| Visit Date: June 29, 2021 | ID Number: 153102 | ||
| Visit Count: | Children Served: 2 | 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). Financial strain, Family and community support |
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| Consultation Duration Start Time: 5:00 PM End Time: 5:08 PM Time Period: 15 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 the potential threat and new legal harassment to his grandchildren mother from their fathers because she is now receiving the children’s back child support. Updates she has received payments and threats to have the police and court punishment. Her lawyer is fighting for her rights as a dv victim to be protected. She reported she feels ready to risk having contact with her 2 older children who are with the father is has and continues to abuse and harass her the most by repeating cancel her food reimbursement benefits from 2020.
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