| Visit Date: April 4, 2021 | ID Number: 153102 | ||
| Visit Count: | Children Served: Provider opted out of answer | Community Health Worker: SIC Other Staff | |
Consultation services Delivered |
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| What type of Consultation was it? Phone or virtual consultation session | |||
Healthy and Safe Environment Concerns |
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| How to prevent the spread of illness: Answered: Yes | |||
Child Development Concerns |
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| How my relationship with the children can help them feel secure about themselves. Answered: Yes | |||
Health Related Social Needs Concerns |
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| Mental/Behavioral Health Services (Child). Answered: Yes | |||
HealthCare Concerns |
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| Coping with stressful situations. Answered: Yes | |||
| Mental / Behavior Health Services (Non Clinical). Answered: Yes | |||
| Resource-Referral Type(s). Financial strain, Mental health, Covid 19 Related Information |
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| Consultation Duration Start Time: 4:12 PM End Time: 5:12 PM Time Period: 60+mins |
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Goals |
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| Progress Made Towards Goal?: | |||
| Goal Attained? | |||
| Progress made towards goal? | |||
Notes for this Consultation
Provider daughter consultation regarding relationship with Provider stress, child custody and support and her children and their fathers relationships and the negative effects on her mood and emotions and mental health. Plan referred for family law services .
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