Visit Date: April 29, 2021 | ID Number: 153102 | ||
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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Child Development Concerns |
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Health Related Social Needs Concerns |
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HealthCare Concerns |
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Taking care of yourself (Whole Person). Answered: Yes | |||
How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes | |||
Coping with stressful situations. Answered: Yes | |||
Caregiver of Child relationship. Answered: Yes | |||
Resource-Referral Type(s). Interpersonal safety, Family and community support, Disabilities |
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Consultation Duration Start Time: 9:03 PM End Time: 11:27 PM Time Period: 60+mins |
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Goals |
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Progress Made Towards Goal?: | |||
Goal Attained? | |||
Goal attained | |||
Notes for this Consultation
Provider stressed that his grandchild mother has to communicate with thr child’s abusive father about the child needing medical procedures to remove popcorn kernel from her ear canal. Consultation support her writing note informing him of the who, when,, where, how and what happened in a way to minimize his abuse of her. Completed.
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