Jennifer L.

Beaver
Chapter 8
June 7, 2017

For my written submissions, I have chosen an annual case conference for one of my

participants. For HIPAAs sake, I have blacked out all identifying information. My other

submission is the performance plan outcomes from 2015-2016 for my program. My oral

representation is the meeting agenda for my focus group.

1.

Last, First Participants Name:____XXXXXX, XXXX_______________

Date of Birth: _____XX/XX/XXX _______________

CRR/SUPPORTED LIVING
CASE CONFERENCE
DATE:__06/21/17______ SPECIFY TYPE: ___180 Day Review_____

Service Team Attendance: XXXX XXXXXX, Participant; Jennifer Beaver, Manager; Kia
McCray, Clinical Specialist; XXXX XXXXXXXXX, Blended Case Manager; XXXXXXXX
XXXXXX, Crisis Staff.
Indicate those who were contacted for feedback who were not able to attend: XXXXX
XXXXXX, Mother.

How does the participant feel about his/her progress? What does s/he consider to be the
most significant accomplishment?
In the past six months, XXXX has started volunteering at the SPCA. He states that he
really enjoys volunteering there twice a week. He is hoping to increase his time there in the near
future. He has also been attending a dog training class weekly with his mother. Last week,
XXXX reached out for help, requesting a stay at Valley Creek Crisis Residential.

Continued on back? Yes_____ No__X___

 What does the participant say s/he would do differently or feel they want to continue to
work on? What help will be needed?
XXXX feels that he continues to struggle with his marijuana usage and his anxiety. He
has been impulsive lately, eloping numerous times with his whereabouts unknown. He admits
that he needs help improving his communication skills. XXXX is currently in Crisis
Residential, with a desire to feel more like myself. His mother, XXXXX, informed manager
Jennifer via phone call that she had seen XXXX while at Crisis and that she felt that this was the
clearest that he has been in a long time.
Continued on back? Yes_____ No___X__

Discuss any significant events that happened since the last Case Conference that may have
affected the participants ability to make progress? (E.g. family, relationship, personal,
hospitalizations or serious accidents)
No noticeable significant events.
Continued on back? Yes_____ No__X___

Describe any changes in mental health/related medical health symptoms and medication
that occurred: (List the Medications):

XXXX has expressed an increase in impulsive behavior, and anxiety. While in Crisis
Residential, XXXXs Vistaril was increased to 125mg in the morning and his Vistaril PRN was
increased from 50mg once daily to 50mg twice daily as needed.

What Skill Areas Did The Participant Work On Since the Last Case Conference?

Managing Health/Illness/Symptoms Living Skills Relationships

X Symptom Reduction Engagement Mobility/Transportation Money Leisure/Social Skills/Communication
Management Management
X Medication Assistance Risk of Harm Housing X Other: Family and Social Relationships/Support System
Organization
Physical, Dental & Eye Other: Social Network Other:
Care Mgmt
Self Care Engaging with workers Other: Addictive Behaviors
Diet, Sleep patterns, Nutrition Developing interests, networks and friendships X Substance Use Gambling
Exercise
Personal Hygiene, Clothing Work/School Other:
presentation
Other: Vocational/Employment Skill Development Responsibilities
Identity and Self Esteem Education Other: Community Integration Forensic/Legal
Issues
Gender identity Other: Trust and Hope Other:

ASSESSMENT: (Status, progress, and any particular obstacle or issue that affected how the
participant was able to accomplish goals)

XXXXs anxiety and impulsivity have led him to make some questionable choices that
have had a negative impact on his recovery. His need to use marijuana has depleted his finances
and put him at physical risk for safety. He has improved his organization, by giving staff his
 appointment cards after each visit. He has followed through with volunteering at the SPCA and
has been enjoying working with the animals.
What skill areas should be worked on in the future?

Managing Health/Illness/Symptoms Living Skills Relationships

X Symptom Reduction X Engagement Mobility/Transportation Money X Leisure/Social Skills/Communication
Management Management
X Medication Assistance Risk of Harm Housing Other: X Family and Social Relationships/Support System
Physical, Dental & Eye Other: Social Network Other:
Care Mgmt
Self Care Engaging with workers Other: Addictive Behaviors
Diet, Sleep patterns, Nutrition X Developing interests, networks and friendships X Substance Use Gambling
Exercise
Personal Hygiene, Clothing Work/School Other:
presentation
Other: Vocational/Employment Skill Development Responsibilities
Identity and Self Esteem Education X Other: Volunteering X Community Integration Forensic/Legal
Issues
Gender identity Other: Trust and Hope Other:

RECOMMENDATIONS:

Does the treatment team feel that the participant will be ready to transition? (if applicable) why or
why not? How does the participant feel about the recommendations?

