1. The Target behavior in this will be Anxiety how to track it can just be made up based off as well as the data 2. The depression data scale in the guidelines is an example of how to track data disr

Case Study

I currently work with an HIV/AIDS client who is an 58 year old African American male, he has been diagnosed with this disease since 1998, how he contracted it was either through drug use sharing needles or sexual encounters he doesn’t know which. He was raised by a single mother who has passed away 3 years ago and who took care of his needs, he currently still resides in his family home alone which is in the process of being foreclosed and he refuses to make plans to move elsewhere. The home has no heat only electricity and his water is currently on only due to the pandemic. The only bills in his name is the electric bill, all other bills are still in his deceased mothers name and past due. His income is limited, he receives social security for disability in the amount of $805 to his rep payee who has reported to no longer wanting to be his rep payee anymore. He is illiterate, he cannot read very well and requires assistance with explanation of things and reading assistance of documents. He does not nor cannot advocate, complete documentation, etc for himself he needs assistance in that area in regards to his medical care, health and dealing with other benefits systems. He receives case management services through his HIV/AIDS clinic, homecare nurse that is assigned to him through the clinic as well and assists with appointment scheduling, medication adherence, etc and he recently was approved to receive waiver services for home health care. Client has no known history of mental health in his family and has not been diagnosed with mental illness. Client does reports being depressed and having anxiety due to his environment and health problems. He worries about losing his family home and not being able to keep up with his bills, in turn he will become overly anxious when things appear to be out of his control his worrying increases with severe panicking.

This client has zero outside support, the one support he had a fake niece was stealing his bill money that he was entrusting her to pay his bills since he cannot do that on his own. Since the removal of her he denied a rep payee to assist him with his financials. He depends on the clinic for support but it’s limited to what they can do outside of his medical care. He still is an active drug user, DOC is heroin, he declines any support around treatment and never had treatment and will not stop using. He is a functional user.

This client's presenting problems are his housing situation, his home will be foreclosed and he refuses to leave, move into a room to rent due to only being able to afford that or go to shelter. He reports rather sleeping on the streets if he is forced out of his home. His second problem is his finances and not being able to manage them on his own, he refuses to have a private agency be his rep payee, third problem is his health, he is good taking his HIV/AIDS medication and is undetectable but when it comes to other health issues he is not good with keeping up with other health related issues/appointments unless he is experiencing extreme discomfort is when he is ready to engage. He requires assistance managing his finances since he is unable to and since he receives social security it is required for him due to his disability to have a rep payee and lastly he needs assistance with managing his mental health, he becomes anxious and depressed when he feels his life is out of his control.

This client SMART goals are:

Goal-Client will improve his anxiety

Objective: Client will learn and implement coping skills that result in a reduction

of anxiety and worry, and improved daily functioning over the course of 3 months.

Goal-Client will improve his well being by speaking with his homecare nurse.

Objective: Client will speak with his homecare nurse once a week about any upcoming appts/medication review he may have.

Goal-Client will learn and implement a small budgeting task.

Objective: Client will utilize a simple budget tool to monitor his bills monthly and provide to his case manager over the course of 3 months.