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Visit Date: February 25, 2020 ID Number: 153160
Visit Count: Children Served: Provider opted out of answer Community Health Worker: SIC Other Staff

Consultation services Delivered

What type of Consultation was it? In-person consultation session
Consultation with providers/caregivers on administering ASQ * Answered: Yes
Get information on how to help me cover my basic needs (food – clothing – housing – medical attention) Answered: Yes

Healthy and Safe Environment Concerns

Is your home safe for children? : Answered: Yes

Child Development Concerns

How do I incorporate activities from my homeland that will support the healthy development of my children?: Answered: Yes
Developmental Screening?: Answered: Yes
Early Intervention: Answered: Yes

Health Related Social Needs Concerns

Social/Emotional development. Answered: Yes

HealthCare Concerns

Taking care of yourself (Whole Person). Answered: Yes
How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes
Coping with stressful situations. Answered: Yes
Consultation Duration

Start Time: 11:00 AM
End Time: 12:18 PM
Time Period: 60+mins

Goals

Progress Made Towards Goal?:
Goal Attained?
Progress made towards goal?

Notes for this Consultation

Youngest grandson is not talking (1.6 years). Will do ASQ and ASQ-SE next visit and talk with preschool staff about a possible referral for speech services. She is not getting WIC because she has no transportation while her children are working. Also talked about her possible eligibility for Fresh Bucks Program. Will work with her on resolving the WIC issue. Discussed how she is taking care of herself while she is watching to young ones and her husband has come from Somalia and has cancer. She says that her strength comes from Allah and her children. She will possibly be going home for the month of July.