Saturday, July 12, 2014

QoS: Quality Of Service

I don't like having to air personal business online. Yet in this case though, I've made this exception because I believe passionately that sharing what I've dealt with.

As it currently stands, those who have insurance either have to pay very high deductibles after being seen help, or have a type of insurance that no one wants to work with and suffer with a manageable illness.

I deduce that both insurance adjusters, and claims managers have no middle ground. Because of this I stand at a crossroads with a type of insurance that may or may not work.

A certain time frame is closing for mental health services i.e. revolving door as the temporary band aid will then be removed again, and I'll scamper and stagger about looking aloof trying to figure out what my next steps are going to be. In essence I've become a statistic with regards to state mandates within a bureaucratic mental health regulation.

Right now is crucial point for me because I take medication that helps enrich and balance my life. Without this medication I'd be in a very different situation, constantly struggling to maintain balance.

It is so important that medication management be beneficial for me, and not against me. There isn't a way keep tabs on or with my progress. There isn't any continued encouragement when it comes to consistent monitoring of medication management, and therapy long after being jettisoned from service.

So what happens when those options have been exhausted? In my case there are a few agencies that I can go to. All I can get at this stage is 6 months of service. Essentially its a Quality of Service problem, which may or may not help depending on the severity of illness.

In my case...I'm considered functional, to a point. But, I don't kid myself in anyway because I know when things can go off the rails. I also know when I'm just a statistic in a hurriedly rushed, and shuffled through a broken system.

It's tedious, and again I go through the same system because of Quality of Service i.e. choices for what I can get is very limited. I equate it to going through a revolving door. I get cataloged, studied, and rehabilitated which means I've been marked a success and out I go. I don't like this one bit. Not. At. All.

For those of us who've had to endure a lot with mental illness, I've paid dearly with my life through a hellish, and corrupt institutional system. Some of belies a bigger problem of dollar signs when it comes to patients in need of service. Its a wonder anything functions when there is so much bureaucracy with mental illness.

With medication management I've been shuffled through one agency to the next. From psych medication subscriber then handed off to a family practitioner. Neither seemed interested in fixing this clog. There isn't a lot of communication between agencies. Which belies another problem with keeping tabs on those of us doing the work.

Having gone through this process many, many times, I am angry my voice as my own advocate has become wasted in red tape. I've learned that illness should not and cannot have bandaids, life affords me the opportunity to learn from, and to have a sounding board to give clarity (when there isn't), reason, and explanation to the thoughts and feelings I have.

I am and will always be in recovery. I just wished that when it came to monitoring those who go through the hoops of finding and maintaining balance, that they are not forgotten in the mire of survival success. Thanks for reading.

B.

Monday, May 26, 2014

The Joys and follies of mental health services II

When a person needs help they usually are at their wits end.

Something hasn't worked, and knowing that something needs to change, involves seeking out mental health services in order to start the recovery process.

I am no different.

Though I've been through many iterations of the intake process, having to tell my story, (usually numerous times because of insurance QoS, non responsive intake specialists, etc) there is a rough element to the whole endeavor.

You feel like a rushed piece of meat.

Its a cold, and unfriendly place to be.

The reality of what was has now morphed into a kind of collage of verbal grafeti.

Sometimes there are no answers to the riddles of pain, and anguish we deal with.


Yet the struggle for balance is never there.

When you deal with a state run, budget restrained, and bureaucracy, one can't help notice the workload, stress placed on a very overly burdened system, mostly on a state level.

There are some agencies who use a implicit tactic of six months and off you go.

Yet for some this isn't always a great idea.

Back through the door one will go, in a revolving door mechanic, often being told to find a primary care physician, which with certain insurances is not possible, even with the change of recent years.

Some offices flat out refuse to deal with it, and turn people away because of it.

It is extremely frustrating to be told to immediately find something but not have any way to get the results they want.

Being shuffled from one situation to another doesn't help either.

I kind of wonder if it really has been this way.

Otherwise, its the same routine, six months of service and out the door, and back through again.

Kind of gets old.


B.

Sunday, May 4, 2014

Mental Health Awarness

May is here.

Life clicks on.

Yet, there is always a need to put a stamp on our existence as it means something worthwhile.

This is the month of Mental Health Awareness.

I would even say that every month needs to be Mental Health Awareness, but I digress.

In this month I will do my part in teaching, explaining, and setting an example with my mental health.

My Bipolar I own and though I have to keep things on a professional level, it is important to share it.

It is about the lessons learned, and the importance on recovery, hope, and resiliency. (Sunrise)

There are no easy roads with mental illness.

Those who say it is haven't experienced true debilitating mental illness.

Lets not have more damage.

Lets focus on the positive strengths of pulling through.

Lets learn to forgive our weaknesses.

I will help in using our humility as means to share in recovery.

Thanks for reading.

B.