Housing Advisory Board Orange County Division (HAB-OCD): August 2019

Feature Photo

[INSERT “Jessie on the bottom”]

Dedicated to Jessie [MIA]

In Memory Of

Road Kill Mark [KIA]

Kelly Thomas [KIA]

Bullying Taken to the Next Level

Blogger Title

Housing Advisory – Rent A Shared Room – Bully Management – By Keith Torkelson MS – Housing Advisory Board – Sleep Bullies - SleepAbility

Abstract – Executive Summary

Prologue

This is a paper on bullying in a Rent A Shared Room (RASR) environment. This report is a sub-set of our process we call roommate matching in a RASR environment. It pertains to Keith “Buster” Torkelson MS and some of his housemates. We author this paper as a product of Mentalation Solutions Group (MSG). For this study we differentiate various types of bullies. The players in this passion play are housemates: Theodore “Ted” Francis, Rochester Cannon, Mike O., and William C Shrader. For the most part these individuals are the antagonists in this study. There are also a few protagonists: Gloria “Casita” (“G”), Mel “Casito” (“M”), Lawrence David Chan (LDC), and Joyce Maxine Brown (JMB). We discuss other players in a lessor role. Buster shared a room with LCD at UC Davis. We here at MSG give LDC an A grade for not being a bully. Keith’s relationship with LCD is our model of how to get a Rent A Shared Room right.

Standards and Measurement

This paper is designed to be one chapter in our Housing Advisory Board (HAB) project. To keep the materials tighter we introduce our latest version of Repeating Themes. At this point we have fourteen Repeating Themes. Here in this paper we address about half of them. As is usual the case we develop our own assessment tools using an Iterative Approach. There were no best fit assessments about bullying in a RASR environment directly via the online literature. In sum we developed, adapted, and transformed a total of about six (6) assessment tools. For two of our bully assessment tools we took a shot at standardizing cutoff values.

Anti-Strengths (@) Approach

Most if not all tools used in this study were scored by Buster. We here at Mentalation Solutions Group (MSG) created our anti (@) strengths assessment. With this derived tool low scores are favorable. As stated earlier Lawrence David Chan (LDC) was Buster’s Rent A Shared Room roommate from 1983-1984. On August 26 (M), 2019 applying our “Anti” assessment we scored LDC retroactively 4% where lower scores are favorable. Buster shared a room in a RASR environment with retired and wounded Vietnam Vet Rochester Cannon. Overall from the period 2014-2019 Rochester earned himself an 86%. Rochester is both a Space and Sleep Bully.

Have To Ask – Normal – Comparative Features of Bullying

After living so long in a Rent A Shared Room (RASR) environment we have to ask: Did “Buster” ever have it normal. The answer is” Yes on many occasions! Just last July 2019 Buster had the privilege to meet up with one of his college RASR roommates. This legacy roommate was Lawrence David Chan (LDC). Both LDC and Keith were attending UC Davis in a pre-medical fashion. We scored Keith’s association with LDC retroactively. LDC is one of our Bully Controls. On one of our bully assessments LDC earned himself a 2%. On said assessment lower scores are favorable. This outcome indicates that Buster on and off has demonstrated the qualities that made him a good roommate. On August 22 (TH) we applied the same assessment in real time (RT) to a housemate and Space Bully Theodore “Ted” Francis. Ted earned himself 63.3%. All assessments herein were scored by Keith “Buster” Torkelson.

Model for A Rated Roommates

Buster - Lawrence - Earl

Reunion 2019

At UC Davis all earned their degrees

2018-2019 Snapshot Measures – Table - Bully Related Scale Summary

Core Instruments – Bully Assessment

We have been told time and time again: “Share and apply your lived experiences” in behavioral health. We here at Mentalation Solutions Group (MSG) created two assessment tools to capture the bully experience. One addresses overt bullies and the other addresses passive aggressive bullies. After scoring two non-bullies we set the healthy range at and between 0.00% and 25.0%. The unhealthy range came up at and between 58.3% and 75%. Bully scores greater than 75% indicate that a physical assault incident may loom in the midst. Our housemate bully Ted earned himself on March 14 (W), 2018 an overt bully score of 66.7%. On the same day he earned a passive aggressive bully score of 58.3%. On April 30 (TU), 2018 we scored our then roommate Rochester Cannon. Rochester is a Sleep Bully. Rochester earned a 58.3% as an overt bully and a 75.0% as a passive aggressive bully. The two members in our control group are Gloria our Interventionist and Joyce Maxine Brown our Family Therapist. The discoveries about them are included below in the body of the report.

2018 - Longitudinal Matrix - All Ratings About Theodore “Ted” Francis AKA Zep

We developed an assessment tool to capture “Buster’s” reaction with one bully in particular. His name is Theodore “Ted” Francis. He shares the house with us yet not in our room. For the most part he is not a Sleep Bully. Amongst all of our sub-types of bully he falls under many types. Here we address him as a Space Bully. We captured our reactions longitudinally throughout 2018. High scores are favorable. On February 26 (M), 2018 Ted was having the most effect on our reactions (reactivity). About us and him we scored 57.7%. By April 27 (F), 2018 the effect Ted was having on us had lessened improving to 82.7%. Our reactivity is more often than not associated with anxiety. One of the reasons we can tolerate daytime stress leading to anxiety is that we get enough regenerative sleep. In general we feel that for Buster bullies have a negative influence on Buster’s Quality Of Life (QOL).

