Thanksgiving Client Reflection

I: CM guided client through ISP goals. CM inquired about updates related to the client’s housing goals. CM used open ended questions to inquired about the client most recent drug use. CM reminded client that starting Monday the 2nd he would have to meet with CCM for weekly case management going forward. CM continued to assess for PTSD symptoms, substance abuse, and medication compliance.

Session 1: During this face to face session on 8/8/16, MHS addressed the following ADLs: Medication Monitoring, Community Involvement, and Functional Skills. MHS asked the client if he had taken his medication today. The client reported that he did take his medication. The client mood was cheerful and inviting. The stated he is still looking forward to working when he can. The client stated he gets bored sometimes just sitting at home. The client requested to be accompanied to the library. MHS praised the client in making progress for independent living (20 mins). MHS accompanied the client to the library to view educational videos on how to display appropriate social skills in the workplace (25 mins). MHS suggested visiting the library gives

Housing Update: client NY NY I, II was approved. Client is waiting for DHS manifest to tour apartment. Another alternative housing is MRT once client SSI is approved. Client also mentioned she signed up with Brightpoint Health Home Health Services since 5/9/2015, Client report she will like to sign up with CAMBA/Home Health and she provided BrightPoint Home Health approval letter for CM to submit to CAMBA/Home Health Coordinator. Client is waiting for her coordinator at Brightpoint to return from vacation to close her case, so that she can sign up with CAMBA/Home Health

Housing: Case Manager informed client that she must meet with assigned Housing Specialist on a weekly basis to discuss her housing opportunities.

On 1/5/2016, CM met with the client to complete Bi-Weekly ILP Review and housing plan. In the meeting client was cooperative and friendly. She was dressed appropriately for the weather.

On 7/15/2015, CM conducted a search via Security to locate client. Client was found sitting in the patio. Security asked the client to go upstairs to the 3rd floor to see social services. CM met with the client and completed Bi-Weekly ILP Review. In the meeting the client was well groomed and dressed appropriately for the weather. She appears to be calm, cooperative and friendly. CM inquires how client is doing since the last Bi-Weekly IlP. Client replies she is doing well and she is still waiting for DHS Manifest if she was approved or disapproved for the apartment” CM reiterates to the client as per P4P meeting on 7/9/2015, client was informed to be “open minded” and also there is a possibility she may not be accepted for the housing.

Client Mitza Cruz came to the SSO office to meet with CM Watterson and CMS Pimentel for a Case Conference due to family missing ILP meeting scheduled with CM. HS De La Torre took advantage of the opportunity and ask the client to stay in order to develop a Housing Plan. Ms. Cruz accepted and stayed for the Housing Plan.

Client and this CM was able to complete all three forms. Client stated to this CM working on Friday at 12PM to Monday at 12PM each week as home health aide in New Canaan for an 89-year-old women. Client expressed happiness to be employed. Client stated being homeless since June of 2016 when due to getting kicked out of father's household. Client stated needing help to get housed is the reason for requesting case management services. Client stated to this CM being kicked out of father's house was due to drug usages. Client is currently receiving $383 monthly from SNAP and make roughly $1890 monthly from job. Client stated to this CM utilizing the Day Street Clinic in Norwalk CT as a primary care provider. Client also stated to this CM receiving therapy from Rebecca at Day Street Clinic for pass history of trauma. Client stated to this CM being raped three years ago and have a history of sexual abuse. Client stated to this CM medical history contains heart murmur. Client currently is taking 500mg of trazadone nightly. Client is diagnosed with depression and bipolar disorder. Client stated to this CM having 8 children, 6 biological and 2 adopted. Client family history contains depression and high blood pressure. Client scored 8 on the CAGE Assessment and scored 15 on the Modified

