Supervisor Reflection

D- The patient arrived on time for her session and reports being stable on dose and haven't used any illicit drugs. This writer advised the patient that this writer was in fact in receipt of missed phone call about coming to the session at 10:30 am rather than 10 am due to her mother in the process of selling the house. This writer addressed with the patient about letter from CHR from her counselor, Jade Bray stating about the patient non-compliance with her appointment due transportation barrier. According to the patient, she is going through hardship as her mother is no longer taking her to her appointment as the patient says, " She's tired of bringing me everyone, Charlene. She complains about bringing me here and does not understand why I can't even get a bottle...:Like c'mon. What do I have to do?" This writer explained to the patient about TEAM decision, at which the patient disagree with the decision. This writer asked the patient about her "judgement." According to the patient, she feels she is making judgement by not engaging any further altercation with patient at the clinic, dosing daily, coming to her counseling session, and trying to get help from Chrysalis for

D-The patient arrived on time for her session. Reports stable on her dose. This writer discussed about tapering off on her methadone, at which the patient is willing to consider doing, but needs more time. She then says, " I might consider doing it next month, but not right now......I was doing it before, but it stopped....just want to take my time." The patient then discussed about having to go to SSA to obtain the payment for the funeral cost. The patient is upset about the small amount she is about to receive. This writer discussed the grieving process of her loss of her husband and also, her mother in law. The patient appeared to be annoyed with her son for not participating in his grandmother funeral arrangement and also, not showing

D-This writer met with the patient as he was placed on HOLD to address the status of the IOP. The patient provided this writer a paper that was provided to him with listing of IOP for him to explore. The paper shows scribbles of the patient taking down notes about his attempts of who he called. The patient reports Connecticut Addiction Recovery will call him back within 24-48 hours. The patient was able to schedule an appointment with New Direction for May 20th at 7pm; patient spoke with Dan. This writer commends the patient for all of his efforts; however, the patient needs to schedule something earlier than May 20th. This writer asked the patient about ICRC-Coventry House. According to the patient, he called the contact number and showed proof. The patient reports that ICRC gave him two different number and told him to do a walk-in at 8:30am. This writer shared with the patient about a recent conversation this writer had with ICRC. This writer told the patient

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.

D-The patient was advised that her bottles are in fact suspended due to the incident that occurred on 02/08/2017 of which the patient needs to accountability of taking a second dose of her methadone even though she has taken her methadone at home. The patient admits her accountability of her actions of taking the second dose. The patient then asked about how she can regained her take home bottles of which this writer explained the policy of take home bottles, referring to the reinstatement process. The patient is referred to attend the Take Home Bottle Group on 03/9/2017 to have her bottles reinstated. Then the patient shared that she wrote a grievance letter and still plans to submit it for the Program Director to review. Furthermore, this

Pt. called this writer to report that he no longer wanted to be in the program. Pt. asked if he needs to sign a Voluntary Request for Termination. Pt. reported that he is going to stop by the clinic to pay his tx services fees. Pt. stated, "I am done wit methadone. I'll go there tomorrow and pay my bill in full." Counselor told that he needs to talk to the head nurse and to sign the AMA Detoxification Agreement tomorrow, Saturday 2/25/17. After discussing this issue with him, he still insisted that he did not want to be in the program and he wants to sign the AMA Detoxification Agreement

D-The patient arrived on time for her appointment and this writer apologized for meeting with the patient late as this writer was meeting with another patient prior, which interefere with this patient appointment time. The patient was clearly understanding and waited patiently. Reports stable on her dose. Denies cravings/withdrawals. However, the patient is still actively using and reported, it has nothing to do with withdrawals or cravings. The patient is unable to provide a proper reason for her use, besides shrugging her shoulder as she says, " i do not know why." Patient last used was yesterday, cocaine- $40 worth. The patient then reported, she only uses cocaine less then once a month. This writer addressed alternatives.

