Long term hospital or 52 week placement?

[Moxiegirl]

Hi,
My 16 yo dd is currently in a short term psych unit, she is very unwell but they are looking at 52 week placements for her- one failed earlier this year due to her running away and overdosing 3x in 2 weeks- she ended up in a secure children's unit under a court order.

Eventually they sectioned her and brought her back to the psych unit she was in before.
She has high functioning asd and is capable of getting good gcses. An emerging personality disorder has been discussed- they are reluctant to diagnose due to age but she ticks every box and they agree she probably has it.

We have just had a partially good weekend away in that she enjoyed the swimming and food- then I had to call
999 on the night before we left as she was holding a knife to her throat, threatening to smash a glass and stab herself - whilst I was on phone to them she tied a tight ligature round her neck which I had to cut off

Cambian group are coming to see her with a view to Grateley House. But I just can't see how her psychiatric behaviours and self harming /suicidal ideation will be managed in a non hospital setting?since being back at hospital she has cut a deep gash in her arm then tried to pour ink into it to 'poison herself' (they managed to stop the ink bit).
Everyday she says she wants to die. She is having dbt but this doesn't seem to do much. She is now off anti psychotics despite seeing and hearing things as she gained ten stone in 18 months
Is there a placement that can handle her or is long term hospital the likely outcome? I think they are needing another failed placement as evidence maybe?
Anyone had similar situation?
Thanks.

[StarlightMcKenzie]

Oh my goodness. You must be at your wits end (or very likely way beyond that).

This is out of my range of experience, but wanted you to know your post had been read. It's great you have Cambian coming out as it is at least worth some feedback from them. Your poor DD, and poor you.

[claw2]

Moxie, didn't want to read and not post. I don't have any advice, but bumping thread for you.

[ouryve]

Again, no experience, so no direct advice, but don't want you to feel ignored.

Have you seen maryz's troubled teens threads? You might find someone there with this sort of experience. There's a few people occasionally post here, but I don't think anyone's particularly active, at the moment.

[Moxiegirl]

Thank you.
Yes I mainly post on a parents of bpd teens thread but thought I would pop in here due to the asd side of things (some really helpful posts on this board )

[poppysoup]

What a stressful situation. GH is a 38 week placement so I'm not sure it would work for her, they do have students with complex needs including MH issues but primarily as a result of unmet AS needs rather than a separate psych diagnosis. They tend to supervise quite loosely/allow students to roam and go off-site, and I think your dd might need tighter supervision. But it's worth hearing what the staff say.

Have you looked at Priory schools? I've always felt that they seem to have more secure environments and a more medicalised approach than the Cambian schools. Unsted Park may be worth considering as they have experience of self harming behaviours, but their approach won't suit everyone.

[Moxiegirl]

Hi poppy, I had dismissed Grateley for the 38 week reason but ss have told me they can get round that apparently!
I will look at your suggestions, thanks. Dd's social worker had emailed me a couple today, one of which was the first place I had suggested over a year ago but wasn't suitable!

[Moxiegirl]

Grateley said no to her, but there is a therapeutic placement in Gloucester that takes females 13-21 who self harm and have complex needs. It's a 4 bed unit and once settled she could move to the 8 bed unit. Looks quite promising and she could go to their own college nearby. She seems keen at the moment!

[nennypops]

Not too sure about Unsted's methods - see www.bbc.co.uk/news/uk-england-surrey-21941578