Visit Date: May 3, 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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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, Family and community support |
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Consultation Duration Start Time: 12:00 AM End Time: 1:24 AM 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
Consultation child protection family and community supports in place. Results. Police return provider grandchild to her mother custody. Hospital release. Confirmation call verification.
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