Bi-Weekly ILP Analysis

On 10/24/2015, CM met with the client to complete Bi-Weekly ILP Review. Client was able to come to the 3rd floor social service. In the meeting client was dressed in black floral skirt and beige sweeter and jacket. Client appears to be happy she was humming. She appears to be cooperative and friendly. She was disoriented to time, place or time. Client appears to be decompensating.

Client missed two scheduled appointments at Woodhull Hospital one for the podiatrist and the other one with the Geriatric doctor, due to client foot deformity she required onsite transportation and an escort back and forth to every doctor’s appointments. Unfortunately due to residents move out and housing tours, client transportation request was cancel.

CM called Woodhull Hospital to reschedule podiatrist appointment

Client is undocumented and she is not entitled to any government entitlement. She panhandles for source of income.

Client is not a candidate for Amnesty or Legalization that would allow client to file for legal residence (Green Card). She also reports she is not going back home. She is waiting for Obama Amnesty to secure legalization.

On 9/28/2015client met with Dr. Shuster and she was diagnosed with: Axis 1: Post traumatic stress disorder; 309.81 (primary), symptoms regarding the traumatic event in Columbia. 2. Mild neurocognitive disorder 331.83, rule out in light of the reportedly forgetting appointment, and being unable to recall any of 3 objects, needs neurocognitive testing to rule. No medication was prescribed and in the event that the client agrees to see a therapist Dr. Shuster will issue a referral, and if client memory becomes more of an issue client should be re-assessed for safety.

Client report substance abuse problem.

Client housing option is projected reconnect and ticket assistance. Client reported she cannot return to Columbia due to Columbia Guerillas. Another housing alternative is Nursing