Medical Issues

I wanted to talk about this not because it's a particularly interesting part of the foster care process, but because so far (at least for us) it's been a bit of a frustrating one.  H tends to be clumsy, often getting odd scrapes or cuts or other various injuries.  In fact, when she came to us, she ended up with what we think was a full-blown sinus infection after the first week, and then a second one about a week ago.  She's also rolled her ankle once to the point of being on crutches (twice now) and jammed a fingernail hard enough to the point of infection.

 

Plus, as with most foster kids, she came to us already on medication. 

 

Now, we didn't have prescriptions for her, nor do we live anywhere near where she used to, so even if we had previous doctor's names (which we don't) there's not much we can do. 

 

The government provides Medicaid for kids in foster care (and I believe they'll continue if you adopt a foster child as well - though I might be wrong on this) so, all we have to do is find someone that will provide care paid for by Medicaid.  That sounds easier than it is.  H wanted specifically to see a pediatrician when we needed to take her in to the doctor.  We emailed our worker, and hers, to help find someone that would take her in.

 

It wasn't an easy process- nor are the workers particularly responsive or helpful when it came to getting this information.  Thankfully, our worker came through with the name of a local pediatrician who would be willing to see H. 

 

All of this feels very strange when you're not a child's parent or legal guardian. I have felt a little on edge each time she hurts herself, because we're taught, as foster parents to watch for repetitive behaviors, maniulative behaviors or things that might seem out of character.  Do I trust each time that these are accidents?  Because they feel like they are.  So, we trust our instincts, care for her as best we can and hope that's enough.  Still, I can't help but feel sometimes as though I'm watching too carefully for things that aren't there - or that I'm missing things that are.  THIS is pretty much fostering in a nutshell.  I have to trust what I see on the surface, but always be waiting to deal with what's underneath it.

 

The medical needs of a typical 15 year old aren't particularly strenuous, but so far, it's been perhaps more than I expected... both in frequency and diffculty.  It's also been an interesting experience as far as having to interact with workers on both sides to get information- or help.  And I imagine that like most things, each child and each worker is going to be a different experience.  H's worker specifically is very detached, very hard to get a hold of or a response from.  Which is something we're learning to deal with and defer to our social worker whenever possible.

 

Two Months In

We've had H for two months now.  And I'm convinced that she's a great kid that's just had a lot of negative experiences, including the ones in previous foster homes.  When she came to us, she was on Prozac, but was slowly being weaned off of it and she's probably been without it for about three weeks now, and I think there's very little difference in her moods and attitudes since she's been off it. It's hard to know for sure, since it's not like we know what she was like before she started it- but there's things we can watch for like keeping an eye on her mood swings.  But, she's also a teenage girl with a bubbly personality and many of her mood swings - or at least the things we've noticed - can be attributed to be a teenage girl. 

 

In this, I feel like I have a bit of experience.  I mean, I was once a teenage girl.  I didn't have the same background, but, I know what it's like to feel like you need to talk to your friends, or to want to stay over at their house or anything like that.  My husband on the other hand, doesn't know what those things are like really, and he wasn't even around when his sister was a teenager (he was already off at college), so this is all new to him.  Usually, when he notices something that seems out of character we talk about it and he trusts my judgement on whether it's something we need to talk to H about, or if it's just something we need to wait out.  So far, most everything I think is part of being a teen.  But, I can already see how hard those judgements are to make.

 

In fact, there's times where it's obvious she's watching us - or at least paying attention - to how my husband and I interact as a couple, how we treat her, how we manage our finances, how we make time for her or our friends, ect.  She's learning and she trusts us to talk to her about things like an adult.  I think a lot of times, she's surprised how much we talk about things in front of her.  Nothing specific, but we're open enough that we don't feel like we have to go in a different room to talk about money or plans.  We do have conversations without her of course, all parents must.  But as much as we're able, we don't hide conversations or plans or general day to day things from her.  She seems to appreciate that.

 

I've talked here a little before about communication and the part it plays, but I think it's really starting to show in how she relates to us.  She's willing to talk to us about just about anything (that we've discovered so far) and in return we continue to keep her informed and willing to involve her more. We also think it helps to give her a better view of the world - a broader view - than the small town life she was used to where she never went anywhere, never did anything.  It's not really the small town, or the ideals she came from, but people she's lived with in the past and the sort of sort of limited ideals - traditional values - she's come from in the past.  Homes where Facebook and cell phones and dating were frowned upon. I think being younger helps us here, we don't see these things as negatives, just part of the current teenage experience.  That doesn't mean they can't be monitored, or kept in check, but denying their use (or their existence like some parents) seems like a fruitless endeavor. 

Trust, Respect and Fitting in

We've had H for more than a month now, and I realized I haven't really talked any about what we're doing.  I mean, things are going very well.  We haven't had any real issues with her and my husband and I really love this kid.  She's great.

But, part of why I started this blog in the first place was for people to see what the real process is of having a kid in your home.

We had an incident last week that got me thinking about this.  More specifically we had a moment with H when she was about to tell us something bad that happened to her and she expressed genuine worry that when she told us what had happened that it was going to change how we felt about her.  We've managed to gain a level of respect from her, and she values what we think of her.  I can't say from experience, but I do know from what I've heard about fostering teenagers, this is a little rare to have after such a short period of time.

