It is recommendation is that the consumer need Mobile Crisis Stabilization.
It is recommendation is that the consumer need Mobile Crisis Stabilization.
Daimarkus is a 27-year-old AA male who presents to CRU 2 from UPC. He is on ACOT for PAD. Patient stated he was in prison for 3 years for attempted armed robbery, he was released on the 04/14/17. He was recently discharged from DVH. According to his Psy eval from UPC, he was stayed on COT whiles at DVH.…
Because of non-compliance, his reinstatement is denied. However, this writer discussed with the patient about the Apt. Foundation of which the patient is willing to consider to seek admission due to the clinic acceptance of benzodiazepine and affordable weekly fees upon speaking with an admission representative. The patient is aware of the clinic's intake dates and time as he plans to go tomorrow and once this writer received confirmation, this writer will send his record to assist with…
Client working permit expired and CAMBA Legal is working on client FOIA which it’s pending. MENTAL UPDATE: Client reports no mental health history. On 12/14/2015, client met with the on-site psychiatrist and a psychiatric evaluation was completed. Client was diagnosed with Axis1: Adjustment disorder with anxiety.…
Counselor met with Pt. for his monthly individual session. Counselor and Pt. discussed his new treatment plan update objectives and interventions. Pt. agreed to sign the AMS Record of Services sheet. Counselor helped Pt.…
ntake/status alert/R.O.I/ CalOMS The client came to us from DBH for a 30 to 90 day treatment episode. Client was cooperative during his intake process, and completed the necessary paperwork to be admitted into the program. Client reported during his intake that Methamphetamine was his primary drug of choice and that he has been abusing it for period of 3- years. Client reported that he was 21 years of age when he first started using Meth Client was asked how many days has he used Meth in the past 30 days ? Client reported that he has used Meth 1 day out full 30 days before coming to treatment.…
Mr Singer is a 61 year old male who presented to the ED with uncontrollable behavior at his living facility. He does not presents to ED with aggressive behavior or agitation. Mr. Singer denies suicidal ideation, homicidal ideation, and symptoms of psychosis to nursing staff. At the time of the assignment Mr. Singer presents calm and cooperative. He states today he became angry because one of the nurses tried to take away his pens, that he was given to by another nurse as a Christmas gift.…
AMS Counselor met with Pt. for the first individual session. Pt. transferred to this counselor caseload on the above date. Counselor introduced himself with name, sharing his cultural background and counseling work experience in order to develop a heathy therapeutic alliance. Counselor requested that Pt. provide an honest description of his medication effectiveness and any medication issues.…
The writer did obtain permission from the consumer guardian, Crystal Thomas. A 37 year old African American male report hearing voices that him "ugly" and preoccupied with religion talking about the struggle havie is having with god and satan. The consumer appears to be delusional at time during his assessment. The consumer has impaired judgment and limited insight into the need for treatment.…
Lamyia Walters has been cooperative but very deceitful when describing her relationship status and domestic abuse issues. She has had consistent contact with the caseworker since case opening. Lamyia switches from hostile to apologetic with worker daily. Lamyia continues to provide different explanations for the reasons the children were brought into care. These explanations often completely contradict one another.…
The claimant has a past medical history of depression and anger. He had suicidal thoughts and felt desperate but unable to function. He reported obsessive repetitive thoughts and hopelessness. He had tried Lexapro, but had a negative reaction, including uncontrolled rage and attacking his girlfriend. He was unable to make some follow-up visits and to have psychiatric evaluation due to insufficient funds.…
Jane Smith, was referred by the Courts for treatment because of an OWI arrest. Ms. Smith was involved in a hit and run accident of a parked vehicle and denied it was her fault. She failed the sobriety field test and later admitted it was her who was driving her car when she hit the parked vehicle. Ms. Smith enjoys drinking six twelve oz. beers three times a week.…
Mr. Chavis is a 24 year old male who presented to the ED after being found wondering around a closed business in his boxers. IT was determine he was under the influence of some unknown substance. Before the assessment Mr. Chavis grandmother was spoken to. She was with him upon arrival to the Hospital. She reports relational conflict late yesterday afternoon triggered her grandson "getting high".…
This 25- year old African American, single, mother of three children comes to Terrell County Department of Family and Children’s services from The Department of Foster Care Services, as a referral intake following her first allegation of an unfit parent due to substance on June 11, 2015. The client was not tested because she admitted drug use and she was positive for marijuana at the baby’s birth. Ms. Jabez admitted she was stressed out and this was why she used marijuana. Ms. Jabez stated she was sexually abused, raped, and was in foster care. Also, she reported she has a psychological process with the Renaissance Center and diagnosed with Anxiety and PTSD, she denied any mental health treatment since 2013.…
As of now, the client has met the criteria for severe substance use disorder, with behaviors that have put the client at risk of serious physical harm and has presented with signs of withdrawal. The breaking of addiction is seriously taxing work, and the client will need all of their strength and resources dedicated to this task…
Approximately five years ago, the client began drinking and smoking potentially as an attempt to fit into a social group. Since the client did not perform well academically,…