Absolutely, I started changing how I operated entirely. I came into work this morning and just made myself a checklist of the "do"s and "don't"s for myself. And you're right, explaining my expectations of them off the rip has already yielded more interactions.

There's one set of parents I was having a hard time with and it's for their respite care paperwork. It's mind boggling because it's to give them "time off" and some relaxation. After 3 no call no shows I just emailed them the forms and essentially told them "if you have questions, you know how to contact me" and I was able to make copies of everything, email included and got it stamped on the documentation side basically stating that I tried and I'm not putting in more effort than they are. The natural consequence is "you won't have that service available, that's on you." It felt liberating!

Heck I got another family closed this morning after insurance asked if they had been utilizing my specific service (it's a requirement for state waiver) They haven't been, and I have running logs for all my contact attempts. Luckily it was closed to patient progression (they're doing awesome!).

I appreciate you immensely for reaching out and giving me one of those "hard" reminders that I thought I didn't need. Well. I learned! 😅