First thing that gets discussed at an ITM is concerns. The resident and then guardian give both their sides and their concerns. This particular resident (a 37 year old woman) was concerned with her job, she wanted a different one to coincide with her boyfriend’s work hours. The guardian (in this case, the woman’s mother) wanted to make her daughter happy and discussed with one of the faculty how work could be arranged. The faculty member said she’d look into kitchen jobs, since that’s where the resident’s boyfriend worked, but also warned her that if she made more money, The Center would take more from her paychecks.
The nurse present in the room then updated everyone on clinical exams, mammograms, well woman, dental, nutrition, and diet. All exams were up to date. The nutritionist wanted the resident to be more careful with her diet and so did the mother. A suggestion of not eating pizza past 9 pm was given and to eat less ramen as well. This then brought up the topic of not being in her room at curfew. The resident would often be on the 6th floor with her boyfriend until after curfew and would refuse to go to her room. The mother was concerned that she was spending too many hours at night on the 6th floor. It was decided that rules should be enforced for the curfew. The resident was told she had 3 months to change her habits on her own, or a plan would be implemented. The resident could only spend hours past curfew with her boyfriend in the lobby and on Sunday-Thursday the resident had to be in bed by 9 pm so that she would not be late to work. The nurse also stated there would be a change in her blood pressure medication.
Next, Kari discussed the behavioral program, target goals, reinforcers. Mom stated she wanted Seraquil dose reduced. The medication hadn’t been reduced since 2008 and was currently at 200 mg. At PMR reduction of Seraquil will be evaluated.
Finally, the lack of the resident doing her laundry was discussed as this was an issue with several faculty members and the one the mother was most concerned with. Laundry was discussed with the resident and was advised to do her laundry with her boyfriend or while he was at work so that they could spend more time together.
Completing laundry was added to positive target behavior list along with completing programs and returning to room by curfew.