The 13 Hour Day

December 10, 2008

Today I worked for 13 hours, but the crazy thing is it doesn’t feel as exhausting as I think a 13 hour day sounds. But it was a jam-packed day, so a quick recap of my day:

  • court review hearing on an abandoned baby. Fortunately, they realize that I will be quick and put us in first and I am only there for an hour – not the usual 3 hours.
  • I had planned a home visit near the court house, but it is canceled due to a relative being gravely ill. Head back to the office.
  • Read emails and check in a co-worker who is doing homestudies on some of relative placements.
  • Call parent with phone interpreter to set up final psych eval appointment with parenting observation component. Call psychologist to confirm.
  • Get call from a TANF social worker requesting info about a mom who is applying for benefits and saying her son is with her. He is not, but taking this call reminds me…
  • …to fax substance abuse eval to TANF worker on another case that I didn’t get to yesterday.
  • Chat with unit members about a colleague leaving, a new worker in the unit, and the overall status of the unit (very important!)
  • Try calling client, but phone “temporarily out of service” which I now know means that they are out of minutes.
  • Quick lunch with a colleague. (Whole Foods has the best salad bar! So expensive, yet so yummy!)
  • Drive across town to go to a seminar about evidenced based practices for parents involved in child welfare. I try not to get offended by the obvious digs at social workers.
  • Drive to do home visit, which takes me more than an hour and a half to get there! Grrr. This is with my shaken baby and her baby brother. They look cute and are progressing, but she still has so many developmental issues. Foster parents are great, and a little chatty.
  • Drive an hour to do another home visit/meeting – stupid rush hour traffic and not transferring cases even when everyone moves out of region. This is the second referral that has come in the last 2 months on three little kids with their parents that got them back in the summer. After lots of discussions yesterday, it my opinion (and, really, decision) that we didn’t need to move the kids immediately. The parents had missed another doctor’s appointment and haven’t been taking the appointments seriously enough. However, they have been doing well in lots of other realms – drug treatment, UAs, working with in-home providers. A bunch of us are there, and I let them know that I had to convince others yesterday not to move the kids, but if they miss another appointment, we will have to. I try to be clear and straightforward, so they understand the gravity of the situation; yet, I also want to be supportive and identify strengths, because this family does have some. (Also, I have to deal with some posturing from a worker from the region that the family is in who insinuates that I am not doing my job and is frankly, a bit old-fashioned. Overall, I think I handle it well, but I wonder if he (or someone else) contacts my supervisor to check in about all of this).
  • Drive the 45 minutes home – fortunately there is no longer traffic – and arrive just after 9 pm and around 140 total miles.
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Shaken Baby Syndrome Parents

November 18, 2008

I have a shaken baby on my caseload who is doing quite well in her foster home, although she has severe delays and will endure long-standing effects from the violent shaking she suffered at the hands of her parent(s) at 6 weeks old.  She was in the hospital for quite a while and has been in a foster home since.  There has been a criminal investigation, although it has stalled because they cannot pinpoint which parent did it and neither are admitting anything happened.

So now it is months later and I have two parents who want to parent this kid, yet I have all of this risk that I have to take into consideration.  And I am supposed to offer them services.  Yet, there are no services for parents of shaken babies.  I looked at the research that has been done and really there is just the labeling of what SBS is and guides on how to prevent it.  I am supposed to offer services to these parents to eliminate their parental deficiencies, but they do not exist.  But I also don’t feel comfortable sending home a young child with sever disabilities that are the result of the severe physical abuse by at least one of the parents.

I am frustrated.  I am in a position where I could see that these parents could possibly be good parents to this child.  However, at this point, my job is to look at the risk factors and they tell me that I cannot let the child go home.  But do I have enough to prove in a court?  My colleague has reminded me to let the court decide and have that decision be on them.  I am just frustrated because there are no services and I feel like may get the blame for that.  And it is easy to see how good things are going now – reports from the visitation are good and the parents are presenting as committed.  I just have to remind myself of what a violent act they committed and the long-term effects this young child is going to have – developmental delays, learning disabilities, and vision problems.  What an awful case.