CM normally meets with the client every Wednesday for scheduled meetings. CM inquires the reason client was no show on 7/20/2016, Client replies “she has a doctor appointment.” On 7/21/2016, CM met with the client to complete Bi-Weekly ILP Review. In the meeting
Client was alert, satisfactorily groomed, and casually dressed. She was very loquacious. She made eye contact appropriately. Client’s mood was in appropriate. She was oriented to person, place, time and situation. Client appears to have satisfactory fund of general knowledge for her situation. Client denied suicidal or homicidal ideation.
SOCIAL SUPPORT: CM was informed by other CM that the client came to the social service requested for other staff to input her late passes. CM
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She continues to report she applies at Bed Bath & Behind and an interview is scheduled for 8/5/2016. Client reported she was unable to submit any copy of pay stubs because she just started this work and she gets pays bi-weekly.
SAVING: Client reported she was unable to save any money this week due to changes in job.
LEGAL UPDATE: client continues to report ongoing lawsuit against Women's Shelter due to a shoulder injury she sustained while residing at the previous shelter. Client didn’t disclose any additional information.
MEDICAL UPDATE: Client continues to report shoulder, neck, and left arm pain, numbness. She also reported dizziness and sore finger. Client report she goes for pain management and Spine Specialist. Client also sees Neurology. She also reported last week she picks her a copy of the blood work and Vitamin D deficiency and everything is ok. Client reported Vitamin D deficiency is on the border line. SHE also reported follow up appointment with her PCP today and with the Spine doctor 8/5/2016 and Neurology 7/27/2016. Client reported no changes in medications.
MENTAL HEALTH UPDATE: Client continues to reports no mental health issues.
SUBSTANCE ABUSE UPDATE: Client continues to reports no substance abuse
Bourgeois notified of the decision to detain client for Grave Disability and was in agreement with client being placed for further psychiatric care. Dr. Bourgeois requested the name and contact information for help in facilitating client being transferred to an LPS designated facility, due to being unable to place him on multiple occasions. This writer contacted Supervisor Robin Boscarelli regarding this issue. It was decided that a member of the Treatment Team will be reaching out to the Hospital Unit Clerk, Gina later this morning. Dr. Bourgeois was in agreement with this plan. Client's Clinic to be notified via email of this Crisis
She sent in works to the Salon and they were accepted but received no comment. She then sent in...
J.P., a 58 year old female, presents to the Emergency Room on March 18th. She has a past medical history of cervical cancer, atheroembolism of the left lower extremity, fistula of the vagina, peripheral vascular disease, neuropathy, glaucoma, GERD, depression, hypertension, chronic kidney disease, and sickle cell anemia. She complains of right lower extremity pain accompanied by fatigue, a decreased appetite, increased work of breathing, burning urination, and decreased urine output for three days. Upon admission, a complete physical assessment was performed along with a blood and metabolic panel. The assessment revealed many positive and negative findings.
Diagnosing a patient with a personality disorders where often evaluations done by a clinician. The clinician would listen to the importance of interpersonal experiences and observing the patients behavior in a consulting room (Westen, 2001). This was normally done in one session, if the patient informed the clinician of harming himself. The clinician would diagnose the patient as a borderline personality disorders.
A visit note from Masahisa Amano, MD (Family Medicine), dated 11/03/2017, indicated that the claimant presented for a post ER follow-up visit with a sharp pain in the back radiating down to his right hip/leg. He stated that Ibuprofen and Cyclobenzaprine provided minimal relief. His blood pressure was 132/79. He was diagnosed with a back pain and abnormal liver function tests. A repeat of lab tests was recommended.
Mr. Allison, the client is a 28-year-old white male with long blonde hair. He is well groomed and have facial hair. He was dressed in a brown suit and tie. He had his hair in a ponytail. He just got off work and was in his uniform. He came with his ford car keys in his hand. Mr. Allison is a 28 years old white male. He looks his age and has an average height and weight. He looks calm and relax. He wore a refreshing perfume and looks very polished. He came from a loving family. His parents were married for over 30 years and never been divorced. He has one sibling named Mark, with whom he is very close. Mr. Allison has an associate degree in computer science and programming. He works as a sales lead in a European company. He was in several relationships but is currently single.
The physician will question the patient about any stressors she may be contending with at home or work prior to her entering the hospital. The physician will order lab tests and speak with the patient to understand the psychological factors; a referral will be made for making a final diagnosis. After the physician reviews both lab tests and the psychological factors, a referral will be made for the patient to see a clinician. The referral will focus on obtaining support and stabilization. The clinical assessment will gather information using written forms as a first step, including releases to speak with family members. The second step would be to invite the family along with the client in an effort to obtain a better understanding of existing medical conditions along with any past mental disorders. Abuse as a child or abuse as an adult will be determined. The clinician will evaluate if the client is portraying any signs due to alcoholism or a drug addictions. An example of one question her clin...
Symptoms/behaviors observed/reported during this service: Client shared he was upset, due to being placed o house arrested. Client was frowning and crossing his arms.
The client's mother was emotionally unavailable and never stepped in to intervene during the father's violent rage. The client witnessed domestic violence as a child and also personally experienced years of abuse from her husband. The client had two children with her soon to be ex husband, a son and a daughter, as well as two grandkids. She reports a having frequent contact with her children, however, she describes their relationship as distant. Both of her parents struggled with alcoholism but the client denies any alcohol abuse. The client's experiences made her develop low self-esteem and low confidence as well as difficulties trusting others. Regina cannot maintain healthy relationships and has problems interacting with others
When the therapist met the client in the office for individual therapy, the client greeted the therapist and he was feeling good and energetic as he reported as evidence by reporting that he had a good time with his friends during the previous weekend and he is excited to meet the psychiatrist for follow up and tell the psychiatrist about why he is tired, bored, and sleepy most of the time. Client reported that the lowest moment of the week was when I did not pay my cell phone bill because he does not have money and the group home manager did not allow him to use the Wi-Fi as a consequence for not following the house rules as he reported that he did not do his chores. Client reported that he was overwhelmed and busy for the previous couple
Met with client for ISP review and to discuss recovery progress. Client arrived to scheduled session on time with normal mood. Client updated her
Mr. James has arrived for his assessment at the Gadsden County Human Services office. His demeanor is somewhat different from the last meeting. He is more reserved today and seems to be open to effective communication. The case manager, Tameka Footman enters the room and greets Mr. James. Mrs. Footman asks Mr. James, how he’s feeling about the session today. Mr. James responds and says that he’s feeling good about it. Mrs. Footman reviews the events that took place last session and asked if there were any questions from the previous meeting. Mr. James says that he doesn’t have any questions are is eager to get started.
The client, Ali, is a 15 year old white female attending high school and living in North Kingstown, Rhode Island. She lives with her biological father, but her family system also includes her brother, Larry, biological mother, Carol, and maternal grandmother, Lucinda. She is in overall good health and there was no mention of any physical health concerns. However, based on the descriptions given by her relatives and Ali herself, as well as observations from the first meeting, Ali shows signs of anxiety, depression, and some difficulties understanding social cues.
Behavior (B): The session took place in TC’s family’s home. Mother presented with appropriate affect and euthymic mood. Mother was receptive to counselor’s comments and questions and provided feedback to counselor when necessary. Mother was well groomed, focused, alert, oriented x4. Mother had no signs of delusions, hallucinations or suicidal ideations. The home was clean and appeared safe.
For the next two months, from 10/31/2016 to December 31,2016, apply for jobs each week and document in note book the name of company and date after application is completed