Vague and slow

I’m referring to my experience of the social care system, although I’ve also felt a bit vague and slow myself today … such can be spoonie life!

So, yes, I was referred to the social work service in my area in April 2016. A little over a year later (yes, despite the referral being marked ‘urgent’ it really did take that long – we would all lose the will to live if I were to detail all the intervening shenanigans) I met my newly allocated social worker who was to undertake an assessment to determine my eligibility for social care support. This involved taking a detailed life history (not inconsiderable given that I’m in my late forties) and details of the circumstances surrounding my need for support.

The assessment was undertaken in two appointments at my home of around 80 minutes each, 11 and 10 weeks ago respectively. My social worker also explained that she would be my ‘key-worker’, but despite being asked was unclear about the actual remit of her role. Generally it’s a role of co-ordination, in this case it seems that her responsiblility was to make an application for social care to my local authority on my behalf, which includes her assessment report and recommendations. The latter being that she believed I should be granted funds for a support worker/personal assistant/assisted living worker (they seem to have all manner of titles essentially meaning the same thing) for four hours per week, two hours twice weekly. This time would be utilised in two ways, split roughly 50/50 between domestic help – cleaning, cooking, shopping and other household chores – and social/emotional support – eg. company on a regular walks, support to go swimming or do other forms of exercise, help getting out and about where necessary, someone with whom I can talk.

The social worker went away to prepare and submit her report which she said would take around four weeks. In the meantime I was to decide how I would like my support to be provided, assuming funding were to be approved. I had to decide ahead of approval to make the process go more smoothly. This proved difficult as her explanation of the seemingly multitudinous options was less than comprehensive to say the least and I was left baffled. After some research on my part and a further brief meeting with my social worker, I made what I hoped was the right decision based on the information I had, although there were still gaps in my knowledge that I hadn’t been able to fill.

My social worker hasn’t had any other involvement with me and she left work yesterday to begin a period of maternity leave. She’d said she hoped to get everything wrapped up and my support in place before she left, but that wasn’t to be – an email yesterday evening told me that my third choice of provider could support me BUT has a lengthy waiting list. My second choice provider think that they will be able to support but have been unable to give a definite answer so far. At some point I’d already been told that my first choice had a waiting list of months … and months … and months.

If she could get support in place before she left her role, my social worker had said that I I would not then be allocated a replacement social worker – but that there would be a general social work number that I could call should there be any issues with my support that I couldn’t sort out myself. However, if support could not be put in place in time then, she said, my case would be allocated to another social worker.

Her last update came at 6pm on her last date of work. She had emailed in the morning to say that she’d definitely be in touch before the close of play and promised not to leave me in the lurch. She was unable to tell me who would take over my case, she said she didn’t know. I’m envisaging a department of overworked social workers with vast caseloads and a sense of not knowing where to put me. She did give me her manager’s details, ‘in case I wanted to chase it up.’

In my mind, I’d nicknamed my social worker ‘Stepford Wife’, perhaps unfairly, I do not know her well. She’s always appeared to be very smiley on the surface but it’s like there’s nothing behind the smile, she felt very disconnected. She’s young and had been in this particular role for around a year. Whether the stress of the job led to that ‘disconnection’ or that is just her way, I don’t know, but it meant that I never had full confidence in her nor did I ever feel entirely comfortable dealing with her. Still, I had to trust and hope that she would do the best job that she could for me.

I’m well aware that social care has been subject to significant budget cuts, something which I strongly oppose. There’s no doubt in my mind that people in need of services are suffering as a result. But it can be difficult to tell sometimes whether delays, poor communication and other issues are a result of the impact of budget cuts or down to the shortcomings of staff themselves.

I’m going to give it a week and then all being well will email the manager to try to get a further update.

Following the assessment, I have capitalised on the hope that support would ultimately be forthcoming, together with the hope I took from my friend’s unexpected visit seven weeks ago. I’ve used both to keep myself going. More on that in the next post.

Thanks for reading. Comments, shares, tweets all welcome as ever.

Heart x

 

 

 

 

Advertisements

A parcel, some pain and continuing to progress

This week has been something of a roller-coaster ride, but on the whole the good has sustained me through the bad.

Roller Coaster
A roller-coaster … from my ‘before I taught myself how to draw’ period

The two weeks following my old friend’s mercy dash were steadily productive and a good routine soon emerged. The last week has been disrupted by ‘painsomnia’, symptom flares, grief,  ‘painful processing’, and a couple of major stressors.

