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Children, Parents, or Relatives with BPD => Son, Daughter or Son/Daughter In-law with BPD => Topic started by: sam-99 on March 14, 2013, 08:27:37 AM



Title: Partial Hospitalization?
Post by: sam-99 on March 14, 2013, 08:27:37 AM
My dd has been in and out of hospital for SI so often recently that her P recommended partial hospitalization which is basically a day program where she would receive counseling etc.  She says she is scared to be alone and of not having enought to keep her busy (although she has a full scedule just never feels up to it).  This would allow for structure during day.  Any experience with this out there?  This will require we take her and pick her up every day and is a minimum 30 mile drive one way for us.  Would only consider it if it really helps.


Title: Re: Partial Hospitalization?
Post by: peaceplease on March 14, 2013, 08:45:24 AM
Too bad you can't go and observe, but I know that would not be possible due to confidentiality.  A partial program may work, if she was motivated.   That is a bit of a commute to go every day.  What other options do you have?   If I had no other options, I may attempt it.  Are you in a situation that you can transport every day?    If it were me, I would look into a closer program that offered intense outpatient treatment.  But, that, is just me.  We have a program that is only three miles from us that offers partial.

What is age of your dd? 


Title: Re: Partial Hospitalization?
Post by: griz on March 14, 2013, 08:55:26 AM
I would make sure that you could interview and really look into this program.  We did this with DD two years ago and found that the day program was a breeding ground for kids sharing inappropriate behavior.  We found that many (not all) of these kids were sent there for behavior issues and really were placed there with absolutely no desire to get help.  My DD last two days when she called me from the program crying and begging her to come get her.  When my dh and I went to pick her up and she told us what was going on we confronted the administrator who really couldn't deny anything that DD said.

I am sure some places are wonderful however I would be very careful.

Griz


Title: Re: Partial Hospitalization?
Post by: sam-99 on March 14, 2013, 09:06:23 AM
Association is an issue even in the hospital. And we live in small town. No options.


Title: Re: Partial Hospitalization?
Post by: sam-99 on March 14, 2013, 09:39:40 AM
And to clarify:  association is a big issue with DD due to her attachment problems. So any time she is in any facility or group it is a concern. Thanks for your replies.


Title: Re: Partial Hospitalization?
Post by: lbjnltx on March 14, 2013, 09:52:31 AM
Hi sam99

It is hard to know what to do when options are so limited, I get that.  I understand that you would be fearful that your d would pick up bigger and more harmful ways to do damage to herself. So the questions seems to be:


Does your dd22 want to go?  Does she want to participate in her recovery?

Have you talked to the leaders of the program?  What kind of accountability tools do they use with thier patients in group therapy?  Is it a dbt group?

Could you and your d go visit the program together and then decide?