Uncontrolled Disorders Case Study

On Tuesday March 8th, 2016 Case Conference with Resident Ebony Rice #325 has been conducted with Janette Chirico from DHS , Program Director Felicita Rivera, Housing Program Supervisor Zenobia Garland and Senior Case Manager Ms. Arias. The purpose of this meeting was to address client noncompliance and to come with an exit strategy for this Ms. Rice. Client was asked the reason for her missing ILP meetings and her barrier to obtain permanent housing. Client has a LINCH voucher for the amount of $1515. Client stated that she hasn’t receives any help from facility staff so she is searching for apartment on her own. Ms. Rice has been receiving assistance by the onsite housing department but unfortunately she has been able to link to an apartment

Client stated that she understands. Case Manager also explained to client that once she becomes eligible she will be expected to obtain permanent housing by 08/2017. Client stated that she understands.

The client met with counselor to complete his Exit plan. The client reported that he will be going to his mother house when he graduates the program. However the client wanted to go to sober living but all of them where full and had a waiting list. Moreover the client will be going with his counselor tomorrow for an assessment to see if he be placed in the King of Kings program.

The writer help the consumer to complete intake paperwork at Northeast Guidance Center the consumer is a DD and does have problem with reading, and writing. The consumer report during his assessment that he would like to have income, go back to WCCC and have a place of his own. The consumer also states that his mother was murdered when he was young and he live with his aunt whom he call mom and his cousin who often time treat him mean. The consumer is also unable to get around catching the bus because he does have problem reading. The consumer next appointment for his treatment plan is schedule on 01/03/16 at 9:00am. The consumer health insurance has expired so he is unable to get transportation to his appointment. The writer will assist the

Housing Update: client NY NY I, II was approved. Client is waiting for DHS manifest to tour apartment. Another alternative housing is MRT once client SSI is approved. Client also mentioned she signed up with Brightpoint Health Home Health Services since 5/9/2015, Client report she will like to sign up with CAMBA/Home Health and she provided BrightPoint Home Health approval letter for CM to submit to CAMBA/Home Health Coordinator. Client is waiting for her coordinator at Brightpoint to return from vacation to close her case, so that she can sign up with CAMBA/Home Health

On 2/11/2016, CM met with the client for Bi-Weekly ILP Review. Client appears to be cooperative and friendly. She was alert, satisfactorily groomed, and casually dressed. She was very loquacious.

Client is a possible 2010E, CM will update client psychosocial evaluation and re-submit housing package to PACT. Psychosocial will be initiated on 8/6/2015.

Meeting: During intake client was informed and explained the Rules and Regulations of the facility. Case Manager also reviewed orientation packet with client. Client agreed with all rules, signed forms and was issued a copy of all documents signed. Client was informed that she is to comply with the following: Client must meet with assigned Case Manager on a weekly basis. Client must refrain from committing acts which endanger the health or safety of others or that substantially and repeatedly interfere with the orderly operation of the facility, including

Social Services Meeting: On 03/01/2017, Ms. Hawkins and her daughter Emoni met with her assigned Case Manager for the family ILP Document Review. Ms. Hawkins’ next ILP Document Review appointment is on 03/14/2017. Ms. Hawkins is in-compliance with the terms of her ILP. Ms. Hawkins was reminded that she is expected to attend all scheduled meetings with assigned Case Manager and failed to do it would considered non-compliance and warning will be issued. Ms. Hawkins stated that she is aware. Case Manager asked Ms. Hawkins if there are any issues or concerns that she will like to discuss, Ms. Hawkins stated no.

On 6/30/2015, client attended to her ILP meeting with her youngest son Keury. Child was well dress for the weather. Cm observed child very anxiety and he was telling client that he wanted to go to his unit because wanted to watch cartoon.

Brian will continue to be counseled when he becomes angry or frustrated. Staff will continue to encourage Brian to talk to staff when frustrated instead of yelling out or cursing. It was important for Brian to continue to receive support on managing his feelings and preventing trespassing. Staff will continue to monitor and make sure his roommates' door is locked/closed to prevent trespassing. Brian will be supported with returning items if possessions are

CM reviewed the Other ILP Review. Client agreed and signed ILP. Next schedule appointment 12/27/2016

Probationer Action Item A to Meet Goal 4: Since the client does not have a job right now, it means that he can associate with his roommates because they will no longer have opposite schedules. The client should extend an invite to his roommates to go get food or something similar so that they can all actually have a chance to get to know each other and establish potential friendships.

One of the patients on the caseload is N.C. who is a stroke patient that was placed in rehab by the courts. She became a word of the state when she was removed from her son care because of neglect. Since she arrived at rehab Mrs. N.C. is extremely emotional, depressed, and impulsive. She has aphasia but communicate with nodding her head yes or no. She is able to say short phases but her verbal communication is very limited. Due to her being impulsive she gets out of bed or wheelchair without any assistance to go to the restroom and has fallen. The goal she has is for transfers and her R UE to decrease the chance of contracture. Her short term goals are- 1 Pt will complete all functional transfers with CGA for safety. 2 Pt will increase

There should be visible links between intervention, residential treatment and IOP plus peer support through 12-step meetings and sponsorship or otherwise?