Rainbow Rehab Reflection

Counselor red flagged pt. and requested that he meet for brief TX intervention to discuss his current counseling non-compliance status and explaining the risk of discharge from the program if he fails to do an individual session by 1/22/17. AMS receptionist told this writer that pt. is asking why he needs to meet with this writer. This writer told him to inform him that if he fails to complete one hour individual session by 1/22/17 he will be subject for a TX discharge. Pt. refused to meet with this writer and he failed to schedule an individual session on the above date.

Frankie Tilmon continues to be out of treatment compliance. Frankie has missed his last four appointments, 7/2/15, 7/9/15, 7/16/15, and 7/30/15. Frankie contacted this provider on 7/6 to apologize for missing his appointment on 7/2 and was reminded of his next appointment on 7/9, which he agreed to attend. On 7/15 Frankie contacted this provider to apologize for missing his treatment appointment on 7/9 and agreed to make his appointment the following day, which he failed to appear for. On 7/16 Frankie contacted this provider to again apologize for missing his appointment and wanted to confirm his next scheduled appointment day/time. I told Frankie that his appointment day and time has not changed; it was on Thursdays at 4pm. Frankie told

Pt. has been in the AMS program for 2 years. Pt. has had no positive UDS results for two years. Pt. is on a dose of 150 of methadone and he is responding as expected to his prescribed medication. Pt. demonstrated responsible attitude by attending monthly AMS groups faithfully. Pt. has discontinued all illicit drugs use and now he has used financial income in a more self-sustaining manner. Pt is effectively addressing this area by making regular payments as scheduled. Demonstrates treatment maturity and appropriately participating in medical treatment services. Pt. was taught calming strategies, such as relaxation and breathing techniques as indicated by previous counselor documentation. Pt. was assigned to this writer caseload and counselor

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.

Presenting Problem: Pt is 16 y/o female who is currently at Tuckers Pavilion Acute facility. 8/7/16 Kelly refused to take her medication, and was generally noncompliant to staff directions. She communicated AWOL intent; she also broke a lightbulb to make a number of superficial cuts to her arm, but refused to turn in the glass an dstated that she had flushed it down the toilet. She refused first aid and refused to cooperate with staff directions. She also communicated that she was going to do worse things to herself, Intercept contacted crisis stabilization which transitioned the child to Tuckers Psychiatric at 6am. 8/12/16, Pt was upset to find out she was not getting discharged from Tuckers. Require hydroxyzine 50mg at 1530 medication

Last night, I was sitting cross legged on my bed holding Chinese take out in my hand while watching the new episode of Orange Is The New Black, which premiered on Friday at 12 am, long past my bedtime. I was behind everyone else in the game, only on the second episode on the third day of its release. The second episode dealt with a lot of issues, aside from Piper being convinced she’s Litchfield’s new “gangsta”, that I related to on a personal level. I’ll try not to reveal too much, if you’re like me and still on the second episode, but the audience finally got an inside look on Maria, one of the girls from “Spanish Harlem’s”, back story. The audience learned that she struggled with her identity as the daughter of a Dominican drug dealer. I, for one, am nowhere near

First, we will examine my initial clinical note on 8/15/16 with client, Rhonda Smith, session one. During this first session, I collected Rhonda’s demographic and intake information (Murphy & Dillon, 2015; Reamer, 2001). This included a signed consent for treatment, which we reviewed and all her questions were answered, as well as signed medical releases for previous therapy and agency records, i.e., DVIS, CPS, CASA, that will be requested (Murphy & Dillon, 2015; Reamer, 2001). Additionally, she was informed about HIPAA, patient privacy rights, billing practices, professional boundaries and expectations, and how to contact me during business hours, and after-hours crisis lines, and on-call assistance phone numbers for resources if it is outside of my business hours (Murphy & Dillon, 2015).

However, it appears that my supervisor had overlooked some inconsistencies with this new EAP client. Furthermore, she states that the EAP company is a new client, a potential source of referrals, and they pay well. According to Pope and Vasquez (2011) suggests the client’s welfare must be the primary concern for the supervisor and myself. It is my responsibility to demonstrate concern for the well-being for my client (Board of Directors, 2014, p. 6). Thus, if my area of competence is limited to the client’s needs, I should not be seeing this patient. I would have to seek consultation from the agency, my association, or an external supervisor for this

On 9/12/2015, CM met with the client to complete Bi-Weekly ILP Review. She was well groomed, and dressed with proper attire. She made eye contact appropriately. Her affect was appropriate. CM inquires if the client had any recent seizure disorder. Client replies “No” because she is not spending time in the shelter. She continue to relate during the day spend it with her children and grandbaby.

CM was out on vacation for the period of 5/2/2016 to 5/9/2016. On 5/19/2016, CM met with the client to update Assessment and to complete Other ILP Review. In the meeting client appears to be friendly and cooperative. She appears to have some cognitive impairment. Client reported WECARE/Wellness referred the client to see Dr. Larissa Lempert/Neurology. Next upcoming appointment is scheduled for 5/26/2016. During the meeting session, client was dressed appropriately for the weather and had good hygiene. She ambulates with a cane due to leg problem. Client affect was flat. Client denied suicidal or homicidal ideation.

It’s been about 5 years ever since I came in as an impatient to your program. I was admitted there 7 long and dreadful days. I’d like to give thanks for the moments when the treatment did help for myself and the other patients. Although just like every situation, the good always comes with some bad. There’s a few things that I found disturbing when I was receiving my treatment. It might have not had come as a red flag to the administration but to us patients it was another pain added to our long list. We were all there for one main reason, to get help. But the word help was so powerful and intimidating to us, that it made us not want to open up. Yes, there was other ways to get information

Mr. Flowers is a 41 year old male who presented to the ED via LEO under IVC from Daymark Recovery Services. TACT assisted ED staff with deescalating Mr. Flowers after being informed of Mr. Flowers was becoming agitated. Mr. Flowers was concern about when he was able to leave and was under the impression he could leave tonight. TACT spoke with Paige from MCBH who informed TACT that MCBH was still seeking placement for Mr. Flowers. Mr. Flowers was informed of the current status of his disposition. Mr. Flowers gave this clinician verbal permission to speak with his wife Vickie Flowers about the status of his disposition and explain the process to her. This clinician explain the process and informed her of status.

This semester I learned a lot about writing in English 151. It has been a roller coaster ride with these essays for me this semester. I learned step by step how to write a good essay and how to have your readers be engaged in what you’re trying to tell them. Each essay I did has taught me something valuable I can take to the next level of English. I feel as if as the semester went by I did not take my writing that seriously and that reflected in my grades I received in each essay. It made me a better student and writer and it will reflect next semester. In this essay, I will reflect on what I learned throughout this semester that you should apply in your writing when you begin English 151.

During Monday class we discussed Recitatif and what being colorblind truly means about how you think. Most people that came into this class at the beginning would have said they were colorblind or we are the first generation that is colorblind not really understanding what being colorblind truly meant. For most it was a misinterpretation of how they felt we aren’t blind to color like we thought but I can only speak for myself and say that I notice race but I don’t form my opinion of someone based on that I form it based on the person they are. I’m a pretty quiet guy I don’t necessary speak up in a crowd of people I generally keep to myself so I don’t really talk to people I don’t know but in all the times I have talked to strangers I have always

Please be advised that it is imperative that you meet with your Resource Coordinator for further advice so that you do not jeopardize losing services through the Developmental Disabilities Administration (DDA) and