Special Topic – P4D - Behavioral Health Doctor (BHD) and Bully Intervention

We here at MSG asked ourselves the question? Can our Behavioral Health Doctor (BHD) help us with our bully problems. For example can our current doctor help us to get William or Mike to be quiet and sleep through the night? Up front we believe that due to his innate vulnerabilities “Buster” gets bullied a lot. Back in 2010 Buster was sharing a room with a self-defined bully. His name was Keith Edward Wadding (KEW). KEW said he had a history of violence and bullying. KEW blamed it on his abusive father. At the time we had monthly appointments with our then BHD Doctor Vu MD. As we told Dr. Vu our roommate (KEW) was off the chart angry, making it hard to sleep at night and destroying property. Dr. Vu said it was situational. He was of no help as our health deteriorated. Eventually by 2012 Buster entered a downward spiral that resulted in catastrophic loss including hospitalization. Below we share some of doctor Alan Duy Vu’s objective performance numbers. We accessed four (4) rating services: Vitals, Healthgrades, WebMD, and Google. Dr. Vu’s clients gave him ratings ranging between 3.1 - 5.0 stars. Dr. Vu failed us when it came to helping directly with our bully problem. Indirectly he helped us sleep a bit with the Clozapine (Not Klonopin) that he sustained us on. We now have and new and improved BHD. His name is Rimal B Bera (RBB) MD. We really don’t feel he can offer any substantial help with our current bully and associated sleep issues. RBB doesn’t even ask questions such as: How are you sleeping? Can I do anything to help? To sum it up in Buster’s circumstance our BHDs have not or do not present themselves much as a resource for bully and sleep management. In the future this needs corrective action by BHD and policy (rule) makers.

Bullies & Health

We accessed an assessment online and adapted it to our needs. The source assessment is called the Health-Related Quality Of Life Scale or HRQOL-14. With MSG’s adapted HRQOL-14 high scores indicate problems. Like the original our version takes into consideration 3 “modules. All elements are assessed about “Buster”. We ran all assessments for Buster on August 26 (M), 2019. The first of the three modules is the “Core Healthy Days Module”. Buster scored 38% for health and resilience in the face of a bully or bullies. The second of the three modules is “Activity Limitations Module”. Buster scored 60% for problems in the face of a bully. The last module in this series is called “Healthy Days Symptoms Module”. This is an assessment for mood and symptoms. For the final module Buster scored 45% about his health problems in the face of a bully score. We find that the bullies that Buster deals with on a daily basis impact his mood the most. With the HRQOL-14 comes a sub-scale rating itemized health problems. For this scale Buster earned a 42.9%.

Housing Advisory Board Theme – Bullies

We here at MSG are participating in a local effort (Orange County) to help house the disadvantaged and disabled. This also included the homeless of Orange County. We have defined at least two currencies about housing. One is the bed. Two is sleep. The Orange County Health Care Agency (OCHCA) is the shaker mover when it comes to finding beds for the mentally disabled. The OCHCA promotes beds available under various classifications. Here we address a specific type of bed as it is located in a Rent A Shared Room (RASR). One of the major and nearly insurmountable issues in a RASR environment is bullying.

Rent A Shared Room (RASR) Facilities

The RASR facilities we address are in Orange County California. The specific RASR facility for the time being we call Shank’s Truck Stop (STS). It houses ten (10) adult men. It is usually at capacity. Currently, August 27, 2019, the men range in ages from 30 years old to about 65 years old. The majority of the men are consumers of psychotropic medication. We here at Mentalation Solutions Group (MSG) performed this study to help better inform the community with respect to housing needs and fixes for the disabled community. In addition this study is a means for our principle, Keith Torkelson MS, to cope with the ongoing struggles he has being bullied. MSG shares our reports via some odd six (6) Blogs. In this way Keith feels he has a voice. We find that Sleep Bullies have the biggest impact on Keith “Buster” Torkelson ongoing pursuit of health.

Protective Factors - Health - Protective Behaviors

“Health protective behaviors are actions linked to decreasing risk factors, reducing negative health outcomes, and facilitating a healthy lifestyle. Health protective behaviors can be at the individual, familial, or community level, which all work together to eliminate risk factors that impair health”. We here at MSG ask if and how writing this paper may be protective or in other words protect us from undue harm living with one or more bullies? How can writing a paper decrease or risk of losing sleep and the downward spiral associated with losing sleep? In one short sentence it helped us identify the approaches on a night by night basis that are helpful to us to counter the frustrations driven by bullies particularly Sleep Bullies and Space Bullies. We will go back to the Protective Factor Approach (PFA) multiple times in the future because it makes sense to MSG and Buster. I am Avey Asus – I am a construct – I associate meaningfully with MSG - I wrote this paragraph as well as several others in this report.

Partners & Pinterest Part

Joyce Maxine Brown

Family Interventionist

OCHCA Centralized Assessment Team (CAT) Service

Public Health Referral Line

Table of Matrices – Tables – Special Topics

Introduction - 20190826-M: Table - Types of Bullies

Introduction – Table - Cast of Protagonists

20190826-M: Table – Sharing A Room Roommate Comparison

Introduction - 20190822-TH: Table - Repeating Themes

Table - Assessment Themes (Suggestions) – Context of Bullying

20190826-M: Matrix - Roommate Matching – Anti-strengths Approach

Table - Assessment Features

20190826-M: Matrix - Roommate Matching – Anti-strengths Approach

20190825-SUN: Matrix – Comparative Features for Bullying Assessment

2018-2019 Snapshot Measures – Table - Bully Related Scale Summary

2019 – Matrix – Comparing Two Bullies – Overt Bully Scale (OBS)

2019 – Matrix – Comparing Two Bullies - Passive-aggressive Bully Scale (PABS)

