Late Entry 216/2016, CM met with the client and completed Bi-Weekly ILP Review. Client was dressed appropriately for the weather. She was welled groomed. She continues to walk with a cane stating that her foot is broken and her back hurt. In the meeting client affect was flat. She appears confused and space out. SOCIAL SUPPORT UPDATE: CM informed the client that she has a Conference Meeting to change client’s son goal is scheduled on 2/17/2016 at Edwin Gould Foster Care and Adoption Agency. CM also use baby steps to explain to the client in baby steps the important in attending meeting. CM also inquires if the client understand the severity of not attending scheduled meeting. Client replies” Por lo mismo, mi family me han dicho que ellos tiene que devolverme a mi hijo, pero ya” translate in English “For the same, my family told me, that they need to return …show more content…
RESOURCE UPDATE: Client is undocumented and she is not entitled to any government entitlement. SAVING: Client reported she does not have any money saved ACS: Client has an active ACS case and her weekly visitation was suspended. Client is scheduled for a conference meeting to change son’s goal on 2/17/2016. CM issued client with an appointment slip. Client agreed and signed the appointment slip. CM also provided the client with metro cards. LEGAL UPDATE: Client has an open ACS and she is non complaint with the Judge referral. She is also undocumented and a victim of domestic violence. Unfortunately, she doesn't qualify for the U-Visa because the client doesn't have any legal documentation as proof that she was DV. SUBSTANCE UPDATE: Client continues to reports no substance abuse history. METNAL UPDATE: Client was diagnosed with Axis1: Adjustment Disorder with mixed anxiety and depressed mood-309.28 (primary). CM continues to encourage the client to participate in mental health
On 12/30/2015, at about 10am CM received a telephone call from Ms. Ayala/Care Coordinator at Edwin Gould to say client weekly visitation with her son it suspends until 1/20/2016, due to the client attacking the foster mother. CM inquires for the client to report her side of the story. “As per the client she stated on the day of the incident she was examining her son and she noticed that her son was wearing soiled clothes and he had scratches on his head, forehead and arms. She also mentioned that the foster mother gave her son a bottle and she told her son in Spanish not to drink that dirty water. Client continues to mention the foster mother when she heard that call her as she quote “stupid and dumb” client say she got up of her seat and the foster mother run out the visiting room screaming that client assaulted her. CM advises the client to go see her lawyer tomorrow and to report the
Using the symptoms check list the client advised that she has experienced the following daily: sadness, crying, irritability, mood swings, excessive worrying, hypervigilance, isolates self from
12/7/2015: Josephine Sullivan made a request that I speak with the patient about her depression. The patient is a divorced 45 year old woman; she states that she was working at the Pentagon on 9/11 and that she was later diagnosis with PTSD and Bipolar. Ms. Glaraga was here at this appointment seeking psychotrophic medications which she had discontinued 3 – 4 months ago because she didn’t like taking the medications and felt that she was doing better. Within the last month the patient has been experiencing symptoms severe depression, she scored a 18 on the PHQ-9 after answering the questions in writing herself. Dr. Turner prescribed a 30 day prescription for BuSpar, Seroquel, Zololt and Vistaril for Ms Glaraga to control her Bipolar and anxiety,
Paula’s profile is indicative of someone who is experiencing marked distress and impairment in functioning (ARD, DEP, SOM, BOR, and SCZ). Her profile suggest that there may be issues of anxiety related disorders and depression that are chronic and long-standing (BOR-N, BOR-I). This profile is common in people who are detail oriented, rigid in their attitudes and behaviors, conforming and ruminating (ARD-O). This profile pattern also reveals symptoms of a person with high anxiety and tension that may seem rigid and inflexible (ARD). Her profile further indicates an individual who attempts to control her emotions using maladaptive behavior strategies (ARD, ARD-0) to create order and predictability.
