Susan's Blog

Wednesday, December 10, 2008

What Is To Be Done?

The House called today to tell me that Nat was sick last night! He stayed home all day. I wondered about coming to get him. Ned said that Nat would probably not be comfortable riding around, plus with the rain and all. And of course that’s not how it’s done. The House is supposed to be his home now. They’ll take care of him. They gave him some soup and some ginger ale.

That is kind of what I’d do. Plus a lot of hovering and feeling his forehead to judge fever intensity. Asking him, “Sweet Guy, you okay? How do you feel?” Kisses all around.

I’ve been thinking a lot about this whole thing, as you know. I think one of the problems here is that I have not committed to the idea. In my heart, I don’t want him to be there. I don’t want this to have to be the better choice, thinking of his future. And the reason I thought this was for his future was that a) I thought the House would give him a fuller life, with other kids around playing games going out to events; b) important independent living skills, like cooking, doing the food shopping, doing his own laundry; c) the experience of depending on people other than us, because he must learn how to communicate his needs to people who do not intuit them the way we do here; d) to get him on the radar screen for State services; e) relief for our family in terms of stressful encounters with aggression, screaming, etc. Presumably he would feel relief in this way as well because the House is more structured; he has more of a schedule to his day, and he operates smoothly with schedules, unlike the way I am impulsive and impetuous.

And yet, I could counter every single one of those pro’s with con’s. A) as for a fuller life, his interactions with the other kids may be fairly limited because communication is difficult for all of them. I guess he enjoys puzzles and games like Connect 4 but — when he plays those with me he seems spacey and disengaged. If he is spacey during a game of Connect 4, would the House staff still “count” that as “playing,” and report to me that he played Connect 4 with a peer? B) Important Daily Living Skills… well, he was learning those here, too. I was doing laundry with him. Sure, we did not get to the level he’s on now (folding beautifully), but we were getting there. Food shopping: again, he would go willingly but I did not know how to get him to figure out where things were. I think the House staff is doing that with him… C) Depending on others. Well — I don’t know if he knows how to get the affection he needs from Others. I don’t know if he’s formed any attachments to the others in the House. The staff are not allowed to mention other kids’ names to me, so I don’t know who he chooses to play with. I don’t know which staff he does better with, because the assumption at his school is that all staff are trained the same, and therefore, there is no difference in interaction. I have always felt this was bullshit. (Why did no one call me last night when he was sick? Why did I get a call at 2 pm, rather than in the morning?) D) State services. The fucking State. The lack of resources. The need for families like yours and mine to actually compete for the funding, the housing, the personal care attendants, the jobs.

But — here’s what I’ve been thinking. Why does Nat have to live somewhere else, even the rest of his life? Why can’t he live here or nearby in an apartment with a live-in personal care attendant and a friend? Oh, sure, monitoring PCA’s is a lot of work, and hiring good people is difficult, but — how much control do I have over who is hired in the Housing where he’ll live?

Why can’t we have respite just by having a PCA? Someone who would take him to work, where he would have a job coach? Or to a continuing education program? Is Housing the answer to everything? I want to work on a solution that makes me happier. I don’t want to have to be dependent on others. And if I do, isn’t it better that they be under my own roof?

…E) Stress on the family. Now there’s the rub. I can’t say what I’m feeling here. I just hate what I’m feeling here in terms of the wellbeing of the entire family, the need for the other children in my family to be free of fear, injury, to have my full undivided attention, etc…

But Nat needs me, too. And I need him! The main way we communicate (in the past and when he’s here) is through simply being together, feeling each other’s presence. Sometimes I kiss his cheek. Sometimes we cook together.

Talking on the phone is the primary mode now. It is distinctly dissatisfying. Talking is not Nat’s thing, it just is not. So the conversations are a bit rote. He is certainly listening, but I don’t know how he’s feeling because I can’t see his face, or check in with him just by looking at him.

I guess the concern is also about when we are too old — then what? I can’t designate Nat’s care to his brothers. Maybe, but — can’t say more about that, either. Can I not think about that one just yet? Isn’t it enough for me to plan for the next 5 -10 years? How do I even know what Nat will be like in 20 years? If I see how he’s changed (Improved) in the last six years, it is awesome. Even the last two years. So …

I guess the thing is to somehow have enough money to have choices? Or you have to be very clever with agencies that are out there? But can’t I worry about that even in 5 years? Will he be so deprived of funding, simply because we chose to keep him home with us while he attends school?

