Case Study: NSO Tumani Center

For clients who desire more than the occasional shower, meal, and a place to escape the elements of the weather for a few hours, there are case managers who devote their time to assisting clients to a pathway of self-reliance. Insightfully, I observed that very few of the clients that are served at the Beacon appear to have the life skills to advance through Maslow’s Hierarchy of Needs, and I recall an appreciated statement Barbara Ehrenreich made in her book, Nickel and Dimed, when she said “…I can’t help thinking of them on account of the mysterious vulnerability that seems to have left them temporarily unable to feed themselves”; Though, for many at The Beacon it isn’t temporary (Ehrenreich, 2001, p18). The case managers at The Beacon are a life line to those desiring stability within their life, as they navigate their clients through a system of unfamiliarity that is often full of red tape and hurdles. They make referrals and assist with the application process to gain access to medical, legal, housing, counseling, and employment needs, just to name a few. On average 80 clients meet daily with a case manager, and without the guidance of the case managers many of Houston’s homeless

This communication process had a rocky start. Built originally on a time-expense model, partnerships between divisions were strained due to conflicts over time and resource allocations. The company ultimately placed the head of P&C as the new leader of IS. This helped create a user orientation within IS and established good relationships with other divisions.

SOCIAL SUPPORT: Client continues to complain why DHS didn’t submit her housing package to this shelter. She also states that this worker is mental health and she doesn’t have any mental health disorder to be placed in a SRO. Client also threatened to this worker to call 311, DHS advocate and the Coalition. As she quotes:” is not about you or CAMBA, I am doing this because DHS have all of my information”.

he client has moved with family members in 2011 when she lost her home. She states living with family caused conflict between her and her family members relationships; leading her to become homeless.

The client met with counselor to complete his Exit plan. The client reported that he will be going to his mother house when he graduates the program. However the client wanted to go to sober living but all of them where full and had a waiting list. Moreover the client will be going with his counselor tomorrow for an assessment to see if he be placed in the King of Kings program.

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

Client (AM) is a 20-year-old heterosexual African American female, born in Durham, and currently still resides there. Her primary language is English. She lives with her 13 moth old child (NM) in a one-bedroom apartment. The client is unemployed and currently receives SSI benefits. AM resides in subsidized housing because of her social security income. Client did not finish high school and has no desire to do so.

A letter to hospital administration, to be determined after some research on who may be the most receptive. The program includes highlighting the issue of homelessness, mental health concerns and the consequences of their use of the emergency room services. The creation of homeless services to be able to obtain non-medical essential services without having to claim an illness to receive food, shelter or other basic needs. Allowing the homeless to receive food, warmth or other requirements without tying up vital medical personnel with false complaints to gain access to address their nonmedical needs. The request to present a plan of action with data and research to all parties of interest and who could be of assistance.

At 0824 this clinician met with the patient who reports her weekend was not unpleasant. She reports she is continuing to have problems locating housing. She reports her family members continue to refuse to allow her to live with them specifically her father and her uncle. She reports she has one friend who is considering allotting her the capability to reside with her under the condition that she speak with her Child Protective Services (CPS) caseworker first. She reports she does not want to reside in a homeless shelter with her son as she has done this before and the experience was not up to her standards.

The writer help the consumer to complete intake paperwork at Northeast Guidance Center the consumer is a DD and does have problem with reading, and writing. The consumer report during his assessment that he would like to have income, go back to WCCC and have a place of his own. The consumer also states that his mother was murdered when he was young and he live with his aunt whom he call mom and his cousin who often time treat him mean. The consumer is also unable to get around catching the bus because he does have problem reading. The consumer next appointment for his treatment plan is schedule on 01/03/16 at 9:00am. The consumer health insurance has expired so he is unable to get transportation to his appointment. The writer will assist the

Social Services: On 12/08/2016, client Lissy Figueroa met with assigned Case Manager Ms. Gilgen for Intake Assessment and Initial Independent Living Plan (ILP). Client is 21 years Hispanic female. Client has a 3 year old son named Maxwell. Case Manager asked client how and why she became homeless. Client stated that she was

Social Services: On 08/08/2016, client Denise Worthy and her 13 year old daughter Sanai McDuffie met with assigned Case Manager Ms. Gilgen for Intake Assessment and Initial Independent Living Plan (ILP). Client is 37 years African American female. Case Manager asked client how and why she became homeless. Client stated that the reason she became home was due eviction. Client stated that she was living with her husband in New Rochelle but due to domestic violence she decided to move to Alabama. Client stated that she was living in Alabama for about a year. Client stated that she lost her job and couldn’t continue paying for the rent. Client stated that after the eviction her family was sleeping in abandons houses for about a month before coming to NYC. Case Manager asked client if she has any family member in Alabama, client stated no. Client stated that she moved to Alabama to get out of her domestic violence situation.

The writer transport the consumer from Common Ground to her home in Brownstown. The consumer did not want to stay at Common Ground because she want to save her marriage. The consumer report that her sister was recently diagnosis with cancer and died about three week ago and she took her sister death really hard. The consumer admit to drinking and doing a lot of yelling at her husband. The consumer states that she was really close to her sister and her death came as a surprise to the family. The consumer states that she lost her mom and dad a few years ago and her sister the only real family she had left. The writer did advise the consumer to follow up with her outpatient provider to see if they offer grief and loss therapy groups. The consumer

On 3/29/2017, this writer met with Mary Eckola alongside with Adriana upon request in the event that the patient assigned counselor is not available. During the discussion, it was based on addressing the overpayment of the patient and her significant other. Also, HCRC continues to send the patients medical record to the insurance company, but no payment. Adriana discussed about payment options, referring to an 8 week payment plan for Mary and her significant other as Mary appeared to the receptive the notion of the payment plan. Mary was very forthcoming about paying the entire balance of her balance and her significant other, but wants to be certain that should be pay the balance that there will be no other issue with this matter. According

If a substantial threat to a consumer’s health or safety is identified, this provision allows the Department to direct the regional center to obtain alternative or additional services and supports for the consumer. The Department may consider notifications from the Department of Social Services of health and safety risks. This provision also allows the Department to request relocation of the consumer under certain conditions, and requires an Individual Program Plan meeting be convened within two working days to review the service and support needs of the consumer.