In the beginning of our student's stay, the FRC and the team leader together [conference call]would call us on the scheduled calls. While the FRC dealt with pediatrician, orthodontist, etc. and additional casemanagement needs, the participation of the team leader in these scheduled calls made it much more easy to follow what was going on for our student programatically. The therapist and student worked on significant individual therapy issues, and the therapist would do family therapy sessions with us via conference calling with student.
Unfortunately, there were some experienced program leaders that also left early in our student's stay. I would have to check my notes and records to say for sure, but I recall that there was briefly some discussion of the team leaders taking over all of the FRC responsibilities at some point in this process...
Yes, the therapists then assumed the FRC responsibilities. I can't say how the therapists felt about it, but I know that there are times that the roles of a "manager" and a "therapist" are very different on a "team". Depending upon the nature of the issues being dealt with in therapy and on the environment in the program, this role dissonance could be greater or lesser.
The flexibility of the institution/program/philosophy and its ability to respond to individual strengths and needs are possibly other factors that could lend itself to role conflict.
Additionally, in other environments I've been exposed to, casemanagers are the team leaders and exercise informed decision making-power in developing individual plans.....
I believe on a well functioning team each member's contribution is respected and brings a unique understanding of the "whole child" or "whole person" that theoretically can enable the team to devise and implement an individualized, integrated plan based on positives that can empower the child/client/student to better take care of themselves and realize his or her potentials.
Some factors that may be necessary for this ideal scenerio to occur might include adequate leadership, a philosophy and methods grounded in respect for the integrity of the individual/client's core self, and healthy communication that eschews blaming, scapegoating, minimizing, etc.
While we were concerned about the disequilibrium in the system caused by the various changes during our student's stay, in hindsight it was actually a wonderful opportunity for us to really view the program philosophy and techniques in action under challenging circumstances with our student and see if it was consistent with our family values and goals. I respect that for many the program was experienced as a positive; however, our experience was otherwise. I'm glad we were able to figure that out.
On 2005-04-21 18:10:00, coco wrote:
"good description of FRC. As the anon said, they were the liason between parent and team staff. Parents were called every week by the FRC or RC. Often times, they were not in tune with the child from day to day, and was not the ideal form of communication. When the therapists took over the job, it became even more diluted. They were, I believe, resentful that they had to provide this service, and as a result did not do an effective job."