Chapter 27: Working with People With Mental Illness

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There was one other job that was very rewarding and fun. I worked the weekend shift at Sherwood Village, an Independent Supportive Living Apartment Complex. There were about roughly 30 apartments that housed 30 individuals.

I was on-call with a beeper for a 48-hour shift from Friday at 6 PM until Sunday at 6 PM. It was a supportive independent living facility in the sense that everyone lived independently but someone was on staff 24 hours per day 7 days per week. This was a place for persons with severe and persistent mental illness. It was called Sherwood Village.

By now I was a graduate student with so many other responsibilities and things going on in my life – a life with Lynn.

I was responsible for transporting the residents to the movies or other similar events. They had a van for me to transport the tenants. I didn't go with them to the movies most times because tenants that chose not to go on an outing might need my services.

I was allowed to go home with the pager that any of the residents could call if they needed me.

It was a great job, and I was well-liked by everyone. I stayed on with this position until I got my master's degree and could move up into a more professional level position.

It was fun to get to know all the residents. They said they liked me better than the staff member who worked from Sunday at 6 PM through Friday at 6 PM. So, that felt good to know.

The only activity that I had to do as someone who is "in charge" was to do some inspections of the apartment - mainly that was inspecting the A/C filters and other things like that. Obviously, there were some things that are important to promote a person's overall health that I had to oversee.

They knew I had a job to do for the landlord and the managers that maintain the apartments. I obviously had to make sure people were okay, but it wasn't like in a hospital unit where someone might come by every few hours. Most tenants were relatively high functioning, so they weren't going to wander away and disappear.

They had their own cars in some cases and there was no curfew or anything like that.

It was extremely rewarding because I NEVER had an issue with any of the tenants not liking me.

This would be a common theme in my career overall where the greatest challenge was with paperwork/charting, bureaucracies, staff expectations, and in my role as a member of the staff.

During this entire decade and into 2000, I NEVER had negative feedback or opinions expressed by anyone I served or helped – with clients, patients, or tenants everything went so smoothly.

The job was awesome overall. I mean I was getting to know these people and feel like I was part of a family. I considered them part of my family in a way. I mean I liked everyone there. One or two residents were distant and didn't talk much but most everyone was great to know.

I didn't think the staff for whom I was working had too many rules. I was on my own for most of the entire weekend and for most weekends. The only people contacting me were tenants/residents.

I could visit them inside their apartments. Obviously, that could be problematic with female tenants, but it never became an issue. If there was more than one person in the apartment, I didn't feel too concerned about spending some time in any of the tenant's apartments. Sometimes there were emergencies and that required spending extended time with a particular tenant who was in a crisis situation.

These crises rarely happened. I do remember one woman having a seizure and I was on the phone with EMS. I had to return to Sherwood Village because I had gone home with the pager when I got the message to call the tenant's phone number.

Residents of Sherwood Village had disorders such as schizophrenia, Major Depression, Bipolar Disorders, and so on. These disorders were characterized as severe and persistent mental illnesses. That is likely a designation that is necessary to obtain funding.

I obviously was made aware of the diagnoses of each resident. I also had to know what medications they were taking, physical problems, and other important information. This was all on file in the office. I was given a couch in the dayroom or I could sleep on the couch in the office if I needed more privacy at night.

I ran the tenant meetings which were held about once a month. Most of the tenants came for the meeting that was held in the dayroom which was a place where people could visit during most hours such as 9 AM to 9 PM. I could certainly spend additional time with tenants in that room if they needed to talk to someone.

Hopefully, you can imagine why this job was awesome for me. And why they all felt like my family.

It also is important to note how comfortable I felt running the tenant/resident meetings. Unlike reading my poetry to a group, this was more like directing a group event.

Yes, I felt so comfortable interacting with everyone as the person that everyone turned to for help whatever their problems were. I was starting my graduate studies during this time period, so I had been learning other skills in college (graduate school) to help me in counseling individuals in need and how to run group sessions.

I wasn't actually doing therapy yet but some of what we do as therapists is to listen to others with empathy. To help people feel safe. To be someone who others turn to for help and support.

We also had a Christmas party on the weekend when I was there. It was so nice. I felt needed and important.

It felt so right. I mean I was doing a great job and I could tell that I was. I could tell that I was someone that people felt very comfortable talking to.

I also know that I was more liked than the young woman who worked there during the week.

I also have no doubt that both the men and the women felt more comfortable talking to me about anything than they did talking to Donita, who worked during the weekdays. I knew that people there were glad to see me arrive on Friday - they told me.

What people most want and I can speak from experience is someone who truly listens and demonstrates empathy. Notice that I said, "demonstrates empathy." You cannot just feel comfortable believing you have empathy for another person and their situation. People will let you know how they feel when you are working with them or they will be distant, closed off, or reserved as they had been with Donita.

It seems like common sense that people won't be coming to you or repeatedly seeking your help and support if you are not demonstrating empathy. People here were coming to me to discuss everything that concerned them.

I felt a powerful connection.

Donita seemed to be held out as a role model for me by my supervisor at least until he started talking to the tenants about me.

The tenants on the other hand did complain to me about Donita's "attitude." She wasn't approachable, I was told. It wasn't anything that was serious enough for them to complain, for the most part.

It's important to note that some people in a situation like this do not feel empowered to complain. Having a chronic and persistent mental illness carries with it some stigma and it doesn't lend itself to creating feelings of self-esteem and self-confidence. Low self-esteem can go hand-in-hand with various psychiatric illnesses.

That being said, I know I made a difference and the tenants at Sherwood Village didn't want me to leave when I had to move on with my career and take on more professional opportunities. That was happening as I completed my graduate training.

Unfortunately, due to confidentiality, I could not ask them for letters of recommendation for any job outside the mental health center/clinic. I did have complete confidence that each of the tenants, when and if asked about my performance had nothing but good things to say.

In the next chapter, I will begin to discuss the next stages in my education. More specifically, I am going to discuss my graduate studies at the University of South Carolina in the Department of Social Work. 

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