20190823-F: Matrix – Overt Bully Assessment Derived: PC Learning (MSG 12-Item Screener)

20190823-F – Matrix - Bully Assessment Derived: PC Learning (MSG 12-Item Screener)

2018 - Longitudinal Matrix - All Ratings About Theodore “Ted” Francis AKA Zep

20190822-W-ON: Table – Episode Notes – Mike O Bunk Bed Bully

20190822-W-ON: Table - Dialogue & Observations – Mike O a Sleep Bully

Special Topic – P4D - Behavioral Health Doctor and Bully Intervention

20190826 – Matrix – Comparing BHD Resources – Context Bullying

20190826-M: Matrix - Perf Rating Summary – Online Ratings - Dr. Alan Duy Vu, MD

20190826-M: Table - Health-Related Quality of Life Scale (HRQOL-14) – Summary

20190826-M: Table – Bullies and Health - “Core Healthy Days Module”

20190826-M: Table – Bullies and Health - “Activity Limitations Module”

20190826-M: Table – Bullies and Health

20190826-M: Table – Bullies and Health - “Healthy Days Symptoms Module”

Introduction - 20190826-M: Table - Types of Bullies

Housemate & Roommate Matching

-
Type	Descriptions	Example(s)
-
1-Sleep Bullies	Interfere with any stage of sleep	Rochester – William - Mike
Bunk Bullies	Transfer inappropriate vibrations through the shared bunk bed	William - Mike
Drama	Usual over the top angry – dissatisfied - frustrated	Ted
House Bullies
Mood Bullies	Over the top with anger	Ted
Over-the-top Bullies	Assault - Battery
Predators	Wrench your life behind your back	Ted
Privacy Bullies	Intentionally interrupts your private time	Ted
Rent A Shared Room Bullies	Any of the others that apply within the room	Rochester – William - Mike
Security Bullies	Theft and property damage	Ted
Sound Bullies	Not use headphone with appropriate
Space Bullies	Has options yet invades your space	Ted
-

Last Reviewed: 20190827-TH: Bully Typing

Introduction

Prevention & Early Intervention

With respect to Bullies obviously prevention is the best strategy. Yet due to high Behavioral Impairment Symptom Density (BISD) in the RASR environment we are bound to run into House Bullies, Sleep Bullies, and Bed Bullies. The owner of the house and support person “Casita” does her best intervening early. For Buster early intervention comes at a point well before even considering calling “911”. As we state over and over in our reports Buster has an absolute sleep requirement. Lack of sleep impairs his judgment and escalates in to anxiety and or panic. With this report we hope to train Housing Advisory staff and tenants to prevent and address bullying with intent for preventing it over time”.

Assessments

We now live in a time that paper assessments as compared to clinical laboratory assessments (tests) matter more than ever. Assessments such as surveys can help the community and individuals determine the frequency and locations of bullying behavior. Assessments can also gauge the effectiveness of current prevention and intervention efforts. Knowing what’s going on can help the community, providers, and consumers select appropriate prevention and response strategies. Assessments involve asking housing or community members, including tenants, about their experiences and thoughts related to bullying. “An assessment is planned, purposeful, and uses research tools.” Assessment can help capture both the user (tenants) and provider (landlords) experience.

Develop and Implement an Assessment

Since 2001 we here at MSG (Previously Tork Reconstruction Company) developed several assessment tools to gauge progress about our Health & Human Services concerns. In 2010 we began working on assessments for the Orange County Health Care Agency (OCHCA). One of them was designed to be “the full Monty”. In other words it was to meet all specifications to be worthy of copyrighting: Reliable, validated, etc. Our effort with our assessments was that they be applied one-hundred (100) or more times. Now we make our assessments to help solve problems. We have a process that works pretty well for us. We pick the theme, steal some fitting questions, append items based on our lived experiences, and try to present a tool in a form that benefits others. One important factor for us when we find a good fit online is that it is free. Our screener surveys have less than or equal to 15 questions. Our screeners can be answered in about five (5) minutes or less. This makes them handy to bring with you to your doctor’s appointment. Some authors discuss age appropriateness. We have yet to weigh in on our age appropriately perspective.

FYI > https://www.stopbullying.gov/resources

The Right to Sleep – A Fundamental Right

We were going to paraphrase this article yet most of it makes sense to leave in its original form.

FYI >

https://people.smu.edu/bhoward/2016/03/22/sleep-is-a-fundamental-human-right-indias-supreme-court-rules/

Mar 22, 2016

I”n February (2016), India’s Supreme Court ruled that sleep is a fundamental human right. "The court reasoned that sleep comes under the right to life because to be able to live people need access to peaceful sleep. According the Supreme Court judges, sleep is essential for a human being to maintain the delicate balance of health necessary for its very existence and survival…The ruling from the Supreme Court means people who disturb others sleeping could be violating their human rights. As a result, people could complain about loud music at night, people clattering around noisily when waking up early, employers not giving workers enough time to sleep between shifts, and waking someone up when they didn’t want to be. The ruling put the right to sleep alongside the right to privacy and the right to food in the country’s constitution. However, this doesn’t mean that someone can fall asleep anywhere and claim it was their human right. In determining right to sleep, courts would consider “reasonable regulation of time, place and manner of the act of sleeping.”

The Sleep Bully

In our experience the defining feature of a Sleep Bully is one that wakes “someone up when they didn’t want to be”. Sleep Bullying can occur in any stage of sleep: Sleep hygiene, falling asleep, staying asleep, and waking up. For some people such as Buster sleep interruptions are not only torturous they have and can be associated with costly stays in the hospital for anxiety. Buster gets anxious and other complications when his sleep is impaired by outside influences. When Buster does sleep it make the next day much Better & Brighter.

