New Start: A 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.

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.

The treatment facility offers many different services for families and the clients. Typically the inpatient treatment is a 90 day facility. They have family programming where the families get to come in from 8 am- 1 pm and spend time with the family member in inpatient treatment. Also after the first two weeks in the facility the clients can have sunday visitation hours from family or friends. The program also offers individual sessions with parents or probation officers and the clients to give them a good environment to discuss progress or other things that may be bothering them.

My internship, Friends of Youth, is closely connected with Lakeside Milam Recovery Centers and I therefore decided that would be a great place to learn more about incase I needed to refer any of my clients to them. In order to gain more information about Lakeside Milam I spoke with the administrator, Dan Labuda and the director of the inpatient facility in Burien, Mary Fredrickson. Dan provided me information about Lakeside Milam as a whole, while Mary gave me an intake look at inpatient treatment and gave me a tour of Lakeside Milam.

This officer has had contact via face to face and phone with the mother, Ms. Evelyn Edwards. Discussions have taken place with her regarding Marquel’s Comprehensive Re-Entry Case Plan. She has participated in a video conference with Marquel since his commitment. She is aware of his placement in the Virginia Beach CPP Program. She has not visited him at the facility, but she has had contact with him via phone. She is currently unemployed. Upon Marquel’s release from DJJ, the anticipated parole plan (CRCP) will be for him to return to her home with intensive supportive services via 294 funding. Additionally, in the event this placement is no longer available, an alternative placement will be sought via 294 funding for a group home placement or

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

Patient will meet basic psychological needs and demonstrate appropriate expression of feeling for the duration of this shift.

The patient was placed on HOLD to see the writer to address his non-compliance with treatment. The patient was reminded about his Step 3 of the patient engagement. According to the patient as the writer reviewed the patient case history of his no show for counseling, group attendance, and continuously AWOL, the patient only response was, " I, know." The writer then inquired of the patient efforts to engage in mental health services through ICRC. The patient admits that he haven't done the intake when the deadline was extended for the third time. The writer discussed with the patient about the risk of facing an intent to discharge due to his non-compliance and addressed alternatives such as suboxone and transferring to a clinic in Massachusetts to accommodate the work location. The patient declines the writer's suggestion as he wants to remain with HCRC-Hartford due to the positive treatment and said. " You guys really care....I do not want to be discharge.....I, mean what is the process of the intent of discharge?" The writer explained to the patient about the appeal process as his record will be reviewed by the Practice Manager to determine as to whether or not to forward with the discharge or the discharge to be overturn.

I-CM informed the client that he had contacted and left a message with LA Family Housing the week prior, but no one answered due to the Thanksgiving holiday. CM contacted LA Family Housing again with the client present, but on one answered and a voice message was left. CM continued to assess client’s mental health and medication compliance. CM inquired what outside activities the client has been engaging in. CM inquired about client’s plans for Thanksgiving.

Pursuant to its obligations under the ID/DD Act, Ridge Terrace formed a Community Support Team (“CST”), or Behavior Management Committee, composed of several Ridge Terrace employees and outside professionals, including pharmacists, the resident’s psychologist, a medical doctor and a career trainer. On a quarterly basis, the Committee would review the resident’s progress and treatment

Project Head Start is a federal program that was created in 1964 and officially funded and began in 1965. It was created to combat poverty which was believed to stem from the education system. The thought process was that those who were economically disadvantaged would continue to be disadvantaged and this program would fix it. Throughout the years’ amendments were made to be more inclusive and effective. Changes include the addition of medical care, community development, and the inclusion of the disabled. In addition to the amendments came lack of funding because of many challenges that the program faced. Many of these problems were lack of teachers, male involvement, and support which stemmed from the lack of funding. However, with the lack

Heritage Oaks Hospital provides a less restrictive step-down treatment environment at three outpatient centers: Harbor Oaks in West Sacramento serves adults and senior adults; Roseville Oaks serves adolescents, adults, and senior adults; and Winding Oaks next to the main hospital serves adults and senior adults. According to course textbook, the goal of outpatient programs is to improve quality of life and to return clients to daily activities among family, peers, and the community (Varcarolis, 2013). The treatments available include psychiatric, emotional, behavioral, and substance abuse. These outpatient centers have partial hospitalization program (PHP) and intensive outpatient program (IOP). According to the hospital website, outpatient services include physician oversight, medication management, group therapies, educational practices such as cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT) (heritageoakshospital.com, 2017). I was assigned to Roseville Oaks Outpatient Behavioral Health Center. It was helpful for me to

Starting Over, Inc. is a nonprofit that provides support to individuals in our communities that desire a second chance to change the downward trajectory of their lives. Ours clients are often, frustrated, frightened and struggling with their basic needs, food, clothing, shelter.

Dawn met with her supervisor Fran and was informed that there were not any policies in place at Day One in regards to the following: Self-disclosure by coworkers, Dual relationships, or accepting gifts from clients. She felt very surprised that there were no policies. However, this intern realizes she must use her common sense and not indulge in sharing her personal information, such as relationships, family, personal goals, hobbies, etc. with clients and/or coworkers involved with Day One.

Welcome Week worked as a cohesive entity that helped new students with their transition into collegiate life. I as the Beadle was a peer mentor for the new students. This leadership opportunity entailed meeting with your group of 15 students outside of class on a weekly basis, planning social activities, accompanying students to required co-curricular events throughout the semester, and reporting to the Decurion and Faculty Advisor.