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January 14, 2013 Eva Lomeli, LCSW Referral Process: APS *Multiple - - PowerPoint PPT Presentation
January 14, 2013 Eva Lomeli, LCSW Referral Process: APS *Multiple - - PowerPoint PPT Presentation
Presentation to Mental Health Board January 14, 2013 Eva Lomeli, LCSW Referral Process: APS *Multiple consults Linkage for Clients already in the system Some enga gage gemen ent efforts ts Others ers regu gular ar
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Some enga
gage gemen ent efforts ts
Others
ers regu gular ar contacts ts
An
And d crisis s interv erven entions. ions.
Some Clients
ts had more than 15 f face to face contacts acts and countl tles ess s collatera eral contacts. cts.
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8 Clients ts with SMI:
5 with Bipolar I with Psychosis
1 Anxiety DO and Hoarding
1 Anxiety DO, Dependent Personality DO and to r/o Developmental delay
1 diagnosed with Schizophrenia 7 OA caregive givers rs living g with Indivi vidu duals als with SMI who were refusin sing g M.H.
- H. Treatm
atment nt
1 Care recipient with late Onset Psychosis
1 OA family member caregiver with Bipolar II and caregiver burnout
5 Care recipients with Bipolar
I DO with paranoia and psychosis or Schizoaffective Bipolar Type 3 Individuals in their 60’s with late onset Psychosis
All three educated professionals with long work history and no history of Mental
- Illness. All lacked insight about their psychosis and refused mental health
treatment.
Theme: Electromagnetic fields and biosynthetic engineering
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5 5 Clien ents ts wi with Dement ntia ia based Pa Parano noia ia or psychosi hosis:
2 Clients ents with severe e Axis s II Borderlin erline Persona nali lity ty Disorde der
2 Clien ents ts wi with housing ing and financia ncial stressors rs
1 Client ent with APS finan ancial cial abuse
1 Clien ent t wi with seve vere re life e losses es relate ted to medical cal conditi tion
- n
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Age
4 Clients under 50
8 Clients in their 60’s
7 Clients in their 70’s
8 Clients in their 80’s
2 Clients in their 90’s Languag uage: e:
28 Primarily English speaking Clients Ethnici city:
20 Caucasian Clients
5 Hispanic Clients
2 Middle Eastern Clients
1 African American Client
1 Greek Client Insurance ce type:
8 Medical
7 Medicare only
10 Kaiser or HMO
1 Private pay
1 uninsured
2 unknown Housing:
14 Home owners
11 Renters
3 in subsidized housing
1 Homeless
6 6 Clients at risk of losing, or l lost housing:
3 due to SMI,
1 due to Dementia,
1 due to financial abuse,
1 due to financial stressors
(Cal fresh access s barrier for SSI recipients)
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Medicare only Client’s and lack
- f access to needed
eded reso sour urces: ces:
81 yo female Bed bound. No
access to IHSS, as a result, with abusive caregiver.
70 yo male legally blind and
with hoarding problem. No access to IHSS
83 yo female completely
isolated with deteriorating health with no access to On Lok services. Also evicted due raise in housing cost. 400 sq ft studio rent $1,159.00, SDI income $1,158.00 mo.
Clients
nts with SMI refusing ing treat atme ment:
Stigma about mental illness Client’s right to self
determination
Possible liability issues:
Providing Crisis Intervention to Ct’s who are refusing services but need them
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