Kylee: A Case Study

On 02/11/2017 I was Dispatched to Smith Springs Elementary School for an investigation. A student Cire Kistner, was reported as being visibly distraught upon her arrival at school. She was taken to Lance Forman's office the schools principal and was questioned. The student reportedly told Forman that she and her sisters walked into the bathroom and witnessed their father, Eric Kistner, with a needle in his mouth and blood on his forehead. He was passed out on the floor. There was a spoon with "black watery play dough" on the counter. Principal Forman contacted DCS and informed them of the situation as well as MNPD. Metro P.D held the students at school, while also performing a welfare check on their father at the Kistner residence and calling

The claimant was admitted to Tennova Healthcare Lebanon from 5/17/2016 to 6/01/2016. On 5/16/2016, the claimant had some drinks and was not able to drive home. She was in a confused state and apparently her son drove her home. She was last seen about 1 o'clock in the morning and was put to bed. The claimant's mother tried to contact her in the morning, mid morning, and got no response. Her mother went to her house at about 1 in the afternoon and found her in the bathroom laying between the commode and the wall breathing but unconscious. The EMS was summoned and she was brought to the emergency room. She reportedly had taken several tablets of sedatives. In May 2 or 5, the claimant was given Valium 2 mg for some leg discomfort and muscle spasm.

CCIB Intake received a call from Melissa Sadikoff, MSW, LCSW from Orange Coast Memorial Medical Center who informed that a report was made by the reporting party regarding 1 year old Melanie Larmarre DOB: 5/17/11. The mother of Melanie informed the reporting party she had bathed her daughter approximately 5PM. During the bath the child indicated to her mother "it stings." The mother questioned the child asking "what hurts?" The mother had noticed blood on the tissue used by the child after using the restroom. The child indicated to her mother her vagina was hurting. The mother asked the child did something happen and the child disclosed that two other children Jackson and Penelope stuck a drumstick toy in her. The child was pointed to her vagina

On 09/23/2016 at approximately 12:00 AM, this Investigator made contact with Yago Krause (DOB: 01/27/00) at his home located at 4101 E. Baseline Rd. Apt. 1024 Gilbert, AZ. According to Yago, he has been home alone for the past 2 to 3 days since he mother was admitted to the hospital. Yago stated that he was at school when his friend Mason Hicks (DOB: 01-28-97) called him about his mother having an overdose. Yago stated that Mason started living in the home about one day prior to his mother 's overdose. Yago said that he asked hospital works what to do since he is by himself. Yago stated that his step father left just before his mother had an overdose. Yago brought this Investigator to a family friend 's home who also lived in the complex. Yago at first refused to go with DCS but cooperated. Yago stated she feels safe at home and with her mother. Yago denied any substance abuse, criminal history, domestic violence, physical abuse, sexual abuse, or emotional abuse. Since Yago 's mother is hospitalized, he was placed with a family friend.

According to former employee Stephone Else, medication aide, alleges she heard Ms. Lyles tell Phillip Yovonnie, LVN to “Take her to China” with Amara Anele, RN, and Lilian Foster, Medication aide present at 6:20-6:30am. Per the investigation, the date was identified as 1/23/18 and resident was Shirley Depino. According to the nurse Amara, she did not give any medications

Mr. Barnett, stated his son Edward was having an adverse reaction to medication prescribed to him for an infection. According to Mr. Barnett, Edward had been behaving erratically and even attempted to leave the residence naked. Mr. Barnett stated he and his wife were attempting to take Edward to the hospital to have evaluated by a medical physicians to possibly change his medication. Edward, however, would not cooperate and due to his past history of becoming violent Mr. and Mrs. Barnett felt is was safer to call police.

