Tag Archives: Added Care Team


This post suggests if you are dealing with a depressed teen, in addition to professional help, you need to create an added care team to keep you strong.

Connecting to others who have walked the path you are walking keeps you from getting lost in a forest full of dead ends, holes, and cliffs. 


You already have the start of such a team in your family, friends, various professionals, and even your teen’s circle of connections.  Step one is to decide which ones you trust. Step two is to let those know you consider them part of your teen’s added care team.  Just saying “Thank you” for being there, I think of you as part of my care team.” is enough.

To complete your team you need to name at least one complaint partner and to find a Parent Advocate.  A complaint partner is someone you can call just to spout off. The best complaint partners never tell you what to do; give a bit of sympathy, but no pity; remind you of your strengths; and keep everything you say confidential. Be sure to ask the person to be your compliant partner and offer to be theirs or to recipricate in some other way.

If you don’t feel comfortable asking a friend support groups offer not general support, but an opportunity to meet potential complaint partners.  As a last resort consider a therapist, but also realize your complaining has to be reserved for your therapy hour and a good therapist will only tolerate so much complaining without holding you accountable for moving toward change.

In addition to a  complaint partner, every parent with a teen in some sort of trouble needs a Parent Advocates.  Finding one is becoming easier had least in the United States. The National  Federation of Families partnered with the USA government to guarantee parents had a say in the treatment plans various professionals made for child.  The NFF’s motto is “Nothing about us without us.”  Most of their advocates are connected to Mental Health Agencies, but other child caring systems have added Parent Advocacy to their services also.

I was fortunate enough to work with a great many parent advocates during my professional career.  One Star Parent Advocate had been a beautician for most of her life and turned Parent Advocate in her sixties.  She was the first parent advocate I hired when my program received a grant that included  funds  for a parent advocate.  It was a new experience for both of us, and she educated me as much as I educated her. She had raised two sons who each struggled with major mental illnesses; one eventually committed suicide. Her heart possessed all the qualities of a healer.  

The best advocates are like  good friends who can hear your story without judging you and who will stand up for you rights when needed.  Most have these the listening skills naturally, the best get some more training; an advocate has to know about the system he or she is working in; and has to know the lingo, goals, and mission of that system.

Advocates working in the mental health system need to have a working understanding of mental illness and how it is treated.  Solid communication, goal setting and negotiating skills are also needed.  The final ingredient is a passion to help but also to be open to learning and supervision so one can be the best possible source of help.

As with all efforts to help another person, the quality of  advocates varies – some are the best thing that happened to a parent, others add to burdens. Good programs can have individual  advocates that harm, and bad programs can have individual advocates who do more for the family than the professional.  How to tell the good from the bad is not so easy, but you will know one when you meet one.

Finally, if you do not live in an area that has added Parent Advocates to their efforts to help, all is not lost, but finding one will be harder.  Again, the place to start might be in a support group.  The need to adovcate for each other could be raised as a group topic. Hopefully, the more experienced parents, would be willing to advocate for the less experienced.

More information about creating an Added Care Team can be found in my book: How to Hold a Successful Family Meeting.  Holding family meetings gives every family member the skills needed to handle all other meetings.


Parenting is hard work and contending with a depressed child demands more than good parenting.   You need all the allies you can get. An Added Care Team that includes a parent advocate and a complaint partner eases the path you and your child walk.

More information for parents coping with a moody or depressed teen can be found in my book ‘When Good Kids Get Depressed‘, which is volume 11 of the When Good Kids Do Bad Things series. Volume 1 is free.


I have published fourteen books on parenting. ‘When Good Kids Do Bad Things. A Survival Guide for Parents of Teenagers‘ is available in print and as an e-book. Shorter ebooks can also be downloaded on specific topics, like lyingcrimerunning awayclothing wars and many other topics. Or you can learn how to run a successful family meeting or help your child with test anxiety. Meanwhile, don’t forget to take care of yourself with ‘Parents Are People Too – An Emotional Fitness Program for Parents‘ or by reading my Emotional Fitness Training blog where you will find free postersdaily exercises and more.

Also, if you think this information will help another, please share it.  Sharing knowledge is a caring act.

Thank you.


DISCLAIMER ONE: Although I am a therapist and base my advice on my clinical knowledge and experience, it does not substitute for face-to-face professional help.

DISCLAIMER TWO: FORGIVE MY GRAMMATICAL ERRORS FOR I HAVE DYSGRAPHIA.  If you need perfect posts, you will not find them here. Dysgraphia is a not well-known learning disability and means that sometimes my sentence structure is not that easy to follow or I make other errors. Still, most people understand me. All of my books are professionally edited, but not all of my blog posts are.  If this troubles you, feel free to read elsewhere.  If you persevere, you are practicing kindness by lifting my spirits for that means you find what I say helpful and that is one of my missions. Kindness always repays those who spread it.



Anyone caring 24/7 for a child needs an Added Care Team.  As the saying goes: “It takes a village to raise a child.”

Unfortunately, many of today’s villages have been torn apart. Some parents commute two or three hours a day, others hold two or three jobs outside the home. Some can only be home during weekends. Divorces tear out hearts. Grandparents live miles, even states away. Too many  children are in the care of people paid to care; that might be okay if those people care. Not all do.

When I grew up in the forties and fifties, I lived in a small town of  about 4000 people. I was born during the depression, lived through World War II. I remember blackout curtains and air raid drills. I remember the sirens announcing the end of the war, the horror of the pictures and films of those being released from concentration camps or killed when the A bomb was dropped. I remember crouching under my desk during drills prompted by fears of the cold war and atomic bombs. I knew darn well my desk was not a bomb shelter, but kids have to humor adults in power.

