D-The patient was placed on HOLD to see this writer to address her no show for counseling on Friday and missed dose as well. According to the patient, she had transportation issue. The patient admitted that she relapsed by using crack cocaine-$20 bags by smoking. Addressing the relapse is due to stressor of her current residency with her "baby-daddy," according to the patient. Alternatives were discussed. The patient asked this writer for assistance again for the contact number to CHR and CVS of which this writer provided. In addition, this writer questioned the patient about her living situation as she reported about it being a stressor in her life. According to the patient, she is no longer residing at her "baby-daddy" resident as she reported
Accounting for the costs of foster care is only one part of the assessment of the foster care system. States must be held accountable for the effects of the system in order to better allocate their finances, provide adequate services, make better decisions, and operate more efficiently. The model of the Department of Social Services is that Children Service Workers utilize the finances distributed towards the department to yield a desired output for the client and reduce child maltreatment. The inputs and outputs of the system do not fully describe the problems associated with in it. Essentially, only resources provided to a family, as stated in the model, are believed to yield a desirable outcome for the client. The mission of the system is used to state the hopes of the program, and implement strategies in order to fulfill the mission of the agency. Such methods may include case management, court services, mental health
On February 2, 2017 CMSW Tisch Hernandez and Intern Mary Perez arrived at the home. The home was cluttered but clean and organized. CMSW gathered information regarding the mother’s background, such as child hood, culture, mental health, and substance abuse. The mother disclosed her mother is an alcoholic and her father who is deceased used substances. The mother disclosed that she started to use substances when she was a teenager and has been clean for a few years now. Mother provided information regarding Gabriella’s mental health problems and informed the CMSW of the child’s diagnoses of ADHD and has seen a clinician as well as psychologist in the past. The mother reported that Gabriella has been prescribed Vyvanse 70 mg and Adderall 5mg
The mother indicated that she has maintained regular contact with the clinician. Ms. Haddad reported when the change of custody occurred the child was confused. She was in contact with the social worker to give her an update of the family. The mother has discussed with the social worker the child resistance in communicating with her since the change of custody. Ms. Haddad reported that the social worker spoke with Jack and explained to the child that he should communicate with the mother and answer her
I’d love a second cup of coffee, but it has to wait. Megan follows me into my office. She goes into detail about how Sarah was in labor for fourteen hours. My eyes widen. “Wow.”
She objected that the doctor won’t prescribe anything for his asthma or his hyperactivity and she was thinking of changing to another GP practice. Josh is not receiving proper and coherent parental controls. Aged 7, Josh is not attending school as he should. Ms. Anderson baby is not experiencing developmental milestones. Little is known about the baby’s father, Liam Hollins, and the worker has not yet to meet him. The house is being neglected as Ms. Anderson is struggling to cope with Josh and the baby together. There are several apprehensions from the health visitor about the baby’s developmental delay; Josh not attending school, his bed-wetting and recent injuries need investigation; housework appears to be overly stressful for Ms. Anderson and the state of the home is predominantly under-organized. The baby’s father, Liam Hollins, has not kept arrangements to meet with the worker which needs to be urgently followed up to progress the assessment. The worker articulated that possible action that could be taken is discussing with a supervisor; conference to be arranged to share information and assess risks to children and agree a coordinated plan of action involving all relevant agencies. The worker left the
I explained what had happened while mum was in the shower and just as I finished there were muffled footsteps as mum came down the stairs. As she did, I went back upstairs and left them to work things out.