I have been saying to Ned for so long that I want to make an apartment out of the basement (which is actually completely above ground, with big windows, and has enough space for a small bedroom and a living space, a pantry kitchen (the Silence of the Lambs room in the back), and there already is a very primitive bathroom (primitive is a euphemism; this house is 130 years old). If we had an apartment there, it could be like a “halfway house,” a kind of compromise for Nat’s independence. We could probably fit a live-in person down there in the living space (a couple of luxury sofas, dining table, something like that) along with Nat, who could assist him in independent living and get him to work, or wherever. But he would still be around a lot more.

Ned has resisted this, not only because of the money, but because he doesn’t see the point. “Why not just have him live in his room?” he asks. But that would be too much living here. That would seem dead-end-ish. More of the same. But if he had his own space to keep clean, an in-law apartment, with cabinets to stock, meals to cook, wouldn’t that be more of a realistic adult scenario?

And it would not be forever. It would be for the remainder of his school years. It would give family members the space they need, but it would keep him near me. And once he seems more ready, we could rent him an apartment with a friend and a live-in, sharing the live-in between the two of them. Again, we could come and go as we please and he could be nearer to us. Maybe he could work in town, at the library or something like that. I’d have a lot of legwork to do, but — couldn’t I manage that?!

This dilemma of mine reminds me of so many of his school years where I fantasized about homeschooling him. How I wanted to be able to do that! To give him the best of care: mine. But Ned always felt that I was not cut out to be that kind of manager. Maybe he was right. I have felt happy about his education, especially where he’s been for the past seven years.

But this housing thing. I feel too unsure about it, too often. I feel I need more control over his life. I feel that there must be a halfway point, between living here all the time and languishing, and living there and — well, I don’t know. Sometimes it feels like it’s not what I expected it to be. Is this about getting used to things? But why should I
have to do that? I’ve always solved Nat’s problems myself. For better or worse.

17 comments

I worked in a residential school for kids grades k-12 with developmental disabilities. The people there, for the most part, are VERY good at what they do, and very loving. But the really good ones can burn out because of so many hours asked of them.

But I know where you are coming from. We DID homeschool Ben this year, and we couldn’t have done it anytime before he turned 14.

It’s good to keep these ideas in your head. You’ll do what you need to do when you are ready, if you are half as stubborn as me!

— added by r.b. on Wednesday, December 10, 2008 at 6:38 pm

Susan, I have read all your posts here for the last several months and I so feel your pain. OK, if someone wants to berate me for saying this, I will, but I agree with you, I think having more control of him yourself is the best thing. I don’t know, I trust people to some extent, but I think if your having doubtful feelings all the time, something is trying to tell you something. I know, I’m bad for agreeing with you when you are probably trying to find the support you need to carry on with this thing that is probably really good for Nat, but….ugh….I don’t know. Our kids aren’t typical, they can’t tell us if someone hurt them, if someone talks bruskly or hatefully towards them.
I know we aren’t going to live forever, but dammit, God willing we’re going to live for a long time (I’m taking all these damn vitamins and working out to help this along for sure) and if our kids can’t become self reliant under our care, then shame on us, and look how far Nat has come in your care so far. I’m sorry, I believe your apartment idea is awesome, maybe you could fulfill those old homeschooling needs this way, because you aren’t teaching him educational stuff, you are teaching him life stuff, something we all know a little about!
Sorry I have gone on, I just work out and my adrenaline is running high and I want you to have your boy with you!

— added by Bonnie on Wednesday, December 10, 2008 at 9:01 pm

Part of me thinks you should listen to your mommy gut, as it has been screaming and bucking this thing for so long now. However, part of me wonders if you can really trust that gut instinct, since you are so emotional (rightly so) about all of this.

Whatever you decide, I know it will be the right thing, and a decision made out of love for Nat.

Peace be with you.

— added by ASDmomNC on Wednesday, December 10, 2008 at 9:35 pm

Hi Sue,
It seems that a lot of your concerns are due to the parts of Nat’s life that you aren’t able to verify. I think you need to find a way to get more information from the residential house so that whatever you do decide to do, you do it with full knowledge of the situation he’s currently in. Can you discuss this with the staff? Perhaps spend more time there to see for yourself about Nat’s connections, involvement, happiness or lack thereof? I think once you’ve seen his days firsthand, your feelings on this subject will become much clearer. Not to say that you won’t still miss him and grieve his daily presence if you end up deciding that the House is a great place for him… but you’ll have more confidence that you’re doing the right thing and you’ll be able to separate your feelings from Nat’s experience. I know this is hard for you. Hang in there and be kind to yourself.
Stacey

— added by Anonymous on Wednesday, December 10, 2008 at 11:39 pm

I think it’s a perfectly reasonable idea to hire a PCA and have him live alone. I do not know if doing it in your basement is the best idea; I only say this because Nat himself might not understand the distinction between “living in your house” (in his room, etc) and living in the basement. Perhaps he would insist on sleeping upstairs and doing all the normal family stuff he used to and not understand why he is being relegated to the basement. And maybe he will, I don’t know, I’m just thinking out loud.