The discussion we had showed us how much she has already grown to appreciate the type of parents we are, and we had the opportunity to give her love that she's been missing.  She was very afraid we would somehow like her less if we knew what had happened, even though she was the victim in the situation. Afterward, my husband and I were both struck by how meaningful this was -- this is a girl that within the first week at other foster homes has caused or gotten into some kind of trouble, not a girl that worries about what her foster parents think of her.  And we're new at this.  Yet, our opinion of her is already very important.

I have some thoughts about what we've done so far that's helped get us to here.
When she first came to us, that very first night, we let her talk about whatever she wanted.  She was happy to be alone in a foster house for the first time and while my husband and I both commented that she was very eager to please - or be pleasing - but I think more likely, she was very eager to feel she fit in to a family that would be willing to keep her.  So obviously, this isn't all us - but she had to have some willingness to make it happen as well (which she has in spades).

However, we've also been at times both welcoming and distant.  We include her in everything - and that means as much communications about our lives and plans as we would include anyone in.  My husband and I are very communication driven in our relationship - we need to talk things out a lot and this has helped a lot with H, in that she's seen us talking, and been involved in the discussions.  These conversations are about everything - friends, shopping, cooking, work.  She's 15, and certainly has a mature head on her shoulders.

It's also encouraged by social workers that older foster kids get experience in shopping and budgeting and how to run a household.  So these things work two-fold in getting her experience & integrating her into our house.

We're also pretty liberal as far as what kind of TV shows or music is allowed.  We're younger of course, which helps, but even if we didn't like it - she does.  Us not liking something (for instance she loves watching Law and Order, and I can't stand the show) doesn't make her interest less valid, just because she's a teenager, or because she's a foster kid.  That sort of freedom - as long as she talks to us about things has gotten us pretty far.

But we try and remain distant at times so she can go out or hang outside with her friends.  Sometimes she stays after school with friends, she talks walks in the neighborhood by herself.  We worked up to this things a half-hour to an hour at a time, as long as she texted me every time to tell me where she was/when she would be back.  This communication has given us a bit of trust that she's going to respond to us when we need her to, and given her a bit of responsibility over her person (and her phone).

I could talk more about this, and maybe in another month I'll make another post about it.  But, the other thing I wanted to touch on is that yes, we did buy her a cell phone.  Some kids in foster care, pay for their own.  We happen to be in a situation where we could get service for very cheap by adding her to one of our existing plans.  So, we did.  This, along with some other things (school clothes & supplies) that she's used to being told no to, or having to pay for herself were extra things we knew we could do- and wanted to do that have helped endear us to her. It's not always going to be something we can do, no matter how much we want to.  But, just in these little material things, we were able to show her that she was more than just a foster kid, a helping hand, or a paycheck.  (All of which she's experienced.)

So she does have a cell phone.  We were honest with her about the minutes and text she has available and she does not abuse it.  I also think this could be an age generation thing - I think it's perfectly legit for a 15 year old to have a cell phone these days.  And the way it keeps us talking to, at school, when she's at a friends, when she's out on her own, or just upstairs - they're all ways that keep us actually talking.

Talking, is vital.

The First Week (ish) with H

Things are still going very well.  I suspect some of this has to do with the fact that we have to get H enrolled into school.  First we were waiting on the placement agreement from her work, then my worker, then her worker, you get the picture.  We got that first thing yesterday morning, but her previous school hasn't yet faxed over the transcripts to the new school, and that's the last thing we're working on.

While we wait, there's been lots of me working at home (thankfully I can do this for a little while longer) and her watching TV or playing on the Xbox.  Neither of which bother me or my husband too much, since we know she needs the relaxing time to settle into the house, she's respectful of time and hasn't been demanding in anyway.  And when she DOES start school, we know she's going to be a little overwhelmed time-wise as she works to catch up and then dives proper-like into classes/assignments/ect.

So far, the biggest frustration has been waiting on paperwork - like an open-ended form so that we can take her five minutes away (across state lines).  It seems like such a small thing, but all our family lives on the other side of that state line that's just a few minutes from our house.  So, we have to have that form before we could legally take her just about anywhere we wanted to go - and we didn't get that until late Monday afternoon, which made that first weekend a little frustrating.

The First Kid: H

So, yesterday, one of the workers at our agency, sent us two referrals - two teenage girls.  Both of them seemed acceptable to us, so we asked about the first one.  She's a foster-to-adopt opportunity, so we were more willing to try that out (since ultimately we'd like to adopt).

She's 15 (half my age) and though I've only spent a few hours with her, she seems like a generally good and good-natured kid.  From the paperwork I've gone through, it looks like her previous foster parents may have been on the strict and conservative side of things - and this girl has been sexually active for a few years, so it looks like that was a problem for them.

My husband and I feel much less strange about that sort of thing - it's a generational and moral belief difference obviously, but we feel pretty well equipped to handle it.

Yesterday all-in-all was a pretty strange day.  The request for placement came early, but the call that she was coming to us, took a few hours.  Then, she's coming from halfway across the state, so we had to wait for a worker to drive her to us (about 4 hours I think).  So she came in late last night, and arrived with a LOT of things, which I hadn't been expecting.

Right now, things have gone well.  She seems eager to please - maybe a little more so than is normal - we're told there can be a sort of 'honeymoon' phase with some kids where they'll fit in well and be eager to please, and then start testing once they feel more comfortable.  Since she's not from the area, we're going to have to take a few days to get her enrolled in school and everything.

It's awkward right now - or I feel like it is - I don't want to hover.  And I know I can't 'make' her feel comfortable, but I think that she's adjusting well.