I- CM inquired if client received a phone from LA Family Housing to schedule a CES assessment appointment. CM inquired if client visited the Bob Hope Patriotic Hall to fill out VA claims for service connected disabilities, and to start his “Veteran” California Driver’s License application process. CM informed client the procedures of referring him to dental. CM conducted a 90 day ISP with client. CM continued to inquire if client was interested in creating a savings plan. CM continued to assess client’s mental health and medication compliance

CM was out on vacation for the period of 8/15/2015 to 8/24/2015. On 8/26/2015, CM met with the client to complete Bi-Weekly ILP Review. Client arrived a few minutes late. She was dressed appropriately for the weather. She was well groomed. She was cooperative and friendly. She appeared in good health. CM inquires how client has been doing since the last Bi-Weekly ILP Review. Client reported she went to Tillary Women’s Shelter for her personal belongings; unfortunately she was unable to retrieve all of her personal belongings. She was asked to come back on 8/27/2015 Client reports no community support.

The primary therapist of the client contacted the client's parent over the phone to introduce himself as a primary therapist and make the first appointment for the first conjoint session. The client's mother agreed to meet with the therapist and the client over the phone for the first conjoint session on Monday, July 24th, 2017, at 04:00 pm. The mother checked with the therapist about the client as she reported that this is the first time he leave the house for a long time and she was anxious about his mood as she stated that he was depressed when he left the house.

On 7/15/2015, CM conducted a search via Security to locate client. Client was found sitting in the Cafeteria. Client was asked by Security to come upstairs to meet with her assigned CM met with the client and completed Bi-Weekly ILP Review update information concerning NY Psychotherapy Mental Counseling referrals. In the meeting client appears to be space out and worry. CM inquires was going on. Client replies; she need to secure permanent housing because this place is worn in her out. CM also mentioned to the client yesterday CM did a visual and client was located in the Cafeteria, CM asked client to come upstairs to Social Service Office to signed housing package, but client was no show. Client replies “she probably had a minor seizures attack because she doesn’t remember speaking with CM.” CM also inquires about the numerous referrals to NY Psychotherapy Mental Counseling for individual session to address client depression. Client reported she couldn’t attend the first scheduled appointment on 7/14/2015 because she had a HRA appointment scheduled the same day. (Client

The client and his counselor met for his face to face to discuss the progress that had been made on his last treatment plan. the client completed a part of the treatment plan he called his mother and invited her to the family meeting on Tuesday January 24th at 6:00, It is unknown if she show up to the meeting. His mother also stop the program to let staff know that he should be taking a medication called Risperdal . the client did not have a clear diagnoses, but his taking antidepressants, antipsychotic medications. The client is having trouble with attending and staying in group. the gets up and walk back and forth through the hall way and into the kitchen . The client was asked what the problem was the problem ? the client stated

HOUSING PLAN: client reported she is not open to SRO. Client psychosocial evaluation is not completed because client does not want to disclose any information to staff and she stated she prefer for her psychiatrist to do both psychiatric and psychosocial evaluation. She also mentioned a few days ago she submitted a letter from a psychiatrist stating she doesn’t have any mental disorder. Client met for a conference meeting and in the meeting it was mentioned to the client that the shelter need a more comprehensive psychiatric evaluation. It was also mentioned to the client is for housing purpose. Today in the meeting client was very combative and argumentative. She mentioned to CM she went on the DHS website and she doesn’t see the purpose or the reason of providing psychosocial & psychiatric evaluation.

Every year on the fourth Thursday of November, people in the United States and Canada will celebrate Thanksgiving. The most common reason why they celebrate Thanksgiving is because they see Thanksgiving as a year to reflect what they are thankful for and to spend time with family, friends, and loved ones. Therefore, on that day, families will prepare Thanksgiving feasts and some traditional foods include turkey, mashed potatoes, stuffing, pumpkin pie, sweet potatoes, corns, and etc. However, my family celebrates Thanksgiving slightly different from the American families. For example, based on my participant observation on how I celebrated Thanksgiving with my relatives this year, I noticed some of my relatives distinguished themselves