Cancellations

We all have those days when we are just hoping and praying that a client will cancel.  Maybe so we can catch up on notes, actually get a chance to eat lunch or go to the bathroom, or maybe because we are just not up for dealing with a certain issue or problem that day.

On the other hand, there are days like the one I'm having today when no one shows up and you're wondering

https://i.chzbgr.com/maxW500/3416319744/hAF5A126B/

b.i.d.

Me: Do you have any medical or physical health problems?
Client: None
Me: Do you take any medications?
Client: Oh yeah, Metformin, Adalat for my blood pressure, Clonazepam, and one for my cholesterol...

With wee little petri dishes, and tiny test tubes...

line from hospital records...

"There have been little laboratory investigations performed."

I'm picturing something like this:

Sending out an SMS

I have been supporting a client for the past month and a half exclusively by text message.  Has anyone else done this sort of thing?  Usually we would discharge a client if we went more than 30 days or so without face to face contact, but in this case the client is at a high risk for suicide, so we wanted to try and stay connected any way we could.

And it seems to be paying off.  He finally consented yesterday to go to a hospital - not just any hospital mind you, but one hospital in particular, in the next city.  If we could send him in a taxi (not something we normally do) and if I could guarantee that they would admit him, and guarantee they would be "better" than the other hospitals in our area.  I told him no way I could do that, but I did get approval to send the taxi.

I'm glad I did.  The admitting psychiatrist actually called me this morning to get some history and let me know my client would be admitted.  This is unprecedented!  Last time I sent out the local Mobile Crisis team and they took him to our local hospital, they had discharged him before I even got back to work in the morning!  I know there are lots of reasons this may have happened, but it's still very frustrating and also compromised my therapeutic relationship with the client.  It's so rare that hospitals follow up with us in this way.  The psych even stated that he could see this client needs long term care more than a hospital stay, but was willing to admit him in hopes that we can facilitate that while he's in.

I love when things work out this way.  It remains to be seen of course what will come next with this client, but so far so good.  And after I worried that my texts were just floating in the abyss, probably not affecting him at all.  It's still not my favourite way to practice, but just goes to show any connection is better than no connection.

What a great start to my long weekend, happy summer everyone!

Top Fashion Prize

for the day goes to the client who came in wearing the bright yellow t-shirt that reads

I'M WELL ADJUSTED

x10 000 000 points!

Overheard clients in the hallway

I always go to my shrink, but I don't get any smaller!

I'm reading this now and realizing it's likely some lame old joke, but it's the first time I heard it, and it made me laugh.  Gotta love when people can laugh at themselves too.

A New Record!

Eight out of eight intakes showed up this week!  True, we had to cancel one due to an interpreter failing to show, but this is still a record for me.

Anyone in social services is bound to know that client's not showing for scheduled appointments is one of the most long-standing problems in our work.  If we don't make our numbers, programs may lose funding or we may not get paid.  It also means delays in clients getting the help they may need.

What a great way to go into the weekend!