The speaker
Telephone call may be monitored and recorded for training, record keeping, or quality assurance purposes. Your continued participation in this telephone call will constitute your consent to be monitored and recorded.
The speaker
Hi, this is Alex, the Pennsylvania Adult Protective Services hotline. Can I actually speak your first name?
You
My name is Andrew ditch.
You
Please call me Andy.
The speaker
And he did.
You
Yes.
The speaker
Okay, is that d, i, t, c, h?
You
My name is Andrew ditch.
You
Please call me Andy.
You
Diaz and David i, t, c, h or degoditch is how to spell my last name.
The speaker
Okay, and in case we get disconnected, what's a good phone number to reach you back at?
The speaker
Okay, are we looking to make our report today? Are we looking for information?
You
Report.
The speaker
Absolutely! The person we're making the report for is a above her below the age of 60.
You
I'm 41.
The speaker
Let's see.
The speaker
What was your date at Birth?
You
My birthday is June 7th, 1985.
The speaker
And then, what was your Social Security number?
You
My social security number zero six, two, seven, six, four, two, nine seven.
The speaker
And did you have a Medicaid or an MCI number?
You
Mci Insurance identify number 980596827.
The speaker
And then, what was your gender identity?
The speaker
That is also what's marked on your birth certificate, just, um.
The speaker
And what's your ethnicity?
The speaker
And your marital status.
You
Single.
The speaker
Did you need any assistance with communication like they're a machine or interpreter?
You
Yes.
The speaker
Okay, when do you live alone or with others?
You
I live long.
The speaker
That is that in a home or an apartment?
You
Apartment.
The speaker
Thank you.
The speaker
Okay.
The speaker
And that's where you're currently at. You're not at a hospital or facility, right?
You
Yeah, yeah.
The speaker
Who would be your emergency contact?
You
I don't hog one.
The speaker
What kind of assistance do you need daily?
You
Communication, social acting Behavior, personal care.
You
Food, water shopping.
You
Decision making safety.
You
Hands-On care.
You
Incontinent Care.
You
Crossing the street.
You
Taking my medication.
You
Scheduling appointment.
You
Go into appointments.
The speaker
And transportation.
You
Yeah, that too.
You
And I also need behavior support.
The speaker
Okay.
You
And a behavior therapist that I'm not allowed to have.
The speaker
Mark, you're allowed to have a behavioral therapist.
You
Because I have?
You
Because I don't have the in mental illness I have.
You
Autism, and and not a lot of behaviors supports for that.
The speaker
Oh, okay.
You
No one will allow me to have. Nobody will help me.
The speaker
Key is a Mobility Aid like a wheelchair Walker cane.
The speaker
You can.
The speaker
And then, do you have any other diagnoses or disabilities?
You
I have autism intellectual disability.
You
And behavior issues.
You
And.
You
Communication issues and processing issues.
You
And um?
You
And um, unable to care for herself and wandering disorder.
The speaker
Alrighty, I appreciate you being patient with me. I'm ready to hear what's going on.
You
Hang on!
You
My caregiver is abuse me and neglecting me by not provide Behavior, supports communication, supports social supports, and not help me go into the community and help me make friends because they don't have the training. Neither DSP worker provides other people who have the disability supports needs.
You
When I go to the YNCA, I see other adults having conversations because they know how to and understand others. And I don't know how to.
You
I get abused by my character verse when I ask for help.
You
They won't. Following my speech or behavior or sensory support needs?
The speaker
Okay.
The speaker
Let me see.
The speaker
So, we're saying that the caregivers don't provide behavioral support, communication support, behavioral support, and they don't take you out to the community to socialize with other people, right?
You
And they don't help make a deal.
You
Close the training.
The speaker
Right?
You
Better pero, a DSP worker as?
You
No one wants me, and no one wants me.
You
I'm not good enough to have a behavior, support, or communication support or social support.
You
And I'm being abused when I go to ask for that help.
The speaker
Okay, I'll get it out in just a moment. I'm so sorry, I'm I'm trying to catch up with you.
You
And it makes me cry, and I can't handle it anymore.
You
This is the fourth agency that has done that with me.
You
First of the limitations.
You
The CHC waiver provides.
You
And they don't know how to manage my behavior issues.
You
Or support me with my communication needs.
You
Dad puts that causes me aggression.
