Hilario Case Summary

This made me nervous as to how I was going to communicate with her. My mentor stood back in order to allow me to administer the medications and I felt unable to ask the question, “How do I communicate with this patient?”

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.

Intervention: MHS reviewed the previous session. MHS discussed with client about her disrespectful behavior at school. The client’s teacher reported the client has not been doing her work and she has been being very disrespect to adults at school. MHS explained to the client that she will have to learn how to have respect adult at home and at school. MHS discussed listening and obeying and following the rules without any negative behaviors like talking back to teachers and school workers. MHS explained how people don't like to be around rude and disrespectful children and her behavior can be affecting her grades

I: CM guided client through ISP goals. CM inquired about updates related to the client’s housing goals. CM used open ended questions to inquired about the client most recent drug use. CM reminded client that starting Monday the 2nd he would have to meet with CCM for weekly case management going forward. CM continued to assess for PTSD symptoms, substance abuse, and medication compliance.

Session 1: During this face to face session on 8/8/16, MHS addressed the following ADLs: Medication Monitoring, Community Involvement, and Functional Skills. MHS asked the client if he had taken his medication today. The client reported that he did take his medication. The client mood was cheerful and inviting. The stated he is still looking forward to working when he can. The client stated he gets bored sometimes just sitting at home. The client requested to be accompanied to the library. MHS praised the client in making progress for independent living (20 mins). MHS accompanied the client to the library to view educational videos on how to display appropriate social skills in the workplace (25 mins). MHS suggested visiting the library gives

Constructing a treatment and service plan for a client involves various components. Prior to starting a treatment plan the professional should carry out a client evaluation. The evaluation should determine the basis of the difficulty or issues and assess the back ground of the client. After the completion of the evaluation, a professional can start constructing an agreement to fulfill the needs of the client. The treatment plan should include goals that relate to the difficulties and issues the client is experiencing, this assessment will discuss the components of Mr. McCunes personalized treatment program.

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

Intervention: Ms. Smalls (MHP), Santonias and Ms. Givens (MHS) discussed Santonias complying with the rules of the home. MHP and Santonias had a discussing about his NFL football team as a way to build rapport. MHP requests feedback on possible goals from Santonias and MHS for Individual Plan of Care. MHP, Santonias and MHS discuss and process an incident that happened at the school’s gym.

coming over from previous mother country, England. In fact it was so important it was part of the very 1st amendment, including freedom of speech, and freedom of the press. Since then it has been a struggle to determine whether or not certain instances would qualify as hindering the 1st’s claim to the right of Religion. An important case where that occurred is the Church of the Lukumi Babalu Aye V.S. City of Hialeah (1993). In the case the city of Hialeah is targeting a specific group based on their religious views. On the other side of the fence the church group argues that the state laws are going against the first amendment right to religion.

Supervisor Comments: This writer met with Cherron to address services due by counselor and reminded the Cherron about submitting his services by staff by day every week on Friday, of which Cherron have been doing. Cherron is still behind on his treatment; however, he was able to update this writer about the status of where he is with getting current with his work. Based on the services due provided from Cherron, Cherron is in need of 5 patient signatures and few was already submitted to the Clinical Director, but pending. This writer offered to help Cherron if he is in need to obtained the patient signature.

CM Ayfer met the client at his home in Somerville, Client showed CM his apartment and his room it was clean and tidy. Client is a student at Banker Hill Community College and he has 4 classes during the week, Client reported that he has a difficulty with the Math classes, CM suggested maybe it will be helpful if we find a tutor so he can get an extra support. CM and client talked about ETV form CM explain to the client what the form is about. Client is looking for a new health provider in Somerville CM explained to him the process of transferring his medical report from Fitchburg to Somerville. CM will send him the care center which is accepting Mass Health as an insurance and taught him how he can register as anew patients. Client is working

For this research paper my client will be known as H.C. This particular client has suffered from multiple diagnoses during his time at Sonoma Developmental Center (SDC). My client has lived at SDC since 1947, at the age of 13 years old. H.C. willingly came to SDC when his family could no longer cope with his behaviors. He liked to be independent and was an active worker when he worked at his job sites. H.C. had a bundle of past achievements that he enjoyed mentioning to his aides by pointing at pictures. At a frail age H.C. could do his activities of daily living, but needs assistance from time to time. Physically H.C. was a short man with balding white hair and had poor eyesight so he wore glasses. His walking gait was failing and his feet would shift against the floor, so he had a walker that he could use. He was socially withdrawn and would only communicate when he felt that his needs were pressed. He had trouble finding words to communicate what he wanted to say and would like to do things on his own rather than relying on staff. He also lived by his set schedule, so anytime there was an appointment set for him he needed to be reminded before his day began.

On 03/07/16 we received a broker invoice advising of an incurred increase in the amount of $1,180,064 (1,137,500 Loss & 42,564.14) along with a billing request for $1,269,607 (1,225,000 Loss & 44,606.94 in Lae). The only other information provided was Harco’s 03/03/16 loss report stating; no meritorious appellate issues, therefore the loss was settled for $5,000,000 with a supplemental payment of $112,000 for plaintiff’s taxable cost. Based on the limited information provided, an internet search was conducted finding that the case was tried with the plaintiff receiving a $6M verdict against the insured on 12/18/15. Based on the above, an inquiry was issued to Harco requesting details regarding their strategy to litigate this loss to a verdict with an explanation as to why the taxable cost of $112,000 was being ceded to reinsurers as an expense.

The second-highest official of the Russian Orthodox Church has called for deeper involvement and collaboration with Catholics in helping the persecuted Christians in the Middle East, saying both Moscow and the Vatican should be concerned over the suffering of their co-believers.

In addition to this, I will be attaining feedback from my client after discussing each stage of the therapeutic process in detail to help me understand what worked well for the client and gain more insight into what I need to improve in order for my future sessions to be more successful. Before the beginning of the session, I made sure I place the chairs in an appropriate position to promote equality and decrease the power dynamic between myself and the