Showing posts with label cool heads prevail. Show all posts
Showing posts with label cool heads prevail. Show all posts

Friday, January 5, 2018

Ways the VA Healthcare Program is Hurting Local Veterans

            Prior to moving to the Durango, Colorado area, I had been enrolled in what is called the Choice Program, which provides military veterans, as well as their dependents, to obtain care from community resources that are not provided through the VA system. This is the system I used to receive services such as rheumatology, gastroenterology, and dermatology. For the most part, this system helped to provide me with the resources I require to tend to my health needs. Sure, the physicians and specialists could have just as well been military doctors, as I received the same quality of care from them...and that is not saying much, considering my previous experience with military doctors, but I digress.
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            When I had my initial appointment with my new primary care provider, I was told something that just came across as blatantly wrong. See, my doctor told me that my only options to see these types of specialists would be to drive nearly 4 hours each way to the large VA facility in Albuquerque, which is insane to suggest, or not see any specialists. Sure, they have a courtesy shuttle van that takes patients to the larger facility, but you must plan your day around the appointments of others, so you would either leave early, or must stay late, depending on the schedule for that day. The other option just was not feasible either, as I have a family history of colon and bone cancer, as well as having been diagnosed with a myriad of chronic pain conditions.
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I live at a Level E on a daily basis, just for reference
            You know the saying “if it sounds too good to be true, it probably is?” Well, that is applicable to my situation, but rather replace “good” with “wrong” and you see where I am going with this, right? Well, when I met with the social worker at my local VA clinic, she repeated the same incorrect information regarding the Choice Program. She told me that, while there are services in town, such as support groups, there is little in the way of community resources that address symptoms. I can’t really go to a support group for my colonoscopy or endoscopy now, can I?
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            My social worker also told me that I am my own advocate for my health, which is a phrase that she might be wishing she didn’t say. See, I thought that the information I was provided by not just one, but two medical professionals at my local VA clinic, sounded incorrect. Just in case though, I called the Choice Program directly, and boy, am I glad. The representative that I spoke with was just as befuddled by what I was told as I was when I heard it. It helped to put my mind at ease, knowing that I was correct about this program, as well as the fact that I would (hopefully) be able to see a provider here in the community, as my symptoms have increased since my last visit to the shoddy rheumatologist who reprimanded me for crying out in pain when he took a biopsy from my thigh at 5:30 in the morning, before I was fully numb. But again, I digress and that, along with the other numerous experiences I have had with military health officials and those covered by the Choice Program.
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            So, here is my conundrum. Yes, I am my strongest advocate for both my mental and physical health. The soonest they could schedule me with a mental health professional (to address my depression, anxiety, PTSD, and MST) is the end of February, and even then, it would be only via tele-health. That falls outside of the 30 days or 30-mile rule that applies to the Choice Program (maybe not the distance, but certainly the time-frame). In the past, I have conveniently fallen through the VA health cracks, as it had taken me 18 months to even get an appointment with a rheumatologist, as the original request somehow got lost. I know that I am in the right and have a whole organization and website that provides me with the answers to help to support my position. I know that I am most likely not the only veteran in the area who has been fed this lie. However, I may be the only one to raise a little hell over the incorrect information that could have potentially affected the lives of a significant number of veterans living in the area.
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            I have been known to let my emotions get the best of me, particularly when I know that I am in the right. This isn’t just relegated to my health, but also where we used to live, I have been physically threatened when I spoke up for the poor treatment of the dogs I would witness running in the street. As if it were my fault that I recognized this behavior as wrong and dangerous. I am not kidding. I wish I were. So, I need to come up with a game plan of sorts, as I know that I need to go into the clinic and let them know that they are wrong, that I qualify to see community providers that honor the Choice Program in the area. I know that other veterans have experienced this same type of treatment. The sooner the better, but, dude, I am not looking forward to it. I just need to keep my cool, and remember why I am doing this...for the health of not only myself, but the countless veterans who have received the same misinformation. Sadly, I know that this not only applies to my local clinic, but the Portland, Oregon one too, as that is who contacted me to set up my appointment for the tele-health mental health sessions...I was told that since they can provide me with the tele-health services, then I don’t qualify for community care. Well, that is not true either.
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Thursday, September 5, 2013

The Importance of Self-Monitoring and A Personal Example

Self-monitoring
The act of utilizing the hypothetical filter that exists between the mind and the brain can be an invaluable tool for counselors when working with clients, particularly during high stress situations. Counselors need to refrain from saying or acting in a way that could hamper client success. Just as counselors ask their clients to monitor their behavior and thoughts as part of possible homework project, counselors too need to remain cognizant of their behavior.

Personal Experience
Having had the benefit of working in a few different group homes, with clients ranging from those experiencing developmental delays including fetal alcohol syndrome, unmedicated paranoid schizophrenia, and even clients who were placed into a group home setting by the legal system due to them being adolescent sex offenders who, if it wasn’t for their diminished mental capacity, would be incarcerated.

Each of these environments provided many opportunities in which I needed to self-monitor both my words and actions. One such example was when a client was upset that I had brought up to my boss that the client was “Facebook friends” with a few of the staff members, which is a violation of boundaries. The client and staff members were instructed to “de-friend” each other, which set the client off into a behavioral spiral, which included punching of walls, throwing of furniture, and eventually cornering me into a room and attempting to physically assault me.

Due to the legal aspect, staff members are provided with instruction and lessons on personal protection intervention (PPI), in which we are taught how to detain clients as well as protect ourselves from receiving physical harm. When the client cornered me and locked me in a room with him, as he blocked the door, I had to use self-monitoring, both on the verbal and physical levels. I had to remain calm in demeanor, working to use my words and tone to convey the message that this was not approved behavior. Additionally, in my off time I enjoy kickboxing and sparring with a 100 pound heavy bag as well as MMA training, so I had to resist doing what I use in those instances. Yes, part of me wanted to use these moves, but I had to listen to, and be the voice of reason.

By remaining calm in the above situation, I was able to diffuse the conflict without coming to blows with the client. Additionally, I was able to work with the client after that...until he told his counselor that he wanted to kill me a few weeks later, complete with a plan, including method and time. Thankfully the counselor, who I had met and worked with in the past, utilized the appropriate Duty to Warn counseling ethics and notified me of the situation, or potential situation. However, my boss kept me working one-on-one with the client despite a continual escalation in the behavior and the threat, which eventually led to my leaving the company due to providing an unsafe work environment.