Case Study: CM Experience

I: CM guided client through ISP goals. CM inquired about updates related to the client’s housing goals. CM used open ended questions to inquired about the client most recent drug use. CM reminded client that starting Monday the 2nd he would have to meet with CCM for weekly case management going forward. CM continued to assess for PTSD symptoms, substance abuse, and medication compliance.

I presented Esteban’s case during case consultation because I noticed that I had countertransference when doing his intake. My expectation when presenting this case was to receive feedback that would help me to provide effective treatment to Esteban without my countertransference affecting his treatment. This section of the paper will talk about the feedback I received about my countertransference and how to support Esteban.

Today, MSC visited Maria at her residence for a face to face visit. When MSC walked in Maria was having a snack at the table. Maria waved and greeted her staff. MSC said, Hello, How are you?" She stated that she needs to talk to MSC in private after she finishes her food. MSC spoke wither Medical Direct Care Counselor Marie Rose. She stated that Maria has been doing good. He is cooperative at times, but requires redirection. Maria stated that she is medically stable and her behavior has improved over the past few months. She is communicates her wants and needs effectively. Maris continues to go to all of her medical appointments and enjoys attending program. Maria goes on all community inclusions and makes suggestions on places she would like to go. She struggles with balancing money, staff continues to assist her in budgeting.

Intervention: Ms. Smalls (MHP), Santonias and Ms. Givens (MHS) discussed Santonias complying with the rules of the home. MHP and Santonias had a discussing about his NFL football team as a way to build rapport. MHP requests feedback on possible goals from Santonias and MHS for Individual Plan of Care. MHP, Santonias and MHS discuss and process an incident that happened at the school’s gym.

Ricardo’s first words to me were: “I hate this place and I hate my father.” At that instance, I tried to comfort him by expressing that things were going to improve, but Ricardo ignored me and left the office. The next day, I tried to communicate with Ricardo via phone, but he was unresponsive. Two days later, I showed up at Ricardo’s foster home and I was finally able to have a conversation with him. During our conversation, I explained to Ricardo my role as his caseworker and I detailed the services he needed. I expressed to Ricardo that an essential component of his service plan was to refer him to Cognitive Behavior Therapy (CBT) to help him improve his behavior by focusing on his feelings and moods. Ricardo reacted by stating that he did not need to improve his behavior, nor he needed my help. As I noticed that Ricardo was getting aggravated, I decided to conclude our conversation by scheduling our next meeting at the office as I was required to see him twice a

Reporting party (RP) called CCIB to cross report that resident Gerald Gilliland (DOB: 4/22/41) reported that while he resided at this facility, unknown male staff locked him in a room against his will. It is unclear what room the resident was locked in because resident was unable to convey any details about the room. Resident then stated that it was all of the nursing staff who locked him in the room. Resident was hospitalized at Kaiser South Sacramento on 9/18/16 through 9/22/16 and is currently residing at Eskaton Greenhaven. RP stated that it is unclear if the resident has Alzheimer's or not. RP stated that the original reporting party is Sacramento Sheriff's Department (Report#16-286176) and RP will forward the SOC 341 to CCIB.

The CMS1500 form has 3 sections that need to be completed to be submitted for a claim.

UCM: CPSW received a call from Ms. Messerli reporting that she needs the lock number for her storage from foster provider family. She also stated that she needs the boy's cell phone back. CPSW reminded Ms. Messerli that this writer will ask the foster provider about the phone and storage numbers. CPSW reminded Ms. Messerli to focus on her recovery and not to disrupt her children as well as the foster provider and if she needs anyting to let the CPSW aware of it. Also, CPSW reminded Ms. Messerli not to contact or call both children until the theripist approves it. Ms. Messerli stated that she will try. Howerver, Ms Messerli sounded unhappy and really upset about not contacting her children Nick and Alexander.

Mr. Antunez contacted CM to discuss Devin (youth) behavior in school. CM was informed that Devin left school yesterday during his last class of the day. Mr. Antunez stated that the team is having a brief meeting for Devin today at 1:30pm to discuss the reason why Devin left school. Mr. Antunez inquired about partial care for Devin. CM explained to Mr. Antunez that Devin was in a partial care program at the Jersey City Medical Center and he successfully completed the program. CM informed Mr. Antunez that Ms. Feliciano is in the process of getting Devin in the outpatient program at Hoboken Medical Center.

Case management services were provided in garden Grove. Present at the meeting were WYP (Wraparound Youth Partner) Andy Ngo. Service minutes are high due to WYP Ngo attempting to meet the youth. WYP Ngo reminded the youth of the meeting during the after noon through a phone call. The youth acknowledged the meeting and will be waiting for WYP Ngo. WYP Ngo arrived at the youth’s home. WYP Ngo contacted the youth through a phone call, but the youth hung up on WYP Ngo. WYP Ngo waited for the youth to show up. WYP Ngo contacted the youth again, but the youth did not pick up. WYP Ngo contacted WCC (Wraparound Care Coordinator), WPP (Wraparound Parent Partner) Lyneth Torres, and SUP (Wraparound Supervisor) Sheila Gaston-Cruz to inform them the youth

CCIB Intake LPA McGaskey received a call from resident Todd Sabin who engaged in a conversation with caregiver Martha (last name unknown). According to Todd the caregiver contacted Todd's social worker Javier Serna (626) 471-6402) and left a message on his phone stating Todd threatened to kill her and that she is afraid of him. Todd's social worker discussed the telephone message. The social worker reported he spoke with Martha and asked why didn't contact the police department if she was afraid for her life. According to the social worker Martha had no response to the question. Todd stated Martha informed the social worker he does not sleep at night and wanders through the facility. Subsequently she informed the cook to do whatever Todd wanted

CM contact ACS worker in regards to the child removal and the outcome of the family court dated for 4/24/17. As per ACS worker Ms. Harris child will no be returned to the father , the court decided to granted the custody to one of Mr. Simmons family member who resides in Connericut and the process will take appoximatley 2 more months to be

P- CM will continue to provide emotional support to client and monitor him for any increase in depression or anxiety. CM will address the sleep apnea machine dilemma to his supervisors, and look into getting dental assistance through the VA for the client. Client has agreed to continue participating in art group and Monday Night Football to help him cope with depression and anxiety. Client also agreed to return to the Bob Hop Patriotic Hall to start his application for getting “Veteran” status on his driver’s license, within the following week. Client has agreed to return LA Family Housing to schedule his CES assessment

CM spoke to Justin about his recent behaviors in school, his inappropriate dressing and leaving school grounds. Justin informs CM that he left school grounds to visit his adoptive parents because he misses them. CM inform Justin that he did not have permission from DCP&P to visit the Williams. CM informs Justin that his safety comes first. CM also informs Justin that Joslin was also aware of his behaviors in school and according to her if he continues displaying unsafe and oppositional behaviors she can violate him. Justin states that he does not want his probation to be violated. Mrs. Monestime reports that Justin is having a better day today. She reports that he completed his English assignment and he has not been wondering the halls. CM

This week I was only at the facility for one day out of the three days that I work. Two of the days were spend in Mount Pleasant where I was trained on their CIGMMO program. CIGMMO stands for the counties that are serviced by Community Mental Health for Central Michigan which are Clare, Isabella, Gladwin, Mecosta, Midland and Osceola counties. From what I understand, CIGMMO is used for a psychosocial assessment for each consumer. CIGMMO is used throughout the consumer’s services with CMH, and keeps track of the consumer’s scheduled appointments, notes from appointments, and much more. The training averaged 12 hours for this week, then I also spend 4 hours on Friday in the office.