Sleep Statistics - Data About Sleep and Sleep Disorders

FYI > https://www.sleepassociation.org/about-sleep/sleep-statistics/

About Sleep: Tips, Quotes and More

Below is a compilation of interesting statistics that relate to sleep and sleep disorders. From this list, it will be apparent that there is significant amount of sleep issues and sleepiness in our society. The public health consequences from sleep disorders and sleepiness are staggering. “We all really do not know that sleep is necessary for our physical and mental health.” Buster only came to realize the impact that sleep and sleep issues was having on his health beginning 2012 after an episode of “Catastrophic Loss”. We feel that sleep is critical in the health of consumers taking sleep aide and non-sleep aide psychotrophic medications. As such sleep should be afforded the respect it deserves as a key indicator of health and wellbeing. We state again: “very few know how important it [SLEEP] really is. Since medication is involved this makes Primary Care Physicians (PCPs) and Behavioral Health Doctors (BHDs) at the front line with respect to a full service delivery approach targeting sleep fixes and the associated benefits.

Sleep – Those with Un-met Needs

Based up data from the Sleep Association and Datacenter we calculate that 23.6% of adults in the United States suffer from some form of sleep problem. So far we have found no literature addressing Sleep Bullies. The Sleep Association indicates that: “The public health consequences from sleep disorders…are staggering”. Sleep issues affect both the disabled and the abled alike.

Table – Sleep Banking


Description	Stat	Stat Owner

Adults age 18 or over in the USA	253,768,092	Datacenter
Adults with Sleep Issues in the USA	Ballpark 60,000,000	Sleep Association
-
CALC 60,000,000 (Sleep Association) / 253,768,092 (Datacenter) = 23.6%	23.6% of adults with sleep issues	MSG
Number of adults in the USA that are a victim of a Sleep Bully	Not available
-

Last Reviewed: 20190828-W:

Founding the Science of SleepAbility

What makes SleepAbility a Science?

[HELD OVER FOR NEXT REPORT]

“keith torkelson sleepability”

Hits > About 267 results (0.45 seconds)

Keith Torkelson’s SleepAbility Study 2019 Number I – A Right To Sleep (MSG, 201903) & Crisis Intervention – Health & Human Services Advisory on AnimaCules

http://ktork46.blogspot.com/2019/03/keith-torkelsons-sleepability-study.html

2019 - AnimaCules

https://ktork46.blogspot.com/2019/?view=classic#!/2019/05/sleepability-study-2019-ii-considering.html

May 29 (2019)

SleepAbility Study 2019-II Considering Role of Exogenous Factors including Behavioral Health Doctor’s By Keith E Torkelson, MS (201905).

Housing Advisory Board Orange County Division (HAB-OCD)

https://housingadvisoryboard.blogspot.com/

If interested in DP search the follow statement “keith torkelson mikel r”. Overall we call our investigation of sleep SleepAbility.

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Vie For Credit

With the publication of this report addressing Sleep Bullies we vie for credit. The credit we vie for is introducing the Science of SleepAbility. Above are our three of our foundational papers addressing sleep and SleepAbility.

FYI > Keith Edward Torkelson – Treatment Preferences - Brand New Day HMO

http://brandnewdayhmo.blogspot.com/2017/12/keith-edward-torkelson-treatment.html

Dec 14, 2017 - Keith Edward Torkelson – Treatment Preferences – Behavioral Health Medication - Positions Mental Health Treatment Preferences for Keith Edward Torkelson M.S.

You've visited this page many times. Last visit: 4/3/19

Thursday, December 14, 2017

Introduction – Table - Cast of Protagonists

20190826 – Table - Intervention Resources

-
Subject		Note
-
Gloria Shanks (Casita)		Interventionist
Mel Shanks (Casito)		Muscle Interventionist
Keith “Buster” Torkelson		Self-help Specialist
Joyce Maxine Brown		Family Interventionist

Date Last Reviewed: 20190827-TU:

[INSERT APPROPRIATE Protagonist IMAGES]

[DITTO]

Shanks - Small Business Owners & Interventionists

Buster - Dressed for his Doctor's Appointment

Friend and Ally Jeffery A Nagel PhD

Executive Leadership

Orange County Health Care Agency (OCHCA)

20190826-M: Table – Sharing A Room Roommate Comparison


Abbrev	Character	QGM	Note

LDC	Lawrence David Chan	A	Protagonist Model RASR roommate
RC	Rochester Cannon (Basalt)	D	Caused intentional harm and interfered intentionally with Buster’s sleep
MO	Mike O (Speedy)	D	Self-control issues Bunk Bed Bully

TF	Theodore “Ted” Francis	D	Housemate – Shot Caller

Last Reviewed: 20190827-TU: QGM = Quick Grade Method

[INSERT PHOTOS of ANTAGONISTS]

Rochester - Sleep Bully

Theodore - Space Bully

Jon - Space Bully

Sample for Rimal B Bera's Patients

Mike O - Sleep & Bunk Bed Bully

Mike O - Day After

He threatened Buster with that fork on his plate

On Top - William - Sleep & Bunk Bed Bully

William = No Time For Old Men

On the Bottom - Mikel - Control for a Nice Guy

Introduction - 20190822-TH: Table - Repeating Themes

	-
##	Theme	Addressed Here	Note
	-
01	BHDs – RBB	X	Doctor In Charge
02	Boundaries		For Dr. RP Singh
03	External Quality Review
04	Family Involvement	X	Joyce M Brown
05	Housing Advisory Board	X
06	MHSA Housing & Innovations Jeff A Nagel PhD	X	Public Health Approaches
07	PCP – CDM
08	Protective Factors		Marginal
09	Psychiatry 4 Dummies	X
10	QOL & Bullying	X
11	Satisfaction
12	Sleep	X	SleepAbility
13	Social Poverty		Disadvantaged and Homeless
14	Technology for Recovery	X	Blogging
	-

