Daytop Treatment: Case Study

CM emailed Andrea Orlando (Daytop Program Coordinator) a copy of Dre’quan’s (youth) updated biopsychosocial (BPS) and court order. Ms. Orlando reported the clinical director will review youth’s documents and will determine admission date. Ms. Orlando will continue to keep CM updated regarding youth’s status. CM provided CM’s contact information.

Stephanie was referred to FACT for CMO services by Trinitas Hospital – CCIS unit. Stephanie was admitted to CCIS on 4/18/17 for running away from her mother’s home and making threats to hurt self if she were to return to reside with her mother. While in the hospital, Stephanie has also been refusing to visit with mother. At the time of the FCP meeting, Stephanie (Youth) resides with her Natalia Ramos (Mother), Elsa Sanchez (Maternal grandmother) and Johnathan Sanchez (Uncle) who disabled. Mother and stepfather recently divorced. Her father Hamilton Ramirez (biological Father) lives in Elizabeth with his girlfriend and younger daughter. Each biological parent has children with other people. Parents do not get along at all. Youth wants to live with father.

CM received an email from Monica Guzman (Hunterdon Group Home- Assistant Executive Director) with carbon copy, Meghan Kelley (therapist at EMYL) regarding a scheduled transition date. CM was informed that Hunterdon Youth Services is ready to admit Jason (youth) on Thursday, 3/2/17 at 3:00pm. CM confirmed and will transport youth to Group Home. Ms. Guzman reported that the following documents are outstanding; school transfer card, psychiatric evaluation (within 1 year), updated physical form, and IEP/school records. CM stated that she will fax the IEP/School records to Ms. Guzman. CM will follow-up with Kerry Lopez (Child Study Team) regarding school transfer card.

We need your assistance in getting Janna enrolled in the Home Bound Program. According to Hanna, the program administrators are asking questions about Janna’s eligibility into the program. The requirements listed on the program website makes me to believe that Janna indeed qualifies for the service based on the conditions listed below. Since you are most familiar with Janna’s condition and her requirements, I have decided to reach out to you all and ask for your support. To expound the reasons for the Janna’s needing for the service, I listed several things below, including her latest hospitalization.

The TF-CBT protocol has validity that is been proven sound theoretical basis, generally accepted practice, culturally relevant, no theoretical or empirical evidence known risk, has controlled outcome studies and out comes support continued efficiency and use (Kauffman, 2004, pp. 6-7). A manual on how to conduct the assessment, a proven degree of common service fidelity in treatment, ability to be a reasonable training for clinicians and supervisors (Kauffman, 2004, p. 7). The empirically supported assessment of TF-CBT components includes: Psychoeducation, stress management, narrative construct, cognitive process, parental treatment, parental instruction, family treatment (Kauffman, 2004, p.

The individual is on junior level and has demonstrated his ability to comply and meet the requirements of this level. The individual continues to work on his interpersonal and independent living skills daily. In processing with the individual and his Social Work the discharge plan is for the individual to transition into an independent living program. While the individual is making consistent progress towards his discharge plan, he is not quite ready for independent living due to the fact he continues to struggle with some of his basic living skills to include but, not limited to personal hygiene, housekeeping and laundry. The individual and NHCS will work collaboratively together to ensure that he continues to be successful in school. In

Mental health/behaviors: CM was informed Dwayne has made a great improvement in the program; Dwayne has been on the right path and has not Awoled from the program since June’17. Ms. Harmon noted youth has not been cleaning his room, however, youth made an agreement with the team that he will clean his room. Dwayne has been engaged in other chores around the home, which has been allowing him to earn allowance.

Case management services were provided through a face to face interaction in Brea. Present at the meeting were WYP (Wraparound Youth Partner) Andy Ngo and the youth. WYP Ngo took the youth to try some new food. The youth enjoyed the food and would recommend the restaurant to his parents. WYP Ngo discussed with the youth about a concern. The youth wants to go back to a regular high school. The youth would like WYP Ngo to discuss this issue with his mother. WYP Ngo will bring up the topic to tomorrow FTM (family team meeting). The youth is adjusting well to his new home, due to many stores are walking distance. The youth will be leaving to a wrestling tournament on December 7th, 2016 (youth will be gone for 5 days). The youth discussed about

CM spoke to Mrs. Rhiel (parent) in regards to a follow-up for Courtney (youth). CM was informed that the family had an alterication over the weekend with Courtney and Mrs. Rhiel will update CM at tomorrow's CFT meeting regarding this matter. Mrs. Rhiel confirmed the CFT meeting and CM reminded Mrs. Rhiel to have the NJ Family Care application completed for tomorrow. Mrs. Rhiel agreed.

CM conducted a CFT meeting for Alexia Taylor (youth) at Daytop Treatment. In attendance were Jasmine Alexander (CM), Alexia (youth), Kelly Hennebry (Case Manager). Lisa Marshall (caregiver) participated via phone. The strength and needs assessment was completed and the Family Crisis plan was reviewed. After CFT meeting, CM took youth on a day pass for 2 hours in the local community.

CM contacted Mrs. Mills (parent) regarding Thalia’s (youth) progress of treatment goals. Mrs. Mills informed CM that youth had orientation on Sunday for her new job at Shoprite. Mrs. Mills explained to CM that youth is excited to start working at Shoprite and youth will attend another orientation on Tuesday and after Tuesday youth will know her work schedule.

Individual Case Progress/ Goal Attainment– Progress will be evaluated by Monthly Progress Notes and Goal Sheets. Progress towards goal attainment will be monitored, including goal attainment and compliance with the referral process, outcome measurement, and program plan. The Goal Sheets will also be used to determine case progress. Client satisfaction surveys will be administered to all youth participants and their parents/caregivers at the end

CM conducted a face to face meeting at EMYL for Jason (youth). In attendance were Jasmine Alexander (CM) and Jason (youth). CM was informed that youth feels stressed and alone at EMYL; youth reports he wants to transition from the program. Youth has been witness numerous peers going into crisis and youth does not feel comfortable in the program. Youth explained to CM that he “tried to get high off of Benadryl and escape from reality”. Youth expressed that he did not try to hurt himself. However, youth attempted to take multiple pills of Benadryl. Youth expressed that his family and EMYL is not supportive. CM encouraged youth to remain positive and soon he will transition to Hunterdon Group Home. CM discussed youth’s insurance and explained

It was a Wednesday; rounds day. All of the care team was gathered around the conference room table- nurses, teacher, education assistant, social worker, day program manager, and recreational therapist- waiting for the youth, “Becky”, to arrive

Fourth session with the Acosta Family. The session main focused was discussing with Mrs. Acosta the idea of aligning with her career goals now that her children are adolescents and how this will contribute to her self-esteem. She has always value education and this will be a great time for her to revalue her life in terms of returning to school. She showed interest in becoming a nurse assistant and we gave her concrete information as to how to do this through the CUNY system. We emphasized the concept that her family will be as strong and healthy as she becomes. We continue to let her know the importance of taking care of herself and how her mood impacts the other family members. Three members were present today and they appeared more engaged than previously seen. Mrs. Acosta talked about the importance of education and how she was known by her teacher as a very good student and this remains a source of pride in her life today. Tania (13) express interest in taking part of extracurricular activities and said that playing volleyball and dancing are two areas of interest. Ysmael (15) although reserved, answered questions and expressed his desire to have a better future, one that he understands is attainable through education. The family has made progress in requesting a housing transfer from their current apartment. Mrs. Acosta has a police report that states that the family has been harassed in July 2017 by the neighbors downstairs. A social worker at the housing