| Visit Date: September 27, 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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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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| Social/Emotional development. 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 | |||
| Resource-Referral Type(s). Family and community support |
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| Consultation Duration Start Time: 8:40 AM End Time: 9:56 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
Provider consultation coaching regarding child Natural support planning. How to support the child during the cps investigation for child sexual abuse. Coping with child caregivers and family members upset.
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