Last Addressed: 20190827-TU: MSG Housing Repeating Themes

-
LAW1

LAW1 - Buster Given "TheBench" at Whittier School of Law

Practicing roll as JudgeFusion

Results

20190826-M: Matrix - Roommate Matching – Anti-strengths Approach

-
##	Theme	LDC 1983-84 Retro	RC 2014-2019 Retro	Note
-
01	@Determination	0.00	1.00
02	@Harmony	0.00	1.00
03	@Literacy	0.00	1.00
04	@PEACE	0.00	1.00
05	@Safety	0.00	0.50
06	@Security	0.00	0.50
07	@SleepAbility	0.25	1.00
-
	CALC	0.25/7	6.00/7
	Health Oppositional Score =	4%	86%
-

Date Scored: 20190826-M: RC = Rochester Cannon a RASR & Sleep Bully: LDC = Lawrence David Chan

Example

@Safety [INSERT JESSIE PHOTO]

Jessie Revisited

Carl takes down Jessie

Jessie being crushed under about 270 pounds

20190825-SUN: Matrix – Comparative Features for Bullying Assessment

Establishing Cutoffs – Relative to Buster

-
##	Feature	LDC 1983-84 Retro	TF 20190822 (TH-RT)	Note
-
01	Abuse	0.00	0.50
02	Bullying	0.00	0.50
03	Divergent Preferences	0.25	1.00
04	Dying Old Men	NA	0.50
05	Elder abuse	NA	0.50
06	Intentional Harm	0.00	1.00
07	Interventions Required	0.00	0.25
08	Learned Helplessness	0.00	0.25
09	Neglect	0.00	0.50
10	Not care of needs	0.00	1.00
11	Preying on the Vulnerable	0.00	0.50
12	Selfishness	0.00	0.50
13	Skew Preferences	0.00	0.50
14	Social Poverty	0.00	1.00
15	Victimizing	0.00	0.50
-
	CALC	0.25/13	9.50/15
	Features of Bullying Assessment Score (FBAS) =	2%	63.3%
-

Date Scored: 20190825-SUN: LDC = Lawrence David Chan: TF = Theodore “Ted” Francis

2018-2019 Snapshot Measures – Table - Bully Related Scale Summary

Establishing Cutoffs for MSG Bully Assessments

Relative to Buster

-
Time Stamp	Scale	Perp	Bullism Earned Value	Note
-
20180314 (W)	Overt	Zep	66.7%	Housemate
20180314 (W)	Passive	Zep	58.3%	Housemate
20190430 (TU)	Overt	Basalt	58.3%	Share room
20190430 (TU)	Passive	Basalt	75.0%	Share room
-
20190823 (F)	Overt	Casita	00.0%	Interventionist
20190823 (F)	Passive	Casita	20.8%	Interventionist
20190823 (F)	Overt	JMB	25.0%	Family Interventionist
20190823 (F)	Passive	JMB	16.7%	Family Interventionist
-

Last Addressed: 20190826-M: Higher Scores are Bullish

20190823-F: Begin Observations - Ted A Space Bully

Our records show that we were frustrated with Ted taking our morning space as early as April 7, 2018. We went away for seven days at the beginning of August 2019. Since returning Ted has ramped up his efforts to take our morning space. On Thursday August 22, 2019 we had had enough. We brought the space issue to Ted’s attention. He gets all weird saying he didn’t want to hear it. All we wanted was our morning space back again. At one point he says so you want to hit me! Incidentally Buster has no history of hitting people. When Buster says no I don’t want to hit you Ted starts walking aggressively towards Buster. Buster had to run away. Incidentally if Ted hit Buster it would hurt really badly. Today, August 27, 2019, is the first morning that Buster felt comfortable again in his morning spot.

Unspoken Messages - Ted A Space Bully

Ted's Bible There is Were we routinely place our mouse while working first thing in the morning using our Laptop

Conflict over that spot there brought Ted to running

Buster down with the intent to beat Buster Up

#NearMiss

Ted's Avatar

(Consumer Art by Buster)

2019 – Matrix – Comparing Two Bullies – Overt Bully Scale (OBS)

Bully Assessment Derived: PC Learning (MSG – 12-Item Screener)

Bully Intensity Scale (BIS) - Overt Bullying – Relative to Buster

-	-
##	Behavior	20180314 (W) Zep	QUANT	20190430 (TU) Basalt	QUANT
	-
01	Has Demonstrate possession of weapons	SoSo	0.50	SoSo	0.50
02	Hitting (Touching)	Yes	1.00	With sound	1.00
03	Hurting-Hurtful	SoSo	0.50	Yes	1.00
04	Kicking	No	0.00	No	0.00
05	Networking Against – i.e. Team ups	SoSo	0.50	No	0.00
06	Pushing (Touching)	Yes	1.00	No	0.00
07	Shoving	Yes	1.00	No	0.00
08	Shows Little or No Remorse	Yes	1.00	Yes	1.00
09	Stealing	SoSo My spot in the morning Other we can’t tell	0.50	My Sleep	1.00
10	Taunting	Yes Spot in the morning	1.00	Yes	1.00
11	Walk away from intervention	SoSo	0.50	SoSo	0.50
12	Will not negotiate	SoSo	0.50	Yes	1.00
-
	CALC		8.00/12		7.00/12
	The Overt Bully Score (TOBS) =		66.7%		58.3%
-

