Reflection On Bi-Weekly ILP Review

CM was out on vacation from the period of 5/31/2017 to 6/14/2017. On 6/20/2017, CM met with the client to complete Bi-Weekly ILP Review. In the meeting client was satisfactorily groomed and dressed appropriately for the weather. Client affects and mood was inappropriate. Client continues to denied suicidal or homicidal ideation. Client reported she wasn’t feeling well and she was given “Bed Pass”. CM observed that the client sometime can appears to be manipulative and she will always find excuses for her behavior.

On 8/30/2017, CM met with the client to complete Bi-Weekly ILP Review. Client was dressed with proper attire for the weather. In the meeting client appears to be sad and quiet. CM inquires the reason client appears to be quiet and sad. Client looked at CM and didn’t say a word.

Client came into social service after receiving a SUS appointment slip left at the front desk by CM 10/3/17 to meet on 10/5/17 at 4pm. Client stated she only had a few minutes to talk because she had to cook dinner. Client informed CM her PA account was closed and she replied once again. Client also reports she has to visit Connecticut, PA office for a letter stating her PA case is closed in that state. Client informed her CM all documents requested will be submitted within a weeks’ time. Client reports two of her four daughters Selah McKenzie and Olivia Lue have a doctor appointment tomorrow October, 5, 2017. The other two daughters, Trinity and Nyan McKenzie have appointments next week Tuesday on October 10,

She met with the on-site psychiatrist on 10/28/2015 and psychiatric evaluation was completed. Client was diagnosed with Axis 1: Learning Disability & F81.9 (Primary), Alcohol use Disorder, moderate, in early remission, dependence – F10.21, Major Depression, single episode, in complete remission; F 32.5 rule out vs. complicated grief in remission and Dysomnia; G47.9. CM tries to refer client to mental counseling and substance abuse program. Client declines referral.

The client which I worked with, R.C. was brought in by staff at her group home with the knowledge and agreement of her brother. The client in question began having an exacerbation of her psychotic symptoms which was observed by staff at the group home where she lived as well as her visiting nurse. The behavior which was of concern included increasing self-neglect by the client who was notably not performing hygiene activities. The client was also reported to have struck her visiting nurse and to have been smearing fecal matter. The client is in her mid-sixties, divorced, and has a son, three grandchildren, and two brothers. The client 's brothers act as her guardians and are involved in her care. The client 's guardian reports that the client has struggled with mental illness throughout her life. Past medical history for the client indicates a number of past hospitalizations in a few different institutions and a diagnosis of schizoaffective disorder years prior. The client has had recent increasing difficulties with health problems not concerned with her mental illness. In addition to her diagnosis of schizoaffective disorder, the client also takes medication for hypertension, hypercholesterolemia, and asthma. The client also has a history of type two diabetes, renal insufficiency, pancreatitis, and fatty liver deposits. The patient 's chart

Client was scheduled for a Mental Health Assessment at Woodhull Hospital on 8/9/2016. Client reported she didn’t go because she doesn’t need. Client continues to report if the Mental Health Counselor at Woodhull Hospital need to contact her and tell her why she need to be seeing and to show documents. CM explain to the client since she saw the onsite psychiatrist doctor, that the doctor referred her for mental health counseling. Client agreed and another appointment is scheduled for

Pa is receiving the amount of support necessary to ensure her health and safety needs are met and Pa remains satisfied w/ her services. SC reviewed backup plan w/ Pa, Pa's Cousin Linda, will assist if PAS is not available. This is a new backup plan for Pa. Pa is currently using backup plan until the agency aide starts. SC provided and reviewed the "Who do I contact if. . ." form with Pa. There is no duplication of services. Waiver continues to be the payer of last resort. Pa remains NFCE Waiver appropriate. SC document on SC reviewed Provider Choice, 10 item ISP checklist including rights and responsibilities and right to appeal. SC reviewed Participant Information Packet including: Your rights as a Participant, Your responsibilities as Participant, Participant choice, Applying for HCBS programs, Role of the Service Coordinator, Participant Complaints, How can I find other resources in my Community?, Medicaid (MA) Fraud and Abuse, Who do I contact If…, Abuse, neglect and exploitation, Self -directed services, and Your Appeal and Fair Hearing Rights. The following forms were reviewed and signed: ISP signature page, Provider Choice Form, Voter Registration Opportunity Preference Form and Authorization for Use and Disclosure

