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