I once lived in an apt with a developmentally disabled young man above me, who lived with a full time live in caretaker. Apparently the state actually paid this other guy to live there rent-free and take care of this guy. I don’t think there was that much caretaking involved, just normal there if you need me stuff. So it definitely can be done, and I think it’s a good idea. It’s just, I know it would be more expensive this way, but maybe better done in an apt not in your house.

Good luck with whatever you decide though and I hope it works out; I think whatever you decide will be fine.

By the way, I have a blog on blogger now so take a look if you have a chance. It’s more about MCS than autism at the moment, but will be about both. I linked you on it.

Kate
libertyandhope.blogspot.com

— added by Kate on Thursday, December 11, 2008 at 1:43 am

Dearest Susan! First, let me assure you that the Baby Bellies recital will be fabulous — lice or no lice! — and I’m just sorry that I’m never free enough on Tuesday afternoon to come see it myself!
Now to the matter at hand: I think that there is no shame in having tried something for several months; evaluated it and weighed the pros and cons; and then, come to the conclusion that it is not a good fit at this time. That does not reflect poorly on you, nor on the residential staff that is serving Nat right now. Sometimes, making a choice doesn’t mean making a right choice as opposed to a wrong choice. Growth and progress are not so linear that we can say, “This choice is hindering growth/progress, while that choice will certainly promote it!” Last year, Max was in an inclusion placement in our local Newton public elementary school; and, because we had never experienced an inclusion classroom in the past, and because of some very challenging behavioral and practical issues that accompanied Max’s move to inclusion; Max had a very rough year and we feared that he would regress both academically and behaviorally. Much to our surprise, Max ended up making huge gains in flexibility, in social skills, and (to us, the biggest surprise of all)in his ability to learn academically! And this was in a situation that everyone had to admit was not ideal for Max as a student! I hope I’m not digressing overmuch. I just think that you wouldn’t be doing Nat a disservice by having him come home, or move into the basement apartment. I support you in whatever you choose for Nat and for your whole family. Nat will continue to develop and grow and progress whether he is at home or in a residential program: Of this, I am certain!
Thinking of you! TPeacock

— added by Anonymous on Thursday, December 11, 2008 at 12:24 pm

Wow, I would be upset if they didn’t notify me that my child was sick until quite a long time later.

I feel for you, Susan, I really do. I suspect that I would (will?) react in a very similar way if (when?) my daughter moves out.

I think the lower level apartment is a great idea! If anyone could make it work it would be you.

much love,
susie

— added by Anonymous on Thursday, December 11, 2008 at 1:09 pm

Susan,
It’s great that you have so many people supporting you and offering you advice. I agree with the person that said that you should visit the residence to feel more comfortable. At my daughter’s school (she’s been there now for almost 5 months) we would meet her at her house (school) during the first 2 months to meet and feel comfortable with the other kids and teachers. Once a week I get a phone call from our contact teacher about her status, her week at school and the house, how she did, who she plays with, which teacher she favors…I can also ask anything and get the answer immediately. This has made the transition so much easier for me. Now Meghan comes home every other weekend and we have great visits. I consider Meghan to have only one home (our house) and then she also has her school life. I know that she has made tremendous gains and she loves school, which is all I need to know. And when they age-out, then we (hopefully) will have “more” options not just one.

Life for my other child has become so much better and, well, livable…I really had to think about both my kids…by making sure they were both happy.

— added by Holly Nappi Collins on Thursday, December 11, 2008 at 2:40 pm

I don’t know, I don’t think I’d be that upset if the staff didn’t let me know my kid was sick until later in the day. I’d assume it meant he wasn’t that sick–that whatever it was could be taken care of with soup and ginger ale, and no need to alarm the parent (who may already have a reputation for getting alarmed about things?)I’d assume it was being taken care of. And if he was expected to be learning some independence at this point in his life, I don’t have to be there to wipe his nose, and he’ll survive. Acting like he can’t isn’t good for the kid. Feeling like he can’t isn’t good for the mom.

