Case manager called pt’s mother at 7:50am, as we agreed in our previous conversation with Dr. Kleinman. The patient's mother reported that she was functioning well, and she and the patient were getting ready to go to school. Case manager reinforced the patient's mother, if she has any difficulties please contact her in order to support her. Case manager also tell her that Dr. Kleinman is waiting for her at the schools to offer her support as well. Patient and family continue to be open to receiving support from case manager. HBCI will continue to work with patient and mother on exposures around school and social anxiety.
PER REPORTER: Keshia said she received the following information from a Nurse Practitioner by the name of (Tammie) that works with her. She said according to Tammie, Malia was brought into the clinic today by her babysitter (Linda) to be seen by a physician due to her suspecting that the child has been sexually abused. Tammie said Linda told her that she keeps the child for her uncle due to him being her caretaker at this time due to her mother being in jail. However, Tammie said Linda is suspicious that the child’s uncle may be sexually abuses her. Tammie mentioned that the Linda also told her that Malia has been displaying inappropriate behavior problems. Tammie said Malia is currently being taken to UMMC by the AMR due to her having scar
Thanks very much for your timely feedback and advice. We will spend more time with her and work on her social and communication skills. Please connect me and my wife to the student’s services at Westmount, we would like to talk to them first then talk to Anh before connecting Anh to student services.
|Diagnostic Test (x-ray, blood work) |$35.00 copay or 20% of coinsurance if copay |Office visit copay or 20% of coinsurance |Office visit copay or 20% of coinsurance |
Pt has a hx of conflict within the family structure. Per report from mother they recently been evicted from their home to living with a friend and her 2 children. Pt states she does not trust her mother because she calls her “retarded and crazy”. Pt reports having low self esteem. Per report from mother, pt father is not participative with the pt.
Alumni giving rates at private historically black colleges and universities (HBCUs) lag behind the national averages of all private institutions of higher education (Robinson, n.d.). The average alumni giving rate among private HBCUs is 11% (Robinson, n.d.), while all private colleges and universities yield a 20% rate (Malhere, 2015). A culture of philanthropy among HBCU alumni has not been prevalent, although many of the institutions have been producing graduates since the late 19th century. Simply put, alumni have not lived up to what they should do to support their alma maters (Cohen, 2006). HBCUs have traditionally relied on large institutional fundraising sources, such as foundations and corporations. Historically, however,
Today, MSC visited Maria at her residence for a face to face visit. When MSC walked in Maria was having a snack at the table. Maria waved and greeted her staff. MSC said, Hello, How are you?" She stated that she needs to talk to MSC in private after she finishes her food. MSC spoke wither Medical Direct Care Counselor Marie Rose. She stated that Maria has been doing good. He is cooperative at times, but requires redirection. Maria stated that she is medically stable and her behavior has improved over the past few months. She is communicates her wants and needs effectively. Maris continues to go to all of her medical appointments and enjoys attending program. Maria goes on all community inclusions and makes suggestions on places she would like to go. She struggles with balancing money, staff continues to assist her in budgeting.
Responsible for all aspects of the credentialing, re -credentialing and contracting for all medical providers and dental providers who give patient care at the HHD Clinics. Responsible for ensuring medical providers, dental providers, clinics, and programs have been enrolled with health plans and linked to all clinics. Keep data for each provider, clinic, and program to ensure prompt renewal of licenses and certifications. Start the contract process for HHD and potential payers by acting as liaison for HHD and medical payers to ensure contracts are generated for the City of Houston Legal team to review. Also, ensure all services that are given by HHD claims are filed in a prompt matter, follow up and identify any trends for payment to be
Lauren Smith is a five year old Caucasian girl who is demonstrating anxiety when separated from her mother. The family was referred to this service by their pediatrician. Over the past few months, Mr. and Mrs. Smith report Lauren has become increasingly troubled when being separated from her mother. She cries while clinging to her each morning before school and her father describes having to “pry her off” and carry her to the car. Lauren’s parents are also concerned with regressive behavior; she is speaking more often in third person when referring to herself, and she has also begun wetting the bed nearly every night. Mr. and Mrs. Smith had a conference with Lauren’s teacher two weeks ago at which time she told them Lauren was having difficulty concentrating and completing her work. The teacher also voiced concerns about her lack of interest in participating in group activities; she appears to prefer to play by herself. The parents report that Lauren is otherwise healthy and has been meeting age appropriate developmental milestones.
Although much can be said about Depakote’s dismal prospect. The mother with her teenage son informed that if it was not for this medication, her son’s mood would have been intolerable. She stated that because of an adjusted dosage, her son’s mood has been stable and tolerable. Without the Depakote medication, her son would have been unruly, and disrespectful. Last couple of years the son had been attending an alternative school within the local school district. The school administrator who previously withdrew him from the school had matriculated him back into the school population. The parent is hopeful, that the Depakote medication can sustain and stabilize her son’s mood long enough to avoid any sorts of altercation at school. However, just
I: This facilitator and PP, met the client and mother in order to open the case and begin the process of identifying client and family needs. FF went over the POC with the family. FF and PP asked client and family for good news. The client shared he didn’t have a good day at school. Client
• Case manager needs to discuss disengaging with the patient or significant other and capacity to listen to their fears and or concerns.
Miranda’s mother joined a Facebook group with supporting members of FOP. She met with another family member who had a daughter also with FOP, and the two families formed a strong bond and relationship. The healthcare support for FOP isn’t high enough due to the rarity of the disease and lack of understanding among communities. Miranda has an educational assistant at school but it’s rare to have a specialized assistant due to the rarity of the disease. The school was apprehensive and not concerned about Miranda, and she had support from kindergarten by having an educational assistant. She is mentally and emotionally normal but just requires physical support.
Mom just by came to pick up child and I had Kattelene (HOB Aide) translate. She explained to mom that we are not preventing child from coming to school, but that we needed to understand that if he behaves the way he did today she would be called to come pick him up. She was also told that it is a safety concern due to not only could hurt himself but others around him. Mom told us that she is going to keep him home until the evaluations results come through. I asked Kattelene to make sure mom understands that we are not telling her to keep him home and if she does that would be her personal decision.
|Parent conferences, professional counseling, verbal redirection, medications, student one-on-one counseling, intervention plan from team, in/out-of-school |
The client’s mother referred her son to the agency because he was suffering from anxiety. He was resisting going to go to school and becoming distressed when his parents tried to leave him at home.