Emotional Wellness Plan

Upon establishing a therapeutic alliance and building rapport, Adam was insightful in identifying treatment goals for therapy. Stressing the recovery model, Adam and I, were determine to set reachable goals that were attainable during short-term therapy consisting of 12, one hour, weekly sessions.

Behavior: Reyna behavior has improved from the initial date of placement. Youth became very proud when achieving her goals. Reyna completed his goals of complying with rules of the home and school on a daily basis, express her frustrations in an appropriate manner and have bi-weekly visits with bio-family. Youth learned various ways to cope and express her feelings at individual therapy and SAFY clinicians.

Discussion: Mr.Spooner reported that Jeffery is doing well at school, home and in the community. He reported that his neurologist discontinued Zolpidem and decrease Trileptal. Mr.Spooner informed the team that Jeffery's mother is back in his life and he deemed it helpful. Jeffrey will continue to attend Neshaminy High School in Pennsylvania and the ESY for summer. Mr.Spooner stated that the teachers have recommended that Jeffrey continues at Neshaminy High school in September as well. Mr. Spooner will make a decision by August if Jeffrey will reside in NJ or Pennsylvania.

Discussion: Ms. Roger reported that Corey's Medicaid hasn't been reinstated, as a result, his therapy and all medical appointment is on hold. She stated that Corey has enough medication and is not at risk of running out. Ms. Roger expressed concern with Corey's Maladaptive behavior (substance Abuse), truancy and medication refusal. She asserted that Corey's addiction to this substance is affecting him significantly. Corey denied it, purported that he's not addicted to it but uses it as a coping mechanism. Corey stated that he's been absent multiple times from school because he's lethargic in the AM. Ms. Rogers indicated that his Maladaptive behavior is contributing to it. Ms (Family growth) informed Corey about their Substance abuse program

He has also been displaying less activity lately. He just doesn’t seem to have the energy. He is not the sweet, sociable, enthusiastic child they are used to. The doctor comments that he had noticed that Nick did not seem as alert and cheerful as he had on previous visits.

Plans: BHH-HWE will continue to provide health and wellness support for Dylan and family. The next

Plan: MHP will request for a level increase, provide Clarence’s DSS worker and update from the meeting and discuss additional resources for Clarence.

Discussion: Keondre reported that he's in good health, taking his medications as prescribed and no asthma flare up. Keondre is doing well academically as confirmed by his guidance counselor. He reported that his relationship/ communication with his Aunt (LG) has improved.

Discussion: The team converged at Gregory Elementary school to participate in Donte's IEP meeting. The school counselor was not aware or forgot about the meeting which they scheduled . The meeting was rescheduled for Thursday 06/15/17 at 10 am. Tammy expressed frustration with school inability to communicate effectively. Tammy reported that Donte is behaving appropriately at home and in school. She informed the team that Donte's Risperdal was D/c'd because of insatiable appetite, and significant weight gain.

Action: MHS report Liam is doing well. Liam is active in the home and community. MHS and MHP discuss the accuracy of the medication logs and medication changes made by the MUSC Foster Care Support Clinic. Liam was walking around the home playing with toys and interacting with MHS. Liam was in a onesie and clean. MHS explain Liam will receive another haircut soon.

Discussion: Nasire reported that he is behaving appropriately in school and doing well academically. Nasire appeared to be in good health and reported that he doesn't have any health concerns.

My-Kayla responded well to the intervention. My-Kayla continues to make progress towards her goals. My-Kayla stated, having to talk inform other people, school work, expecting too much from self, having to change school or move to another home, and having too much thing to do at once. My-Kayla stated, Headaches, overwhelmed, not motivated, sleeping a lot, wanting to be alone and difficulty concentrating. My-Kayla stated, overwhelmed, frustrated, stay to self, irritated, confused, and board. My-Kayla completed the worksheet. My-Kayla responded sometime and it depends on her mood. My-Kayla stated, she kept to herself and journal her thoughts. My-Kayla stated, frustrated, alone, pain, fed-up, angry anxious and depress. My-Kayla stated, ride her

The number of men in shelters compared to women initially seems counter intuitive to me as well! I agree with you that mental health is an issue that is particularly important for the homeless population . Having food and shelter may not effectively help people get back on their feed without the proper emotional rehabilitation and mental help. Good news is that the expansion of Medicaid indirectly addressed mental wellness by including it under the necessary treatment policy. We might see the overall wellness of the hopeless improve as a result.

Based on the analysis in 2003 to 2004 shows it needs some needs of improvement. Step three discusses there are a few things the staff needs to focus on in order to improve emotional support. One way is to revise some of the guidelines and responsibilities in the nursing staff. They wanted to also increase rounds the nurses have in order to improve emotional support. Volunteering is another way to improve because there is more care for the patient. The hospital wanted to ensure some improvement by making some changes to the CAHPS survey. There have been some added questions to the survey to make it better. There were also new action plans to improve nursing such as shifts. They believe that emotional support is the top priority and can be improved

PLAN: I discussed with him again, the need for therapy and how he is likely to lose