2015 Pediatric Conference

Our Most Difficult Cases

At EnrollmentBrother & 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 EnrollmentBrother & Sister Medical & dental home Coordination of health care

o Transportationo Tracking of appointments

Monitored developmental milestones Ineligible for Head Start due to lack of

immunization and legal guardianship Kindergarten readiness Supplies

o Clothes/Shoeso Books/ toys/ safety supplies

Case Management Following Enrollmentcont.

Caregiver (now legal guardian)

Custody

Assisted in navigating health systemso Pediatric & dental appointmentso 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 Transportationo Play therapy

Support with school systemo School assessmento 504 Plano PAL’s

Referralso Psychiatristo Big Brothers / Big Sister

Monitoring developmental milestones

Current Case Managementcont.

Legal Guardian Financial resources

Continuing health issues

Visitation

Counseling for guardian

Future Case Management Advocate within school systems

o Special education informationo Head Start collaborationo 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