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[quote=Anonymous][quote=Anonymous]18:24PP, what evaluations did your 17-year old get? My brother is going through something similar with his son who recently became violent and destroyed property at home.  The police got involved and my nephew was taken to a children’s hospital but quickly released by the attending psychiatrist because he became  calm, cooperative and contrite. There was no diagnosis even though he had been erratic, made verbal threats to his family, and destroyed property. Outpatient psychiatry was the recommendation.  [/quote]

18:24 here.  First I'm going to say that I'd never go to Children's in a psychiatry emergency.  From what I hear from my social work friends, they are always busy and never have the resources to fulfill the needs that show up on their doorstep.  So, they try to discharge if they can.  In the future, I'd go to a suburb.  But, then you have to transport yourself if Children's is the closest option and you have involved the police.  I did find the police to be an amazing resource (we are in MoCo MD).  But we have better options than Children's so we could use them.

As far as evaluations, there really isn't anything but psychiatric evals when it comes to a diagnosis and treatment.  The problem is that it can be a long process, they don't like to diagnose kids, and there are certain medications that they won't use for kids until everything else has been exhausted and your kid is so vulnerable that they have to try and medication success is one of the criteria they use to diagnose.  We used a lot of different services - inpatient, outpatient psychiatry, outpatient therapy, IOP, PHP and eventually residential treatment.

The single most effective thing we (not the professionals) did (and this was me in my family) was this.  I kept a diary.  Every single day, I recorded behaviors, what was happening before (like what they were doing, what they ate, how the school day was, what people were present . . . - anything I could think of, what happened after, whether anything worked to calm things down.  After awhile I could see patterns and could focus my diary.   It was a lot but it was extremely useful to everyone who worked with my son.

I hope they figure things out quickly for your brother's family.  If you have other questions and post again, I typically only read the Special Needs forum but if I see something I'll share everything that I can to be helpful.  [/quote]

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