Last Reviewed: 20190828-W:

“Do onto others as you would do to yourself”

2019 – Matrix – Comparing Two Bullies - Passive-aggressive Bully Scale (PABS)

Bully Assessment Derived: PC Learning (12 Items)

Establishing a Normal Range - Cutoff and Controls

Relative to Buster

-
##	Behavior	20180314 (W-RT) Ted	QUANT	20190430 (TU-RT) Rochester	QUANT
-
01	Abuse with words	SoSo	0.50	V Absence	1.00
02	Alienation	No	0.00	SoSo	0.50
03	Controlling	Yes Invading my Quiet Spots	1.00	Passive	1.00
04	Defining Actions	SoSo	0.50	Sleep Deprivation	1.00
05	Lack of Respect	Yes	1.00	Yes	1.00
06	Lying	Yes	1.00	Yes Major	1.00
07	Name Calling	No	0.00	No	0.00
08	Not Trustworthy	Yes	1.00	Yes	1.00
09	Overuse Earphones	No	0.00	In bed time	1.00
10	Teasing	SoSo	0.50	SoSo	0.50
11	Threats to leave you	SoSo	0.50	No	0.00
12	Tries to squeeze you out	Yes	1.00	Yes	1.00
-
	CALC		7.00/12		9.00/12
	A Passive Aggressive Bully Score =		58.3%		75.0%
-

Matrix – Last Addressed: 20190827-TU: Lower Scores are Better: Ted = Housemate & Shot Caller: Rochester = Share a room roommate

20190823-F: Matrix – Overt Bully Assessment Derived: PC Learning (MSG 12-Item Screener)

Bully Intensity Scale (BIS)

Standards - Establishing a Normal Range - Cutoff and Controls

Relative to Buster

-
##	Behavior	Gloria 20190823 F-RT	QUANT	JMB 20190823 F-RT	QUANT
-
01	Has Demonstrate possession of weapons	No	0.00	No	0.00
02	Hitting (Touching)	No	0.00	No	0.00
03	Hurting-Hurtful	No	0.00	SoSo	0.50
04	Kicking	No	0.00	No	0.00
05	Networking Against – i.e. Team ups	No	0.00	SoSo	0.50
06	Pushing (Touching)	No	0.00	No	0.00
07	Shoving	No	0.00	No	0.00
08	Shows Little or No Remorse	No	0.00	SoSo	0.50
09	Stealing	No	0.00	SoSo	0.50
10	Taunting	No	0.00	No	0.00
11	Walk away from intervention	No	0.00	SoSo	0.50
12	Will not negotiate	SoSo	0.00	SoSo	0.50
-
	CALC		0.00/12		3.00/12
	The Overt Bully Score (TOBS) =		00.0%		25.0%
-

Last Reviewed: 20190828-W: Lower Scores are Better: Interventionists Overt Bully Control: JMB = Joyce Maxine Brown

"Do onto others as you would do to yourself"

20190823-F – Matrix - Bully Assessment Derived: PC Learning (MSG 12-Item Screener)

Passive-aggressive Bully Scale (PABS)

Standards - Cutoff and Controls

Relative to Buster

-
##	Behavior	Gloria 20190823 F-RT	QUANT	JMB 20190823 F-RT	QUANT
-
01	Abuse with words	SoSo	0.25	SoSo	0.25
02	Alienation	No	0.00	No	0.00
03	Controlling	SoSo	0.25	SoSo	0.25
04	Defining Actions	No	0.00	No	0.00
05	Lack of Respect	No	0.00	No	0.00
06	Lying	SoSo	0.25	SoSo	0.25
07	Name Calling	No	0.00	No	0.00
08	Not Trustworthy	No	0.25	No	0.25
09	Overuse Earphones	No	0.00	No	0.00
10	Teasing	No	0.00	No	0.00
11	Threats to leave you	SoSo	0.50	No	0.00
12	Tries to squeeze you out	No	1.00	SoSo	1.00
-
	CALC		2.50/12		2.00/12
	A Passive Aggressive Bully Score =		20.8%		16.7%
-

Matrix – Last Addressed: 20190827-TU – Lower Scores are Better: Interventionists Passive Aggressive Bully Control: JMB = Joyce Maxine Brown

2018 - Longitudinal Matrix - All Ratings About Theodore “Ted” Francis AKA Zep

Reacting to a Bully (MSG-13 Item) – Scored in Real Time (RT)

Relative to Buster

-
##	Reactions	Ted 20180226 (M-RT)	Ted 20180329 (TH-RT)	Ted 20180427 (F-RT)
-
01	1-Sleeping OK as Related	0.00	0.50	1.00

02	You always can’t tell - Belief	0.50	0.50	1.00
03	It’s not OK for a bully to pick on you – Applied (Belief)	0.50	0.50	0.75
04	Leave me alone! PRN	1.00	1.00	0.75
05	Act Strong	0.50	0.50	1.00
06	Fear of what? & What Ifs	0.50	1.00	0.50
07	Little Routine Avoidance	1.00	0.50	1.00
08	Moderating Moodiness	0.50	0.50	1.00
09	Make Clear not Acceptable	1.00	1.00	0.75
10	Teach Friendship Skills	0.50	0.50	0.50
11	Stay Calm	0.50	1.00	0.75
12	Plan of Action - ProAction	0.50	1.00	1.00
13	Share as Needed	0.50	0.50	0.75
-	-
	CALC	7.50/13	9.00/13	10.75/13
	Reactive Boundary Score (RBS) =	57.7%	69.2%	82.7%
-

