What Makes Me Happy

This is about a client I had when I first started this job. I may have reflected on this story before in my blog, so bear with me if it sounds familiar.

He had been in the system for years, and had previously been supported by a coworker who left for another job.  He was a young man with schizophrenia and developmental delays.  He lived with his family (who wanted the best for him) including his grandmother who brushed his teeth for him even though he could do it himself.  It is fair to say there was a lot of learned helplessness going on.  

I was a little more eager and a lot less experienced then.  This man was more ill than anyone I had worked with previously.  My normal tactics did not work.  We were down to real basics - getting him to remember who I was, and remember his appointments.  Our appointments consisted of me trying desperately to make some kind of conversation while he was more interested in watching soccer or getting me to take him out for pizza.  All the while granny is knitting in the background and making me hyper aware of my youth and inexperience.  

I don't remember what the incident was, but somehow he ended up in hospital.  The family and I worked with the doctors to get a med review and he was started on Clozapine.  While he was still admitted I advocated to get him in with our ACTT program (Assertive  Community Treatment team - a more intensive level of support than what I provide) and he was accepted, so I never really saw him after his discharge from hospital.

Until one day I was in the waiting area of a psychiatrists office with another client.  I recognized this man's sister and then he came out from his appointment.  He looked me straight in the eye and said "Hi Nectarine" and then proceeded on his way.  

That was it.  But it was so much!  This person, who had met me at the door with a blank face week after week, giggled when he couldn't remember my name for months over a year prior at this time had said HI and addressed me by name!  He now attends one of our drop in programs and I see him over there from time to time.  Every time this same thing happens.  He says hello to me the same way, and then walks away.  It's all I'm likely to get, but it's so much.  It makes my day every time.  

Will this client continue to recover?  Probably.  Will he recover to a level that other people find "normal"?  Probably not, but to me, all the work he and his supports have done is so worth it to bring this human being out of the bubble his illness and medications had put him in.  I'm grateful to have been a small part of it.

The Big Barn in the Sky

For some reason I remembered this story the other day and thought I should share.

This was a couple years ago when I was in an intake worker role.  A young woman had been referred to us who at the time was staying in temporary crisis housing for people with dual diagnosis (in Canada that refers to mental health and developmental disability).  Usually we would do intakes at our office but since she had no transportation, was not familiar with the area where she was housed and was in a pretty dire situation we agreed to meet her at the place she was staying.  Since this was an off-site visit with a client we'd never met before, and since we were curious about the program supporting her (hadn't dealt with them before) my intake partner and I decided we would both go to meet her.

This young woman had been through a lot.  Most notably, her mother had died recently and that among  other things ended her up in the crisis housing.  She had no other family, but did have close friends who were now her guardians and she would be moving in with them soon.  Despite everything she'd been through and her DD, she was engaging, optimistic and had a sense of humour throughout the interview.  We got all the information we needed, told her about our program and let her know we would be in touch.

Once outside, I commented to my partner that I was impressed  and pleasantly surprised at how together and well this young woman had seemed.  She looked at me with utter confusion and said "What?!  She was either psychotic or her cognition is lower than we thought.  All that talk about how her mother "bought the farm"?  I don't think she understands that her mother DIED, I'm really worried about her!  She thinks her mother is on a farm somewhere!"

At which point I burst out laughing and had to explain the euphemism.  It was a cute moment.

Back to the Grind

I've just had a lovely extra long weekend.  I took last Friday off, and yesterday was a holiday for us (Family Day).  I got lots of sleep and am recovered from my cold.  So now I'm all refreshed and ready for...training. 

Actually, it's an ongoing session I've been attending about concurrent disorders (mental health and substance abuse - I understand in the U.S. this is referred to as dual disorders, co-occurring disorders or dual diagnosis.  Which is extra confusing, because "dual diagnosis" here means mental health and developmental disability).  This is not an area of expertise for me, and I've really been enjoying the sessions.  Plus, lunch is provided - BONUS!

Later in the week I will also be attending "recovery" training.  Add to these a team meeting and monthly supervision and I have time for precisely two client appointments this week.  Yes, TWO. 

We're keeping that "client focus" alive.

Anything Else to Add?

Check all that apply:

Concurrent Disorder (Substance Abuse)

Dual Diagnosis (Developmental Disability)

Other Chronic Illness and/or physical disabilities

First time I’ve checked ‘em all. Oh yeah, and throw in an Acquired Brain Injury to boot. For a guy diagnosed with Bipolar and PTSD. Actually, truth be told, I'm kind of surprised it took until now.