You
Unsolving to be over and wondering?
You
And.
You
And.
You
My caregivers get frustrated with me and not know how to help me or understand me.
You
So, they get this regulated that causes me to get this regulated even further.
You
Posing a safety risk for myself and them and others.
You
And I can't help it, and I'm asking for help.
The speaker
Forward.
The speaker
Whatever you, you said that whatever you ask for help, they're abusive. What do they do?
You
They don't help me, cuz they can't. They're not trained, and they're not licensed to help me.
You
I qualify for the.
You
Person, family support waiver.
You
But they won't, well, me to get that waiver that could provide me this distance.
You
That I need.
You
Because I.
The speaker
What was the name of that flavor?
You
The person family support waiver. They won't love me transition over to.
You
Because I need 24-hour care for my hygiene, safety, and medical.
You
In basic care needs.
You
And they won't let me make that decision, even though I'm legally allowed to make my own decisions.
You
I want. Hope it might behaviors, and I want help with my social interactions.
You
I'm being discriminated against and abuse and neglected and abandoned of the care I need.
The speaker
Do you have any friends or family that check in on you?
The speaker
Okay.
You
No one wants me, cuz I'm I'm cuz I'm difficult, cuz they don't understand my disability needs.
You
And nobody wants to deal with me.
You
And this part of the community.
You
In isolation.
You
And tonight Behavior therapist because I need to have Aviator B and mental clinics don't provide that.
The speaker
All right. Let me make a note of that as well.
You
So I can't get behavior therapies to help me.
You
And I can't get skill building.
You
So, I asked.
You
To disarrol totally from the CHC waiver.
You
Cuz I don't want to deal with this anymore.
The speaker
Do you believe you're in a life-threatening situation currently?
You
I will be on July 1st.
You
Because I won't have a caregiver.
You
At all.
The speaker
Why don't you have a caregiver?
You
Cuz I want, cuz I, cuz they don't, cuz they won't provide me the behavior, support, and communication support.
You
Is social support?
You
So?
The speaker
So, you're gonna this. Is your canceled?
You
So, I'm canceling the CHC waiver to go to the ODP waiver.
You
And that's not going to be safe for me.
You
And, uh, I really don't give a damn anymore.
You
If I get hurt or sick because the people discriminate and mistreat me.
You
I have to. I'm forced to accept other people's opinions of me.
You
But they, but they don't have.
You
I have to accept the fact they don't want to accept my medical and disability needs.
You
And they don't have to even know.
You
That's discrimination.
You
So?
You
I'm creepy without care because of that.
You
Better than?
The speaker
Sorry.
You
It's better than being abused and neglected.
You
By people who don't understand me.
The speaker
And have you've already gotten a room for the odp waiver?
You
What?
The speaker
Have you gotten approved for the ODP waiver already?
You
Yes, yes.
You
However.
You
I'm going to refuse that.
You
Because nobody wants to help me.
You
And everyone get to make decisions, so all you can do the same.
You
Even though other people's decisions can be neglectful and abusive and abandonment.
The speaker
What was the name of the the waiver program you have currently?
You
Cxt waiver.
The speaker
Are there any concerns for you having signs of medication, mismanagement, physical trauma, poor personal hygiene, or a poor nutritional status right now?
You
Yeah, I have problems with with.
You
My um?
You
I have problems with, um.
You
What was the question again?
The speaker
Yeah, uh, medication mismanagement. So, are you getting your medications?
You
I have my medications.
The speaker
Any bruises, cuts, or Burns?
The speaker
Okay, and any signs of poor personal hygiene.
You
No.
The speaker
And then do you feel malnourished or dehydrated?
You
Yeah, I don't, I don't know.
You
I can't feel when I'm hungry or thirsty.
The speaker
Okay.
The speaker
Cuz, then, have you been to the hospital in the last 30 days?
You
Yes.
The speaker
Where'd you go to the hospital for?
You
Dehydration.
You
And um, dizziness and cold.
You
In flu symptoms.
The speaker
Okay.
The speaker
Do you have any type of brain injury, epilepsy, or Alzheimer's or dementia?
The speaker
And then no chemical dependencies or substance abuse, right?
You
Yeah.
The speaker
Do you ever feel confused, disorientated, or has hallucinations?
The speaker
Okay.
The speaker
An