Gateway Foundation: Case Study

Ms. Smith is a 30 year old single, Caucasian female referred for a psychosocial assessment by DOC Parole Officer Ward. She reports she was released from prison 2 months ago after a 3 year sentence for attempted escape due to not notifying her probation officer of her address change. Ms. Smith states due to her past substance use history and trauma experience her referral sources ordered counseling to address complex issues related to her emotional and physical well-being.

Attended all treatment group as scheduled and actively participated in the group discussion and provided supportive feedback to others group members. Client is in compliance with treatment and all his legal mandates, and appears to be in the action stage of change. Overall, client is making steady progress in treatment.

Bensalih reported that she has completed her rule 25 assessment at Tubman and has upcoming treatment sessions with her therapist and with her group. Also, CPSW asked Ms. Bensalih her process regarding Associate clinic psychology. Ms. Bensalih reported that she has not seen her therapist lately and planning to go back and schedule appointment with Associate clinic associate asap. Ms. Bensalih reported that she will let this writer know her up coming appointments with tubman and ASC. CPSW encouraged Ms Bensalih to go back at Associate Clinic Associate for the mental health assessment. CPSW asked about her supervision and needing to schedule appointment asap. Ms. Bensalih stated that she has been busy and stressed about all the work she needs to complete regarding the

Webster want to speak with me. Ms. Webster reported she wanted to know if she could get some Ativan. She states, "If I could get some of that Ativan I would only have to drink two beers a day, I can cut back." She was asked about her earlier alleged statements of suicide. At this time Ms. Webster denies suicidal ideation homicidal ideation, and symptoms of psychosis. She states, "No I'm not suicidal, I just wanted to get into detox." she appears tearful at this time. Ms. Webster reports getting out of jail this past Wednesday and drinking since she has been out of jail. Ms. Webster expressed the only times she feels she can be sober is when she is "locked up". This clinician informed Ms. Webster of the Trosa program and Freedom House who informed TACT of having a bed available for Ms. Webster, however she denied both recommendation. After offering recommendations Ms. Webster asks if she could just receive some Ativan. Nursing staff did inform me Ms. Webster has been expected to be med seeking since her arrvial, however it has been more evident throughout this

First, we will examine my initial clinical note on 8/15/16 with client, Rhonda Smith, session one. During this first session, I collected Rhonda’s demographic and intake information (Murphy & Dillon, 2015; Reamer, 2001). This included a signed consent for treatment, which we reviewed and all her questions were answered, as well as signed medical releases for previous therapy and agency records, i.e., DVIS, CPS, CASA, that will be requested (Murphy & Dillon, 2015; Reamer, 2001). Additionally, she was informed about HIPAA, patient privacy rights, billing practices, professional boundaries and expectations, and how to contact me during business hours, and after-hours crisis lines, and on-call assistance phone numbers for resources if it is outside of my business hours (Murphy & Dillon, 2015).

Today there were only two staff members that were working on the unit FBC Unit. Today I had the opportunity to observe a counselor answer several crisis phone calls that come into the crisis unit and referred them to the MSW level social worker who was on call. I talked with several patients on the unit and asked them how was their recovery going. Many of them responded by saying that detoxing of drugs is rough, but they were determined to stay here. Most of the patients’ that I talked with were satisfied with services that the FBC Unit in Greenville has provided them with. Most of the patients’ have their aftercare in place, and ready for use the day that they are discharged from the unit. Before the shift changed I was required to type,

During the last review period, Counselor voiced concerns about Ms. Clemons' stability to maintain employment at this time. She was concerned about Ms. Clemons' progress while in the CRP as evidenced by providing specific issues dealing with Ms. Clemons' emotional stability and alcoholism. Counselor questioned Ms. Clemons' continued participation with mental health treatment and she informed Ms. Clemons that she must cooperate with treatment and her authorization with AbilityWorks will be closed for the next 3 months. Counselor will follow-up with Ms. Clemons checking the status of treatment, July

