Visit Date: May 14, 2021 | ID Number: 153102 | ||
Visit Count: | Children Served: Provider opted out of answer | Children Served: 1 | Community Health Worker: SIC Other Staff |
Consultation services Delivered |
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What type of Consultation was it? Phone or virtual consultation session | |||
Consultation with providers/caregivers on administering ASQ * Answered: No | |||
Did you make a Child Development Referral (Not Screening) * Answered: No | |||
How Many Referrals: Answered: select number | |||
Get information on how to help me cover my basic needs (food – clothing – housing – medical attention) Answered: Yes | |||
Healthy and Safe Environment Concerns |
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Is your home safe for children? : Answered: No | |||
Safe Sleep: Answered: No | |||
How to prevent the spread of illness: Answered: No | |||
First Aid: Answered: No | |||
Car Seat Safety: Answered: No | |||
CPR: Answered: No | |||
Toxic: Answered: No | |||
Being ready for a natural disaster: Answered: No | |||
Child Development Concerns |
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How do I incorporate activities from my homeland that will support the healthy development of my children?: Answered: No | |||
How do I help children that have difficult? behavior (setting limits and sticking to them)?: Answered: No | |||
How do I know that the children in my care are learning and developing OK? : Answered: No | |||
Developmental Screening?: Answered: No | |||
Early Intervention: Answered: No | |||
How do I help babies brain develop?: Answered: No | |||
How to help the children in your care get ready for school. Answered: No | |||
How my relationship with the children can help them feel secure about themselves. Answered: No | |||
Childcare Play and Learn and / or outdoor time. Answered: No | |||
Referral to early intervention for a special needs child. Answered: No | |||
Healthy Children |
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Working with children with special healthcare needs. Answered: No | |||
Immunizations and Well Child Schedules. Answered: No | |||
Hand-washing – diapering – toileting. Answered: No | |||
Medication Management Children (Non-clinical). Answered: No | |||
Nutrition (meal planning – allergies – infant Feeding). Answered: No | |||
Social/Emotional development. Answered: No | |||
Mental/Behavioral Health Services (Child). Answered: No | |||
Healthy Caregivers |
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Taking care of yourself (Whole Person). Answered: No | |||
Getting further training or school or Certification to improve my Health-Related Social Needs (HRSN). Answered: No | |||
How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes | |||
Coping with stressful situations. Answered: Yes | |||
Mental / Behavior Health Services (Non Clinical). Answered: No | |||
Medication Management Adult (Non Clinical). Answered: No | |||
Child Caregiver relationship. Answered: Yes | |||
Caregiver of Child relationship. Answered: Yes | |||
Did you make a Community Resource-Referral. Answered: Yes | |||
Resource-Referral Type(s). Interpersonal safety |
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Consultation Duration Start Time: 9:02 PM End Time: 9:38 PM Time Period: 30 mins |
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Goals |
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Goals: Goal attained | |||
Notes for this Consultation
Provider stressed about his grandchild and her mother being protected from the father. Tomorrow the child’s mother is planning not to send the child for her visit with her father because his non professional supervisors have not been supervising his visit. The mother is afraid to send the child to the visit and is afraid the father will send the police. Out of fear she was planning to hide from the police. Consultation: do not hide from the police. Go to your local police station and inform them that on the advise of your lawyer, your plan to keep her safe by not send your child to her father’s tomorrow. |