Mental Health: A Case Study

SOCIAL SUPPORT: Client continues to complain why DHS didn’t submit her housing package to this shelter. She also states that this worker is mental health and she doesn’t have any mental health disorder to be placed in a SRO. Client also threatened to this worker to call 311, DHS advocate and the Coalition. As she quotes:” is not about you or CAMBA, I am doing this because DHS have all of my information”.

G: CM met with client for weekly case management session and to update ISP goals.

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

Client reported to CM she has a new granddaughter and tomorrow she will be spending the day with her. Client report no community support. CM enrolled the client to Adult Recreation Center.

At 0824 this clinician met with the patient who reports her weekend was not unpleasant. She reports she is continuing to have problems locating housing. She reports her family members continue to refuse to allow her to live with them specifically her father and her uncle. She reports she has one friend who is considering allotting her the capability to reside with her under the condition that she speak with her Child Protective Services (CPS) caseworker first. She reports she does not want to reside in a homeless shelter with her son as she has done this before and the experience was not up to her standards.

D-This writer met with the patient as he was placed on HOLD to address the status of the IOP. The patient provided this writer a paper that was provided to him with listing of IOP for him to explore. The paper shows scribbles of the patient taking down notes about his attempts of who he called. The patient reports Connecticut Addiction Recovery will call him back within 24-48 hours. The patient was able to schedule an appointment with New Direction for May 20th at 7pm; patient spoke with Dan. This writer commends the patient for all of his efforts; however, the patient needs to schedule something earlier than May 20th. This writer asked the patient about ICRC-Coventry House. According to the patient, he called the contact number and showed proof. The patient reports that ICRC gave him two different number and told him to do a walk-in at 8:30am. This writer shared with the patient about a recent conversation this writer had with ICRC. This writer told the patient

Housing: Case Manager informed client that she must meet with assigned Housing Specialist on a weekly basis to discuss her housing opportunities.

SOCIAL SUPPORT UPDATE: Client reported she wasn’t feeling well. She has bronchitis and takes prescribed medication. CM inquires if the client got in touch with her children and sister. Client replies “her children live in Florida and she doesn’t know the whereabouts of her sister. She also reported no community support.

P: CM will continue to provide emotional support to client while encouraging sobriety.CM will also help client setup an appointment with the Expungement clinic(tickets) at the VA on Temple. Client will provide a printout confirming all upcoming medical appointments at the VA clinic on Temple. Client will continue attending the methadone clinic daily and agreed to attend the PTSD group meeting on 1/27.

CM received report from LAMP VASH worker Laurie Garza regarding client’s missed appointment on 11/25. LAMP VASH worker Laurie Garza inquired about client’s drug use and general well-being due to client’s lack of motivation. LAMP VASH worker suggested client explore different housing programs due to client’s resevations regarding weekly meetings with case manage . CM will discussed new housing referral options with client. CM will notify Laurie Garza about client’s decision regarding housing program.

CM spoke with Mr. Antunez regarding Devin transiting out of CMO. CM and Mr. Antunez discussed Devin’s growth throughout the year. CM explained to Mr. Antunez that Ms. Feliciano will link Devin to outpatient at Hoboken Medical Center or Jersey City Medical Center. CM stated that CM supervisor will also attend next month discharge meeting/ IEP meeting on October 7, 2016. Mr. Antunez agreed to Devin’s

On 1/5/2016, CM met with the client to complete Bi-Weekly ILP Review and housing plan. In the meeting client was cooperative and friendly. She was dressed appropriately for the weather.

On 7/15/2015, CM conducted a search via Security to locate client. Client was found sitting in the patio. Security asked the client to go upstairs to the 3rd floor to see social services. CM met with the client and completed Bi-Weekly ILP Review. In the meeting the client was well groomed and dressed appropriately for the weather. She appears to be calm, cooperative and friendly. CM inquires how client is doing since the last Bi-Weekly IlP. Client replies she is doing well and she is still waiting for DHS Manifest if she was approved or disapproved for the apartment” CM reiterates to the client as per P4P meeting on 7/9/2015, client was informed to be “open minded” and also there is a possibility she may not be accepted for the housing.

CM inquires how the client is doing medically. Client appears to have an attitude when she replies” nothing changes, everything is the same.” She was a little hostile in providing update information.

Client Mitza Cruz came to the SSO office to meet with CM Watterson and CMS Pimentel for a Case Conference due to family missing ILP meeting scheduled with CM. HS De La Torre took advantage of the opportunity and ask the client to stay in order to develop a Housing Plan. Ms. Cruz accepted and stayed for the Housing Plan.