Amr Appointment Time Summary

The patient asked this writer if this writer cannot talk to her mother and advocate for the patient to the clinic's TEAM about the urgency of getting her bottles. This writer was willing to talk to the patient mother and will try again, to advocate on the patient behalf to get her bottles. However, addressing the mental health portion, the patient stated she has to figure something out about the transportation barrier as no scheduled has been made with CHR due to her barrier. Please note, the patient is no longer seeing Dr. Kuru as the psychiatrist no longer works for CHR. The patient prescriber for her medication is her

Counselor flagged Pt. on the AMS computer system to meet with this writer before dosing. Pt. met with counselor discussed and completed an AMS Dose evaluation to increase her dosage of methadone because she isn’t feeling well and experiencing side effects. Counselor prompted Pt. to talk about her pregnancy, medical appointment and to schedule her monthly therapy session with this writer. Pt. reported that her pregnancy is going well and she is having a lot of appointments at the Bay health hospital in Dover, DE. Pt. stated that they can’t determine the baby sex because her baby has the legs cross. Counselor told pt. that the Bay Health Hospital has a good nicu care unit and professional doctors. Counselor asked Pt.is

3. The patient had informed this writer initially of his goals of wanting to return back to the Hartford Dispensary due to the length of time he has been with the clinic and his positive rapport with his prior counselor at the other facility. The patient was compliant with his individual sessions with this writer and provided cancellation if unable to attend the session in the meantime while he awaits on the process of completion with his intake at Hartford Dispensary.

D-The patient arrived on time for her session. Reports stable on her dose. This writer discussed about tapering off on her methadone, at which the patient is willing to consider doing, but needs more time. She then says, " I might consider doing it next month, but not right now......I was doing it before, but it stopped....just want to take my time." The patient then discussed about having to go to SSA to obtain the payment for the funeral cost. The patient is upset about the small amount she is about to receive. This writer discussed the grieving process of her loss of her husband and also, her mother in law. The patient appeared to be annoyed with her son for not participating in his grandmother funeral arrangement and also, not showing

Frankie Tilmon continues to be out of treatment compliance. Frankie has missed his last four appointments, 7/2/15, 7/9/15, 7/16/15, and 7/30/15. Frankie contacted this provider on 7/6 to apologize for missing his appointment on 7/2 and was reminded of his next appointment on 7/9, which he agreed to attend. On 7/15 Frankie contacted this provider to apologize for missing his treatment appointment on 7/9 and agreed to make his appointment the following day, which he failed to appear for. On 7/16 Frankie contacted this provider to again apologize for missing his appointment and wanted to confirm his next scheduled appointment day/time. I told Frankie that his appointment day and time has not changed; it was on Thursdays at 4pm. Frankie told

: Met with client before IOP group this date for ISP review, and to address overall treatment progress. Presented a good attitude and engaged well in the conversation. Reported no use of Methamphetamine or other substances, C/S date as 2/28/2018, although UA on 03/21/18 was positive for methamphetamine. Client reported he is excited that he is in treatment, stating “I never been to treatment before. I would like to learn about the addiction, but I am also affair of treatment because I am worried that I won’t make it.” Client reported main arears of concern is “staying clean and sober and complete treatment”. Stated “My ex-girlfriend is not supportive, and she drives me crazy. I work and pay the bills, but she never happy. She asked me to do this to do

REPORTER: The reporter/ Social Services Director (Vernestine) called with concerns for the victim, Tanya. Tanya has had an aneurism, and she has paralysis. The reporter said the victim’s cognition is off, and she cannot perform her daily ADL’s, but she can talk. The reporter said Tanya has two small children, but her mother (Phyllis) may be keeping the children. The alleged perpetrator is Bryan Blakemore (Husband). On Yesterday (03/29/2016), the victim was discharged AMA (on medical advice). The reporter said when the victim is discharged AMA, they are not given any medications. The victim left with out any medications, but Bryan was given a list of all the victim’s medication. Bryan said he was going to see a doctor in Jackson, MS to have

Client was scheduled for a Mental Health Assessment at Woodhull Hospital on 8/9/2016. Client reported she didn’t go because she doesn’t need. Client continues to report if the Mental Health Counselor at Woodhull Hospital need to contact her and tell her why she need to be seeing and to show documents. CM explain to the client since she saw the onsite psychiatrist doctor, that the doctor referred her for mental health counseling. Client agreed and another appointment is scheduled for