Matrix – Last Addressed: 20190827-TU: Higher Scores are Better: Ted = Housemate & Shot Caller

Lose Notes

20180218-M – Lit at Theodore “Ted” Francis AKA Zep

20180226-TU – Begin 8 day cool down

20190822-W-ON: Table – Episode Notes – Mike O Bunk Bed Bully

Indirect Contact

Orientation – Buster bottom – Mike O top

Structured Temporal Reconciliation (MSG-STR)

-
Time Stamp	Event	Note
-
830pm	Begin routine quiet time
1030pm	Mike O enters room and begins drinking our beverages	Don’t steal my stuff Sound accusation
1040pm	Mike gets naked Request to go to bed	Mel frowns upon his problem with getting naked
1045pm	Bed vibration from 1045pm to Midnight	Mike O and Buster shared a bunk bed
1200 (Midnight)	Decide to not get Gloria and work it out ourselves
1230pm	“911” call suggestion quieted Mike O down	After the third roommate calmed down Buster got to sleep
-

20190822-W-ON: Table – Episode Notes – Mike O Bunk Bed Bully

[DITTO]

Mike O a Sleep and Bunk Bed Bully

After a recovery from near DEATH

His health is waning again

All he can think about is sex

20190822-W-ON: Table - Dialogue & Observations – Mike O a Sleep Bully

Buster and Mike O – Share a Bunk Bed

-
Observation	Buster	Mike O
-
1030pm Wants to stand up and not go to bed
Starts shaking bed
Masturbating for one whole hour	It’s not working for you anymore
At midnight we are fully awake	Gloria would prefer that you to stay quiet and in bed at night	Defiantly I don’t care
Tell him Gloria would prefer you are Quiet	Gloria would prefer that you sleep at night	Defiantly I don’t care
Buster turns the light on to lecture	Can you leave me alone and let’s get some sleep	Turn of the light
	You know that not letting us sleep is causing harm
Share bunk bed with Buster on the bottom	What you are doing shaking our bed is just like prodding me with a stick
Back to Gloria and Mel’s wishes And letting Buster be to get to sleep		I don’t care Gloria says I don’t care what Mel says about being naked
I take a video of him at this stage
	Should I call “911”
This quieted him down – we did not have to ask for help
Lucky to get back to sleep		Became aware of third roommate noise and restlessness
-

20190822-W-ON: Encounter Dialogue & Observations – Mike O a Sleep Bully

20190823-F-AM: Notes - Sleep Bullies

On the morning after Mike O kept us awake we found him alone eating eggs, bacon and toast in the backyard. We decided to recap for him some of what went on the night before. After about 2 minutes he says: Leave me alone! We said we had asked him to leave us alone and let us sleep about a half dozen times the night. Buster is very vulnerable during quiet time that routinely should last from 830pm to 830am. The up time is set based on housing policy. We closed by telling him you are a coward to irritate someone when they are down to sleep! We told the interventionists’ our story. Last night August 25, 2019 at 10pm Mike was relocated. We are not out of the woods because he was replaced by William who also has a history of disturbing our sleep.

Doctor Bera the New Doctor In Charge as of 2019 serving Buster

20190826-M: Matrix - Performance Rating Summary

Online Ratings - Dr. Alan Duy Vu, MD

-
Date of Catch	Online Service	Rating (Stars)	#	Note
-
20190826-M	Vitals	‎4.4	17 votes	Newport & Cerritos
20190826-M	WebMD	‎4.6	18 votes	Newport
20190826-M	Healthgrades	‎3.1	10 reviews	Cerritos
20190826-M	Google Reviews	5.0	4 reviews	Newport
-

20190826-M: Practitioner Dr. Alan Duy Vu, MD

Stars Scores & Privileged People

If you notice the ratings that come out of Dr. Vu’s Newport office are better than those that come out of his Cerritos office. We call this the Privileged Skew. Years ago we were served for our Behavioral Health Needs (BHNs) by Kaiser. We had groups both at their Santa Ana offices as well as their Aliso Viejo offices. Based on our observations, clients in upscale areas such as Aliso Viejo and Newport tend to be more satisfied that those receiving services in poorer parts of Orange County California. As compared to our current Behavioral Health Doctor (BHD), Rimal B Bera MD, Dr. Vu has rather high objective ratings.

20190826-M: Table - Health-Related Quality of Life Scale (HRQOL-14) – Summary

Scores for Buster – Self-score

-
Module	Score	%	Note
-
Core Healthy Days	Resilience in the Face of a Bully	38%
Activity Limitations	Problems in the Face of Bully Score	60%
Healthy Days Symptoms	Mood & Symptoms in the Face of Bullying Score	45%	BSI Impact of Bully/Bullies greatest on mood
-
	Itemized Health Problem Score (14 Items)	42.9%

Date Scored for Buster: 20190826-M High Scores are Problematic - B_ANS = Best Answer: BSI = Bully Substantially Impacts

Relating Bullying to Quality Of Life

Health-Related Quality of Life Scale | SPARQTools (Survey)

http://sparqtools.org/mobility-measure/health-related-quality-of-life-scale/

Jun 28, 2018 - What

“Developed by the Centers for Disease Control and Prevention, the Health-Related Quality of Life (HRQOL-14) scale has 14 items that give a complete overview of a person’s health and wellbeing.”

