Re: My 9 year old patient was raped and required surgery
Speaking as a former treatment foster parent, it sounds like you are doing the right things to make a good long-term committment to a child who really needs someone in her corner. As long as you are thinking with your head as well as your heart (and it truly does sound that way) good things can come of this unconventional bond.
We adopted one of our foster kids. It was a mixed blessing with an abundance of both pain and joy. Damaged kids can blossom with love and support. They can also strike out at the ones who care the most for them, either to test the limits of their safety or because they don't know any other way to let out the "stuff" that's in their hurting souls. Kids with attachment issues need therapy from someone who truly understands that dynamic. Some therapists say they deal with RAD kids because they attended a seminar or read a book. Finding folks who are really competent can be a challenge but one that is worth the effort. RAD kids can come around, but not without a lot of effort.
This little girl may not have attachment issues and may "only" be damaged by the abuse she has lived with. This is a more straightforward challenge, but a challenge, nonetheless.
The best thing you can do for her is to make sure that your own needs are met. If you take her as a foster child, then I strongly urge you to create a support system for yourself that includes friends, confidants, your therapist, people of faith--a community of folks that you can turn to when your own pain comes bubbling up. Even though you have survived your own terrible childhood and gone on to build a successful life, this little girl can't help but ferret out any pockets of pain that still exist. There is absolutely nothing wrong with that--in fact, it can be quite a healthy thing--but you must have a framework of caring people to lean on, people who will check in with you to make sure you are taking care of yourself and who will be there for you when you are running on empty. Don't wait for a crisis to assemble this team.
Being a treatment foster parent is an adventure with all the excitement, terror, and invigoration that implies.
I commend you for being willing to extend yourself on behalf of this child, to go beyond the feel-good measures that barely scratch the surface. I was impressed that you were willing to see her be transferred three hours away because that facility might be better for her. That tells me that you are really considering her needs above your own.
BTW, for those of you who have encouraged the use of a SANE nurse, this is an excellent suggestion immediately following an assault. After the initial examination, however, a victim advocate is the more appropriate choice. This is because the SANE's role is to collect and document objective evidence and testify in a courtroom if that is necessary. The sensitivity exhibited by good SANEs is what I think you are after, but, as I said, apart from the physical exam and collection of evidence, the victim advocate (preferable one trained to work with kids) is what this child needs.
I'm so glad this hurting child has you for a friend. You know from your own background what a difference good people can make when your life has been shattered. If you become her foster parent as well as her friend, I pray that you will both be blessed by your time together.
Please, continue to let us know what is happening.
Feel free to PM me to talk more about this.
Take care,
Nursing News