Uncontrolled Disorders Case Study

Mental Health Update: Client was diagnosed with Clinical Depression and client reported she wasn’t attending her mental health counseling at BATF (“Bridging Access to Care”).

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

On Tuesday March 8th, 2016 Case Conference with Resident Ebony Rice #325 has been conducted with Janette Chirico from DHS , Program Director Felicita Rivera, Housing Program Supervisor Zenobia Garland and Senior Case Manager Ms. Arias. The purpose of this meeting was to address client noncompliance and to come with an exit strategy for this Ms. Rice. Client was asked the reason for her missing ILP meetings and her barrier to obtain permanent housing. Client has a LINCH voucher for the amount of $1515. Client stated that she hasn’t receives any help from facility staff so she is searching for apartment on her own. Ms. Rice has been receiving assistance by the onsite housing department but unfortunately she has been able to link to an apartment

Social Services: On 12/08/2016, client Lissy Figueroa met with assigned Case Manager Ms. Gilgen for Intake Assessment and Initial Independent Living Plan (ILP). Client is 21 years Hispanic female. Client has a 3 year old son named Maxwell. Case Manager asked client how and why she became homeless. Client stated that she was

Meeting: During intake client was informed and explained the Rules and Regulations of the facility. Case Manager also reviewed orientation packet with client. Client agreed with all rules, signed forms and was issued a copy of all documents signed. Client was informed that she is to comply with the following: Client must meet with assigned Case Manager on a weekly basis. Client must refrain from committing acts which endanger the health or safety of others or that substantially and repeatedly interfere with the orderly operation of the facility, including

SOCIAL SUPPORT UPDATE: Client reported she wasn’t feeling well. She has bronchitis and takes prescribed medication. CM inquires if the client got in touch with her children and sister. Client replies “her children live in Florida and she doesn’t know the whereabouts of her sister. She also reported no community support.

Social Services Meeting: On 03/01/2017, Ms. Hawkins and her daughter Emoni met with her assigned Case Manager for the family ILP Document Review. Ms. Hawkins’ next ILP Document Review appointment is on 03/14/2017. Ms. Hawkins is in-compliance with the terms of her ILP. Ms. Hawkins was reminded that she is expected to attend all scheduled meetings with assigned Case Manager and failed to do it would considered non-compliance and warning will be issued. Ms. Hawkins stated that she is aware. Case Manager asked Ms. Hawkins if there are any issues or concerns that she will like to discuss, Ms. Hawkins stated no.

One of the policy/procedures that I believe can be changed to provide a better service to the clients is providing excellent accommodations. Social workers are

Education: Client provides her children report cards and but she must provide children school letter during the next ILP meeting.

On 11/06/2015 Ms. Tameca Chandler came to the SSO to meet with CM Watterson for an ILP meeting. HS De La Torre approach client to ask her if it is possible to stay extra half an hour in order to develop a Housing Plan and discuss barriers, housing opportunities to transition into permanent housing. Client agreed to stay to discuss a housing plan.

Probationer Action Item A to Meet Goal 4: Since the client does not have a job right now, it means that he can associate with his roommates because they will no longer have opposite schedules. The client should extend an invite to his roommates to go get food or something similar so that they can all actually have a chance to get to know each other and establish potential friendships.

Brian will continue to be counseled when he becomes angry or frustrated. Staff will continue to encourage Brian to talk to staff when frustrated instead of yelling out or cursing. It was important for Brian to continue to receive support on managing his feelings and preventing trespassing. Staff will continue to monitor and make sure his roommates' door is locked/closed to prevent trespassing. Brian will be supported with returning items if possessions are

Terry noted he had a seizure last week. Terry noted he when to the DR. Wanda notes there was not medaction change. Terry has a follow up appointent with the DR. next month.Progress is not made becasue Terry had a seizure

There should be visible links between intervention, residential treatment and IOP plus peer support through 12-step meetings and sponsorship or otherwise?

One of the patients on the caseload is N.C. who is a stroke patient that was placed in rehab by the courts. She became a word of the state when she was removed from her son care because of neglect. Since she arrived at rehab Mrs. N.C. is extremely emotional, depressed, and impulsive. She has aphasia but communicate with nodding her head yes or no. She is able to say short phases but her verbal communication is very limited. Due to her being impulsive she gets out of bed or wheelchair without any assistance to go to the restroom and has fallen. The goal she has is for transfers and her R UE to decrease the chance of contracture. Her short term goals are- 1 Pt will complete all functional transfers with CGA for safety. 2 Pt will increase