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Stuck for Ideas while we wait for Spectrum

Stuck for Ideas while we wait for Spectrum

I am looking for advice on whether our daughter will get any benefits from having private health cover.

My husband and I are carers for our 18 year old daughter with BPD, anxiety, depression and probably complex PTSD. We've had a lot of ups and downs since she started struggling with her mental health at 13. My bright lovely girl left school at Year 10, can't find paid work and struggles to get to her once a week volunteer shift. She has pretty much no friends, having managed to alienate most of them over the years and is now going through a painful breakup with her boyfriend who can't cope with her self harm, suicidal ideation and continuous dramas with him and his friends.

She started with support from Headspace, had two admissions with Origin and two admissions to Royal Children's mental health unit a few years back. Since then her long term psychologist moved out of private practice and it's taken months to get her a new psych, who she's only seen twice but seems very good.

Her mental health has been spiraling down since Christmas and the last two weeks have been horrendous with self harm and actively wishing to die. Initally we took her into emergency, where she eventually got to talk to a mental health person. She had calmed down but after we got home she went hyper and caused the final breakup with her boyfriend. Since then we've called the ambulance twice, having them not come the first time while she screamed and got so hysterical I thought she was going to have a stroke! The police ended up arriving at 3am, which was incredibly unhelpful. After two hours of this she exhausted herself and we were able to get her to take a mild sedative.

The second time they came and were fabulous and took her and me to hospital but then she was left in the corridor for a couple of hours, crying and having panic attacks while a dozen paramedics and four police just hung around. Finally she was admitted overnight for observation in the Behavioural Assessment Unit and was released at 8am with no aftercare advice or support.

At her first hospital visit we were told about Spectrum and how it can provide the proper therapies for her BPD and so we got a referral from her wonderful GP and she faxed it all off. I thought I should also ring them to see how the process was going. Imagine my horror to discover the waiting period is 6 to 8 MONTHS!!

So here we are. Exhausted, confused, sad and frustrated. I've had to take time off work and will have another 2 weeks of leave but what do I do after that? She's actively suicidal, even if there haven't been any serious attempts. Neither of us trust her on her own at home right now.

So what do we do now? She's booked to see her psych fortnightly and they will need to work to develop some sort of crisis plan I imagine. We now know that in general, going to emergency or the ambulance is not the solution and she was told in no uncertain terms that a psych ward is not going to be suitable for her.

We are considering getting her private health/hospital cover if that will get her access to more services. What experiences do others have with this? We've never been able to afford family cover as I only work 11 hours a week and my husband works 4 days a week. I just don't know where to go now. I would appreciate advice.

17 replies

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In response to: Stuck for Ideas while we wait for Spectrum

Re: Stuck for Ideas while we wait for Spectrum

Hi @Staycalm ,

I know your initial post was in February, but thought I could add my two cents worth.

Your situation sounds very turbulent. I hear your distress in seeing your beloved daughter slowly vanishing before your eyes.

I've had BPD for over 15 years. I had many hospital admissions but they were purely to keep me safe for a day or so, then I was back out. Hospital admissions have been extremely detrimental to my recovery. Borderlines need talking therapy. This takes time.

My psychotherapy was aided by medication. Medication in itself does not help BPD, but it does alleviate the symptoms of insomnia, depression and anxiety that may come with BPD. Unless these other symptoms are under control, it is very hard for a borderline to reach out for help. Therapy for BPD will NOT work unless the individual wants CHANGE. Spectrum therapy focuses on developing a change in mindset. I have been through Spectrum - 18 months, twice a week. It was intense. It was gruelling. But I was ready to put in the hard work. In my 30s, I was sick of myself. I was sick of my emotional turmoil. Only then did I realise I WAS READY FOR CHANGE.

I have private health insurance, and always have, however, I choose to go through the public system. The public system has been phenomenal, but only because I was ready to change. I cannot emphasise this enough. At 19 years of age, I was not ready. I was even rejected by private clinics because my self-harm risk was too high (sounds absurd?). They would have known I was not ready to change.

Does your daughter have a case manager? Case-managed patients are prioritised by Spectrum....waiting time of even a week before assessment! If you are financially vulnerable, Centrelink will be a huge help. Your daughter may not be able to get a payment, but a Health Care Card makes a HUGE difference to price of medication and ambulances are also covered. If you don't want to do that, then consider becoming a member of Ambulance Victoria. It is super cheap in comparison to copping a $1200 ambulance bill each time.

