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consultation-visit-report2020

Visit Date: May 16, 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

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

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

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

Working with children with special healthcare needs. Answered: Yes
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

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
Consultation Duration
Start Time: 10:02 AM
End Time: 10:11 AM
Time Period: 15 mins

Goals

Goals: Progress made towards goal?

Notes for this Consultation

Provider stressed about his grandchild and her mother continues. Consultation, plan to go to the police station, talk to the police about her decision to not send his grandchild to the fathers visit today because of concerns for the child’s safety.