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Case Assessment

I. Identifying Information

Client Name: Jamie King

Age: 37 Marital Status: Single

Sex: Male Religion: Baptist

Position in Family: Son Race: African American

Employment: None Citizenship: USA Citizen

Income: TEMA

II. Presenting Problem

Mr. King was accepted in to Safe Haven on 06/23/05 as a result of a need for shelter.

III. Referral Source and Process

Mr. King was referred to Safe Haven from UMHS and BSAP. His case managers
made the request as a result of his homelessness and his history of mental illness.

IV. Living Situation

Mr. King currently resides at Safe Haven, located at 4101 Old York Road in Baltimore City. Safe Haven is a homeless shelter that is owned and operated by University of Maryland Health Systems.

V. History

¨Developmental-Mr. King appeared alert and stable during the interview. His actual
IQ is not......

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Approximate Word Count: 1377
Approximate Pages: 6 (250 words per double-spaced page)

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