Today's "good bad news":
The psychiatrist finally returned our phone calls. Sarah spoke with him and said he sounds good, was respectful, took our concerns seriously, and said that he is absolutely not discharging Big Guy this week and without any med changes, contrary to what the social worker had told us yesterday. He thinks Big Guy will probably come home towards the end of next week. This makes me really sad because I miss him and don't want him to have to be away from us for that long. But it is also a HUGE relief because the idea of them sending him back home with nothing having changed whatsoever was terrifying, and I couldn't believe they weren't taking seriously our concerns about his depression (which he's not being treated for currently), his dissociation, etc. Sounds like they are now taking those concerns more seriously, and they do indeed plan to start med changes today or tomorrow. Some of what happened yesterday was likely miscommunication - Social workers are often not filled in by psychiatrists on what their plans are. But some of it may also be the additional info we provided the social worker yesterday about the abuse history that Big Guy has been talking about increasingly, the dissociative-seeming episodes he has after some of his meltdowns, etc.
I'm sad Big Guy will be in the hospital for so long, but I'm glad there's some hope that some change can happen while he's there. In particular, they'll have time to see if med changes make any difference for him. Explaining to him each time we visit why he's not home yet despite his good behavior is going to be hard.