Required Medical Leave

This is a proposed new rule for my college (may have already gone through, my e-mail went on the fritz at about the worst time). It came, interestingly enough, after a proposal for the police to acquire rifles to deal with an active shooter failed, and during that discourse, many of the people against the proposal said that there should be preventive measures such as counseling instead, and in the listserv I warned of the potential for us to become overly vigilant for anyone who looks to be outside of the norm, to overly screen if prevention is our only means of addressing such a rare yet devastating situation (not that prevention would be 100% anyway, even if the schools excluded everyone who ever had a psych diagnosis before).

While this rule does not appear to be related (it includes physical disabilities as well), I cannot help but wonder how the culture will continue to evolve, here and elsewhere:

Issuing a required medical leave of absence.

(1) The dean of student and academic support services, or the dean's designee, (hereinafter collectively referred to as the "dean") may require a student to take a medical leave of absence if a student has a physical illness or a mental, emotional or psychological condition and as a result of the condition: (a) Is engaging in, or is threatening to engage in, behavior that poses a significant danger of causing substantial harm to the health, safety or welfare of the student or others; or (b) The student's behavior has resulted in substantial harm to the health, safety, or welfare of the student, or others and the behavior continues, or there is a risk the behavior will continue, posing a significant danger of causing substantial harm to the health, safety, or welfare of the student or others; or (c) The student's behavior has resulted in significant disruption of the teaching, learning or administrative activities of other members of the campus community and the behavior continues, or there is a risk the behavior will continue, with the likely result of such behavior substantially impeding the education processes or proper activities or functions of the college and its personnel.

(2) In determining whether to require a student to take a medical leave of absence, the dean shall consult with the director of health and counseling services, or the director's designee (hereinafter collectively referred to as "director of health and counseling services") and, where possible, other persons who can provide relevant information about a student's condition.

(3) Prior to the dean requiring a student to take a medical leave of absence, the student shall be provided an opportunity to present information about his or her circumstances, where reasonably possible, to the dean. A student waives their opportunity to provide information if he or she is unwilling or unable to meet with the dean in a timely manner.

(4) The dean shall issue the required medical leave of absence in writing to the student. The written notice shall include the effective date of the leave, the reasons for requiring the leave, the conditions for reenrollment, and any restrictions imposed on the student's access to the campus or college-sponsored activities.

(5) The required medical leave of absence shall be effective twenty-one days after it is served on the student, unless the student files a timely written appeal of the dean's decision as set forth in these rules. Service of the dean's decision shall be complete upon deposit in the United States mail to the student, postage prepaid and properly addressed to the student at the last known address on file with the registrar's office, or by personal service on the student.

Note that "danger of causing substantial harm to" is delineated as separate from "behavior has resulted in substantial harm to", and is a criterion for required medical leave as well. While I think it is the best course of action for a college to put students in touch with resources in the community if they are posing a danger to their health and safety (but not to anyone else) rather than to boot them off campus, it is the "welfare" criterion that seems widest and most vulnerable to abuse.

I think the main flaws in it is that it doesn't distinguish between procedures for requiring a student to leave who is posing risk to only themselves or to others as well. For instance, someone who has difficulty keeping their room clean and so it is a fire hazard, poses a (small) danger to themselves. But in this, they would be treated with the same procedures as someone who is violent in classes and has suicidal thoughts expressed.

It is also made clear that it may be difficult to reenroll:

Returning from a required medical leave of absence.

(1) A student wishing to be considered for reenrollment to the college shall submit an application for reenrollment to the dean at least one month prior to the start of the quarter in which the student wishes to reenroll. The student shall provide appropriate documentation with any conditions for reenrollment set forth in the dean's decision. If a student files an appeal of the dean's decision, and the conditions for reenrollment are modified by the review board, the student shall provide evidence that the conditions set forth in the review board's order have been met. A student must also meet all other admission or enrollment requirements of the college for reenrollment.

(2) The dean shall consult with the director of health and counseling prior to determining if the student may reenroll.

(3) The dean shall notify the student in writing of the decision and the conditions associated with the approval or denial for reenrollment. 

