2015 Pediatric Conference Our Most Difficult Cases
At Enrollment Brother & Sister Girl age 4, Boy age 2 - enrolled in May Referred to CHIP by Child Protective Services Immunization status & medical neglect Abuse Drug addiction Abandonment
At Enrollment cont. Caregiver (now legal Guardian) In 30’s, best friends with maternal grandmother. Grandmother also had drug problems and was unable to care for children. Has no children of her own Cancer resulting in job loss Housing & transportation
Case Management Following Enrollment Brother & Sister Medical & dental home Coordination of health care o Transportation o Tracking of appointments Monitored developmental milestones Ineligible for Head Start due to lack of immunization and legal guardianship Kindergarten readiness Supplies o Clothes/Shoes o Books/ toys/ safety supplies
Case Management Following Enrollment cont. Caregiver (now legal guardian) Custody Assisted in navigating health systems o Pediatric & dental appointments o WIC Provided parent education and support Caregiver assessments Housing assistance Coordinated enrollment into Head Start and Kindergarten
Current Case Management Brother & Sister Health care coordination o Transportation o Play therapy Support with school system o School assessment o 504 Plan o PAL’s Referrals o Psychiatrist o Big Brothers / Big Sister Monitoring developmental milestones
Current Case Management cont. Legal Guardian Financial resources Continuing health issues Visitation Counseling for guardian
Future Case Management Advocate within school systems o Special education information o Head Start collaboration o Assessment with school/treatment planning Counseling Financial plan Connect with support systems Monitor developmental milestones Discuss future plan for children if guardian’s health continues to deteriorate
Why Case is Still Difficult Health of guardian uncertain Children stable and love guardian Children still working through attachment disorders Guardian unable to work and become financially independent Guardian has few support systems