| Visit Date: April 23, 2021 | ID Number: 153164 | ||
| Visit Count: | 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 | |||
| 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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| Safe Sleep: 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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| Hand-washing – diapering – toileting. Answered: Yes | |||
HealthCare Concerns |
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| How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes | |||
| Coping with stressful situations. Answered: Yes | |||
| 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: 6:38 PM End Time: 6:59 PM Time Period: 30 mins |
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Goals |
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| Progress Made Towards Goal?: | |||
| Goal Attained? | |||
| Goal attained | |||
Notes for this Consultation
Provider stressed about her younger sister and her mother relationship. Incident regarding “whipping her ass and saying I hate that bi…ch”, after a incident involving her mother ,her sister and baby niece. The provider’s relationship with her mother is becoming increasingly difficult. “Our mother is treating her like s..t”. The way she did me. Talked about concerns about their plan to sale the house, quiting her job, telling provider she can’t handle their relationship…., consultation, find way and place to ensure sister safe, support sister (who she reported had been cutting on herself, and give prover for sister resources to contact crisis line and medical doctor fir sister. Provider will take sister to family members home and setup sister phone and contact information for reaching crisis line and call sister medical doctor to discuss next steps.
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