Social Work Case Summary

Robin R. Nelson, MSA, patient relations manager, privacy officer, and recipient rights director is responsible for monitoring and assuring the facility 's compliance with regulations pertaining to the privacy of patient records. Robin has a bachelor 's degree in Health Administration; a master 's in Public Health Administration and holds a registration in social work. She had originally intended to work in substance abuse, counseling, education, however according to her "it wasn 't a right fit" so transferred over to long-term care and worked as an admissions manager. It was there, she established her relationship with MidMichigan Health. When the Patient Relations director retired, she applied and got the job and has been working for MidMichigan Health since.

On Tuesday July 7, 2015, at approximately 3:01 PM, Kiana Beekman, (MFCU Investigator) (Beekman) received a call on the state office telephone from HILL, Lucy (Service Facilitator of Lucy Hill Services (LHS). During the conversation, Beekman asked HILL to clarify her role and responsibilities as a service facilitator, in addition to the role and responsibilities of HARRIS, LaFrance as the Employer of Records (EOR) for Medicaid Recipient DANIEL, Rose and MCGHEE, Inocencia as DANIEL’s aide. She was also asked to provide any documentation of training on timesheet submission and approvals that she provided HARRIS and MCGHEE under the Department of Medicaid Services (DMAS) Consumer-Directed care aide program.

He reports the patient’s roommate was subsequently evicted from his home after the landlord inquired about the ambulance visiting. He reports he contacted her father concerning the patient residing within the family home, but the father has said no. In addition, he reports he has attempted to contact her uncle but has been unable to make contact with him. He reports he has attempted to make contact with her said friend who is considering allowing her the opportunity to reside with her but she has not answered her phone and he has been unable to leave a voice message. He reports no one wants her in their home, and the patient has “burned her bridges” with family members. He reports her family would benefit from counseling. In addition, he reports her family has high expectations of CPS. He reports her current case was not going to close within 12 days of 06/30/2017. In addition, the case will not

Service Coordinator (SC), Jennifer Stoker met personal staff, Aiesha Crayton at the home of consumer Jonathan .SC asked was Jonathan meet his outcome would like is medical expenses to cover. Aiesha noted he has Medicare and Medicaid which cover all his medical expenses. SC asked if money covering his want and needs. Aiesha noted yes. He wants and needs are being meet. Jonathan wants his cell to be paid every month. Aiesha noted he cell is being paid every month. SC asked is Jonathan maintain good health. Aiesha noted he when to his PCP on June the 1st. She noted he is health and there was no change in medication.

Richardson that she will have a discussion with her supervisor as to whether the Division should have court involvement with her case. The worker asked Ms. Richardson if she has ever been court involved in the past regarding her DCPP case. She responded no. The worker told Ms. Richardson that she has to ensure that the children are safe and because the case is not moving forward regarding her substance treatment and the conflict between her and her older son Ruddy court involvement may support with getting these goals accomplished. The worker told Ms. Richardson that she has to ensure that Emerson and Ruddy are safe and sense of well-being. Ms. Richardson told the worker that the counseling sessions are going well. The worker told Ms. Richardson that at her next visit to the home she would have her sign a consent form allowing the Division to speak to the clinician that meets with the family. Ms. Richardson agreed to do

Carla, you have shown knowledge of Department policies and procedures and pose questions when concerns arise. You have shown an understanding and practice of HIPAA laws as is evident in your ability to remain confidential with all investigations. Carla, you have shown knowledge of the Department’s goals and also Division programs as evidenced by your investigative plans and requests for HCBS. You also have shown you have knowledge of the state statutes, rules and regulations as they relate to abuse/neglect/exploitation also evidenced by your investigative plans. Throughout your hotline investigations, you have shown that you are able to identify eligible adults and risks, formulate intervention plans, ask appropriate questions during interviews

Ms. Apple is a 45 year old African American woman who has been a widow for about 4 years. Ms. Apple has three children, whose ages range from 5-12 years old. Ms. Apple has been struggling to keep her family afloat since the death of her husband. Ms. Apple convinced herself that she would not require the extra assistance. However, she realized in attempting to provide alone has not only become very strenuous, but also quite costly. Expenses have become overwhelming for Ms. Apple to maintain, since her husband took care of the finances and was the breadwinner for the family. Ms. Apple has minimal education as she is able to read and write at grade school level. Ms. Apple also has never been employed as she was a home maker. At this

