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I have so much to say here. I don’t know where to begin...

I have been in the Iowa Mental healthcare system for roughly 15 years, both as a patient, and as an inaugural Peer Support Specialist, receiving my initial training through the ABBE Center in Cedar Rapids, where I also reside.

I was diagnosed on 2009 with initially Depression, Anxiety, PTSD, and was suicidal. I also learned I had a personality disorder. I was sent to live at County Home Road for 18 months.

I credit the programming at County Home road for saving my life. Had I not learned that I had triggers and medication and meals provided daily I don’t think I would be alive today.

I worked hard, taking advantage of every class, even exercise group, which was not my favorite thing because I also have severe Fibromyalgia. At the end of 18 months, I my house had been sold, my assets liquidated and I was now on Medicaid.

I was resident I the Abbe Center’s Transitional Living housing program, which consists of a few apartments, including one staff office dedicated apartment. After 18 months there I moved into a condominium on my own. Staff paid community visits for several visits for years. I was doing well.

I took a job at the ABBE Center at their daily drop in club, Club 520, and afternoon community group with activities for anyone with a diagnosed mental illness in Linn County. It was an enjoyable job. I also took Saturdays to go over to the Transitional Living apartments and held a group every week. It was very enriching for all of us. I still miss some residents, especially those who passed away.

I was tapped for the initial group of IHH workers. I loved meeting with the clients. It was the numerous ill-timed meetings and inability to find company transportation that killed the job for me. There were 12 of us, each having to meet in person at least once a month with our 30 clients, for one hour (not including transportation time), and four cars. Often cars were not there. We had so many meetings that I couldn’t get my thoughts together. It was too stressful so I resigned.

All of this time up to present day, I have been extremely fortunate to have the same astute ABBE psychiatrist. I haven’t any idea how he manages such a huge caseload. In fact I’ve watch in these past five or six years, the number of ABBE psychiatrists dwindle down to two older men. I don’t see anyone else coming into their program and I’m perplexed as to what would happen if one were no longer able to see clients. That did happen for a while this fall.

My only backup was to make sure that I have my new ARNP has a psychiatric background, because over the past few years my mental health received a more devastating diagnosis is of Schizoaffective Disorder. This diagnosis makes more sense. And my mind has definitely degraded. I only drive familiar places in good days, so I don’t get lost.

I have to work harder these days to remember how to even remember how to type some of these words. I feel that what I have to say is important so I’m trying hard.

I moved into an assisted living facility and frankly, they’re not doing much for me. In fact, there are quite a few things that are wrong, but if you’re under 65 years of age your options appear to be nil. There is no correct place for me and at-home services failed me repeatedly. I couldn’t take it anymore. I trained people so often that it was if I was doing the work and they were paid. It only made my psychosis worse. I was in terrible pain all of the time too.

I would estimate that 60 percent of the residents where I live have some form of a mental illness. Having had some training, spending time with, and being a person with mental illness, I have a pretty good grasp on situations. Staff is usually clueless. They don’t understand these residents at all, especially those with dementia. There is a complete bypass for even communicating and understanding some people that have lived here. It saddens me.

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Margaret, thank you for sharing your experiences and valuable insights here, and I'm so sorry for everything you've gone through.

I was unaware of the possible percentage of residents in assisted living facilities with some form of a mental illness. Thank you for bringing this to my attention as something to look into more.

I hope you keep writing and sharing your story as much as you're able. What you have to say is so very important.

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There is quite a bit of insight I think I could deliver at some other place.

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