The following snafus pose a threat to our situation based on the psych ward's adjustments to Sissy's Axis I diagnoses.
#1 - with PDD-NOS as an Axis I Dx, Sissy's therapy team may no longer be able to provide services. We will find out tomorrow after they staff our case.
#2 - if Sissy's therapy team can no longer assist in our case, there is NO OTHER ENTITY locally that the state medicaid program would consider as a "core provider" that can write a PRTF to get Sissy a placement
#3 - with no therapy agency overseeing our case, we are extremely vulnerable to potential abuse charges (which Sissy is likely to do based on her recent language and ideations in her rages at home)
#4 - with no therapy agency, what the *BLEEP* do we do with her?!?!
Oh, and CBAY waiver expires in April whether Sissy is "better" or not.
I mean really. We can't win for trying. The pdoc said on Monday morning that his credentials are not sufficient for the department of mental health to accept his recommendations for a clinical placement. He went on to say that since our last remaining local agency that deals with psych pediatrics that IS recognized by the state department of mental health closed in November, there is currently NO agency except the therapy group Sissy is with.
So tomorrow may bring a *bleep* storm of hideous changes that set our case with Sissy miles backward.
But the therapist that came yesterday and gathered all of this data still managed to have a session with Sissy in which she said gold. Really. These words are therapy gold:
None of them are the right way
Oh, Sissy's expression was priceless.
And truly, if that doesn't sum up the cruxt of RAD ideology, nothing does.
Let's hope the other FOUR Dx on Sissy's Axis I list will keep her therapists hanging around for the next six months insurance already approved.
If I don't post tomorrow, you'll know it didn't go well.