I feel a bit discombobulated today and a little frustrated generally this week because my routine has been thrown out of whack but that is pretty much the story of a #spoonie life. You never know quite what you’re going to get. You’re never quite well. You can become more unwell or very unwell, at a moment’s notice. You have to be prepared to roll with it, much as you do on a roller-coaster … not that you’d ever catch me on one of those things!

I think I’m making progress in dealing with the stressors, and I’m continuing to make progress with the treadmill, getting out and about locally, the admin mountain and lots of other stuff.

I missed the postie with a parcel this morning. I’m not expecting anything, so if you read this and know that you’ve sent me something, it’s being redelivered on Monday and I’ll be able to acknowledge it then 🙂 .

I am very behind with my reading of blog posts because I was without a phone for the best part of a week. My handset, which had long been ailing, finally conked out last week. A Twitter pal leapt to the rescue and posted her old handset to me together with charger and headset and – once I’d actually got my SIM card in the right way … I’m happily back up and running.

 

Heart REset on Living + 14 days

Fourteen days on from the day that my high school ‘bestie’s’ unexpected appearance on my doorstep tethered me to life, a lot has happened.

I’ve made a lot of progress away from the suicidal depths and towards my goal of thriving. I’ve already written about my adventures in admin. I *think* I’m winning so far but there’s more to do!

Here’s what I’ve done so far. I’ll give you a bullet list, I’m going to write another post, perhaps tomorrow, about MY BIG PLAN.  With me, there is ALWAYS a plan … even if at the worst of times, it’s only a suicide plan. I thrive on planning, targets and goals, proactivity and productivity. Did I ever mention that I’m a wee bit driven …

Perhaps having to make the best of terrible circumstances when I was younger is what helps me to capitalise on every scrap of hope, opportunity or potential. Regardless of the reason I’m very grateful for that capacity.

  • I’ve showered 13 out of those 14 days.
  • I’ve been out twice to take out my rubbish, twice to visit my GP surgery and once to go to the hospital – having vital physical health checks. Bearing in mind that prior to this I had been completely housebound for four months.
  • I’ve started on the road to rebuilding my fitness and stuck to my plan for that.
  • Progress is ongoing following my assessment for social care (a personal assistant for four hours per week) – I’ll blog separately about that.
  • I’ve set the ball rolling for a return to the physiotherapy treatment I was about to begin when the crisis that left me housebound hit in February. I may not be allowed to resume – a funding issue – but it won’t be for the want of trying.
  • My eating is improving – another more in a separate post for that!
  • I’ve been keeping in touch with friends via email and social media and they are keeping in touch with me. I feel that I’m rebuilding some old friendships and developing new ones – if you fall into either category and agree, do let me know, my friendship confidence is still a little shaky :-).
  • Another dear friend stepped up two weeks ago, asking how she could help, her message moved me to tears. It’s gratitude, she said, for a “normal” life. This is because of the research I did that helped to crack the conundrum of the rare condition that was devastating her life. She said, “I have never nor will I ever forget what you have done for me.” I well remember her illness, and know I did research but much beyond that is lost to me. This was soon after my abuse was uncovered and the rug was pulled out from under me. I was all over the place but I’m so glad I seemed to have pulled it out of the bag then. Her words mean the world to me.
  • I asked a Twitter pal if she’d like to meet up next year – there’s reason for it being next year – and she said yes, which is lovely, and I look forward to our ‘day out’ .
  • I received a ‘care package’ in the post from another online friend, full of thoughtful items – either useful, fun or edible! From comedy dvds to batteries, a massage ball to peppermints.
  • On all the occasions that I left my flat I wasn’t wearing any make up (OK, except lipstick) this is also progress – and yes, more on that in a separate post!

I hyper-focus on ‘the bright side’ – that song could be my anthem, and I’ve recognised that in the last few days I’ve been having thoughts along the lines of … Look at you, you’re doing OK. You’re fine really. You don’t need support. It’s a familiar refrain.

I know a lot about ‘getting on with it’. I know a lot less about thriving within a supportive network. Growing up, trauma was played down and I was schooled to ‘get on with it’, to such an extent that it’s one of the main reasons that I didn’t recognise that I was being deliberately harmed.

