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Dd Status Report

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IDENTIFYING DATA D Data: Sentence: ID Data: Inmate is a 43 year old AA male serving a 1 year and 1 day sentence for Traffic In Stolent PR. He entered DC in 2/28/17 TRD is 12/21/17. This is inmates first Florida prison term..

II. REASON FOR ADMISSION: Pt. was admitted to Lake CI TCU on 6/14/2017 from Santa Rosa CI due to Inmate presents with delusional beliefs, grandiose thinking beleiving that he spoke to Jesus and having special power and abilities. Also presents with bizzarre behavior, erotomanic, mixed belief and religiously preoccupied with sexaul fantacy.

III. RELEVANT MEDICAL & MENTAL HEALTH HISTORY/ III. CHRONOLOGY OF TREATMENT & PATIENT'S PROGRESS: Past MH TX: Medical Hep C+: Mental Health Hx: He has had mutiple admission …show more content…
26 Polysubstance Abuse D/O, episodic. Specific Problems Treated: ISP goals: # 110 Delusion, # 308 Discharge Planning and Readiness skills. The inmate’s progress was reviewed by the multidisciplinary treatment team & revised as indicated to facilitate attainment of his treatment goals. Patient’s Response to Treatment: Inmates has been recommended for discharge from MHTF to TCU due to Inmate no longer meet the criteria for MHTF. This inmate participated in most of services in order to build the necessary coping skills to manage in a lower level of care. He has demonstrate willingness to discuss treatment concerns and negotiate adaptive compromise at least (x1) weekly during psychiatric/individual encounters. Inmate progress is satisfactory. He reportedly attends and participates in most of his offered services such as medication management, case management, and counseling and other self- improvement …show more content…
CURRENT MENTAL STATUS EXAM: This inmate was seen on 8/1117 by his MHP/Case Manager on MHTF wing. On that day, the inmate is alert and oriented. Dress and hygiene are fair. Looks his stated age. Calm and cooperative. Good eye contact. No psychomotor agitation or retardation. Speech is normal. No pressure of speech. No thought disorder. Thoughts are goal directed. Affect is euthymic and appropriate. No emotional blunting. The inmate denied any audiovisual hallucinations and delusions ideation. Insight and judgment are fair. Impulse control is fair. He denied any suicidal and homicidal ideations with no intent or plan when asked. The inmate is eating 3/3 meals & achieving 7-8 hours of sleep when

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