Case Study: D-Met With The Patient Upon Request

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

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-Met with the patient to address a fax from DCF request of the patient records. The patient immediately said, " Don't send this shit. I cannot stand that worker.....I was in court the other day and I am tired of this and this worker always in my business." The writer explained to the patient that should he continue to refuse to sign an ROI, it may hurt his reunification with his son as the patient detailed to this writer about how DCF got involved in his life ( According to the patient, he was intoxicated when visiting his son and a case was called against him and the child's mother). The patient made it clear to the writer that he has no desires to signed an ROI for DCF and for the clinic to ignore DCF request.

D-Met with the patient to discuss her Aruba trips. This writer advised the patient that this writer is making contact with some staff members at the hospital, but was unable to speak to someone from the psychiatry department due to the hours as there is a 2 hour difference. The patient appeared to cheerful to learn that this writer is moving her host application forward. According to the patient, she apologized about her behavior yesterday and says, " Bobby was on me like why your counselor is not doing anything. My counselor did this and that.....it's frustrate me." This writer informed the patient that this clinic did not ignore her request whereas this writer was aware of it a month ago, but there was barriers to the patient dose as she

D-The patient arrived on time for her scheduled appointment to meet with this writer. The patient reports she is stable at her current dose and haven't used any illicit drugs. The patient reports that she is currently prescribed with Xanax and her psychatrist hasn't lower her dose with Xanax because of the patient's panic attack. The patient reports she is still engaging in therapy and is willing to bring in a letter to address her progress and attendance with treatment to assist with the take home bottle application.

D-Met the patient. Please note the patient had dose early during the day and attended the cocaine group. The patient updated this writer on the suggestion she was dealing with yesterday with her new relationship and thank this writer for the advice. She says, " Man, everything is good now...I am good, Charlene." She then discussed her experience at the cocaine group whereas she described it as "okay." She dislike the fact that a patient in the group was making comments about her appearance, but according to the patient she handled the situation well without having an outburst, she only feels that the facilitator could have intervene when the other patient was being disrespectful, but overall the group was "okay" as the patient reported. The

Objective A: After 5/2/17, the consumer has missed two appointments with outpatient therapy. The consumer has stated that he wanted to hang out with his friends at the barber shop in lieu of going to his outpatient appointment with the MHSS. The MHSS has discussed the importance of outpatient therapy with the consumer and the consumer acknowledges that he needs outpatient therapy but he refuses to go or makes excuses not to go. Objective B: The consumer and the MHSS reviewed the consumer’s appointments with outpatient therapy and a PCP check up. The consumer was able to review the paper work for the PCP (Dr. Chinnery of Divine Health Group) however he declined help from the MHSS in reviewing the intake packet. The consumer stated that

D-The patient arrived on time for her appointment. AWOL yesterday due to her intake process at the Hartford Behavioral Health, which started at 9:30am, but ended at 12pm. This writer had the patient called the clinic for confirmation that she did in fact conduct the intake and is currently scheduled for counseling session with Josh Cohen on 07/01/2016 at 1:30pm. The patient is upset about not being able to get dose increase, even though it was approved to increase her dose by 5mgs due to her recent AWOL status. This writer advised the patient that she can received the dose increase within 3 days, but cannot receive no further AWOLs. This writer provided positive feedback to the patient about conducting her intake and asked about she felt

Patient is 52 year male with diagnosed with Schizoaffective disorder, Type 2 diabetes mellitus, Generalized anxiety, Gastro-esophageal reflux Constipation, Alert orient X 3, was and cooperative during SN visit. Denied SI, HI, V/H, A/H, self harm behavior and contracted for safety. Mood/affect flat. pt has poor family dynamic , a family that have not been supporting him. pt has been under CHD for financial managements. and A better life home care with his which provide him with daily skilled visit in provided daily assessments of patient vital signs, medication administration/management (assessing compliance of pre-poured medication), assessing patient’s mood, mental status, coping skills as well as safety which has in turn kept the patient out of any possible hospitalization this period. Patient continue on clozaril which requires to be carefully administered and monitored if any side effect.patient is also continue on Vistaril Oral 25 MG 1 Cap(s) by mouth twice daily AM & PM as needed for anxiety which he requires daily d/t being