20190826-M: Table – Bullies and Health - “Core Healthy Days Module”

-
##	Question	B_ANS	20190826 (M-RT)	Note
-
1	Would you say that in general your health is	Fair	0.25	BSI
2	Now thinking about your physical health, which includes physical illness and injury, for how many days during the past 30 days was your physical health not good?	30	0.50	BSI
3	Now thinking about your mental health, which includes stress, depression, and problems with emotions, for how many days during the past 30 days was your mental health not good?	30	0.00	BSI
	If you answered “none” to questions 2 and 3, skip question 4 below:
4 (4)	During the past 30 days, for about how many days did poor physical or mental health keep you from doing your usual activities, such as self-care, work, or recreation?	8	0.75	BSI
-
	CALC		1.50/4
	Resilience in the Face of a Bully =		38%
-

Date Scored for Buster: 20190826-M High Scores are Problematic - B_ANS = Best Answer: BSI = Bully Substantially Impacts

20190826-M: Table – Bullies and Health - “Activity Limitations Module”

“Instructions: These next questions are about physical, mental, or emotional problems or limitations you may have in your daily life.”


##	Question	B_ANS	20190826 (M-RT)	Note

5	Are you LIMITED in any way in any activities because of any impairment or health problem?	Yes	1.00	BSI
	If the answer is no, skip to “Healthy Days Symptoms Module.”
6	What is the MAJOR impairment or health problem that limits your activities?	COPD ADHD	1.00	BSI
7	For HOW LONG have your activities been limited because of your major impairment or health problem?	Since 2012	1.00
8	Because of any impairment or health problem, do you need the help of other persons with your PERSONAL CARE needs, such as eating, bathing, dressing, or getting around the house?	No	0.00
9 (5)	Because of any impairment or health problem, do you need the help of other persons in handling your ROUTINE needs, such as everyday household chores, doing necessary business, shopping, or getting around for other purposes?	No	0.00	BSI Sleep Intervention
-
	CALC		3/5
	Problems in the Face of Bully Score =		60%
-

Date Scored for Buster: 20190826-M High Scores are Problematic - B_ANS = Best Answer: BSI = Bully Substantially Impacts

20190826-M: Table – Bullies and Health

Health-Related Quality of Life Scale | SPARQTools

FYI > http://sparqtools.org/mobility-measure/health-related-quality-of-life-scale/

The Activity Limitations Module subscale also contains Q6.

The answer format for this question is:

-
##	Ailment	QUAL	QUANT	Note
-
01	Arthritis/rheumatism	No	0.00
02	Back or neck problem	Yes	1.00
03	Fractures, bone/joint injury	SoSo	0.50
04	Walking problem	SoSo	0.50
05	Lung/breathing problem	Yes	1.00	BSI
06	Hearing problem	No	0.00
07	Eye/vision problem	SoSo	0.50
08	Heart problem	SoSo	0.50
09	Stroke problem	No	0.00
10	Hypertension/high blood pressure	No TX’d	0.00
11	Diabetes	No	0.00
12	Cancer	No	0.00
13	Depression/anxiety/emotional problem	Yes	1.00	BSI
14	Other impairment/problem	Yes	1.00	BSI - Sleep
-
	CALC		6.00/14
	Itemized Health Problem Score =		42.9%
-

Date Scored for Buster: 20190826-M High Scores are Problematic - B_ANS = Best Answer: BSI = Bully Substantially Impacts

20190826-M: Table – Bullies and Health - “Healthy Days Symptoms Module”


##	Question		B_ANS	20190826 (M-RT)	Note

10	During the past 30 days for about how many days did PAIN make it hard for you to do your usual activities such as self-care work or recreation?		30	1.00
11	During the past 30 days for about how many days have you felt BLUE SAD or DEPRESSED		4	0.25
12	During the past 30 days for about how many days have you felt WORRIED TENSE or ANXIOUS		14	0.50
13	During the past 30 days for about how many days have you felt you did NOT get ENOUGH REST or SLEEP?		14	0.50


14 (5)	During the past 30 days for about how many days have you felt VERY HEALTHY AND FULL OF ENERGY?	R	0	0.00
-
	CALC			2.25/5
	Mood & Symptoms in the Face of Bullying Score =			45%
-

Date Scored for Buster: 20190826-M High Scores are Problematic - B_ANS = Best Answer

Summary – Just 4 JAN

Housing “SuperComp”

Now that we are coming down the homestretch writing this paper: We get to the part as if reporting to Dr. Jeff A Nagel PhD. Dr. Nagel is a current Deputy Director of the Orange County Health Care Agency (OCHCA). He is the Director of OCHCA Behavioral Health Services Division. Dr. Nagel replaced Mary Hale MS last year (2018). Before Mary left she said in public “Housing is a complex issue”. Believe us the more we delve into housing the disadvantaged anywhere it is what we call SuperComp or Super Complex. That is why we focus primarily on the Rent A Share Room (RASR) sector. RASR environments are sometimes called Room & Boards. That is not quite right because few of us living in a “Room & Board” get any “Board”. Another dimension of the RASR environment is the Board & Care. We primarily use our experience living in the Board & Care environment to steal good ideas.

Sleep All Over the World

From our experience for about one-third of those at any giving time in a Board & Care they are committed to “Resource Traps”. Back in March 2019 Buster was fortunate enough to meet with Dr. Nagel for close to one hour. Buster and Dr. Nagel discussed MSG’s and Busters ideas centered about our Housing Advisory Board (HAB) notion. If MSG were to be blessed with another meeting we would demonstrate that all county programs serving the Behavioral Health Consumer (BHC) address measuring sleep and SleepAbility. How can people expect to get much better without proper and rejuvenating sleep! This paragraph is not Just4JAN since we hope that any in need find it online. [Avey Asus, 2019]

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