The Right State of Mind

First off, I would just like to apologize for not updating this as recently as I said I would. I recently had a death in the family and that has taken up most of my time. I decided that I’d write a short post about another issue that direct care workers and anyone that works in the psychology field faces from time to time.

I’ve been out of work for most of this week due to this death in my family. I could go into work but it wouldn’t make much sense. I’m fairly certain I would be completely ineffective since this has been pretty much the only thing that I’ve been thinking about. I wouldn’t be able to be very therapeutic. This is a job where you need to be very honest about how you are feeling on any given day. You need to share this with your team mates so that they can help you cope or they know your limitations for the day.

This advice isn’t just for those very bad days. This also applies to those days when you just feel aggravated or you are “on edge”. This is the type of job where you may need to take “mental health” days to recharge and clear your mind. Trust me, It will be better for you in the long run.

The Hardest Part

Most people who try to do my job get burned out in under 6 months. They come into this field thinking they are going to heal and cure but end up feeling like they aren’t making a difference. I think this is mostly due to them making two separate but equally important realizations.

First off, they neglect to take into account that people change slowly, especially kids with special needs. The people who burn out often feel like the kids keep making same mistakes without any change at all. They see a kid yelling, swearing, and getting violent, which may have been what they have seen for the first month at their new job.

A perfect example would be the case of a girl who lives on the unit that I work on. She has lived at the program for the past 3 years and will most likely live in some sort of program until she is an adult. This girl was basically a feral child when she arrived and has improved dramatically. She can do all of her own ADLs now, she can make her own food, use words to advocate for her needs (usually), and recognize/label some of the emotions that she feels. She continues to have issues with dealing with her own emotions, especially anxiety around social interactions. She continues to swear, yell racial slurs, become violent towards staff and peers, and attempt to commit varying acts of SI. All of these behaviors have been exhibited since her arrival but now they happen a couple of times a month instead of a dozen times a week. The new staff that is going to burn out is only going to see these behaviors and how they are not socially acceptable. The realization has to be made that change is slow and that there is no ‘quick fix’ in mental health.

The second issue is something that even veteran staff continue to struggle with. This mostly has to do with the kids whose families were somehow related to the abuse or neglect they received. An example would be a mother that chains her toddler to furniture for days at a time and then only unchained her child when men come over to ‘use’ her. It’s horrible to think about and may very well be the hardest part of the job for some people. This is not the case for me and most of the veteran staff. The absolute worst part of the job for me is when a child like the one described is in crisis and starts to scream that they want to go home. Many of our children do this and it pulls at your heart-strings every single time. This is something that new staff are never able to handle unless they are able to make the realization that every child is going to want a ‘home’ no matter how messed up of a living situation they came from.

Every new staff that works in intensive residential treatment will have the grapple with their own personal issues as they start their new job. Most people will figure out whether they can continue to do this work between the 5 to 8 month time frame. There is an extremely high turnover rate in this industry for a reason. If it was easy then everyone would be doing it.

Hopefully this has been somewhat informative to anyone reading it. The next topic covered will be focused on rewards (or lack thereof) and incentive plans, which is something mildly controversial.

At War with the Mind – Inaugural Post

So, this is my first post.

I suppose I should start with a little about myself.

I’m a senior child care worker at an intensive residential treatment facility for children with a wide range of special needs. It’s hard to describe exactly what “type” of special needs kids are focused on where I work. Many of our children have problems identifying and regulating their emotions. Some children are violent while others are “runners”. Some children come from a traumatic backgrounds while others do not. Most of the kids on the residences have significant social, cognitive, or developmental delays.

My goal is to provide a therapeutic environment for these kids to grow and learn skills so that they can reintegrate themselves back into a less restrictive setting, preferably in the community. There is plenty of debate about how to do this but hopefully this blog will illustrate some of the key points on how to do that.

Some of the blog posts in the future will contain controversial topics such as restraints and certain crisis intervention techniques. I do not mind healthy criticism but please keep the comments respectful.

Names and places in this blog will be removed/changed so that the privacy of the individuals involved are kept confidential. The opinions presented in this blog are mine and do not necessarily reflect the positions or opinions of any organization.