Aside from that, having spent four months housebound, showering a couple of times a month, bingeing, starving and stinking, alone, dealing with flashbacks, grief and increasing despair, the last two weeks do look like nirvana in comparison!

I have to remind myself that while it’s great to applaud each step of progress and C-E-L-E-B-R-A-T-E the small things … it feels odd to call them ‘small’ because they are huge achievements when you’ve been struggling so much, but to most people showering, going outside, doing a little shopping, taking care of the basics, are small things … I have to have an eye on the bigger picture. That’s to say that I need to recognise the difficulties I still face, the burdens I carry and the mountains I have to climb, and allow myself to get help where I can AND feel worthy of it.

There’s more on the progress front but I think I’ve given you the highlights! I’m flagging, I’m low on spoons today. I plan to do my treadmill ‘5’ then allow myself to ‘flop’ and indulge in a telly fest of Doctor Who and Pitch Battle!

I don’t know where I would be now if my friend hadn’t made that mercy dash two weeks ago. I am glad that I don’t have to think about that.

Thank you for reading. As ever, I welcome comments, conversation and tweets.

Heart x

Adventures in Admin.

I wish Admin. were an exciting place where I was having the time of my life.

Rebuilding my life after months in the depths of crisis is exciting. It feels really good to be making progress but, I’ll admit, the administration side of the process can be more wearying than any other – emails, calls, forms, research … chasing this person … approaching that organisation … researching grants … and trying to make head or tail of the personal budgets/direct payments system in the ongoing quest for social care support.

In the last couple of days alone I’ve …

  • sent three emails to my social worker
  • spent considerable time and ‘spoons’ researching support and treatment options outside of the NHS for my eating disorder. and drawn a blank beyond the one option I already knew about which may not be suitable.
  • sent two emails regarding a local women’s support group – one a brief testimonial to support the application for funds to keep it going – another to update on my circumstances and inform the facilitator when I hope to be well enough to return.
  • researched organisations offering grants for a convalescence/respite break, sought advice about my eligibility, printed application forms, and contacted health professionals to try to find one who could spare the time to make an application on behalf, as that’s how the system works.
  • undertaken an online ‘test’ for Personal Independence Payments and carried out various tasks in preparation for making a new application, having been turned down last year. For those to whom it’s relevant, the test is here.
  • spent time making notes and trying to prioritise the many current ‘hot potatoes’ and decide what to take to my therapy session earlier today, in order to make the best use of the 50 minute slot.
  • emailed regarding restarting vital dental treatment stalled by serious illness.
  • made numerous checklists to keep track of it all.

This week I still …

  • need to contact several organisations and another person with disabilities who lives locally to try to get some clarity over the best option for me with the (haha) administration of the personal budget/direct payments – and all this before it’s even been confirmed that my application for funding – made by the social worker after several hours of assessment – has been approved. This is because the process is lengthy, and I’m told it will be further slowed if I’m not ready to go if/when approval is granted.
  • need to keep in touch with friends – replying to emails, messages, tweets and so forth. This isn’t a chore. I want to be in touch, I appreciate their contact and it’s vital to my health and wellbeing, particularly as isolation and loneliness are a prominent factor in my life and have had a detrimental impact on my health. That said these tasks still take time and ‘spoons’.
  • need to contact the charitable body which, last year, granted me funding for physiotherapy – it wasn’t available on the NHS. I had an assessment in February and was set to have a further 11 sessions when crisis hit and it had to be put on hold. I can’t even begin to explain the admin. now involved in trying to sort out a restart – both you and I would lose the will to live.
  • there’s further admin. relating to budgeting and welfare payments
  • there’s a mix up with my energy supplier – which owes me money – need to try to resolve that
  • there’s an energy ‘switch’ to organise in order to avoid a price hike
  • there are trips to the GP and hospital which currently necessitate various emails and texts to organise advocacy support where appropriate, or someone to ‘chum me’ there if that’s necessary,
  • tomorrow there’s a visit from my landlord’s agent for a routine inspection.

Blimey, I feel weary just telling you about it, and that’s not all of it but you get the idea 😀 !

My limited ‘spoons’ have to go a long way. I wish the blessed admin would do itself and I could focus on everything else that needs my attention like therapy, exercise, my eating disorder and other aspects of recovery and self management, getting out and about, dental treatment, writing, etc, not to mention the mere basics of daily living.

I think I needed to get that off my chest. Thanks for bearing with me!

Spoonie love,

Heart. x