Case Study: Social Services

Daniel is a department of human services worker (DHS). Daniel is close friends with the Yinger family. While reviewing multiple applications at work for renewal of state aid. Daniel realizes the Yinger receives state aid. He determines the families of eight is making $50 over the maximum household monthly income. Daniel informs and questions Ms Yinger about exceeding the $50 dollar maximum household income. Ms Yinger becomes irate that Daniel was questioning the Yinger family, they are barely above the state guidelines. Ms Yinger asked the Daniel if it was fair to allow the family of eight to go without food or health insurance because the family exceeds the minimum household a lot of income by $50. Kindly, Ms Yinger questions and bribes Daniel, she will pay him $50 monthly cash to edit the household expenses and income. Ms Yinger knows that the $50 dollar cash is a smaller loss than the $800 SNAP and full coverage health insurance.

Williams the facility’s health and safety rules. Case Manager also reminded Ms. Williams that all children under the age of 2 are expected to sleep in their assigned crib. Ms. Williams stated that she was aware. Case Manager also reminded Ms. Williams that she is expected to continue maintaining her unit clean and organized. Ms. Williams was reminded that she is expected to respond all conducted fire drills. Ms. Williams was reminded that if she failed to comply with any health and safety rules she would be considered as non-compliance and a warning for non-compliance will be issued. Ms. Williams stated that she was aware. Ms. Williams maintains a clean and organized

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

Medical: Ms. Williams failed to submit her medical documentation. Ms. Williams is expected to submit her medical evaluation or physical by 11/2016.

Progress: The department referred Ms. Messerli rule 25 assessment at Tubman Chrysalis on 11/28/16. CPSW called the intake department on 11/28/16 to check the walk in schedules at Tubman. The intake worker reported to the CPSW that Ms. Messerli can do a walk in on 11/29/16 at 7am. Ms. Messerli signed a release form for the Department and stated that she will do the walk in and complete her rule 25 assessment at Tubman Chrysalis. The Department called the intake department on 12/1/16 to verify if Ms. Messerli's has completed her intake assessment at Tubman Chrysalis. The intake department reported to CPSW that Ms. Messerli did not complete rule 25 assessment and has not scheduled any future appointments with Tubman Chrysalis. The Department called

Carla you did not meet expectations regarding documentation from Sept. thru Dec. 2016 and you had a total of 29 overdue cases during this time period. Carla when you do enter your case notes your documentation is organized and understandable in Case Compass. Carla, you have shown the ability to independently connect with collateral contacts and/or external stakeholders during an investigations and maintain working relationship with these contacts; however, your customer service skills could show some improvement as complaints have been received from families, community partners and other outside entities. You have an understanding of when it is appropriate to open a Protective Services case; you consult with your supervisor on a minimum of a monthly basis to address concerns or questions, review your caseload and to discuss significant issues. Carla I would like to see you show improvement in meeting the time frames for face to face and requesting postponements, delays and waiver of face to face visits

Plan of action: Client must adhere to the 10pm curfew and to DHS Rules and Regulation. Client must participate in all scheduled meetings. Client must attend to all on-site and off-site medical appointments and provide medical documentations. Client must adhere to the saving contract. Client must provide updated information concerning her legal issue. CM reviewed the Bi-Weekly ILP. Client agreed and signed. Next Meeting is scheduled for

On this day Marisol Escobar was sent home for insubordination. She contact me concerning a patient level of care. The patient came into the office on Tuesday May 25, 2016 concern a fast track program because she need to complete treatment prior to her probation ending. I was not aware of a fast track program after speaking with Mr. Herschel we agree to move the patient. The patient had appointment for Wednesday Marisol cancel the patient appointment. This writer contact the patient to make sure she could participate in the intensive program. The patient stated she need to contact her employer to make sure it would coincide with her work schedule.

On 3/28/16 A Case conference has been conducted with Client Alexandra Almonte #119, along with HS Supervisor Ms. Garland, RS Supervisor Mr. Mitchell and Sr Case Manager Ms. Arias. The reason of this conference was as per client request due to a previous incident that occur on 3/15/16 that a smell of marijuana was coming out from Ms. Almonte unit, which she denied , stating that she did not some her unit and she refused to open her door at moment because she was in the shower. Ms. Almonte received a writer warning from her Case Manager Ms. Arias and that upset her therefore she request a conference with Ms. Arias supervisor. Client was informed by Ms. Garland that Ms. Arias follow protocol for this type of situation. Ms. Almonte understood and

Client continues to report not good because she doesn’t like the way the foster mother is taking care of her. CM along with the client calls Caryn McCarthy | Case Planner Edwin Gould Services for Children and Families located at 413 E 120th Street 5th Floor, New York, NY 10035 tel#: (646) 315-7636 | Fax: (646) 315-7698. No answered CM left message on the answering machine. CM also called and emails Ms. Laura Gomez/LMHC. No answered. CM left message on the answering machine requesting next court hearing date. Ms. Gomez sends an email stating next court hearing is scheduled for 8/20/2015 @ 2:15pm and 8/21/2015 @ 9is. Client must meet with her attorney on 8/19/2015 at 10:30am to be prep for her testimony. CM provided client with copy of the

The patient was placed on hold due to his AWOL status. The patient provide an explanation stating he was not feeling well. This writer discussed with the patient about the importance of daily dosing and th erisk factor of missing a dose will put him at risk for a relapse, at which the patient agreed. The patient then reports he relapsed yesterday and used heroin, 10 bags by IV due to missing his dose. The patient signed a AWOL notice. Furthermore, the patient may consider going inpatient to further help with this relapse so that he can get clean. The patient is aware to notify this writer as soon as possible about his consideration of going inpatient. The patient has a court hearing on 03/07/2016 to address his DUI case.

POA Larry was irate and requesting to have Case Manager to contact him within 1-hr. Spoke to Kristin with Case Management and refused to speak to the family because of HIPPA and she does not know if son is really a POA. However, she had provided current status of patient transfer from hospital to SNF and relayed information to patient’s son. However, patient’s son still demanded to speak to Case Manager. Advised and apologized to patient’s son that no CM available to speak to him this weekend and will escalate his request on

Pt. failed to attend his scheduled counseling session on Monday, 12/12/16 at 7:00 am Patient showed up after dosing (8:24 am) reporting that he was unable to keep his appointment for today because he got an emergency. Pt. reported that he cant stay because he needs to go to work but he rescheduled his counseling session with this writer for Wednesday, 12/14/16 at 7:00

REVIEW ILP AND CLIENT RIGHT AND CLIENT CODE OF CONDUCTE: Client is non-complaint with the shelter rule and regulation. CM reiterate the shelter rule and regulation and for the client to adhere to the 10pm

FS discussed with client’s doctor client’s behavior. FS explained it is unknown whether client’s medicine is beneficial because Quinton has been out of school, and there was an error on the clinic’s part, which led to Quinton going almost a week without medicine, something the staff place huge emphasis on. After checking Quinton client verbally and physically, the doctor said, he wouldn’t make any changes since Quinton had another appointment in less than a week, with the main doctor. FS explained it was absurd, to have client coming to the doctor back to back, and that the current visit seemed in vain, in which the doctor concurred. The doctor insists, mom bring her empty bottles, and the chart created on her behalf, to the next visit. The office social work visited, who delivered charts to describe client’s progress for school and home. Mom gave hers to the FS insisting that FS was client’s parent. The social worker asked client