Client Compliance Report

On 6/30/2016, CM met with the client to complete to Bi-Weekly ILP Review. In the meeting, client was dressed appropriately for the weather. She was very loquacious and client. Client appears to have difficulty sustaining attention, client does not seem to listen when spoken to directly and she is unable to follow through on tasks. Client affect is inappropriate and she denied suicidal or homicidal ideation.

Review ILP and Client Rights and Client Code of Conduct Violations. Facility Rules Violations. Indicate Plan of action to correct violation/s and identify it in the ILP.

Mental Health Update and Substance Abuse: Client has been diagnosed with clinical depression and she was referred to Woodhull Mental Counseling to address her depression. Client initial assessment is scheduled for 8/25/2015.

On 9/15/2016, CM met with the client for Bi-Weekly ILP Review. Client was dressed appropriately for the weather. She was well groomed. As usual client in the meeting was loquacious, and loud. Client continues to be hostile towards this worker. Client continues to repeat to this worker as quote: "I am not mad with you, and this has nothing to do with you. It's all about DHS and your supervisor." Client was hostile due to an Authorization of Release Form client signed for staff to contact her therapist Dr. Iris Yankelevich for a copy of the client psychosocial and psychiatrist evaluations. Client continues to report that she didn’t signed the Authorization of Release Form because the form stated that the form is for HRA 2010e and she doesn’t know how many time she need to repeat herself that she doesn’t meet the ‘CRITERAI FOR SRO”. CM tries to explain to the client that staff is requesting a copy of her psychosocial and psychiatrist evaluation, but then client continue to talk over CM and threat to contact the Coalition and DHS. Client continues to set in her way and refuses to work with staff to meet her unmet needs. CM observed that the client walk with a book bags and a small shopping cart. Client reported she walk with all her documents and letters from Adult Protective Services & Social Security Administration stating that she is capable of living independently.

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

Client stated that she understands. Case Manager also explained to client that once she becomes eligible she will be expected to obtain permanent housing by 08/2017. Client stated that she understands.

On 2/11/2016, CM met with the client for Bi-Weekly ILP Review. Client appears to be cooperative and friendly. She was alert, satisfactorily groomed, and casually dressed. She was very loquacious.

Social Services Meeting: On 03/01/2017, Ms. Hawkins and her daughter Emoni met with her assigned Case Manager for the family ILP Document Review. Ms. Hawkins’ next ILP Document Review appointment is on 03/14/2017. Ms. Hawkins is in-compliance with the terms of her ILP. Ms. Hawkins was reminded that she is expected to attend all scheduled meetings with assigned Case Manager and failed to do it would considered non-compliance and warning will be issued. Ms. Hawkins stated that she is aware. Case Manager asked Ms. Hawkins if there are any issues or concerns that she will like to discuss, Ms. Hawkins stated no.

On 7/11/2015, CM did a visual and had client come to the social service office. CM completed Bi-Weekly ILP Review. In the meeting client appears to be wear out, and tired. She was constantly throbbing her forehead, like if she was having headache. CM inquires what the problem is. Client replies “she doesn’t like the shelter food and sometimes she doesn’t eat” CM advised the client to eat and nourished her body. CM also observed that client is depressed but she continues to refuse medical referral to see a psychiatrist and medical doctor. Client continues to mention her son who is in foster care, and the physical altercation she sustained many months ago here at this shelter. CM mentioned to the client she was a transferred from another shelter due to physical altercation, CM continues to relate to the client she

Social Services: On 02/17/2017, Ms. Hair and her son Aaron met with the family assigned Case Manager for the family ILP Document Review. Ms. Hair is expected to meet with her assigned Case Manager bi-weekly. Ms. Hair’s next ILP appointment is on 02/02/2017. Case Manager asked Ms. Hair if she is aware that she is not in-compliance with the terms of her ILP, Ms. Hair stated yes. Case Manager asked Ms. Hair if is aware that failed to attend her ILP meetings since 01/23/2017, Ms. Hair stated that she was aware. Ms. Hair last ILP was conducted on 01/23/2017. Ms. Hair stated that the reason that she has not attended her ILP meetings is due to her work scheduled. Case Manager explained to Ms. Hair that it’s understandable that she is working and she

