{"history": [{"sno": "new", "year": "2025", "answer": [{"options": {"value": "Marissa Spencer", "optionId": "u4v"}, "questionId": "K-lowx"}, {"options": {"value": "NH010289300", "optionId": "vvv"}, "questionId": "B-lowx"}, {"options": {"value": "1980-10-22", "optionId": "tdb"}, "questionId": "M-iz6p"}, {"options": {"value": "2025-07-16T08:33"}, "questionId": "W-iz6p"}, {"options": {"value": "6039700655", "optionId": "uphno"}, "questionId": "U-Phno"}, {"options": {"value": "c.hembrick@focuscares.com", "optionId": "b4v"}, "questionId": "Q-lowx"}, {"options": {"value": "Focus Care", "optionId": "p4v"}, "questionId": "X-lowx"}, {"options": {"value": "Candace Hembrick ", "optionId": "q4v"}, "questionId": "N-lowx"}, {"options": {"value": "Behavioral Health", "optionId": ["bhd"]}, "questionId": "U-w165"}, {"options": {"value": "PHQ9 of 16 (possibly due to untreated ADHD), medication revamp, counselor/therapist, chronic cough evaluation", "optionId": "C-MV65"}, "questionId": "C-MV65"}, {"options": {"value": "8048745660", "optionId": "i4v"}, "questionId": "S-lowx"}, {"options": {"value": "Yes", "optionId": "su8"}, "questionId": "Q-jtcz"}, {"options": {"value": "No", "optionId": "l6B"}, "questionId": "A-que"}, {"options": {"value": "No", "optionId": "l6D"}, "questionId": "B-que"}, {"options": {"value": " - Member states that she has a hard time getting an appointment with her psychiatrist.  The member has been placed on different medications for her mental health but felt that they did not work for her and stopped taking them.  Since she was not able to get an appointment in a timely manner to adjust the mediations she would stop taking them.  She definitely needs to get someone so that she can speak with on a regular basis such as a counselor or therapist. <br>Discussed with member that she does have an elevated PHQ9 of 16 despite her being on medications.  She does feel like her medications are not working and wants to see if she can get a more homeopathic treatment plan.  Advised member that she may need to have her medication regimen evaluated as well as getting the member to speak with a therapist or counselor.  She reports that she would not mind doing this.  Also, the member reported that she has untreated ADHD.  In the past she was taking Vyvanse and this seemed to work.  She had to stop taking it because her insurance would not pay for it.  Educated member to not abruptly stop taking her medications but communicate with her provider that she is not having any benefits or seeing any results from her medication.  Let the member know that this is dangerous and more harmful than beneficial.  This also facilitates communication and a health care team environment.  Discussed that in order for her medications to work that they sometimes have to be titrated and/or build up in her system in order to be effective.   Will send referral for member medication evaluation, ADHD evaluation and to be begin treatment, and for member to get a counselor/therapist to further assist and facilitate healthy outcomes. <br> - Chronic cough - has been to see ENT and allergist but no one has been able to stop it. ", "optionId": "l6l"}, "questionId": "P-gbms"}], "clientId": "client_013", "memberId": "NH010289300", "referralId": "vu8", "submittedBy": "chembrick", "sentToQADate": "2025-07-16T12:34:46.203Z", "submittedUserType": "nurse", "referralFormStatus": "0", "sentToHelpLineDate": ""}], "last_updated": "07-16-2025 08:34:46"}