Visit Date: May 1, 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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How my relationship with the children can help them feel secure about themselves. Answered: Yes | |||
Health Related Social Needs Concerns |
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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). Transportation problems, Interpersonal safety |
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Consultation Duration Start Time: 6:17 PM End Time: 10:16 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 call for consultation regarding his granddaughter father not returning her to her mother after his parent plan visit. Refer Provider to police after all effots regarding pickup failed. A police incident number caused the granddaughter father to bring her back and give to him. Child appears safe, but has a hospital ID number on her wrist. Child’s father refuse say where services were provided.
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