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consultation-visit-report2020

Visit Date: March 25, 2020 ID Number: 153251
Visit Count: Children Served: Provider opted out of answer Children Served: select number Community Health Worker: Jenel S

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: No

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: 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

Taking care of yourself (Whole Person). Answered: Yes
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: No
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: No
Caregiver of Child relationship. Answered: No
Did you make a Community Resource-Referral. Answered: No
Resource-Referral Type(s).
None Of The Above
Consultation Duration
Start Time: 1:30 PM
End Time: 2:33 PM
Time Period: 60+mins

Goals

Goals: Goal attained?

Notes for this Consultation

Provider shared that daughter called crisis line and was given recommendation to go to Valley Cities Inpatient. Provider shared that they were able to arrange with the child that is in cchc mother to keep car parked there so nothing would happen to it. Provider discussed that her and husband were going to have a talk about setting strict deadlines with daughter upon completing the 30 days. Shared that this will also help keep the home environment stable and cohesive for all and child in cchc.