Mr. Steinhoff reports that he has a court date next month regarding custody of his children. In preparation for this date patient reports he will be meeting with Brenda McCray and the supervisor at Haldimand-Norfolk CAS to review issues which have already been addressed and should no longer be listed as outstanding. Mr. Steinhoff acknowledges that this meeting today is a positive change in his relationship with CAS. He reports
I can say the entire family is the client. The entire family have issues that needs to be addressed, and as a social worker, I can suggest a few goals for the family so it will not overwhelm the family unit. I feel Cindy’s issues are a priority over the other family’s needs, because she is the primary caretaker of the family. Cindy has also stated she is under stress and have impulses of using again. Working with Cindy also crosses over to the other family members to also help them.
On 9/172015, CM did a visual to locate the client. The client was located and CM completed Bi-Weekly ILP Review. The client was not seeing by this worker on 9/15.2016, because this worker was absent. In the meeting the client was dressed in a black long floral dress. She was well groomed. Client has a high stomach. CM is concern that the client might be pregnant. CM referred the client numerous times to the onsite medical staff and urine test was done with negative pregnancy. CM also inquires if the client is sexually active. Client reports “she is not sexually active. She mentioned her high stomach is due to fibroids”. CM also provided the client with two metro cards on 9/11/2015, to go to Woodhull Emergency Room because client stated she
The major symptoms that stood out were the client’s anxiety and depressions (Axis l disorders. The primary consideration for a differential diagnosis is this case is an adjustment disorder with mixed anxiety and depression mood, panic disorder without agoraphobia, or a dysthymic disorder. In the clinical interview some other conditions were revealed which included the client’s foster-parent relational problem, partner relational problem, and identity. (Corey 2013).
It is my assumption that the client has Bipolar 1 Disorder due to her manic episode of one suicide attempt when she was fourteen, which would rule out Bipolar 2 Disorder. I struggle with correlating the Hypomanic episode however according to this case her mood is subsequently reactive to favorable events. Small attentions from her therapist or her boyfriend can cause her to feel really good for hours at a time. This is also exhibited with her constant completion and somewhat success in the education department. Clearly, client has major depressive episodes that occurred throughout Ellen’s life. Ellen says she was depressed most of the time during the months before her consultation. Client also gained about 10 pounds because she was constantly
The client's identity has been changed in order to keep her safe and maintain confidentiality. The client, who will be be referred to as Regina Smith, is a 64 year-old Caucasian woman who currently resides in a domestic violence shelter for women, Penelope House, in Mobile, Alabama. Regina is homeless after leaving her abusive husband of 25 years. The only source of income for the client is her social security check she receives each month. The client is attempting to save money to secure independent housing at Cathedral Place, a senior living center in Downtown Mobile. She has been doing this by saving her checks and pawning her wedding ring. The client is in good health and has not reported any serious medical condition or diagnosis.
Katon, W., and Sullivan, M. D., (1990) Depression and Chronic Mental Illness. Journal of Clinical Psychiatry, v.51. pgs. 8-19
The Coram Social Worker contacted and informed the foster carer of my intention to visit her. The foster carer agreed to be contacted and expressed her willingness to arrange a visit. During my telephonic conversation with the foster carer ,I ensured that sufficient details were provided about the key information that needs to be obtained for the completion of the Child permanence report Completion (CPR)
The patient, TM, for this case example, is a 26-year-old male with a history of schizoaffective disorder, depressed type.
363). While I am reflecting on this situation, my best judgement would have been to have her placed in a long-term care facility. However, if the client insisted on remaining in her home, at a minimum PCA would have been alerted and an I would have requested an evaluation from a social worker from the home health care agency. There were resources available to assist with the restoration of her heating system, providing meal to Ms. A and provide additional
"Major Depressive Disorder." The New England Journal of Medicine. N.p., 3 Jan. 2008. Web. 19 Apr. 2011. http://www.nejm.org/doi/full/10.1056/NEJMra073096.