D- This writer met with the patient about his request for a change of counselor. According to the patient, he reported that his assigned counselor, Cherron does not make himself available for schedule appointment or even at the exact time of the appointment as the patient tends to wait for a quite some time. In the beginning, as per patient, his assigned counselor was punctual but everything has changed since the patient made a compliant against the counselor for not informing the patient about the need to validate his Rx Scripts and the severity of the matter to avoid entering a detox treatment. Since then, the patient feels that his relationship with his counselor has changed and feels that Cherron tactics appeared to be vengenaceful whereas

D-The patient requested to see this writer, at which this writer agreed. The patient appears worrisome. The patient asked for assistance by this writer to help fill out an application for the probate court to file a custody petition for her grandson. This writer asked the patient if she had asked her DCF worker for help and the patient response was yes. The patient inform this writer that her DCF worker does not help her with anything or even have the answers to her questions regarding to her grandson care. This writer agreed to help the patient as much as possible and struggling urges the patient to have someone at the Probate Court to view the application to file a petition. The patient asked questions to this writer about receving financial assistance for her grandson since the patient needs help with the child basic needs. The patient been using her benefits from the state to care the child and is only

Primary Counselor met with Pt. for his one hour monthly individual session. Pt. showed up late to this session. Counselor greeted him and asked him how he has been since last session. Pt. reported to be busy at work and he requested to reschedule this therapy session for tomorrow, 1/31/17. Counselor discussed why therapy is important for his recovery and encouraged him to don’t reschedule the session for tomorrow when he can do it today. Counselor stated, “Counseling is one of the keys to reaching his goals.” Pt. agreed to stay for the session, but this writer encouraged him to receive his dose of methadone before starting the session. After 5 minutes, Pt. returned to the office and agreed to sign his Record of Services sheet. Pt. stated that

A patient arrives at the doctor office looking to find a solution for the symptoms they have been experiencing. However, one they are called to an operatory the doctor sends in a medical student to receive current and past medical history and wrote it on a post it note. Not to mention the doctor only stayed in the room a few minutes. Then, informed the patient they would receive a call once he/she corresponded with their previous doctor, but the patient never received a call and they called and told the doctor would contact them once off of vacation. So lastly she wrote a letter to the office expressing concern yet again requesting a call that she never received.

Since, I am going to start working as the Account Manager Starting July 11, I would like to take the chance send you a projected schedule for the week of the 7/11-7/17. I have strategically moved around a couple of officers, such as Tatiana Kania, she will be my successor and be moving to the Monday- Friday slot as a Shift Supervisor. Just to provide some insight on Tatiana, she was standing as a 3rd shift supervisor while Ana Penaloza was out on leave a month ago. She did a very great job and I feel confident in her ability as the second shift Supervisor. Another change that I wanted to make to the staff was, moving Steven Gibbs to 2nd Shift Weekend Supervisor. Steven Gibbs has been struggling a little in the pasted month with over-escalating

I like the dynamic my supervisor offers to this experience. I feel like she has genuine care for the interns and wants us to exceed. My supervisor gives wise incites on how to do visits that is helping me become a better pastor. She has helped me slow down and think critically about my own assumptions and intentions as I enter into a room or conversation with a patient. I feel like I still have so much to learn a lot from her but wished she would have pushed me harder.

D-The patient was placed HOLD to address her no show for the cocaine and yesterday AWOL. According to the patient, she was bit by a spider and did not seek medical attention immediately as she self reported about taking care of the bite on her own on Monday. This writer addressed with the patient about the problematic issue of her AWOLs and not being compliant with attending group. Please note, this writer reminded the patient about her discharge being overturned and the patient must meet her clinical recommendations. Failure to do will lead to another intent discharge. In addition, the patient did not validate her prozac; however, the patient searched in her purse and had the Rx Scripts, but forgot to give it to Nursing. The patient complained about her med cab services; however, the patient is responsible for making such arrangement.

After completing the self-assessment for module #2, I was a bit surprised to discover I scored 40% in directive supervision and 40% in nondirective supervision. Before completing this assessment I thought for sure I would score higher in collaborative supervision. However, after learning more about Glickman’s supervisory approaches, I quickly realized that my definition of collaborative supervision was not accurate. I thought collaborative supervision was one size fits all. I believed teachers needed and wanted reflective problem solving with the goal of working together to figure out a solution. What I didn’t take into consideration is where the teacher was in their personal and professional development. It makes sense to me now how collaborative