| Visit Date: January 16, 2020 | ID Number: 153113 | ||
| Visit Count: | Children Served: Provider opted out of answer | Community Health Worker: SIC Other Staff | |
Consultation services Delivered |
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| What type of Consultation was it? In-person consultation session | |||
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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| Coping with stressful situations. Answered: Yes | |||
| Child Caregiver relationship. Answered: Yes | |||
| Did you make a Community Resource-Referral. Answered: Yes | |||
| Consultation Duration Start Time: 1:30 PM End Time: 2:00 PM Time Period: 60+mins |
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Goals |
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| Progress Made Towards Goal?: No | |||
| Goal Attained? Yes | |||
Notes for this Consultation
Provider stressed regarding her mood and emotional issues related to her relationship with her grandson mother. She is afraid that when her protection order expire his mother will come and take him out of her life due to their intense conflict with her. consultation, honor her request to support her filing a guardianship 13 petition with the court to get her grandson placed in her custody.
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