Counselor's Letter

The pt Poteat, Edward L is supposed to tx today at unit 1087. The unit 1087 is requesting the referral source to send a shortened and missed treatment report in order for the pt to be accepted. This report is not one of the requirements that is needed in order for a pt to transfer to a FKC unit. Also the referral source stated the she sent the report several times and received several conformations and clinic 1087 is stating that they never received it. The referral source and the unit 1087 have been in contact and I am just now finding out about this. Please let me know if the pt is accepted and to see what we can do regarding this patients

The patient did not hesitate to sign the tx violation and was very understanding as to why due to non-compliance, but again, this writer gave the patient credit for his efforts, but appointment needs to be established with proof of documentation. This writer strongly urges the patient to still follow through with team recommendation and obtain a documentation of his scheduled intake, at which the patient agreed to do.

Pt. called this writer to report that he no longer wanted to be in the program. Pt. asked if he needs to sign a Voluntary Request for Termination. Pt. reported that he is going to stop by the clinic to pay his tx services fees. Pt. stated, "I am done wit methadone. I'll go there tomorrow and pay my bill in full." Counselor told that he needs to talk to the head nurse and to sign the AMA Detoxification Agreement tomorrow, Saturday 2/25/17. After discussing this issue with him, he still insisted that he did not want to be in the program and he wants to sign the AMA Detoxification Agreement

The patient self-admits that she was not always compliant with her appointments due to changes to her work schedule since the month of December of 2016, but shared this information with her counselor. The patient is requesting to be reassigned to another counselor as she reports of not having a positive rapport with Cherron. Cherron was advised based on the patient complaint that it will be addressed with the Clinical Director based on her request to be

Patient didn't call or show up for his scheduled individual counseling session today at 7 am; however, he received his dose of methadone at the Clinic around 9 :30 am. This writer called pt.’s phone number on file to reschedule a mandatory individual session. Counselor will be flag pt. in the system to see counselor before dosing tomorrow, 12/15/16 to discuss his recovery progress, what the program expects of him at this stage and how to get the most of out

The patient arrived on time for her counseling session. Reported doing okay with her dose, but wishes she can have an increase as she still experiencing some cravings, but is trying not to relapse. The patient vented about her transportation issues with Logisticare and her ex-husband. Patient says, " I need my rides to be reinstated because I can't keeping back and forth with him.......Did you get my discharge summary?.... Please send it to Logisticare." This writer showed the patient about a recent fax from Hartford Dispensary, referring to her discharge summary and a statement on the clinic's letterhead stating the date of the patient discharge and when she was medically taper off on her dose. According to the patient, she does not want her previous counselor statement to be sent to Logisticare,

D-The patient arrived to the clinic emotional and was advised to see this writer. According to the patient, she's upset about her DCF case, her supervised visit with her son that hasn't occurred yet, loss of employment, and owing $80. 00 for her rent. This writer provided support, validated the patient feelings, and encourages the patient to maintain contact with her attorney and to also, contact 211 for financial assistance. In addition, reach out to the court system to address the violation to her supervised visit as it is not being honored. During the remainder of the session, the patient provided an updated on her mental health provider whereas she is no longer going to Wheeler Clinic due to the travel distance. The patient signed an ROI

Counselor met with Pt. for his reschedules individual session and to discuss his current recovery issues and plan dealing with Relapse Prevention Strategies. Pt. reported that he is currently taking 40 mg of methadone and he is responding well. Counselor inquired if he has used any drugs since the last session, which he replied no. Pt. denied having any suicidal ideation and no mental health issues. Pt. reviewed his TX plans without objections. During this week, Pt. has been violating program rules and receiving several verbal intervention form AMS staff especially nurse. Pt. explained his struggles trying to provide a urine analysis because he is sick. Pt. indicated that he is dehydrated and he couldn’t urine when ask to do so. Pt. claimed

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.

This is a confidential counselor’s report for Devin Deoxyribose and Thelma Thymine. It has come to my attention that as a couple you are concerned about the possibility of passing a genetic disease, Sickle Cell Anemia, to your children. I have examined both of your DNA samples and I can report the following test results. Devine Deoxyribose has the Genotype, S s for this disease which means you are a carrier for the disease. Thelma Thymine has a genotype, s s for this disease which means you have the disease. Genetic traits are passed down from parent to their children through genes on chromosomes found in the nucleus of the cell. Each parent contributes half of their DNA on 23 pairs of chromosomes. Genetic disease and disorders are passed

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

Data: Pt.'s case transffered to this writer this date. An individual session was scheduled for treatment plan review, and to discuss any concerns regarding CD treatment. Pt. is a no call; no show for his scheduled individual session.

Primary Counselor met with Pt. for his one hour monthly individual session. Pt. showed up late to this session. Counselor greeted him and asked him how he has been since last session. Pt. reported to be busy at work and he requested to reschedule this therapy session for tomorrow, 1/31/17. Counselor discussed why therapy is important for his recovery and encouraged him to don’t reschedule the session for tomorrow when he can do it today. Counselor stated, “Counseling is one of the keys to reaching his goals.” Pt. agreed to stay for the session, but this writer encouraged him to receive his dose of methadone before starting the session. After 5 minutes, Pt. returned to the office and agreed to sign his Record of Services sheet. Pt. stated that

Addiction and its many implications has been a topic of great research and conversation. For centuries, we have associated addiction with drugs, however, addictive tendencies and the motivation behind addictive behavior is not only about the object or the individual but about the bonding and connection that it provides to the individual. In other words, the issue that that is being brought to light is not the problematic consequences that arise from the object of addiction but more so that the motivation behind addiction to anything—even T.V. is related to the human need for connection and bonding. Often times, this need is over looked and really not associated with addiction. Thus compelling research suggests that sociality and connection is far more central to the conversation of addiction than most expect it to. Interventions such Motivational Interviewing therapy have shown to address substance abuse. Changing unhealthy lifestyle behaviors is an important issue. A key barrier to behavior change is a lack of motivation. Motivational interviewing (MI) is a counseling approach designed to promote behavior change. It aims to strengthen personal motivation for, and commitment to a specific goal by eliciting and exploring the person 's own reasons for change within an atmosphere of acceptance and compassion. In this regard, the

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