The client is a Hispanic Male, age 69, who was born in the Dominican Republic. The client communicates solely in Spanish. He has two daughters who both live in the Bronx. The client suffers from Diabetes, Cholesterol and moderate Dementia. The client has tremors in his hands as a result of brain surgery. The client lives in a rented room in Inwood Heights. Initially, the client 's presenting problem included finding adequate housing however, after completing the intake form I became aware that the client was over income for most housing assistance programs. The reason why the client is seeking housing assistance is because according to the the client “he lives with two other men in a single bedroom apartment”. Furthermore, the client informed me that his roommates work overnight shifts which is when the client sleeps. They sort of rotate their sleeping shifts to accommodate each other. My client describes his housing situation as uncomfortable and stressful. Additionally, when the client and I talked more about the reasons he wanted to find housing it became obvious that the client also wants to feel valued by his children. In other words, the client describes the relationship with his daughters as solely for monetary purposes. My client believes his daughters are distant and do not care about his present living situation although they are the ones who monitor my clients finances and pay for the rented he is living in. My client also mentioned wanting to overcome

On 7/11/2015, CM met with the client for Bi-Weekly ILP Review. Client arrived early for the meeting. In the meeting client appears to be well groomed with good hygiene and dressed appropriately for her age. She was calm, cooperative and well related. She discussed typical issues re: her political and activism work and automobile accident disbursement. She continues to relate her paralegal was in the neighborhood and she wanted this worker to meet her. Unfortunately, there was no parking and she left. She also mentioned the paralegal brought her documents that she need to filed with the state and the federal for her automobile entitlement.

The patient was placed on HOLD to see the writer to address his non-compliance with treatment. The patient was reminded about his Step 3 of the patient engagement. According to the patient as the writer reviewed the patient case history of his no show for counseling, group attendance, and continuously AWOL, the patient only response was, " I, know." The writer then inquired of the patient efforts to engage in mental health services through ICRC. The patient admits that he haven't done the intake when the deadline was extended for the third time. The writer discussed with the patient about the risk of facing an intent to discharge due to his non-compliance and addressed alternatives such as suboxone and transferring to a clinic in Massachusetts to accommodate the work location. The patient declines the writer's suggestion as he wants to remain with HCRC-Hartford due to the positive treatment and said. " You guys really care....I do not want to be discharge.....I, mean what is the process of the intent of discharge?" The writer explained to the patient about the appeal process as his record will be reviewed by the Practice Manager to determine as to whether or not to forward with the discharge or the discharge to be overturn.

On 8/7/2015, CM met with the client and completed Bi-Weekly ILP Review. Client arrived early for the meeting; she was alert, satisfactorily groomed, and casually dressed. In the meeting she was cooperative and friendly. CM inquires how client is doing since the last Bi-Weekly ILP Review. Client reported she is exhausted from running around obtaining relevant documents to be submitted to Lemle & Wolfe, Inc. by 8/3/2015. She continues to reports she has Straight Medicaid and she is searching for a Managed Cared that cover oxygen tanks.

Each Monday, Bellevue/NYU’s Program for Survivors of Torture (the Program) holds a clinic to offer physician or psychiatric services to their clients. During this time, the Program also offers Art Therapy and Yoga Therapy for clients and their children. The clinic staff includes doctors, psychiatrist, and nurses who are moon-lighting for our program and are Bellevue employees and staff from the Program including doctors, psychiatrist and front desk staff. Over the last four months, there has been many instances during the Monday night clinic where the clinic staff was not preforming in a professional manner towards the clients. There have been many illustrations where simple tasks were not completed because it was an