Ilp Review Report

CM was out on vacation from 5/3/2017 to 6/14/2017. On 6/20/2017, CM met with the client to complete Bi-Weekly ILP Review. Client was dressed in proper attire for the weather. Her affect and mood was appropriate. Client maintains eyes contact appropriately and she was oriented to person, place, time and situation. Client continue to deny suicidal or homicidal ideation

CM was out on vacation for the period of 8/15/2015 to 8/24/2015. On 9/1/2015, CM met with the client to complete Bi-Weekly ILP Review. Client arrived early for the meeting. She was alert, satisfactorily groomed, and casually dressed. She was cooperative and appropriate in the meeting. She made eye contact appropriately. The client described her mood as “good” Her affect was in appropriate. She doesn’t appear to be in distress. CM inquires how the client has been doing since the last Bi-Weekly ILP Review. Client replies “ she is good”. She continues to relate she doesn’t make anyone aggravate her. She also mentioned lately one of her male friend graph hole of her cell number, and he calls her every day. CM inquires how it got hold of her cell# client replies “she doesn’t know”. CM advised the client if he continues to harass her two things she can do: One file a police complain or change her cell number.

I-CM informed the client that he had contacted and left a message with LA Family Housing the week prior, but no one answered due to the Thanksgiving holiday. CM contacted LA Family Housing again with the client present, but on one answered and a voice message was left. CM continued to assess client’s mental health and medication compliance. CM inquired what outside activities the client has been engaging in. CM inquired about client’s plans for Thanksgiving.

On 8/1/2015, CM met with the client and completed Bi-Weekly ILP Review. CM inquires the reason client wasn’t available for face to face meeting. Client reported she had a scheduled doctor appointment the same day. Client in the meeting appeared her stated age. She was alert, satisfactorily groomed, and casually dressed. She was cooperative and appropriate in the meeting. She made eye contact appropriately and her mood was balanced and her affect was appropriate. The client is fluent in French and CM called the Language Translator.

CM was out on vacation for the period of 11/25/2016 to 12/12/2016. Client was scheduled to meet with CM on 12/13/2016, to complete Bi-Weekly ILP Review. Client was no show. CM inquire the reason client was no show. Client replies “she wasn’t feeling well and she went to LIJ Emergency Room. On 12/15/2016, CM met with the client to complete Bi-Weekly ILP Review. Client was dressed with proper attire for the weather. She was well-mannered and groomed. In the meeting client appears to be cooperative

The purpose of this meeting is to complete case management intake forms. Client arrived fifteen minutes early to appointment. Client was in a good mood this afternoon. Client stated pampering themselves due to getting from new employment. Client was also laughing and joking around during the case management intake meeting. Client seemed very happy today. Client attire was presentable; client wore sandals due to getting a pedicure and client clothes were clean. Client stated working as a home health aide for Right at Home located Darien. Client stated to this CM working Friday at 12:00 PM to Monday at 12:00PM. This CM inquire how client is doing and client stated to this CM doing good. Client reported to this CM working in New Canaan as a Home

She also mentioned she was diagnosed with Bipolar and Schizophrenia. On 8/12/2015, client met with the onsite psychiatrist and she was diagnosed with Axis 1: Bipolar II Disorder, mild, with mixed features in partial remission -296.89 (Primary) and PTSD (Post-traumatic Stress Disorder) – 309.81. Client was referred to participate in mental health counseling. CM contacted Batf Inc. (“Bridging Access to Care”) tel# 718-388-0028. Referral pending.

MENTAL HEALTH UPDATE: Client was diagnosed with PSTD (Post-traumatic stress disorder) Client was referred to After Hour for individual session. She sometimes shows the following behavior: she constantly looked over her shoulder, afraid that other residents are out to steal her information, and she generalized mistrust of others. She will cover up any information from staff not to see and sometimes repeat the same information over and over.

