D-The patient arrived on time for her session and informed this writer that she has decided to remain with the clinic as she learned on her own that no detox facility will accept her because she is testing negative and currently on methadone. The patient further mentioned that she is questioning as to whether or not her sister and her mother would help her as they said they would; however, the patient had a moment and looked back when her family did not help her as she struggled with her children. Furthermore, the patient reports, her sister did not give her the $80.00 for her rent. The patient reports that she had asked some guy for assistance. This writer addressed with the patient about her employment status and money management. The patient …show more content…
Furthermore, this writer asked this writer to contact DCF Supervisor Collen to update her on the patient progress, at which this agreed. This writer was able to talk to Supervisor Collen to update her on the patient 's progress and asked will this hindered the patient 's case as a patient at a methadone clinic and the Supervisor reponse was, " No. Everything you shared will take in consideration. What 's hindering the reunification is Marie hair fociles results, which can go back 9 months as she tested positive for heroin. In addition, there 's concerns as to how the patient is taking her medication and the changes of mental health providers. I feel that the mother needs to be consistent with her mental health services and work with us as we are not working against her. One positive thing I can share is that Marie is motivated to get her children back." The Supervisor then provided this writer the patient new DCF worker contact information: Maribel Santos @860-418-8239. This writer thanks the Supervisor for her input about the patient 's case. This writer then relayed the information to the patient, at which the patient was upset. The patient reports that she hasn 't changed mental health providers frequently; she only changed due to the commute. This writer strongly advised the patient to work with DCF pertaining to her case and gather her information regarding to her mental health services to show that she is in compliance with treatment as it would be beneficial for her case. This writer provided encouragement to the patient as a mother and continuing to stay motivated on her fight for
Received a report on 10/7/15 stating Ms. McGinnis was not given medication properly and scoring a 0 on MMSE. Son, Michael McGinnis reported he gave her dose of Methadone because she was hurting. Ms. McGinnis admitted to WBMC on 10/6 with chest pain and hypertension. While on medical unit, she was confused, pulling the cardiac monitor off, yelling, screaming, cursing the nurses, disrobing, and refused meds. On 10/7 she transferred to Senior Care she remained until 10/28 3:30.
Circumstance: Ms. Smalls (MHP), Mrs. Gailliard (MHS), Clarence and Ms. Elizabeth Strong (DSS Worker) schedule medical appointment with the MUSC Foster Care Clinic. Action: MHP called Tara Peevy, RN at the MUSC Foster Care Clinic after MHS explained leaving several messages. Ms. Strong explain emailing the referral form to the clinic. Machelle Green explain receieing the referral form, however unable to reach the DSS worker for additional infromaiton.
Pt. is currently in Phase 7 of the tx program. Pt. has been able to maintain abstinence from mood-altering substances, her drug screen results has shown no evidence of ongoing BZP use. During the recent quarter, Pt. has maintained a positive balance in his AMS account. Pt. maintained his full-time employment status and self-reported that he has no issues or concerns with his current financial status. Pt. remains at 130 mg.
Goal: Cm met with client for weekly follow up I: CM greeted client and followed up on last week’s session. CM reintegrated goal of the Harm Reduction program was to provided a referral for housing. Intern discussed plan of action to help manage the Client’s access to VA benefits and referral for VASH. Intern validated the progress the client is making and his interest in doing well.
Ms. Stevens and her child, Tjayda Stevens are receiving preventive services with Harlem Dowling Westside Center for Children and Family Services (HDWC). Ms. Stevens’ case was referred from ACS and accepted thru HDWC on 03/02/2015. The services provided to Ms. Stevens are casework counseling, community advocacy, housing advocacy, and monthly home based visits to ensure stable family functioning and child safety. Ms. Stevens has been receptive to services since the agency obtained case planning responsibility. Administration for Children’s Services recommended the following service plan for Ms. Stevens to complete parenting and anger management class, individual counseling, and domestic violence.
