Filed under: epidemic, hospital, hospital social work, MSW, social work, social work ethics, social work practice, Uncategorized | Tags: crank, ice, meth, methamphetamines
So, I saw a patient today that could only be described as “a little meth-y.” For the uninitiated, I’m talking about a person who likely has used methamphetamines in the last couple of weeks or maybe had been using very heavily within the last year.
The person didn’t have any of the behavioral characteristics of meth use, but just had that look that I’ve come to know. The person may only be in their early 30’s but can look closer to 50, their skin has an appearance that can only be described as “rough.”
Anyway, anyone who has much exposure to people who abuse methamphetamines knows what I’m talking about. My struggle today was how to document clearly what I am talking about. It is easy to just say, “The patient had the appearance of somewhat who uses methamphetamines.” But, is that enough? Would anyone know what I’m talking about??
Thoughts from any one of my 6 readers??
Filed under: child abuse, child neglect, Child Protective Services, hospital social work, MSW, pediatrics, social work, social work ethics, worries | Tags: CPS, impaired caregiver, meth
I just thought I should start this whole post with this statement, because that’s honestly how I feel, not having worked in that system before. My only involvement with this system has been as a mandatory reporter. And after my most recent experience with the CPS, I think I understand it even less.
We had a baby born testing positive for meth and it was confirmed with the legal toxi screen. Mom admitted to using meth recently but reported it as just a “stupid slip up.” However, when I went in to tell Mom that CPS was on the way, I took one look at her and my heart sunk. I don’t know if I could have had a Hollywood make-up artist create a more stereotypical meth user than this mom. Mom spent almost no time with her baby. Baby had to stay in the nursery as it was withdrawing and having some issues because of that.
To make a long story short, in spite of many long conversations with the CPS worker (myself and the pediatrician), the baby was sent home with mom. Up until this time I had always assumed that if a baby tested positive for meth on a legal screen, it would always be removed from the parent. I was told this was only the case if it is proven that the parents have a long term problem, otherwise they take the parent at their word that they had a slip up. I know that CPS will follow this baby and I know I have done my due diligence, but it was just very sad and scary to see that baby go home.