented consistently and he improved. He slept again, the aggression, self-injurious behaviors, and property destruction all diminished.
Here’s where quality of a home makes a difference and acceptance is critical: Once he was stable, he moved to another group home close to his school. It was a lousy fit, to be kind. The overseeing organization was good, and the intention was good, but the staff was not. That can turn something great sour. On the surface it looked fine. It was a beautifully kept home, but that’s where the fit ended for my son. His requests were ignored. Accommodations and recommendations made by their behaviorist were implemented spottily at best, but they weren’t upfront about that. Staffing was sometimes below what was agreed on for him. He was allowed to become so constipated he was “impacted”. A sinus infection was ignored. We’d argue about whether he needed medical treatment. It always seemed it was his fault. Don’t people know that being in pain and being ignored will make anyone act out?! So will not being accepted as an individual with individual needs. Behavior is communication. He sure did act out. He was given a 30-day termination aka eviction.
My son was so fortunate that he had a fantastic state social worker who went out of his way to find a perfect home. The social worker knew the owner and knew that it was well run. My son has been there on the weekdays for a year. It’s about 5 miles from his school, with no freeways. The owner is wonderful. I trust the owner as much as anyone other than myself or my husband. The staff are caring and interact with the residents. They say what a sweet and gentle person he is. They take the young men on hikes, out in the community and to the public recreation spots. Honestly, they are out more than we were. My son has grown more in the last year there than he has for several years before that. Developmentally he’s doing things I thought he couldn’t. His “behaviors” are down. He doesn’t need to communicate his frustrations through behavior. No, his behaviors aren’t perfect, no one is perfect, but the difference is respect. If I’ve learned anything from this, it is that I will always speak up the minute there is a problem, not because I think everyone is out to get my son, but because it’s my duty. I’ll follow my gut. Had the social worker not known this was a good fit, I would have brought him home. I was making plans to do that. I won’t let anyone throw him under the bus, so to speak. I’ll always fight for him. There will be good and bad placements, but I’ll never assume anything again. Speaking up keeps people on track. Care giving isn’t about looking good, it’s about doing good. Most of all, he deserves to be treated with the same respect and dignity as anyone else! All people do, regardless of disability or diagnosis!
I have kept this very private, but it’s a story that needs to be told. I’m doing this anonymously because I don’t know how much he’d like told. I want to protect him. Even though my son cannot live independently, I believe he is happier in this situation. He has an opportunity to be more autonomous than he would otherwise. When we made the placement, I got a lot of negativity from some people. “Oh I could NEVER do that.” from other parents. Please mama, never, ever say never, you never know. All caregivers are not abusive. Some are and we need to protect the vulnerable. Keep your eyes wide open. I also got scolded for treating the co-morbid psychiatric diagnosis with meds. I had to get to the point where I just didn’t care what others might say. I have only him and my conscience to answer to. Even now, I don’t go out of my way to tell people about our decision. If someone asks about him, I tell the truth, but I like to be in charge of what I divulge, and there are a lot of people I don’t trust any longer. I want to protect him from internet know-it-alls who’d diagnose, treat and parent him. If we think about it, many older teens who are not autistic are also ready to move on and move out. My older daughter was ready to go away to college after high school. My son is more independent this way. Having him home on the weekends at home is completely by our choice. I want it that way and he looks forward to the visits. His medical condition was beyond my control. I couldn’t ensure his safety at home and I couldn’t stabilize his psychiatric state, but I remain close to him so that I can advocate for him. I teach him to advocate for himself to the biggest extent he can. I am so grateful for the progress he has made!
I’m sharing this because I completely feel for the heart wrenching decision so many of us will have to make for our children. It may not be that our children are in crisis, it may be that as we age we can no longer care for our kids. Whatever our children’s or our situations, I want parents to know some things: I want them to know that they are not alone! Others have had to make the same choices. It’s never easy. We all doubt ourselves. Whatever choice we make, it doesn’t matter what others think. I also want parents to know that they should trust their guts. I want them to know should not stay silent when something fells wrong. I want parents to know that their decisions aren’t perfect, none are, but even so, they can be the right decisions! If my decisions were perfect, I’d win the lottery and start my own wonderful community where all people would fit. Someday that dream will come true. In the meantime, here I am writing this. I’m here to say that our decision about our son’s living situation was the right one for him and that it was the right one for us as well. He’s come so far, and so have we. Don’t give up hope!