The person served was admitted to the Bridgeway Supportive Housing Team on 2/28/15 with a diagnosis of bipolar disorder and opiate dependence. She is not currently prescribed any medications, as per her verbal report. The person served did not have insurance since moving back to this area from North Carolina. She has been working on getting this reinstated. Supportive Housing staff have linked her to social services in an effort to get insurance. This was done on 3/26/15 with follow up calls on 4/22 and 5/5/15. Due to this linkage, she was able to get linked to mental health and psychiatric services. However, she has meanwhile reported to staff on 6/19/15 that she has plans to see a psychiatrist (Dr. Moss) in Flemington, and that she is saving

Progress b: Ms. Messerli checked in Crossroads residential aftercare on 11/10/16. CPSW spoke with Ms. Messerli's counselor and he reported that Ms. Messerli was checked in 11/10/16 and was discharged on 11/13/16. On Sunday 11/13/16, her roommate at Crossroads informed the resident manager that Ms. Messerli left at 11pm Saturday evening and did not return. Ms. Messerli was discharged immediately at staff request from staying out overnight without a pass. He stated that Ms. Messerli did not complete any UA's at the Crossroads. Also, he reported that Ms. Messerli participated one group counseling session at Crossroads before her discharge date. The recommendation from Crossroads residential aftercare are:

CPSW met with Ms. Bensalih at her home. Ms. Bensalih stated that she has not done any UA's or chemical assessment at Tubman Chrysalis Center. She stated that she been participating her therapy session at Associated Clinic psychology and that her last visit was on 9/20/16 at 5:00pm. Ms. Bensalih stated that she will be doing a walk in at Chrysalis Center on 9/28/16 and that she will call CP for un update. She stated that she has been busy and overwhelmed most of the time. CPSW reminded Ms. Bensalih that she needs to participate and complete her case plan asap. Ms. Bensalih stated that she will call CP tomorrow 9/28/16 to updated the progress to this writer about the walk in appointment at Chrysalis Center. Ms. Bensalih stated that she has

New Foundation is a nonprofit organization that provides behavioral health and education services for children. The programs have children that are there due to either court ordered or, South Carolina Department of Social Services some are also related to family relationships that are in crisis. The staff, volunteers, and board members provide opportunities for the young people to move past their challenges and find the support and personal strength to make life changes needed to create safety, stability and for a successful futures. They have a program where youth live on the campus. Many children who are struggling with mental health or substance abuse challenges. The care is based in adolescent developmental research and addresses the needs

Case management services were provided in Anaheim. Present at the meeting was WYP (Wraparound Youth Partner) Andy Ngo. The youth did not show up to the meeting. WYP Ngo attempted to look for the youth. The youth was not at home or at school. WYP Ngo contacted the youth via a phone call, but the youth did not answer. WYP Ngo checked in with the youth’s grandmother. The youth’s grandmother does not know the youth’s whereabouts. The youth’s grandmother contacted the youth’s mother. The youth’s mother informed WYP Ngo the youth is meeting with his probation officer. The youth double book and the one on one will have to be rescheduled as soon as possible.

MMM was released after 72 hours into an outpatient program where she was assigned to a group therapy circle for those suffering from Borderline Personality Disorder. She also signed up for individual therapy with a therapist on-campus specializing in the treatment of Personality Disorders. It is up to MMM to follow-up with her treatment plan. Because her suicide attempt occurred on campus, the Dean of Students

I/M Holman is taking psych medications and he is compliant (per Nurse). Since January 14, 2016 when it came to my attention that I/M Holman’s behavior may be problematic I started to watch his behavior, mannerism, and consider his thought processes. Ms. Cumming’s and I met and spoke about I/M Holman (on 2-3 occasions) so that I could get a better understand of him and his situation (he was in her unit before coming to 66). During the treatment team meeting Counselor Terry was able to help the team understand why I/M Holman was upset and why he feels that he was being picked on by those around him. At this time, I see I/M Holman daily in community meeting and I am only able to ask him how he is doing. In a few short seconds he lets me know that

I affirm that I do not take illegal drugs, abuse prescription drugs, or alcohol. The information I have provided may be verified and I give The Mental Health Association (MHA) permission to make inquiry to others concerning my suitability to act as a volunteer and I hereby release them from any damage whatsoever for issuing same. In the course of volunteering for MHA, I may be dealing with confidential information and I agree to keep said information in the strict agree to keep said information in the strictest confidence. The relationship between MHA and volunteers is an “at will” arrangement and that it may be terminated at any time, with or without cause, by either the volunteer or MHA.