Plan of action: Client must attend to all offsite and onsite medical appointments, Client must participate in all FEDCAP/Wellness programs, client must participate in all scheduled meetings, client must accept first suitable housing offers, client must adhere to the shelter 10pm curfew. Client must notify staff of any changes in her income. CM reviewed the Other ILP Review. Client agreed and signed. Next ILP Review is scheduled for

Michael escorted patient #1974 to Supervisor office as the patient appeared to be upset with regard to her recent HOLD. According to the patient, she complained about her assigned counselor placing her on HOLD for unscheduled sessions and this has occurred on two separate occasion. The patient then reports that on 05/8/2017- an appointment was schedule, but the patient cancelled and was told by Michael that she will receive a phone call to reschedule the appointment but no call was made. In addition, the patient shared that her assigned counselor did not fax her UDS result to DCF/Housing Worker. The patient requested to be reassigned with a new counselor. This information was relayed to Michael pertaining to the patient response. According

CM spoke with client briefly when entering the facility, Client stated she received a letter from SNAP for an eligibility interview. Client reports her interview date was on 10/05/17 between 11:30am and 3:30pm However, Client stated she did not receive no miss call or voicemail from HRA. CM informed Client to bring down the letter so we can review it, Client agreed. Client return to social services department with the letter. CM inquires if the contact information was correct client stated everything is right. Client reports when applying for the fair hearing she submitted all the documents required. CM informs Clients to resubmit all suggested items checked off on the letter. Client asked how can she get a copy of her and husband birth certificate.

On 10/18/2017, CM met for the first with the client since the case was re-assigned on 10/12/2017. Client is a 35 year old Asian female with no children. Client was dressed appropriately for the weather. Client appears to be friendly, cooperative and forthcoming with information. She maintains good eye contact and shows no sign of psychosis.

Per our conversation this morning, I attended a meeting with Antoinette Elliott (AE) and her CHA case worker. During the meeting we discussed several things, that were an issues of concern, and I felt more clarity was needed. The biggest concern was surrounding AE rent portion. AE presented text messages from her LL about her rent increase that was effective 6.1.2017. The issue was her rent prior was $105 and jumped to $418. Although AE son was taking off her voucher (from what P believed at the time) I still could not understand how her rent would jump that high. I asked AE to provide the letter that was sent to her from CHA, and AE stated that she never received one, and the only notification that she received was via text.

The meeting was normal develop. Client was well dressed, client verbal skills were fine, good eye contact and client expressed well. Ms. Williams informed HS that last permanent address was located at 180 Prospect Pl. #2B Brooklyn, NY frm 04/12 to until 03/16. Family left this apartment because of overcrowded conditions. Also, Ms. Williams disclosed that family used to reside at 570 Ocean Ave. Brooklyn NY from 04/2012 until 02/2015, family was evicted from this address. At the moment family is residing at 1195 Sherman Ave. Bronx, NY Unit 34A. Family case outcome date was 03/11/2016. Family composition consists of DONNA WILLIAMS (self,45y); TATIANA PADMORE (child, 19y); TIA WILLIAMS (child, 17y); TERREL WILLIAMS (child, 17y). As per Ms. Williams no one else will move in with the family if permanent housing is obtained. Also, family feels safe in the facility. Lastly, nobody has been diagnosed with any mental, drug or alcohol

The client is being discharged under administration discharge on 01/17/2017. The client was not working on modification of his behavior when he wasn’t in the present of staff. The client was deceiving the staff, but there were camera round the program the show another side of the client, along with other client that came forth and express their concern about his behavior. The client was try be shot caller while being a part of the program and in his quest to be the shot caller of the program he was unapproachable and unfriendly to other individuals in the program. I Counselor Yolanda Smith had witness client behavior with one of the clients while facilitating group and asked the client to stop treating this client with a heavy hand. So on

9:10 AM- SC received phone from CG stating that the provider agency Blessings4ever called them stating they were not informed of Pa’s PAS service approval because they don’t have the service order. Marie requested that SC sent Blessings4ever the service order so that she can start getting pay for assisting Pa’s with her daily tasks/needs. SC informed Marie that Pa services were approved, ordered and generated on 12/14/2015 and that SC placed call to both her and Blessings4ever where SC spoke with her and the Jennifer from the provider agency. SC read Marie the journal note in Oracle that summarized the conversation that took place on 12/14/15 and what everyone agreed to which was the service will be placed on hold until Marie has completed