D-The patient arrived on time for his session. Reports stable on his dose and wants to continue with voluntary taper. The patient located a home in Enfield, CT for $92,000 and is waiting to hear from the bank. The patient discussed the goals for the home renovation. This writer congratulate the patient on locating a home of his liking. Furthermore, the patient report work is busy and nothing really much change. During the course of the session. this writer discussed the patient's next step to his recovery process as the patient wants to do a blind taper. This writer reviewed the patient's recent tx plan and then proceed to discussed his goals. According to the patient, if he was to lose his employment, it will be a major impact whereas

The writer met with the consumer to complete his treatment plan. The consumer denied any suicidal or homicidal ideation. The consumer states he is no longer in crisis and his next pyshc doctor appointment is schedule for 9/1/16. The consumer does see his doctor once a month and is not in any day program at this time. When ask if he want to attend day program the consumer states no because they do not do anything he would rather stay

D-The patient arrived on time to attend the Women's Group. This writer advised the patient that the group session was cancelled due to low attendance; however, the patient agreed to meet with this writer for a 1:1 to get credit for attendance, This writer informed the patient about what to expect pertaining to topics of what will be discussed and then asked the patient about her expectation of the group session. Furthermore, this writer addressed with the patient about last week session regarding to patient #2570 comment. When asked by this writer as to how often she sees patient #2570, the patient response was, " Well, I am not trying to get anyone in trouble, but she drinks occasionally.....probably would have one to drink during special

On October 22nd, I attended a meeting with Ms. Dewald. In this meeting, it was composed of managers from the emergency room, med-surgical, medicine, and psychiatric unit. The focus of this meeting was a patient who came to the emergency room, got admitted to the medical floor because of his symptoms. Once in the medical floor the patient got very aggressive, and was a threat to himself and the staff. One doctor happened to recognize the patient, this doctor knew that the patient had psychiatric problems so he informed the other doctors and the staff who did not know about his psychiatric problems. This was the reason the patient got so aggressive was because he did not take his psychiatric medications. In the meeting they tried to come up

The three important points addressed and enlisted in this video was first the beginning process of greet a patient, set up a Patient agenda, and Patient Centered skills. Secondly the, (Doctor – Centered Skills). Followed, lastly the Physical Exam & Education process. The Beginning portion, Mr. DRRs. Fortin exclaims that the physicians will greet the patient and take full analysis of patient record and history background and also question the patient status on the symptom of the patient’s diseases. Consequently speaking, the physician will try to build rapport with the patient and sympathies with the patient illness of disease and will care for patient by shows feelings of compassion and consideration towards patient’s health. Moreover the

The patient was seen outside with a shopping cart filled with bottles and searching the employee parking lot for bottles. The patient appeared disheveled, disoriented, and saddened. The patient informed this writer that she was search for bottles in exchange for money to go home. According to the patient, her fiancé' did not provide her with any form of transportation as the patient then reports that she has to take four buses to get from Meriden to Hartford and walked two hours to the clinic. Please note, the Program Director and Patient Care Monitor, B.J. was present. The Program Director addresses with the patient of getting herself hurt by looking through the dirt as the ground have been sprayed for rodents and potential harm of glass. This writer and the Program Director encourage the patient to come inside of the clinic as it appeared to be chilling outside and the patient did not have the proper garment to keep herself warm. Eventually the patient agreed and this writer assessed the patient well-being. Please note, the clinic offered the patient a cup of coffee and a food as the patient express to this writer about not having nothing to eat all day. During this writer encounter with this writer, the patient and fiancé' relationship is toxic as the patient continues to be verbally and emotionally