Case Study Of Lash Screener

However, during this process clients will seek paperwork two weeks prior to their discharge date and complete the given packet. In this packet client will answer questions pertaining to their financial status. Depending on the collected information, our facility will debate whether or not the clients had insubstantial funds, in which we will grant funds for the client to attend any local program of their selection, under the circumstances that the program is less than $300 per month, for only a maximum of three months per year. If an extension of longer than the allotted time is requested, the patient must apply. Consumers of all ages can be provided service in this program. Moreover, in order to qualify for boarding at the facility, the consumer must be over 25 years old, diagnosed with PTSD and have been discharged from a

Anthony is a 32-year-old WM, single, never married with no kids who presents to CRU from CBI. He is GMH designated, but NT19. He has a hx of robbery, and he spent 2 and half years in prison. He stated he robbed the bank because he wanted to get shot by police. Pt. is originally from Kansas, and according to him, he has no friends in Arizona. Per collateral, he has a hx of cutting and hanging. He tried hanging himself whiles in jail. Upon admission, it was observed that client has a superficial cut on his left arm. He reported that the voices commanded him to cut himself. He endorses depression, AH, but denies DTO behaviors. He will benefit from medication stabilization and meeting with a provider.

Mr. Flowers is a 41 year old male who presented to the ED via LEO under IVC from Daymark Recovery Services. TACT assisted ED staff with deescalating Mr. Flowers after being informed of Mr. Flowers was becoming agitated. Mr. Flowers was concern about when he was able to leave and was under the impression he could leave tonight. TACT spoke with Paige from MCBH who informed TACT that MCBH was still seeking placement for Mr. Flowers. Mr. Flowers was informed of the current status of his disposition. Mr. Flowers gave this clinician verbal permission to speak with his wife Vickie Flowers about the status of his disposition and explain the process to her. This clinician explain the process and informed her of status.

As a client of HPCMHC, you have been required to obtain counseling sessions by a judge who is overseeing your case. As your SAT I am required to report the following to your probation officer: Missed appointments (without prior arrangements), missed payments, and an assessment of whether counseling sessions are benefiting you. Due to the nature of your referral it is important that you understand that I may be required to disclose to your probation officer anything that you say to me in our sessions. I may also be ordered to testify in court regarding our sessions.

I: CM questioned client about his health and skin condition.CM asked client if he was currently receiving mental health service at the VA outpatient clinic on. CM discussed housing programs with client (skid row housing, VASH). CM also inquired about client’s motivation level, by using open-ended questions. CM questioned whether the client was interested in participating in the program savings plan. CM continued to assess for PTSD symptoms, substance abuse, and medication compliance.

Pt. has been able to demonstrate progress in his tx plan goal since entering the program on 6/7/16. Pt is currently in the take home level 2. Pt. is requesting to move to Phase 3 in his take home privileges. Pt. has been coming to the Clinic for dosing as scheduled and he is progressing well in TX. Pt. reported dose stability on 55 mg of methadone and he would like to continue tapering off. Pt. denied experiencing any negative side effects during the last quarter. Pt. is maintaining financial compliance with all tx services fees without missing payments. Pt. reported that he has increased his motivation for tx and he has been able to reduce his stress because he got more time to manage his tattoo business. Pt. is attending one hour mandatory

Client has been assigned CES housing worker Rachel Bell and is standing by for a follow up appointment. Client appears to have lost interest in reaching his housing goals as evidenced by him showing poor effort in meeting with CM or inquiring about housing. He has stated that he “doesn’t care if he is discharge” from the program and that he plans to go The Haven in the WLA, VA, if he is discharge.

