La Frontera Case Discussion

On Tuesday March 8th, 2016 Case Conference with Resident Ebony Rice #325 has been conducted with Janette Chirico from DHS , Program Director Felicita Rivera, Housing Program Supervisor Zenobia Garland and Senior Case Manager Ms. Arias. The purpose of this meeting was to address client noncompliance and to come with an exit strategy for this Ms. Rice. Client was asked the reason for her missing ILP meetings and her barrier to obtain permanent housing. Client has a LINCH voucher for the amount of $1515. Client stated that she hasn’t receives any help from facility staff so she is searching for apartment on her own. Ms. Rice has been receiving assistance by the onsite housing department but unfortunately she has been able to link to an apartment

Patient L.H. is a 69-year-old married Caucasian male that is a retired teacher that lives at home with his

He reports the patient’s roommate was subsequently evicted from his home after the landlord inquired about the ambulance visiting. He reports he contacted her father concerning the patient residing within the family home, but the father has said no. In addition, he reports he has attempted to contact her uncle but has been unable to make contact with him. He reports he has attempted to make contact with her said friend who is considering allowing her the opportunity to reside with her but she has not answered her phone and he has been unable to leave a voice message. He reports no one wants her in their home, and the patient has “burned her bridges” with family members. He reports her family would benefit from counseling. In addition, he reports her family has high expectations of CPS. He reports her current case was not going to close within 12 days of 06/30/2017. In addition, the case will not

Meeting: During intake client was informed and explained the Rules and Regulations of the facility. Case Manager also reviewed orientation packet with client. Client agreed with all rules, signed forms and was issued a copy of all documents signed. Client was informed that she is to comply with the following: Client must meet with assigned Case Manager on a weekly basis. Client must refrain from committing acts which endanger the health or safety of others or that substantially and repeatedly interfere with the orderly operation of the facility, including

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REVIEW ILP AND CLIENT RIGHTS AND CLIENT CODE OF CONDUCT: Client is not compliance with the saving contract. CM advises the client to comply with the Shelter Rules and DHS Code of Conduct. Client must adhere to the shelter 10pm curfew. Client is scheduled for Conference Meeting to address her non-compliant with the Saving Contract and Apartment Search

BH is a 62-year old African American Male who presents to Daybreak Clinic on September 2, 2015 for his routine follow-up exam for his hypertension, gout, and chronic back pain. His labs were collected Monday, August 31 and will be reviewed today. He reports that he has been out of his medications for a week due to needing a refill. He has a refill available that he reports he was unaware of. This will be his last visit to Daybreak due to his Social Security and Disability approvals. In addition to his medical needs today, he is requesting a letter of competency in order to be able to personally receive his Social Security check.

SC, Jennifer Stoker met face to face with Christopher for his Annual PDP meeting at his Day Hab in Dallas, TX.S SC was welcomed into the home by caregiver staff, Joel. SC observed Christopher siting in his wheelchair. He was awake and very alert. He was in a good mood and relaxed. He looked clean and comfortable. His provider, Rose Msewe, and SC Christian Gray Hering was present. Rose renewed his IPC during the meeting. SC discussed his HCS Rights and Consents with him. The following forms were explain to Christopher but he was unable to sign them: Authorization to Disclose Information, Verification of Receipt of Rights, Verification of IPC Services Request, Consent For Services, Your Rights in Local Authority Services Handbook, Your Rights

The reporting party (RP) stated resident Juanita Knee was placed in the facility by Dignity Healthy on 11/23/16. While present in the facility the resident was hit by a caregiver during the night (name of caregiver was not provided). Subsequently the resident is currently terrified. Additionally the resident has not been given her medications and her oxygen has not been set up. According to the RP the resident has not been able to make her own medical decisions. Consequently the Dignity Health worker (Marguerite, (916) 631-3753) who placed the resident in the facility is contacting law enforcement on the caregiver. CCIB Intake LPA McGaskey contacted APS Pam Ng for additional information will be unavailable until December 5, 2016; contacted

The client arrived on time for his scheduled assessment. CPS caseworker Danita Brown referred the client test positive of illicit substance. The client is 30 years old African American male who is not married. He is the father of 3 children ages 1 month old 1, and 5 years old. He is currently in a relationship with two of the children mother. The client reports there was incident of family violence. The client reports his girlfriend was the one to assault him. Brent reports that he works at Sam Clubs in Pearland and has for the last 3 years. Brent reports three years of colleges. The client reports growing up with his parents, however they divorce later, but they both are supportive. Brent denies any medical or mental health concerns. The

The client is a 14-year-old Hispanic female in a residential substance abuse treatment rehabilitation center. The client participated in Cognitive Behavioral Therapy anger management group. The client was admitted to the residential program in July of 2016 for her cannabis use. She was referred by Drug Court due to her failure to comply with the program rules. The client has a past of domestic violence and defiant behavior towards her mother and not abiding by curfew.

Cesar Sanchez is a 61 year old Hispanic male that was admitted to RGSC on 07/12/1982. He has speech and gait disturbance, hearing and vision impairment; he is non-verbal but appears to understand English. He can communicate his needs with body gestures and pointing to items. He is dependent for all ADL’s and ambulation he is at high risk for falls; his adaptive equipment consist of Lift vest to assist with ambulation; wears an elastic knee brace and AFO brace to left leg, shower chair, bed sensor, chair sensor and wheelchair for long distances.; Cesar has history of patellar (left) and L2 fractures.

On this date worker received a call from Ms. Latasha Toney, SW at Princeton Hospital. She stated Mr. James Uptain was admitted to the hospital following behavior issues at Ridgeview NH. The nursing home is not willing to readmit Mr. Uptain and finding NH placement has been difficult due to his behavior issues. According to Ms. Toney Mr. Uptain is verbally aggressive, encourages other patients to misbehave, smokes cigarettes in nonsmoking area, rude to other residences, and waits on female patients outside of bathroom.

When I first met this client, I thought to myself, “He does not want to be here, just like everybody else. What else is new?” When I first looked at his file, I realized that he was not a new resident at Alaris Health. He had been there multiple times throughout the years. As I noticed this, I quickly made the assumption that this client had not been taking care of himself.

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