Client arrived early for the meeting. She was dressed appropriately for the weather. She appears her stage age. In the meeting client displays signs of narcissism. She often dictates to staff what she will do as opposed to working with staff. She has a huge problem opening up to people. She often speak about children, Churches and some neighborhood in Brooklyn in a condescending tone of voice. CM also bring to the client attention an Infraction Report for non-complain. CM also went over the Code of Conduct had the client signed it, and provided client with a copy. Client wasn’t to happy as she quote “whatever”.

is currently responding as expected to her prescribed mental health medication regimen for ADHD. Patient is currently free from all illicit drugs, which has helped her Adderall medications to be more beneficial. Pt denied having any mental health issues as indicated by self-disclosure. Primary Counselor will encourage Pt. to follow through with all mental health appointments. Also, Counselor will prompt Pt. to develop a positive self image. Pt. has denied having any auditory or visual hallucinations during the last quarter as evidenced by group and individual session notes. Pt. was encouraged to take advantage of the Dual Diagnosis group at the AMS program in order to manage her uncomfortable

Using a symptom checklist the client is currently experiencing sad moods (3 times weekly), bouts with(several times throughout the day daily), difficulty sitting still (9-10 times daily), difficulty staying focused (9-10 times daily) bad dreams (nightly), blames self for trauma (nightly), negative feelings about self (3-4 times weekly) and physically fight others (once a week). The client denies any current suicidal or homicidal thoughts.

Mental Health: Wellness Coach asked Mr. Hallet if he has any therapist appointments coming up and he express that his next appointment is on 12/20/2016 at 10:30am. Wellness Coach asked Mr. Hallet how he been managing his depression and he responded that he been active and walking daily. He been adherent to the medication but he wishes not to take them. In asking Mr. Hallet what is causing him to stop taking them and he states that it brings back vivid images that is causing him to form bad thoughts. Wellness Coach then asked if he is going to harm people or himself. Mr. Hallet

CM was out on vacation for the period of 8/15/2015 to 8/24/2015. On 8/27/2015, CM met with the client to complete Bi-Weekly ILP Review. Client arrived early for the meeting. She was alert, satisfactorily groomed, and casually dressed. She barely made eye contact and when she did it was rapid. The client’s mood was balanced and her affect was flat. CM inquires how the client has been doing Since the last Bi-Weekly ILP Review. The client reports “not to good” she reports she applied for SSI because of what she is going through. CM requested for the client to describe what she is going through but the client refuses to disclose.

Kling to become a Licensed Clinical Psychologist, she did her internship at St. Luke's Roosevelt Hospital. Dr. Kling ran supervision groups at The Village Institute for Psychotherapy and these include case conferences and intensive supervision along with providing psychotherapy to patients on a sliding scale. She works four full-time, long hour days seeing clients for 45 minutes with a 5minute break in between if possible. Dr. Kling sees 6 to 8 patients a day on average. As a psychologist in NY, Dr. Heidi Kling takes much pride in the expert help and counseling she is able to offer her clients. Dr. Kling noted that she helps clients with relationship issues, eating disorders, psychotherapy, depression, anxiety, loss and grief counseling, and couples counseling. When asked about her background and experience and how they compare with employers' expectations when hiring an MHC, Dr. Kling noted that she has a lot of experience working with different kinds of patients with a variety of pathologies and different levels of mental health functioning. She also does work using a combination of psychodynamic, insight-oriented and cognitive behavioral approaches and problem-solving strategies. Even though her practice does not supervise interns she sometimes supervises graduate students who are treating patients at their graduate school clinic or externship. Dr. Kling was also an adjunct Clinical Supervisor at The Derner Institute for Advanced Psychological Studies, Adelphi

AT has been seen in therapy for 2 years now. She had a psychiatric assessment at Toronto Western Hospital in 2012 and then was put in the waiting list for psychodynamic psychotherapy. Her goal of doing therapy as she stated in the assessment that she wants to deal with "depression" that started early in her life at the age of 15.