On 1/20/2016, CM met with the client to complete Bi-Weekly ILP Review. In the meeting client was dressed in full black attire. She was well groomed. Client walks with a cane due to chronic back problems. In the meeting client was hostile, rude, uncooperative and disrespectful. . It has been this writers observations that client displays signs of narcissism behavior. She often dictates to staff what she will do as opposed to working with staff. At times she reports knowledgeable of DHS Rules and Regulation and she constantly personalized staff as she quote” You guys are trying to make me a mental client.” During the meeting session client was loud and hostile with this writer that the Social Service Supervisor intervenes and join the meeting. However, client continues to display uncooperative, disrespectful behavior. Client talked over the Social Service Supervisor displaying sign of narcissism. In the meeting she constantly personalized staff of as she quote “I not supposed to be here in this shelter. This shelter is for people with mental illness. I do not have a mental diagnosed. My psychiatrist wrote a letter stating I do not have a mental diagnosis, and you people are trying to put a mental diagnosed on me”. She continues to report she will not participate in the psychosocial because she was informed by the previous shelter that the psychosocial evaluation is optional. She also continues to mention she was punished by DHS for reporting DHS to the Coalition,

Pt. is currently in Phase 0 of the treatment program. Pt. received his treatment plan 11/24 /16 treatment plan update. Patient’s current TX goals address opiate dependency, maintain financial obligations and improve his social support system. Pt. has some minor problems sharing his personal issues during therapy sessions as indicated by his low self-esteem and resistant to opening up about his serious relationship issues. Pt. made some gain in achieving his goal of avoiding opiate and maintain his AMS account balance in a good standing. Pt. has been able to stop using heroin, but he continued to smoke marijuana few times per week and cocaine occasionally. Pt. remains at 55 mg. of Methadone and he reported that current dose is working well.

Counselor met with Pt. for his scheduled monthly counseling session. Pt. agreed to sign his AMS Record of Services sheet. Counselor made sure that pt. had the opportunity to discuss any TX or recovery concern. Counselor and Pt. reviewed and discussed his recovery progress and current TX plan. Pt. reported that he enjoys not having to come to the Clinic on Saturday. Pt. was assisted with setting plans to advance 2 phase of the TX program and he started to complete his Take home request sheet. Counselor asked him whether he has experienced any urges recently or he has used any drugs since last session which he replied no. Pt.. stated, “I am clean and I always keep his mind busy.” Counselor encouraged Pt. to talk about the effectiveness of his

Employment: Client is currently working as a home attendant and she works full hour and she earns $10.00 per hours.

The client met with his counselor for his 1x1 session to do follow up in regards to his treatment plan. the client listed the three triggers which are his wife, other female that are involved in using drugs, his mother babying him and disapproving of his life. The client is currently working on money management . the client reported that he is glade that he taking this class because, he never had to handle his own money his wife did it for him. And that he is signing up for SSI he feels this class would be worth it. the client has continue to attend the family groups, and he has completed his first step. The client has also been taking his medication as prescribe. The client at this time seems to be getting past the feeling he has for his wife, and another situation that had happen with another client. He appears to really be trying to learn how not to allow something or someone to cause him to relapse . Counselor will continue meet with the client to address the 6 components of his treatment plan. CADC 1 Yolanda Smith

CM spoke to Phillip High (DCP&P) regarding a follow-up on Sinai (youth). Mr. High reported youth hit (punched) her father due to him typing on the computer; youth is trigged by noise in the home. CM was informed caregiver called the police and took youth to the Jersey City Medical Center for Psychiatric screening. Youth was discharged from JCMC the same day. Mr. High and CM discussed youth’s current status at the JCMC PHP; Mr. High was informed youth has been unsuccessful transitioned from the program due to non-compliance and not engaged with treatment. CM and Mr. High discussed OOH treatment for youth. DCP&P reported caregiver has to go to NJ family court in order to mandate OOH treatment for youth; caregiver is aware of

P: Client is to continue with OST program and meet with his primary counselor on a monthly basis and/or as needed. Monthly status report will be provide

The therapist met with the client. The client presented as tired and depressed mood aeb reporting that he did not take his medication for 4 days since he AWOLed on last Saturday. The client added that he feels anxious because he does not know what he will do next step as he asked several questions about the consequences of the AWOL and if he will go home soon, or go to another facility, or go to a hospital, and when he will discharge from the facility. The client shared that he AWOL ed with the other client last Saturday and he did not expect that he will be discharged from the facility due to the AWOL especially this is the first time to AWOL. The client stated, “I was at the other facility and I have witnessed several AWOLS and it was for them the second time and they had only tier freeze, but for me they will kick me out of the facility.” The client shared that he feels that it is not fair for him to be punished in this way. The client reported that he does not feel good being alone at the facility and he does not feel okay dealing only with the staff members without peers or other new client at the facility.