(c) Washington State Code Reviser's Office

So one has to re-apply to the college, and then after that, the dean meets with the counselor and health people to see if they approve. In addition to meeting the normal requirements to admission. Unless someone is posing a danger to the community, I don't see how this can be construed as right. As an optional procedure to assist a student in determining preparedness, yes, great, I'm all for it. But what if external observations have enough distortion to put a decision out of your favor?


I was reading through an evaluation of me that was very detailed (some tests and interviews to ascertain dx and functioning), and while it captured the state of living and my general appearance and public approach to strangers, it was full of half-truths (not to imply deception, as in addition to being based on only a glimpse of my life and on the notes that were written down rather than on an amazing memory, but also that my approach to strangers is vastly different to how I am with others, mostly consisting of common stock pleasantries, echolalia, stimming, and stronger sensory experiences).

(In a further confirmation of this fact of life, they even wrote a half-truth that is concretely, verifiably false: that I'd never had an IEP based on a misunderstanding of my interview statements about how the high school delayed my IEP and never gave transition services other than a short paper detailing my strengths and weaknesses, which, while admittedly could have been clearer, were very detailed and repeated often enough. While this could just as well have been due to ambiguity in my account I gave - I do not recall such large extent of ambiguity as to grant such large discrepancies of accounts, but memory is fallible and it is quite possible - psychological consultations consist largely, almost entirely of statements of the individual and the interpretations made of them, so a clumsily constructed explanation should not be relied on, and hopefully such reports would be taken with large hills of salt).

Oddly enough, it was another half-truth, though one much more reflective of reality, when it was noted that I had never received transition services yet received some form of special education services.

Come to think of it, I have no idea what she thought I was trying to say based off what came out in that weird report! Just got back the report, GAF 40-45 and autism confirmed via ABAS and ADOS; WASI 3 in similarities, 17 vocab, 14 block design, 12 matrix reasoning; apparently they say I have a disability called chemical sensitivity when I referred to my being overstimulated by certain smells - yet another half-truth finding its way into report, my facts, perspectives on them, mixing with their interpretations and vantage points, this climate seems optimized to highlight the biases in human perspectives and reporting which makes a real problem when one person's report is seen as less valuable or reliable a contribution.

Transitions

Transitions can be difficult.

Especially when you are sick when making them.

I had to make a trip to the doctor by bus, and forgot that you have to pull the thing to make it stop. So I just stood up and started to walk out, when the bus was moving away!

I was falling back and grabbed onto a seat, and finally grasped onto a string to pull, though the bus driver seemed mad at me, saying that "it's not an automatic stop there". Well it's not that I thought that it was an automatic stop, it was that I forgot that you had to pull anything at the stop to begin with!

I knew that autistic people can have difficulty generalizing skills to different places, but I didn't think that I had a difficulty with this. Sure, I have difficulty navigating new places I've never been, but I usually think of the rules as something that would translate well from one situation to the other.

But that's why, just because someone has demonstrated being able to do something once, doesn't mean that if they aren't doing it now that they're just not trying hard enough. Even if the same person was able to generalize across situations before. And I'm pretty sure that I'm going to generalize some skill or other to some other situation in the future. Would that suddenly make the incident at the bus "not real"? An exception (even if there were multiple examples like this)?

My AlphaSmart hasn't been working, most likely due to a malfunctioning battery, so we need to get a new one. So I brought a pen and paper. The nurse asked if I was listening to music at one point, because she was saying and doing so many things I had to keep track of, and I had to make sure she used the not-auto-matic blood pressure device, which I asked just in time. Then she asked if I could hear her or if anybody was there.

I've been working on alternatives to self-injury (which is not because of being depressed, which I am not - it's because I am frustrated), and I like sewing a lot, but the main problem is that it's not immediate enough - I have a lot of physical energy that needs to go NOW. But I do like the calming place that sewing gets me to, whereas things like hitting a pillow or stomping release some of the energy, but the tension is still there. Perhaps I will try combining them, hitting some external, inanimate object instead of myself or other people or other people's property, something immediate that just releases the frustration, then transition from that into something calming like sewing.

Writing the musical Aspielicious still. Plot and characters mostly fleshed out, working on songs a bit more now, getting to the heart of the matter.