Primary Counselor met with Pt. for his one hour monthly individual session. Pt. showed up late to this session. Counselor greeted him and asked him how he has been since last session. Pt. reported to be busy at work and he requested to reschedule this therapy session for tomorrow, 1/31/17. Counselor discussed why therapy is important for his recovery and encouraged him to don’t reschedule the session for tomorrow when he can do it today. Counselor stated, “Counseling is one of the keys to reaching his goals.” Pt. agreed to stay for the session, but this writer encouraged him to receive his dose of methadone before starting the session. After 5 minutes, Pt. returned to the office and agreed to sign his Record of Services sheet. Pt. stated that

D-The patient arrived to the clinic emotional and was advised to see this writer. According to the patient, she's upset about her DCF case, her supervised visit with her son that hasn't occurred yet, loss of employment, and owing $80. 00 for her rent. This writer provided support, validated the patient feelings, and encourages the patient to maintain contact with her attorney and to also, contact 211 for financial assistance. In addition, reach out to the court system to address the violation to her supervised visit as it is not being honored. During the remainder of the session, the patient provided an updated on her mental health provider whereas she is no longer going to Wheeler Clinic due to the travel distance. The patient signed an ROI

Intervention/Response: CM received a called from Corporal Williams on Prichard Police Department stating she needs to meet with consumer. CM informed Corporal Williams she will give her a call once she makes it to consumer home. CM traveled to consumer home for the purpose of monitoring and assessing needs. CM was accompanied with CM Shamaiya Williams. CM arrived at consumer home and knocked on the front door. Consumer answered door and met with CM on the front porch. CM contacted Corporal Williams and informed her she was at Consumer home. While waiting for Corporal Williams to arrive CM and consumer discussed consumer medications regimen. Consumer has been taking her morning medications. CM educated consumer on the importance of her taking

Patient is a 46 year old male who presented to the ED via LEO from Daymark for anxiety and depression over relationship issue, and financial issues.Patient reports a lot going on in his life right now and he went to Daymark seeking outpatient therapy. However, he was agitated that he was brought to the hospital for further evaluation. The patient reports that he was speaking with a worker at Daymark about his experience last year and was told to wait in the waiting room. The patient stated, " I fell like I was tricked into staying until the police came and brought me to the hospital. During the assessment the patient expressed that he has been feeling some anxiety, depressive symptoms, and aggression due to his situation. Further, the patient

To complete an adult patient in one 3-hour appointment, one needs to be ready, confident, and overall proficient. One needs to be ready, as in reviewing the patient’s information before seeing him or her. If the patient is a new patient in the clinic, call him or her to get as much information as possible. We, as dental hygiene students, have to feel and be confident in what we do. Even though we have our stressful moments, we still have to be there for our patients. To complete an adult patient one needs to be proficient. We have to be fast in clinic while doing everything correct. I believe these three skills will help one complete an adult patient in one 3-hour appointment.

Data: Client contacted this writer to reschedule his individual session to a different date of next week due to "Not feeeling well". This writer informed client that he is assigned to CDP Gail Moore as he completed Intensive Outpatient treatment program and is attending Outpatient treatment program. CDP Gail Moore 's contact information was provided to client; client was encouraged to contact and reschedule his individual session with CDP Gail Moore.

The patient was seen outside with a shopping cart filled with bottles and searching the employee parking lot for bottles. The patient appeared disheveled, disoriented, and saddened. The patient informed this writer that she was search for bottles in exchange for money to go home. According to the patient, her fiancé' did not provide her with any form of transportation as the patient then reports that she has to take four buses to get from Meriden to Hartford and walked two hours to the clinic. Please note, the Program Director and Patient Care Monitor, B.J. was present. The Program Director addresses with the patient of getting herself hurt by looking through the dirt as the ground have been sprayed for rodents and potential harm of glass. This writer and the Program Director encourage the patient to come inside of the clinic as it appeared to be chilling outside and the patient did not have the proper garment to keep herself warm. Eventually the patient agreed and this writer assessed the patient well-being. Please note, the clinic offered the patient a cup of coffee and a food as the patient express to this writer about not having nothing to eat all day. During this writer encounter with this writer, the patient and fiancé' relationship is toxic as the patient continues to be verbally and emotionally