J’s care update - Leics County Crisis Team refusing to assist

I think it was on Tuesday, but I'm getting confused about the days. Today is Thursday.  On Tuesday, J asked the ward consultant if she could discharge herself and come home (to be with her shelves of books and Lucy-cat).  She was an voluntary-informal patient.  The consultant agreed to her leaving on the grounds that she would accept support from the Crisis Team (Acute Care, Home Treatment, Recovery Team, or something which doesn't actually have the word "crisis" in it, but absolutely everyone, including themselves, still call them the “Crisis Team”).  We wait most of the day on the ward for the Early Discharge / Crisis Team to arrive (after several phone calls from nursing staff, possibly to a building next door).  As always, they did not have the best people skills, as always, only one talked.  They certainly didn't like me in the room prompting J (I pushed back a bit this time).  They weren't happy with the fact that J had recently ligatured and that her meds had been put up suddenly.  J wanted to come home partly because day-to-day care needs were not being addressed (phobias, OCD, leg ulcers, diet, sleep).  The Crisis Team told us that they wouldn't be providing support because J was too much of a risk.  We were stoic and reflected upon accommodating for the randomness of the Crisis Team’s appointments and logistics in the past (i.e. they turn up when they want, they can’t find J’s address and on at least two occasions just give up).  I don’t think they liked that either.  I think that they may have been trying to force the hand of the ward.  Whilst I sympathise with the Crisis Team’s position, and am pretty worried about her safety at home, this doesn't help J, who has had the blessings of the ward consultant to lead her own care and return home.  I too would have preferred J to stay in longer so that they could monitor the meds change, but I also welcome being in the same town as her and not having to ferry supplies, fix mobile phones, cat-sit without an end-date.  A nurse told us that the team had then told them that J had “declined” their help.  Which was simply not the case at all.   Apparently phone calls were being made and arguments had.  The opinion here was that they couldn't be bothered with the paperwork and had already decided to reject J’s referral before talking to J in person.  End result: we pick up meds and get a taxi home and J’s CPN is expected to fill in any gaps.  What I like about this scenario is that the Crisis Team managed to irritate everyone and lie to other professionals in a way which surpassed expectation. Astonishing.  

J is saying that the strength of the voice has lessened with the use of a new anti-psychotic.  Already her PA has started working with her again, and we've seen her GP.  Naturally there’s a few issues about who’s in charge of prescribing the new meds (deferred to local CMHT shrink, not GP), but J was so desperate to leave hospital that we’re seeing this as a minor complication.  I'm pretty baffled about the whole situation.  Whilst she was at the unit she never even saw a care plan.  

Is she better than she was? Probably.  

Is she safer at home than she was on the ward?  No idea.