Case Study: Social Services

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

CPSW did a home visit to meet with Ms. Berner and to discuss about her safety plan since the children are moving with her on10/29/16 from the foster provider. Ms. Berner was late for her appointment and CPSW waited a 40 minutes for Ms. Berner. Ms. Berner apologized for being late. CPSW explained Ms. About safety plan. Ms. Berner understood and she signed them. Ms. Berner stated that she will be doing a house arrest for two weeks and the recommendation of her criminal court is to obey law and continue taking her medication on time and seeing her therapist. Also, cooperating with her PO and CPSW. CPSW consulted with the supervisor and she has approved both children to move back with Ms. Berner. Goal 1-2

Frankie Tilmon continues to be out of treatment compliance. Frankie has missed his last four appointments, 7/2/15, 7/9/15, 7/16/15, and 7/30/15. Frankie contacted this provider on 7/6 to apologize for missing his appointment on 7/2 and was reminded of his next appointment on 7/9, which he agreed to attend. On 7/15 Frankie contacted this provider to apologize for missing his treatment appointment on 7/9 and agreed to make his appointment the following day, which he failed to appear for. On 7/16 Frankie contacted this provider to again apologize for missing his appointment and wanted to confirm his next scheduled appointment day/time. I told Frankie that his appointment day and time has not changed; it was on Thursdays at 4pm. Frankie told

Rules and Regulations/Curfew: Case Manager reminded Ms. Williams of the rules and regulations of the facility. Case Manager asked Ms. Williams if she was aware that she violated curfew on 0922/2016. Ms. Williams stated that she is aware of the curfew as well as the rules of the facility. Case Manager reminded Ms. Williams the facility’s 9pm curfew. Ms. Williams was also reminded that violating curfew is considered non-compliance. Ms. Williams stated that she was

Progress: The department referred Ms. Messerli rule 25 assessment at Tubman Chrysalis on 11/28/16. CPSW called the intake department on 11/28/16 to check the walk in schedules at Tubman. The intake worker reported to the CPSW that Ms. Messerli can do a walk in on 11/29/16 at 7am. Ms. Messerli signed a release form for the Department and stated that she will do the walk in and complete her rule 25 assessment at Tubman Chrysalis. The Department called the intake department on 12/1/16 to verify if Ms. Messerli's has completed her intake assessment at Tubman Chrysalis. The intake department reported to CPSW that Ms. Messerli did not complete rule 25 assessment and has not scheduled any future appointments with Tubman Chrysalis. The Department called

Daniel is a department of human services worker (DHS). Daniel is close friends with the Yinger family. While reviewing multiple applications at work for renewal of state aid. Daniel realizes the Yinger receives state aid. He determines the families of eight is making $50 over the maximum household monthly income. Daniel informs and questions Ms Yinger about exceeding the $50 dollar maximum household income. Ms Yinger becomes irate that Daniel was questioning the Yinger family, they are barely above the state guidelines. Ms Yinger asked the Daniel if it was fair to allow the family of eight to go without food or health insurance because the family exceeds the minimum household a lot of income by $50. Kindly, Ms Yinger questions and bribes Daniel, she will pay him $50 monthly cash to edit the household expenses and income. Ms Yinger knows that the $50 dollar cash is a smaller loss than the $800 SNAP and full coverage health insurance.

Williams the facility’s health and safety rules. Case Manager also reminded Ms. Williams that all children under the age of 2 are expected to sleep in their assigned crib. Ms. Williams stated that she was aware. Case Manager also reminded Ms. Williams that she is expected to continue maintaining her unit clean and organized. Ms. Williams was reminded that she is expected to respond all conducted fire drills. Ms. Williams was reminded that if she failed to comply with any health and safety rules she would be considered as non-compliance and a warning for non-compliance will be issued. Ms. Williams stated that she was aware. Ms. Williams maintains a clean and organized

Plan of action: Client must adhere to the 10pm curfew and to DHS Rules and Regulation. Client must participate in all scheduled meetings. Client must attend to all on-site and off-site medical appointments and provide medical documentations. Client must adhere to the saving contract. Client must provide updated information concerning her legal issue. CM reviewed the Bi-Weekly ILP. Client agreed and signed. Next Meeting is scheduled for

On 3/28/16 A Case conference has been conducted with Client Alexandra Almonte #119, along with HS Supervisor Ms. Garland, RS Supervisor Mr. Mitchell and Sr Case Manager Ms. Arias. The reason of this conference was as per client request due to a previous incident that occur on 3/15/16 that a smell of marijuana was coming out from Ms. Almonte unit, which she denied , stating that she did not some her unit and she refused to open her door at moment because she was in the shower. Ms. Almonte received a writer warning from her Case Manager Ms. Arias and that upset her therefore she request a conference with Ms. Arias supervisor. Client was informed by Ms. Garland that Ms. Arias follow protocol for this type of situation. Ms. Almonte understood and

CM reiterates the shelter rule and regulation and client must adhere to the shelter rule and regulation and to 10pm curfew.

POA Larry was irate and requesting to have Case Manager to contact him within 1-hr. Spoke to Kristin with Case Management and refused to speak to the family because of HIPPA and she does not know if son is really a POA. However, she had provided current status of patient transfer from hospital to SNF and relayed information to patient’s son. However, patient’s son still demanded to speak to Case Manager. Advised and apologized to patient’s son that no CM available to speak to him this weekend and will escalate his request on

Carla you did not meet expectations regarding documentation from Sept. thru Dec. 2016 and you had a total of 29 overdue cases during this time period. Carla when you do enter your case notes your documentation is organized and understandable in Case Compass. Carla, you have shown the ability to independently connect with collateral contacts and/or external stakeholders during an investigations and maintain working relationship with these contacts; however, your customer service skills could show some improvement as complaints have been received from families, community partners and other outside entities. You have an understanding of when it is appropriate to open a Protective Services case; you consult with your supervisor on a minimum of a monthly basis to address concerns or questions, review your caseload and to discuss significant issues. Carla I would like to see you show improvement in meeting the time frames for face to face and requesting postponements, delays and waiver of face to face visits

The patient was placed on hold due to his AWOL status. The patient provide an explanation stating he was not feeling well. This writer discussed with the patient about the importance of daily dosing and th erisk factor of missing a dose will put him at risk for a relapse, at which the patient agreed. The patient then reports he relapsed yesterday and used heroin, 10 bags by IV due to missing his dose. The patient signed a AWOL notice. Furthermore, the patient may consider going inpatient to further help with this relapse so that he can get clean. The patient is aware to notify this writer as soon as possible about his consideration of going inpatient. The patient has a court hearing on 03/07/2016 to address his DUI case.

REVIEW ILP AND CLIENT RIGHT AND CLIENT CODE OF CONDUCTE: Client is non-complaint with the shelter rule and regulation. CM reiterate the shelter rule and regulation and for the client to adhere to the 10pm

FS discussed with client’s doctor client’s behavior. FS explained it is unknown whether client’s medicine is beneficial because Quinton has been out of school, and there was an error on the clinic’s part, which led to Quinton going almost a week without medicine, something the staff place huge emphasis on. After checking Quinton client verbally and physically, the doctor said, he wouldn’t make any changes since Quinton had another appointment in less than a week, with the main doctor. FS explained it was absurd, to have client coming to the doctor back to back, and that the current visit seemed in vain, in which the doctor concurred. The doctor insists, mom bring her empty bottles, and the chart created on her behalf, to the next visit. The office social work visited, who delivered charts to describe client’s progress for school and home. Mom gave hers to the FS insisting that FS was client’s parent. The social worker asked client