Polio fears abounded until Jonas Salk’s vaccine wiped it out. I had the measles, mumps, chicken pox and whooping cough. My life was probably saved by the discovery of penicillin—I spent a year in bed recovering from Rheumatic fever; twenty years on penicillin kept further attacks and heart damage at bay. There were other dangers and problems, but mostly as a child I was unaware of the evils that are part of this world.

I felt safe and protected by a village of relatives and neighbors. Not all were kind or good. My maternal grandmother was a user and abuser of people, mostly my parents. I was told to never be alone  with “Uncle Charlie”. But in my small home town, I roamed free by the time I was eight or nine, walking to and from school, then taking myself and my dog Lady around to the farms surrounding the town. These were gentlemen farms, mainly used to stable horses. I visited them to feed the horses. The owner of one said never to go in the pasture, her horse would trample me. I suppressed the laugh as his horse, Gerry Jim, and I always raced up and down his pasture, his nose on my shoulder.  If I tripped, he was more careful than my brothers at not stepping on me. He was lonely and so was I. He gave me strength and I hoped I added pleasure to his life.

I wandered free because back then people minded other people’s business particularly when it came to the children of the town. For a period, I thought my mother was a witch because she always seemed to know where I was and what I was doing. She didn’t, of course, know all; but her friends in the village kept their eyes on me and let Mom know where they had seen me and what they had seen me doing.

Not so today, although my two sons grew up with pretty much the same freedom because we lived in a small town where they could and did ride their bikes all around.  The village was weaker, however, and now is weaker still  with the possible exception of small apartment buildings.  When we lived in the Bronx, our apartment building was five stories high and each floor had about 10 apartments. Moreover, most of us entered through a common door before dispersing to our homes. We knew each other and for the most part took care of each other. Part of the team was a super and a building manager who both made sure to know everyone and would and did go above and beyond. We also has connections to the local synagogues and had friends in each that could be called on to help in various ways.

Moreover, the neighborhood although mixed and not a hundred per cent safe—there was a murder right around the corner—had a group of old time residents, some Irish and some Jewish, who kept an eye on what was happening and would either intervene in some situations or call on the police to settle more serious problems. The local shopkeepers were also watchful eyes. I might not go strolling outside my apartment after midnight, but for the most part I felt safe in this ‘hood’.

So relatives, neighbors, shopkeepers formed added circles of care around a child. Now where we live it is a bit harder to feel that kind of caring.  The apartment complex has three stories, but each apartment has its own entrance as well as the ability to exit through your garage. After three years living here, I do know most of those in my building by sight, but only two by name. I have gotten to know a few of the dog walkers by name. The building maintenance men serve as a partial watch group, but are not around at night or on weekends. Finally, the closest shops are four blocks away.

One of my kids lives in a small town and knows most of the residents. He has driven the school bus during his businesses downtome. The other son lives in more of a development and is more isolated from neighbors. He has a talking relationship with one neighbor and that neighbor is more hostile than caring.

I suspect that many of you reading this are in their boat.  The more space between you and the rest of your neighbors, the less they are likely to be part of your added care team and the more important it is to spend some time building one.


You can map your Added Care Team using an exercise I taught my team to use when we were doing in-home mental health crisis work. Think of your care team as having three circles, one inside the other.  Here is a template:

The inner circle dubbed “Angels” maps  family members and friends you can call and know they will help, not just with words, but with actions. One of my Angel Friends got out of bed and drove to the airport to pick up one of my kids when my car refused to start and I had no AAA. Other Angels make dinner when you are sick, take care of your kids when the boss keeps you late, lend you their car, give you money.

You are lucky if you have two or three among family who you can call on, and even luckier if you have two or three friends that are worthy of being dubbed Angels.  Many people have only one or two Angels.  And the saddest thing when I directed a crisis teams was to discover those who had none.

The Part-time Angels are those who will help when they can or help in very specific ways. Some are friends. One of my part time Angels when I was raising my children could be relied on to care for my kids in a pinch, but would never lend her car. Another could  always cheer me up, but never gave any concrete help.

Some Part-time Angels are paid to do a job, do it well, but will go above and beyond when you are in need. I think of a gas station attendant back in the days when we didn’t have to pump our own. A tire blew out on my car and he saw me standing by the side of the road,  pulled over, changed the tire and would not take anything but a “Thank you.” I think of the super in our  Bronx apartment building, the shop keepers in that ‘hood’ who would often go above and beyond.

The final circle, dubbed Paid Angels, are those whose job is to care and to be there to help during their working hours.  Doctors, lawyers, caseworker, nurses, nurses aides, teachers, child care workers, some coaches.  Not all belong in your circle of care; some just do a job; the ones who really care, who treat you and yours like people and not patients or clients are the ones who belong here.


Mind your manners when dealing with any of your angels.  The ones on your Added Care Team are people and they need to hear “Thank You” and “Please” and “May I” just as much as the rest of us do.  They also need quid pro quos—their back scratched because they scratch yours.

Moreover you can’t abuse them. If they care for your kids when you are sick, the favor must be returned. If they lend you money, you better darn well better pay it back and soon.

For those paid Angels that go above and beyond, a Thank you note with a cc to their boss is in order. In today’s electronic world, such notes are very easy to send and worth their weight in gratitude.


Care and share. If you think another parent might find help in this post, share it.  Meanwhile, thank you and as I tell myself over and over, “Stay Strong.”


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