Take Care.

BPDSurvivor

In response to: Stuck for Ideas while we wait for Spectrum

Re: Stuck for Ideas while we wait for Spectrum

Hi @Staycalm

I just wanted to reach out and offer some support.

I'm so sorry to hear about your distress and the emotional challenges that you and your family have been experiencing. It really does sound like a turbulent roller coaster ride of emotions and experiences.

I know you posted a little while ago and so what I've shared may not be helpful for you, but I thought that I would reach out anyway - just in case

I've never had private health insurance and so unfortunately, I can't share any personal experiences around this.

I was thinking about the financial challenges that you shared and I just wondered if you have considered contacting Centrelink (or visiting their website) to see if you're eligible to receive the Carer Payment and / or the Carer Allowance?

The Carer Payment is an income support payment that supports people who are providing constant care for a person who has a severe disability or an illness. The Carer Allowance is an income support payment that supports people who are providing additional daily care for a person who has a severe disability or an illness.

Depending on your circumstances, some families are eligible to receive both of these payments.

Your daughter may also be eligible to receive a Disability Support Payment which is also through Centrelink.

Completing the paperwork can definitely be a daunting and exhausting process! From what I understand, the application process can now be completed online, which may make this a little easier.

It's great that your daughter currently uses a Mental Health Care Plan to help with some of the costs associated with attending Therapy. Although unfortunately, 10 subsidised appointments are just not enough to help with the costs associated with longer term therapy - which is what so many people desperately need.

I just wondered if you were aware of the Chronic Disease Management Plan (it use to be called The Enhanced Primary Care Plan). It's something that your GP can complete and (if your daughter meets the eligibility criteria) it may mean that she can access an additional 5 allied health appointments (Psychology is one of the disciplines covered) per calendar year which will also attract a Medicare rebate.

Thinking of you at this time and sending gentle hugs ...

ShiningStar

In response to: Re: Stuck for Ideas while we wait for Spectrum

Re: Stuck for Ideas while we wait for Spectrum

@ShiningStar

Thanks for sharing these details. It certainly does help.

Cheers,

BPDSurvivor

In response to: Re: Stuck for Ideas while we wait for Spectrum

Re: Stuck for Ideas while we wait for Spectrum

Hi @BPDSurvivor

You're welcome! I'm so pleased that you found this helpful

Take care ...

ShiningStar

In response to: Stuck for Ideas while we wait for Spectrum

Re: Stuck for Ideas while we wait for Spectrum

Hi Shell17, I'm very sorry you've had this experience. I know the lockdown and pandemic are making things harder but hope you and your family are doing OK.

In response to: Re: Stuck for Ideas while we wait for Spectrum

Re: Stuck for Ideas while we wait for Spectrum

Sorry I haven't been back to post for a while but it's been a very difficult year so far.

Just a few of the things we were struggling with include the sudden death of my father the day after my mum had a stroke, having to put down a beloved elderly dog, my daughter got herself a job which she then lost two weeks after she started due to lockdown restrictions. I have been trying to manage all the probate details and funeral details, while at the same time trying to sort out what will happen with Mum as she can't return home. It's been a nightmare.

We are seeing my daughter's mental health slowly decline, with an increase of self harm, disordered sleep, disordered eating and medication refusal. She had worked very hard with her GP to try to acquire Centrelink payments. Refused both times after a nightmare process. She had done so well to apply, interview and start her new job only to see it taken away.

She is pushing to be admitted to hospital because she want to "be away" from all the negative stuff happening at home so we're feeling stuck again. We are so thankful that we can get her more Medicare covered appointments but her psychologist is so booked out it is taking over a month to get in a phone consult, even being on the cancellation list.

I will look into some of the suggestions people have made on this thread and I really appreciate the advice and the sharing of stories. Heartfelt thank yous xxx

In response to: Re: Stuck for Ideas while we wait for Spectrum

Re: Stuck for Ideas while we wait for Spectrum

@Staycalm it sounds like it's been such a difficult year for you indeed

I can hear that you have a lot of practical responsibilities but at the same time are in the process of grieving your father. I'm sorry to hear how COVID has impacted your daughter's job and ability to access her supports. I'm sure it would have been so hard for you to see her go through the process of getting a job, only to lose it shortly after starting. I hope things start to feel more manageable for you soon!

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