On 11/4/15 Ms. Brittany Terry and her daughter Lundyn met with CM for an ILP. CM introduce herself as the client temporary CM assigned to her case. Housing: Client 's exit strategy is to move by 2/18/16. Client must maintain employment and submit pay stubs weekly .Client is expected to comply with savings and have saved enough for one month 's rent and security by 12/18/16, Client is to seek for housing and obtain housing by 1/18/16.Client was reminded she must meet with her Housing Specialist Mr. Brown on a bi-weekly basis, comply with all housing requirements and explore all available housing options. Social Service: Client must meet bi-weekly with Case Manager for ILP Review appointments.
Prior to the interview, I was informed by Supt. Walsh that detainee Hargrow had just received another disciplinary infraction. I interviewed detainee Hargrow on wing 1A privately. I questioned Hargrow if he was on any medication and he said “Haldol and Klonopin, but did not know his diagnosis’s.
She said she thinks she was on drugs at the time. Ms. Morgan has a valid case with the agency dated 7/18/2015 for Dependency. Ms. Morgan is diagnosed with Bipolar and Schizophrenia. Ms. Morgan is not taking medication at this time and she is not receiving mental health care. Ms. Morgan is supposed to receive care through Central City Mental Health Clinic, but missed her appointment and never rescheduled.
SC placed call to Pa and spoke with Bill Pa’s spouse who reported that doing ok. But she has come combative lately and verbal abusive. Bill spoke at length about her behavior and the impact it has on him. Bill is offended when Pa makes disparaging remarks about him and calls him out of his name. Bill reported that he believes Pa needs a medication review and a change in meds.
Discussion:Ms.Torres expressed concern with Dennard 's behaviors. She reported that Dennard skips school refuses to take his medication and disappears for a couple days/weeks. She stated that his behavior has been declining since October of last year and would like to explore other options to support him. Dennard reported that some of the incident, ie (legal issues) was all misunderstanding. HWE observed Dennard comportment to be defiant, and impatient.
" The client denied his behavior changed. In terms of relapse the client indicated he has never tried to stop using until now. On interview with the client 's wife, she reported she
Client also reported the following psychotropic medications: Naproxen 250mg (1x daily) and Zoloft 25mg (1x daily). Staff monitored medications. Client continues to reports no substance of mental history. CM reiterates the shelter rule and regulation and for the client to adhere to the 10pm curfew Client housing option is ticket assistant and family reunification. Client reported she doesn 't have any money save to move out the shelter system and she is not leaving without her
Another possibility for Rebecca at the court hearing on the ninth is DOC time at 85%. Rebecca is going to ask for probation domestic violence and anger management at the court hearing. Rebecca takes full responsibility for her charges. Rebecca states that this may be your second time with DCFS
Ms. Lewis was referred by Maricopa county correctional health services to receive an evaluation for potential to transfer to the mental health unit. She was serving a 10-year sentence for manufacturing and possession of illegal substances. She had served 1-year of her sentence and reported symptoms of anxiety, obsessive rumination, and sleep disturbances. Notification of Purpose and Limits of Confidentiality Upon arriving for her appointment, the Informed Consent and confidentiality agreement was discussed both verbally and in writing with Ms. Lewis. The purpose of evaluation was reviewed along with mandated reporting laws and danger to self (DTS) and danger to others (DTO).
Limitations recognised throughout the SDM process were related to risk of further deterioration in the Consumer’s mental state. As the Consumer was slowly taken off his medications, in a safe clinical manner, his presentation deteriorated. The Consumer’s sleep pattern worsened due to the elevation in his mood, there was a noted increase in impulsivity and poor boundaries with others on the inpatient unit, leading to the Consumer becoming vulnerable. There was a prominent increase in erratic and aggressive towards others, leading to the assault of a staff member on the inpatient unit and subsequently required the use of restrictive interventions. The decline in mental state resulted in the Consumer’s father, case manager and treating team coming together for a family meeting with the Consumer present in which the previous medications the Consumer had been previously prescribed were recommenced in an attempt to re-stabilise his presentation, unfortunately this was a substituted decision made by the consumer’s father and treating tream.