Saturday, September 27, 2008

This Week at the Mission...

September 22-September 28.

It's hard to believe that September is almost over, and that this was the first full week of Fall.
We're wrapping up our first month of the new Fiscal Year, and we've been able to bring in some solid community members over the last month.  Several are folks who have received services from us before, and it's been nice to welcome them back.  

The week started off with a lot of drama, as we came off of one of the most exciting weekends we've ever had [exciting used in the context of D-R-A-M-A].  Several women were discharged for relapsing, the community overall was propelled into 'negative space,' and on Monday the drama carried over into two more residents being discharged from the program.  

On Friday, I spent the first two hours of my shift confronting a guy on whether he had used drugs the night previous, and, after initially lying to me, I tested him.  He confessed after the test returned positive results.  The guy was compliant and went to detox, but it is always difficult to confront someone over relapsing, and then have those suspicions confirmed, especially when he lies about using in the first place.

Overall, the week has been event-filled and full of drama, but the community continues to stabilize itself and we have a good group of folks residing at the Mish as we move towards the beginning of October.  



Thursday, September 11, 2008

Today at the Mission...

September 10, 2008.

Wild Wednesday.
It seems like every Wednesday (much like every Monday) is wild and crazy at the Mission.  I arrived at the Mission around 7:55am, and immediately parked my bicycle in the chapel office and began listening to voice mails.  The staff leaves voice mails about pertinent information that needs to be shared quickly across the entire staff team, so that everyone can be on the same page regarding important incidents that take place on a day-to-day basis.  As I dialed in my extension to begin listening, the recording told me I had 35 messages.  35 Messages?!?  This is typically unheard of when I've only been off for one day.  There was a total of 19 workable hours over the course of which messages had been left.  I was stunned and shocked that, after not working on Tuesday, I had 35 messages.  It's a little overwhelming, because it takes about an hour and a half to get through that many voice mails.  I was able to listen to 2 messages before our 8:05am staff meeting.  I really put a dent in it.  
After the normal daily goals group leadership, delegation of chores, and field trip to Kingston Deli to get breakfast, I strapped down in my office, hung the Do Not Disturb sign on the door, and tackled the voice mails.  (I still only got through about 15 of them...but I was able to enjoy my daily dose of cornbread and bacon.)  At 9:30, I did the smoke break, and then I led a co-ed therapeutic group at 10.  The topic of the group was self-esteem, and the community really responded well.  I like to use material that is interactive, mostly so that it carries us through the entire time, but also so that our residents get the feeling that they are being productive.  There are worksheets that we use for self-esteem, and the community rallied around the topic and it ended up being a really good group. At 12pm, I met some friends for lunch at Finagle-a-Bagel, and ended up seeing a few homeless compatriots as we sat at a table by the window.  [On a side note, my friends swear they left Finagle smelling like their food, a complaint that is most readily associated with Subway.  I, on the other hand, didn't smell, and so debated their claims, especially when one of them said she thought she smelled worse than when she goes in Subway.  Yeah.  Right.]  
When I got back to the Mission at 12:40pm, a gentleman seeking placement into our shelter program was waiting to be interviewed.  After 45 minutes of speaking with him, (which, for the record, is a long time for an interview for our shelter program) I determined that he had some mental health issues that could not be accommodated by our program.  At least he wasn't talking about "truth from the sun."  
The rest of the afternoon was fairly low key, until about 4:30pm, when I was leaving, and one of our former residents was gallivanting on the common floor of the Mission.  I directed him to go back downstairs and wait for a Case Manager to come get him.  He was let upstairs by one of the residents working the front desk.  This is absolutely unacceptable, because he could've gone anywhere and done anything once getting past the locked stairwell door.   

Tuesday, September 9, 2008

Today at the Mission...

September 8, 2008.