:01 PM-3:00 PM SC received a telephone call from Pa states that she was discharged to home on 1/22/2016 from PowerBack Rehab, and she wants her services to start again. SC asked Pa when she was discharged from the hospital. The Pa reported that she was discharged to rehab on 12/22/2015. The Pa stated that she needs someone to help her with her personal care and home management. SC asked Pa where Quintella is (Pa’s DCW/dtr). The Pa reported that she don’t know but she is gone and not coming back. SC informed Pa that the SC spoke with the DCW/dtr Quintilla Bentley on 1/14/2016 and she reported that she (Pa) was scheduled for surgery on the same day 1/14/2016. The Pa exclaimed that whatever she reported was not true. The Pa reported that she had surgery on the 12/14/2015. The SC

Umana has a good understanding of customer service, and satisfaction. She has good assessment skills to assess risks and be able to develop plans and interventions to ensure that the RA is safe. She does make several collateral contacts throughout the course of the investigation. She has clear and thorough documentation in her cases that that is easy to read and understand. She is able to communicate effectively through oral, written, and emails. If she has to open any PS cases to continue her investigation, she does inform her supervisor. She does request postponement and waivers in advance for supervisor approval. She is able to document and explain why an exception was needed. Ms. Umana continues to struggle with making sure that her Plans of Actions are in her cases with two weeks of receiving her cases. Each month this past year Ms. Umana had several cases where the Plans of Actions were completed 30-60 days after the required time frame of 2 weeks. She has had several overdue hotlines per month this past year. In her conferences I have discussed with her to make sure that she is watching the due dates of her cases so that they do not become overdue, and also making sure that her Plans of Actions are documented in her cases with two weeks of receiving the hotline. I have discussed with Ms. Umana maintaining no more than 20 cases on her dashboard to better manage her cases. Ms Umana is prepared for her monthly conferences, group meetings, and quarterly Regional

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 to Phillip High (DCP&P) regarding a follow-up on Sinai (youth). Mr. High reported youth hit (punched) her father due to him typing on the computer; youth is trigged by noise in the home. CM was informed caregiver called the police and took youth to the Jersey City Medical Center for Psychiatric screening. Youth was discharged from JCMC the same day. Mr. High and CM discussed youth’s current status at the JCMC PHP; Mr. High was informed youth has been unsuccessful transitioned from the program due to non-compliance and not engaged with treatment. CM and Mr. High discussed OOH treatment for youth. DCP&P reported caregiver has to go to NJ family court in order to mandate OOH treatment for youth; caregiver is aware of

Mother reported that client has a hx of sxs/bxs of inattentiveness, impulsivity, and hyperactivity, has trouble managing time, being organized, completing his daily tasks at school, and home. Mother stated that the client is hyper sensitive to other people’s remarks, and has difficulties with interacting socially appropriately with his classmates and school staff, often exhibits verbal and physical aggression. Client’s sxs/bxs impede his academic performance. Mother stated that the school staff recommended an evaluation and mental health tx to improve client’s academic and psychosocial fx. Mother stated that the client’s sxs began to impede his daily fx since he was 10

Mark is looking for a part time job around 20 hours a week, with $16 per hour pay. He is available to work Monday through Friday from 4pm-10pm, anytime on Saturdays, and two Sundays a month from 9am-2pm. Mark came neatly dressed, but not dressed for an interview.

Henry is a 21 years old collge student, he is an international student from China, he was born in China and live with his parents until he was 17 years old.Henry is now living in a shared house. Henry reported that he did not have any health problem in his childhood. Recently Henry feels he has been really depressed and he has trouble fall asleep at night. Because he feels he can not do well at school also his parents doesn’t understand him, he feels he can’t focus in class and easily got distracted when doing homework. Henry stated he always doing many tasks at the same time, but normally can’t finish them. And Henry also stated that he have difficuties when communicating with others, and he thinks is hard for him to keep listening

This worker was able to meet with Ms. Mango on 3/10/2017 at her mother Katherine Mango’s home located at 477 Fairton Road in Monroe New Jersey.