I also don’t agree with the comment “shame on us” if we can’t teach our kids all they need to know. I am the first to say that there are professional or other caring people in my kids’ lives who are better at teaching certain things. Shame on who? Thank goodness they are talented in areas that we are not, and they are there for our kids. I don’t feel that nurturing and teaching are necessarily the same things; I do so darn much nurturing, I don’t feel I have to, or I’m the only one who can, fulfill every role in my kids’ lives (you’ll never catch me home schooling!) I think in these regards I am very different than you, Susan. You just simply aren’t “down with the program” as far as Nat at the house. Sounds like Ned is feeling differently than you, but you are such a strong personality, it will never work if you are going to be this miserable. Even if it’s working for Nat, you can’t destroy yourself. I agree that finding out more about the day-to-day will give you knowledge to determine if you need to steel yourself to put up with the program if it really is right, or rethink.

— added by Anonymous on Thursday, December 11, 2008 at 4:58 pm

I find it distrubing this last anon wouldn’t be bothered if she wasn’t told her child was sick until later in the day. I truly think some people put their kids in residential just to get their own life back and seem to be having a field day with that. I totally disagree with that attitude and would be much more involved like you.

— added by Anonymous on Thursday, December 11, 2008 at 6:41 pm

Of course people can disagree, but I am just being honest about how I feel about this. I cannot get a handle on it. It takes me years to process some things. It is what it is.

— added by Susan Senator on Thursday, December 11, 2008 at 7:26 pm

I read your post earlier, mulled it over, and now I’m back..

It would really bother my mama soul if my son was sick and I didn’t hear about it until 2 pm.

Keep writing it all down. It will lead you to the answer.

I care.

— added by Judith U. on Thursday, December 11, 2008 at 8:54 pm

My son has been in the community working and living for 11 years. We have funding, but there is no way this could be remotely working if I was not totally involved. It is still very far from perfection.

Some advice for parents out there, start now to lobby for quality care and better options. Your state probably has limited funds and the population that needs services is growing. Many caregivers/coaches do not feel as dedicated as you are, and certainly do not receive adequate compensation. I would not wait until your children age out. Get busy now. We need a paradigm shift in the type of services offered by the government. If you can afford to purchase your own services, you and your child will have a distinct advantage. You will at least have some control.

Good luck Susan, and trust your emotions.

— added by Anonymous on Thursday, December 11, 2008 at 8:58 pm

“Last anon” here: Isn’t the point that the house is supposed to be Nat’s home now? Susan has said that. Shouldn’t the house then be caring for Nat if he’s sick? Maybe they wanted Susan to be reassured that Nat is being taken care of–“he hasn’t been feeling well, but we’ve been giving him soup and soda…” Like an update. If it had been really bad, then, yes, I would hope they would have called her earlier. My point is that Susan is uncomfortable with that setup, the way it’s supposed to work. She is struggling with feeling that she needs to be the one taking care of Nat–the setup is too hard for her. And I do believe you need to take care of yourself so that you can take care of your family. And it doesn’t seem very kind or smart to accuse anyone of “putting” their kid in residential “to get their life back” and “having a field day.” That sort of goes against all of the respectful insight and commentary Susan encourages here.

— added by Anonymous on Thursday, December 11, 2008 at 9:20 pm

Anon, it is so true that I am struggling with not being Nat’s primary caregiver. That is so much what it is.

Still, I need them to call me the moment he is sick. That is very important to me, and I will tell them that, and I know they will do it in the future. They are very accommodating that way; it is a matter of how they are used to doing things, that’s all.

— added by Susan Senator on Thursday, December 11, 2008 at 9:35 pm

Good. It sounds like you have great communication with them, which is a huge part of the battle. It should be simple to give you a call WHENEVER and HOWEVER he is sick, if that is what you need. Maybe just communicating this to them will help you feel more at peace about this aspect of house living. They seem to always respond well to the adjustments you suggest. Continued strength to you.

— added by Anonymous on Thursday, December 11, 2008 at 9:57 pm

As it is I’m feeling better without having talked to the House staff at all! It feels like it has resumed perspective. I spoke to Nat tonight and he seemed less wistful-sounding, more “there.” I will see him tomorrow, can’t wait!

— added by Susan Senator on Thursday, December 11, 2008 at 10:01 pm