Mondays at the Mission are always exciting.  I arrived about 5 minutes early for my morning shift, and found out that three people left our program over the course of the weekend.  One was a guy on my case-load, who left to live with his girlfriend [the positive side of this story is that the guy is going to be a father, and is really motivated to be there for his girlfriend and their baby].  Another was a quirky guy who, although he is extremely opinionated on every subject imaginable, was also extremely likable and, most likely, the hardest worker at the Mission.  The third was a lady that I didn't really know.
We begin every morning shift with a 10-minute meeting to discuss the goings-on of the previous day, to figure out if there are things that need to be taken care of throughout our shift, to delegate smoke-break responsibilities [we provide intermittent smoke breaks throughout the day for our residents, one every 1 1/2 - 2 hours], and to pray for each other.
After the meeting, the men and women in the Post Detox and Re-Entry programs [see  http://www.brm.org/index.aspx?sec_id=14&page_id=238&page_url= for a complete description of our programs] gather for a Daily Goals Group, where we go around the circle stating goals for the day, read from a Narcotics Anonymous Devotional Book, and then delegate morning chore assignments.    
After the morning goals group, I headed upstairs to make sure that the 5th floor met the cleanliness standards [this has been a big deal in the past couple of weeks] and then I did the smoke break.  "Doing a smoke break" is the typical phrase used around the Mission, and basically means that I stand outside with our residents for 15 minutes at a traffic island and ensure that nothing dangerous happens.  After the smoke break, I facilitated a therapeutic group with the Mens' Post Detox residents about the importance of cleanliness, and then we took some time to put our discussion to practical use, and they cleaned their bed areas.  It was really productive!
Around 12pm, as I was finishing up my lunch in the kitchen, one of my female colleagues came downstairs and said there was a "situation" upstairs and that a male case manager was needed.  I walked upstairs, and there wasn't really anything going on, and then I was directed that the man stirring things up was standing outside the Mission.  I walked outside, and, sure enough, a 6'3" African American male was there, screaming about the injustice of the situation.  The "situation" was this:  He came by the Mission and asked to use the restroom so that he could wash up and beat the heat.  He recognized one of our residents, and proceeded to walk through the door onto the main floor [this door is supposed to stay closed at all times in order to prevent situations like this from happening in the first place...this is also one of the hardest things to enforce because the front desk workers never remember to close the door] and began screaming at him when he was told he couldn't use the restroom.  When I came outside, apparently he was still screaming about it, and had lots of things to say that didn't really make any sense.  He screamed for a while about "truth from the sun" and how the political system is unjust, from Bush all the way down to organizations like us, and how we were just enforcing our "Greek rules" which were influenced not by God, or the "truth from the sun," but by a "little man with horns and a tail."  He also yelled about having choices, and how we were choosing to "perpetuate the injustice of the political system," since we were not using our "skills in social services and human services and such" to be kind to this man and let him use our restroom to "wash up, and shave, and get out of the heat for a minute or two."  When he finally stopped screaming after about 10 minutes, I told him that we chose to keep our bathroom locked until 3:00pm, but that he was welcome to return at 3:00 and use the restroom.  I also suggested that he go to Wendy's or to South Station because both of those places have public restrooms.  He seemed surprised by these suggestions, and then complained about how Wendy's would probably be "shady in their dealings," but he began to walk away, screaming more about Bush and the injustice of not listening to the "truth from the sun."  
The afternoon was not nearly as eventful, but one of my colleagues and I were able to "do a referral" for a new admission to the Mens' Post Detox program.  "Doing a referral" just means looking through a potential client's paperwork, and, after judging that the client would be a good fit for our program, calling the detox and conducting a phone interview.  We spoke with the gentleman for about 20 minutes, and were pleased to be able to accept him into our program.  

Tuesday, September 2, 2008

Today at the Mission...

September 2, 2008.

Today was *fairly* uneventful.  (let's be real honest, the Mish is NEVER uneventful).  There was not a whole lot of chaos going on today, though, and so I was able to check in with a few of my guys.  This evening, I escorted the group to an AA meeting, and four of our community members shared some of their personal stories and struggles with addiction.  They were very moving stories, especially the last one, which reflected on the painful ways in which her children were born.  Because she was an active addict during the pregnancy, her son was born addicted to methadone (a synthetic opiate originally created by the Nazi party to control minds), and had to 'detox' in the hospital for 21 days.  She described the pain and agony of watching her baby writhe and wriggle in pain, unable to feel peace or comfort during the first days of his tiny and fragile life.  It was an incredibly moving story.
The highlight of my afternoon was singing for my friend, Damon - (who happens to be the same Damon that many folks have heard tell of before) - I sang him 'the perfect country western song,' "You Never Even Called Me By My Name," by David Allan Coe, in reference to it being the perfect song for karaoke.  We both laughed hysterically as I donned my best 'country western' accent.

**amendment:  After I had posted this blog, I went downstairs to make sure everything was shut down and everyone had returned from their passes.  One of our female residents was standing outside the Mission with a young man who looked to be somewhere between 15 and 17 years old.  It turns out that the young man was her son who had run away from a TSS program in Framingham (which is close to an hour away from the city).  The other members of the staff team and myself tried to talk her son into going to a program for youth, but he turned down the invitation.  After a while, he went on his way, stating he had a safe place to go for the night, but constantly suspicious that we were going to call the police and have him arrested.  His mother seemed to handle it ok, she definitely was upset; it was heart-breaking to see the vicious cycle of sin that not only affects our female resident, but also her son.

Today at the Mission...

September 1.  Labor Day.

While the vast majority of folks are enjoying a relaxing holiday and a long weekend, I am sitting at work.  On holidays, the Mission still functions on a regular programming schedule - that's one of the drawbacks of working for an organization that, by it's very nature, requires 24/7 supervision for the folks that it serves.  I can't really complain, because I do get a labor day holiday...just not until Thursday.  
I walked in about 15 minutes early for my shift, and that was after stopping at Dunkin' Donuts for breakfast.  I found out around 7:55am that my colleague wouldn't be arriving until about 8:30am, since the train system in Boston runs on a 'holiday schedule.'  I conducted a joint Morning Goals Group (joint meaning it was co-ed) and then supervised morning chores.  I also dealt out some discipline for some minor infractions at the Goals Group.  
At 10:00am, I facilitated a therapeutic group focusing on honesty, and it ended up being a really productive group.  The community of men in the group really opened up and shared about things they thought they could be honest about in recovery, and things they thought they didn't need to be honest about in recovery.  It's a very interesting dynamic when you hear men, who for most of their lives have survived solely on deceit, begin opening up about the importance of being honest.  At the same time, it's discouraging to hear them talk about not wanting to come clean about absolutely everything, which suggests a desire to continue hiding and not surrender completely to the transforming power of the gospel.  
I did some necessary paperwork after lunch, and spent some time with a homeless friend who stopped by a couple of times, and we just shot the breeze for a while.