During interactions with health care personnel they may be trying to absorb as much information as they can, or at the other end of the spectrum, they may not be absorbing any information. Home health visits are a good way to recognize how a family is adapting after hospital discharge. Murray & McKinney (2014) noted, “The home visit is ideally scheduled during the first 24 to 72 hours after discharge. This timing allows early assessment and intervention for problems in nutrition, jaundice, newborn adaptation, and mother-infant interaction. (p. 462)” During the visit the nurse is able to answer any questions the mother may have thought of following discharge. Regardless of the situation, whether a patient is ill or delivery a baby, patients have a hard time gaining a sense of comfort in the hospital setting. They may feel like they are a burden asking questions or like their questions are not important. With the home health visit, the patients are in an environment they know and in most cases trust and are comfortable in; this can help enhance a positive interaction between the nurse and
Prenatal development is the process in which a human embryo and later fetus develops during pregnancy, from fertilization until birth. Women everywhere who decide to have a child go through the same stages of labor, but tolerate the three phases of prenatal development differently. Renita Winfrey, my mother, a mother of three offered to be my interviewee to describe one of her most complicated experience of labor. Renita had many prenatal screens and tests, such as, ultrasounds, fetal monitoring, amniocentesis screen test, and regular prenatal checks. Each test and screening was for a different purpose. Renita's second delivery was the same as the first, she spend approximately three to four hours in the delivery room. She had a preterm labor, meaning the birth occurred early, before the thirty-seventh week of pregnancy. Renita was injected steroids into her stomach, to help open and strengthen the lungs of the unborn child more quickly, so the newborn infant didn't have any serious complications.
Pt. stated that she is mentally stable. Counselor inquired if she has used any illicit drugs since his last therapy session, which she replied no. Pt. verbalized her agreement with the treatment plan long-term objectives implemented by Counselor. Pt. requested a Dose Evaluation form to increase his dosage of methadone. Pt. reported that she isn’t responding as am expected to her 140 mg of methadone. Pt. reported that she has been negative symptoms late at night. Pt. stated, “I can’t go to sleep and my joints are hurting.” Counselor told Pt. that she needs to report this symptoms to the AMS nurse and to attend pregnancy group to learn more about her special pregnancy situation. Counselor prompted Pt to attend the AMS pregnancy group for the month of April. At the end of the session, Counselor discussed and encouraged Pt. to practice relaxation more now that she is pregnant, to follow doctor medical recommendation, and better nutrition contribute to a physically and emotionally healthy
D- The patient arrived on time for her counseling session. Admitted to struggling of her use of heroin and THC. Last use of THC was yesterday and as for heroin, two days of one bag by inhalation. The patient accepted a dose increase on 01/19/2017 of 5mgs due to withdrawals of anxiety, body aches and GI upset. Then the patient reports of having an EKG scheduled on 01/25/2017 at 2:40 pm and also, her next appointment on 02/2/2017 with psychiatrist Dr. Price at 10:40am. This writer and the patient discussed her treatment plan goals: Getting on a stabilized dose, address her triggers, and seeking employment. The patient has 1 teen and 2 adult children. She currently resides in a section 8 apartment. Furthermore, the patient has not worked within
mandatory reporting laws in the state in which she or he practices and the policies and procedures to be followed within the workplace. It is necessary to regard mandatory reports in the context of acting for the safety of the abused person rather than reporting against the alleged perpetrator.
Beaten. Bruised. Broken. Everyday a child suffers from these, physically, verbally and sexually. You might be wondering how anyone could have a heart so weak and bitter to do perform these tasks on an innocent child. Everyday a child gets abused either physically, verbally or sexually by their so called caring parents who are supposed to love them and keep them in a safe and secure environment ironically in their home.
Child abuse causes pain in children’s life, Child abuse is a major problem in the society Child sexual abuse is a big problem in our society today especially the sex trafficking the sex trafficking occurs when a human uses force or some kind of fraud. It’s like when an adult forces a minor to commit a sex act it’s when you are being forced to make someone else some money for themselves and that doesn’t benefit you. Trafficking is built on the economic principle buyers who are willing to pay for forced women is the wrong thing to. Paying people to let you have sex with someone. “For 30 years, advocates, program administrator, and politicians have joined to encourage even more reports of suspected child abuse and neglect. Their