PER REPORTER: Mom attends drug court and they haven't had any problems with her since February 2015, up until recently. After mom had a baby, she had half of her bladder removed and got on pain medications. Mom said she took them twice on a particular day as prescribed. On October 17th, mom was positive for opiates. Mom said she had a prescription but the reporter didn't see it. Mom said she took lortab for the pain. Mom was also positive for methamphetamine. Mom said she went to the store and left Eli with her mother. Mom said she ran into a friend and used meth by either smoking, snorting, or shooting it up. To the reporter's knowledge, there are no drugs used around the child. Drugs are not being sold or manufactured out of the home to the

An adolescent named Savana Redding was in her math class when she was asked to go to the principal’s office. Redding was then question about the items in a planner which she stated did not belong to her. She was later questioned about the four white prescription-strength ibuprofen 400-mg pills and one over-the-counter blue naproxen 200-mg pill, all used for pain and inflammation but banned under school rules without advance permission. The principal asked Redding if she knew about the pills that were discovered and she answered no. The principal then disclosed to Redding that he was told that she was disbursing the pills to fellow students to which she denied. To prove her innocence she allowed the principal to search her belongings. The principal

After reviewing the relevant laws, it would appear that as a LPCC I would be bound by mandatory reporting laws. While Sherry’s drug use may not be endangering her child or constitute neglect, the fact that she has been in possession of an illegal substance while caring for her child would necessitate a report be made to child welfare agencies.

D- The patient arrived on time for her session and reports being stable on dose and haven't used any illicit drugs. This writer advised the patient that this writer was in fact in receipt of missed phone call about coming to the session at 10:30 am rather than 10 am due to her mother in the process of selling the house. This writer addressed with the patient about letter from CHR from her counselor, Jade Bray stating about the patient non-compliance with her appointment due transportation barrier. According to the patient, she is going through hardship as her mother is no longer taking her to her appointment as the patient says, " She's tired of bringing me everyone, Charlene. She complains about bringing me here and does not understand why I can't even get a bottle...:Like c'mon. What do I have to do?" This writer explained to the patient about TEAM decision, at which the patient disagree with the decision. This writer asked the patient about her "judgement." According to the patient, she feels she is making judgement by not engaging any further altercation with patient at the clinic, dosing daily, coming to her counseling session, and trying to get help from Chrysalis for

On February 22, 2016, I was assigned this case for follow up. I was assigned a second case on February 24, 2016. The person involved in both investigations is Ms. Kassidy Pullara a fourteen year old T.C. Williams High School student. I contacted Doris L. Stanley (Guardian) and was granted access at school to interview Kassidy Pullara in school.

B’s tolerance to opiates not considered, Mr. B.’s clinical situation not considered (i.e., Mr. B’s age and renal function), and knowledge deficit of opiates. Drilling down the data to identify the root cause of Mr. B’s death is the fifth step in conducting a RCA on Mr. B’s sentinel event. Upon analyzing the data, causative factors, and events leading to Mr. B’s sentinel event, the RCA team determined that the root cause of Mr. B’s death is a medication error. Mr. B was given an overdose of hydromorphone. The final step in a root cause analysis is to implement changes that will mitigate the root cause. Changes include educating the nursing staff about hydromorphone, such as side effects and adverse reactions,

mental training. young African-American girls be supplemented with "thorough training in the latest and best methods of laundrying and other kindred occupations". Biography

REPORTER: The reporter/ anonymous called with concerns for the four victims, Colton, and three unknown males. According to the reporter, Kelly is in Burnsville 4 nights a week. The reporter said, a couple of months ago, Kelly and Matthew (boyfriend) was in Corinth, MS stealing a trailer. Matthew was driving the car, and “he slung the baby out of the car seat onto the floorboard”. The reporter said Matthew took off running and called someone to pick him up. Kelly was passed out in the front seat, and she was arrested. The police department called Human Services to pick up the baby, and they called the grandmother to come and get the child. The reporter said Kelly is pregnant, and she is on meth, oxycontin, clonotin, and xanax, but Kelly is not

The use of heroin, cocaine, and other illicit drugs has become a public health concern especially during pregnancy. Maternal substance abuse has become an issue during the crack epidemic in the 1980’s; however, there is an alarm rate of infants born addicted to heroin. More than 3.7% women have indicated the uses some form of illicit drugs during their pregnancy, as well as 1.9 % reports binge drinking (Bhuvaneswar el at., 2008; Grant el at., 2009). With this in mind, more than 375,000 infants are born to maternal substance abusers each year costing over $100,000 in medical expenses covered by the state (Reitman, 2002).