It is the teams opinion that XXXX is not ready to transition to a lower level of care at
this time. XXXX has admitted to needing assistance with strengthening his communication
skills and the need for some drug and alcohol support. He did not feel that Gaudenzia was a
good fit, and does not wish to attend a treatment program. He also tried AA and NA groups and
didnt feel comfortable. It was suggested that XXXX attend the Double Trouble groups at
Crossroads Recovery Center. XXXX stated that he had attended them before, and would be
willing to go again. Staff will coordinate this. XXXX will continue on Med Level I until staff
feels he is less impulsive and can move to Med Level II. XXXXXXXX suggested that XXXX
could camp in a tent in the backyard at Pine Drive. He seemed excited by this idea, and will
move forward with it to appease his need to elope. Dr. XXX XXX will look into an extended
release PRN to help with XXXXs anxiety. XXXX has agreed to try the new coping skills that
he is working on with his therapist, XXXXXXX, such as gardening and videos of horses or dogs.

________________________________ ____________________________________

Completed by Signature/Title Date Supervisors Signature/Title Date

 2.

PROGRAM CC [#2413] 2015-2016 ANNUAL PERFORMANCE PLAN OUTCOMES

I. MANAGEMENT OF SERVICES

A. UTILIZATION Goals: 95% Occupancy RESULTS: Exceeded Met Not Met

Results: 98% Occupancy

B. QUANTITATIVE Goals: 95% RESULTS: Exceeded Met Not Met

% (Timeliness of
documentation)
Results: 99.6%

Documentation continues to be a priority

at the site. We will continue this goal
throughout the year.

II. STRATEGIC PLANNING

A. QUALITY OF Goals: 90% of participants will increase RESULTS: Exceeded Met Not Met
LIFE one level within a skill/domain area in
BHS Outcome or Recovery Star

Results: 60%
There has been much upheaval at the
site this past year. Many staff difficulties
and changes, which necessitated
temporary staffing. Also, there have
been a couple of participants whose
issues have had a negative impact on
their housemates. We have a few
residents who do not handle chaos or
confusion well, and with the staffing
changes and housemate issues, the
residents have been experiencing an
increase in psychiatric symptoms.

We will continue this goal throughout the

year.
B. QUALITY OF Goals: 80% of participants will have RESULTS: Exceeded Met Not Met
LIFE contact with natural supports

Results: 100%

We will continue this goal throughout the

year.

III. PERFORMANCE OF SERVICES

A. MENTAL Goals: Less than 10% of individuals with RESULTS: Exceeded Met Not Met
HEALTH occurrences of involuntary hospitalization

Results: 0%

We will continue this goal throughout the

year.

B. MENTAL Goals: 100% of participants will increase RESULTS: Exceeded Met Not Met
HEALTH at least one medication level or be
independent

Results: 40%

Medication management continues to be a

challenge for our participants. We look to
improve this throughout the year.

C. VOCATION / Goals: 20% of participants will participate RESULTS: Exceeded Met Not Met
EDUCATION in Education / Training or Employment

Results: 80%

We will continue this goal throughout the

year.

D. COMMUNITY Goals: 75% of all scheduled activities will RESULTS: Exceeded Met Not Met
INTEGRATION be completed.

Results: 90.8%
 We will continue this goal throughout the
year.

E. COMMUNITY Goals: 75% of participants will participate RESULTS: Exceeded Met Not Met
INTEGRATION in at least 8 community activities each
month.

Results: 76.6%

We will continue this goal throughout the

year.

F. INCOME /
BENEFITS
Goals: 90% of participants will maintain /
increase income benefits

Results:100%

RESULTS: Exceeded

We will continue this goal throughout the

year.

G. DISCHARGE Goals: 10% of participants will transition from max care

CRR level of care to lesser levels of care.

Results: 0%

RESULTS: Not Met

NO participants were ready to transition to a lesser level of care this year.

It was a very tumultuous year at the site for the previously mentioned reasons.

We will continue this goal throughout the year.

H. Staff Development Goals: 100% of staff will increase competency in mainstream affordable housing.

Results: 0%

RESULTS: Not Met

 Staff has had difficulty attending the training, since it is only offered twice

a year at most. Manager has contacted Chester County to be made aware

of the next class. Manager will be contacted when next class is scheduled.

We will continue this goal throughout the year.

I. Informed of Rights Goals: 100% of participants will review participant rights at intake
and on a yearly basis.

Results: 100%

RESULTS: Exceeded

We will continue this goal throughout the year.

________________________ __________________
Directors Signature Date
3.

Meeting agenda for Revised History of Challenging Behaviors

Activity Findings Recommendations

Introduction
Introduce self and program
Review Of Form
Feedback for committee

Changes to be made

Scoring
Rules for Scoring

What does score mean

Initial Test Cases

Programs to be selected
Date agreed upon
Comments
Next Meeting Date
Additional Notes
 I am aware that my strengths lie in written communications, versus oral communication.

Words seem to flow from my hands, but stumble from my lips. It doesnt matter how prepared I

am for an oral presentation, I still feel inadequate. This is definitely an area that I will need to

work on for my professional development. In order for me to become proficient in public

speaking, I need to be more exposed to it at work, and look at taking a public speaking course to

enhance this necessary skill.