Weekly Ilp Case Study

RESOURCE UPDATE: Client continues to report last week she went to Center 37 and she was told that her Center is now 066. Client was upset that she was transfer to another shelter. As per the client she will lose her Linc V if she is transferred to Center 66. CM tries to explain to the client HRA transfer many clients because Center 37 is overcrowded. Client reported she requested for her case to be closed. Client continues to report she spoke with HRA Rep Ms. Perez who requested for the client to put her request in writing. Client stated she did put her request in writing to have her case closed from center 66. Then the client provided this worker with copy

Claire: 33 year old female lives with sister and second cousin. client was terminated from last job for

Client reported to CM she has a new granddaughter and tomorrow she will be spending the day with her. Client report no community support. CM enrolled the client to Adult Recreation Center.

On 9/15/2016, CM met with the client for Bi-Weekly ILP Review. Client was dressed appropriately for the weather. She was well groomed. As usual client in the meeting was loquacious, and loud. Client continues to be hostile towards this worker. Client continues to repeat to this worker as quote: "I am not mad with you, and this has nothing to do with you. It's all about DHS and your supervisor." Client was hostile due to an Authorization of Release Form client signed for staff to contact her therapist Dr. Iris Yankelevich for a copy of the client psychosocial and psychiatrist evaluations. Client continues to report that she didn’t signed the Authorization of Release Form because the form stated that the form is for HRA 2010e and she doesn’t know how many time she need to repeat herself that she doesn’t meet the ‘CRITERAI FOR SRO”. CM tries to explain to the client that staff is requesting a copy of her psychosocial and psychiatrist evaluation, but then client continue to talk over CM and threat to contact the Coalition and DHS. Client continues to set in her way and refuses to work with staff to meet her unmet needs. CM observed that the client walk with a book bags and a small shopping cart. Client reported she walk with all her documents and letters from Adult Protective Services & Social Security Administration stating that she is capable of living independently.

Childcare: Case Manager asked client if she has childcare in place for her child. Client stated yes. Client stated that a friend of her was providing childcare services for her while she was working. Client provided childcare provider name and phone number.

Hair is expected to submit medical document for her and her child by 02/2017. Ms. Hair failed to submit updated medical documentation. Case Manager reminded Ms. Hair if she failed to submit the document required on her next meeting it would be considered non-compliance and a warning for non-compliance will be issued. Ms. Hair stated that she was aware.

Client reported she is employed part time as a Tutor at PAL, but client failed to submit any employment

Client Rights and Client Code of Conduct Violations & Facility Rules Violations: Client continues to be compliant with the shelter rules and

CM was out on vacation for the period of 11/25/2016 to 12/12/2016. Client was scheduled to meet with CM on 12/13/2016, to complete Bi-Weekly ILP Review. Client was no show. CM inquire the reason client was no show. Client replies “she wasn’t feeling well and she went to LIJ Emergency Room. On 12/15/2016, CM met with the client to complete Bi-Weekly ILP Review. Client was dressed with proper attire for the weather. She was well-mannered and groomed. In the meeting client appears to be cooperative

CM was out for the period of 5/22/2015 to 6/9/2015. On 6/11/2015, CM met with the client and completed Bi-Weekly ILP Review. Client arrived early for the meeting. She was dressed appropriately for the weather. She appears to be friendly and cooperative. In the meeting the client was very talkative. She mentioned to CM her niece gave birth to a baby girl and she can wait to see the baby. She also mentioned to spoke with her sons last night and everything is well with her family. CM inquires if client participate in the onsite Recreation Activities. Client reported she doesn’t participate in the some of the activities. She prefers to go to Bread of Life for food and socialization.

Ms. Sneed has been employed at International Marine Industrial Applications for over five years. Her hours vary weekly and she can work 40 to 70 hours per week. Sometimes she works seven days a week. She is paid $15.75 per hour. Ms. Sneed has also been awarded child support in the amount of $533.00 per month, but Mr. Sneed is reportedly inconsistent in payments. Ms. Sneed is able to pay for health insurance for herself and both her sons. She has reported she considers her economic situation to be very comfortable.” The family appears to be able to pay for possible services the court may order.

Client came into social service after receiving a SUS appointment slip left at the front desk by CM 10/3/17 to meet on 10/5/17 at 4pm. Client stated she only had a few minutes to talk because she had to cook dinner. Client informed CM her PA account was closed and she replied once again. Client also reports she has to visit Connecticut, PA office for a letter stating her PA case is closed in that state. Client informed her CM all documents requested will be submitted within a weeks’ time. Client reports two of her four daughters Selah McKenzie and Olivia Lue have a doctor appointment tomorrow October, 5, 2017. The other two daughters, Trinity and Nyan McKenzie have appointments next week Tuesday on October 10,

Smith in her home. Ms. Smith was in good spirits and her children were still asleep. She was informed that she needed to bring in a copy of her updated I.D. or Driver’s License. Ms. Smith agreed to have a copy of her I.D. prepared for the next HV. She was asked by the Housing Specialist if she had any goals that she was ready to work on. Ms. Smith stated that she was ready to take her GED test, but wasn’t able to pay for the test due to having limited funds. The client was told that the Case Manger would find out if the agency had funds to pay for her GED test. After the discussion the client was informed about the Home Visit form that needs to be signed by her at the end of the visit for PSH (Permanent Supportive Housing). The Housing Specialist completed a tour of her home and her home was immaculate. All utilities were on and functioning. There were no needed home repairs and no record of destruction of the property. The visited went

I have worked many years with people who had LBP in the past. Some of them had chronic LBP, and these groups of patients were difficult and challenging, because there were so many things that affected the dysfunction and disability. I remember that among my colleagues, nobody wanted to take the patients with CLBP. Back then, there also were many LBP who had to quit or change their job, daily life and activities. We, physical therapists, traditionally look at signs and symptoms, but systems need to take account of the fact that there are other factors too. For chronic patient, we need an integrated approach of sorting through the multiple layers of a personal presentation.

There is a lack of consensus about the domains that should be assessed and what assessment tools should be used [145]. The existing measurement tools may not cover all of the domains that are impacted by and relevant to the LBP condition. In this way, the patients may overestimate or underestimate their health status, which may affect the treatment decision. Furthermore, there is no single comprehensive measure to assess patients’ health outcomes. To comprehensively assess patients, multiple questionnaires are needed, and this consumes time for both patients and clinicians and introduces extra challenges, such as lack of coordinated efforts to collect and standardize the PRO instruments and analyse their results [33].