[humanser] Paperwork

[Lisa Irving]

Voice over was used to compile this message please contact me if you need clarification Sent from my iPhone

On Jul 10, 2017, at 5:09 AM, Alexander Castillo via HumanSer <humanser at nfbnet.org> wrote:

Hi, everyone's intake process is different, for example, I have a
detailed form which needs to be answered otherwise the client cannot
move to next step.

However, prior to this step I verify that the client indeed wants
these services through a directed conversational session. If they do,
then we move on. If they don’t, that’s ok and we move on.

So, the first step for me, in efficiency is to insure me only due the
necessary paperwork. That’s the most important step.

The second step is to insure consistency in my unscripted paperwork.
For example, all of my case notes are formatted the same, even though
there is no set template just the typical who, when, where…This again
cuts down on my notes, as I can take down very small bits of
information and expand on these when I am not with the client, and
still keep the who, when, where consistent. This has been suggested,
and I second it. If Braile works, great, I find however, that my
attention needs to be on conversation so it does not work on my end.

3. I have clients make a list of their medications. They can either
read this back or this can be a typed list which I can read or make a
copy of. Again, I figure they either already needs to have a list like
this, and most already do. No extra work on my end. If they do not
have this list, we wait until they do, or they have someone who can
read it off. I do not touch client medication.

Again, the most important step for me is to not be redundant in my
paperwork and provide the best documentation possible.



> On 7/9/17, Ericka via HumanSer <humanser at nfbnet.org> wrote:
> First I am going to profusely apologize for the seemingly confusing
> response. I had to edit and took three phone calls between starting this and
> sending.
> 
> I completely understand where you're coming from Rebecca. Last time – –
> about six years ago now – – I did a three-month internship through VR at our
> local Salvation Army. Well we were not doing mental health assessments, we
> did have state standard form questions we had to fill out and all data went
> into the computer. Unfortunately I never solved the computer issues because
> in that short time I didn't have any cooperation with state workplace
> adaptation people or vocational rehab to make my computer accessible to me.
> I also did not have l braille skills. I might have been able to read my
> Cheat sheet in braille but writing responses wasn't possible.  Here's what
> we did.  We had to fill out a state form online so my supervisor helped me
> create a "cheat sheet" in large print so I could get the required
> information. Because we tried to get the computer accessible and did not get
> that resolved I verbally gave her responses to the questions or hand wrote
> in huge print the answers and my supervisor put them in. We did this after
> the client/clients left. I noticed when she interviewed she had her computer
> screen open and filled in as people responded. I thought that was kind of
> weird but I think it had to do with where the computer had to be more than
> whether she wanted to have better eye contact or hide behind a computer
> screen I used a mini cassette recorder, but if you have a victor stream it
> might work better. Ask permission first of your superior, but explain to
> each client then ask if  you can record things to make sure that you have
> all the correct information. Because of confidentiality, remind them you you
> will erase it so that no one else can access the information. It will assist
> you to do the best job for them as their counselor. I don't know how much
> time you have between clients to speed up and listen to things to catch up
> on the computer. I had permission from everyone I interviewed to record. I
> would think it would be easier to just ask them about medications and
> medical history. I referred back to them as needed and rewound so I could
> record over for confidentiality. This way I could make eye contact with the
> individuals as I made chicken scratch on  paper. It help me ask better
> questions and remember answers. Clients really seem to feel comfortable with
> someone with a disability. We had both English and Spanish clients. I don't
> recall if the Spanish-speaking clients felt more comfortable with her not
> looking at them then the English speaking. I know some cultures don't
> appreciate eye contact.
> This would not probably solve my problems now but it got me through
> temporarily. Keep up on your braille as you transition. I'm sure people on
> this list would help you learn more.
> 
> Understanding the speech is more my battle at the moment. Best of luck to
> you and I hope I've at least given you something to chew on.
> 
> Hope you are enjoying your weekend Rebecca.
> 
> Ericka Short
>> 
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http://nfbnet.org/mailman/options/humanser_nfbnet.org/peacefulwoman89%40cox.net Alexander, I found your suggestions very helpful. This conversation about paperwork is very timely as I literally just submitted a cover letter and resume for a part-time case manager position with a refugee organization

From Lisa Irving