Episodic Catastrophic Losses Moving Ahead by Keith Torkelson MS, BS

 

Contents

• Requirements
• Acro-Codes
• Loss Summary
• Development Stream and Notes
• Life Change Units (Approach)
• Holmes & Rahe on Stress AMB Life Change Units (LCUs)
• Holmes & Rahe on Stress AMB Life Change Units (Applied)
• Satisfaction & Addressing Catastrophic Losses 23 Items
• Magnitude of Catastrophic Loss Score 23 Items
• 2012 V 2024 – CloZAPine Gaps
• Gains in 2012 Offset – 12 Gains (2024)
• Catastrophic Level Impact Evaluation (CLIE) 12 Items
• 2012 – Started OK
• Loss by Domains of Functioning 15 Items
• Aside – Work Done > Metadata >
• Live Aide & Famine Relief
• Table – 2012 - Catastrophic Loss Worksheet
• 2012 - Hard Move
• Table – 2012 - Catastrophic Loss Worksheet – Key Event Log (KEL)
• Chronology of 2012 Catastrophic Loss II
• Prevention & Risk Management
• Protections
• 2012 Loss Inventory – Individualized - Capturing the Situation
• History Grid & Sampling of Key Events – Since onset of treatment
• Mechanism – Catastrophic Loss of Life – Corona in Reverse Order
• Lung Condition Risk and Related
• 2012 Gains
• Blue House of Hope Features - Example of Catastrophic Loss
• Renting a Shared Room (RASR)
• A Catastrophe Prevention Assessment - ACPA-15 Item – Summary
• A Catastrophe Prevention Assessment – ACPA 15 Items

Loss Summary

Many losses such as losing a car or a good bed can be remedied.  The area that is hardest to resolve are losses associated with Crime.  In 2004 we were convicted of a misdemeanor DUI (2003) and as a result we lost our part-time job as a substitute teacher.  The day of the DUI even though we had alcohol in our system we had an adverse reaction to Viagra.  In 2012 we were convicted of a misdemeanor DUI (2012) and were sentenced to 45 days in county jail.  During the course of our stay we lost ground with: Housing, Mental Health, Physical Health and Cognitive Functioning.  When we were released (freed) we gave up our formal advisory gig with the Orange County Health Care Agency’s Technology Advisory Committee.  Misdemeanors and incarcerations are for most practical purposes not truly reversible.  Very few things went right in 2012 for we lost far more than we gained.

Development Stream and Notes

 

20160910-W-Initial
20180411-W-Forwarded
20200225-TU-Forwarded
20210104-M-Forwarded
20210720-TU-Associated with PAD
20220526-TH-Forwarded
20230602-F-Forwarded
20240725-TH-Forwarded
20240808-TH-Kevin (Sibling) Dies from stroke complications
20250401-TU-Forwarded
20250512-SA-Candace (Sibling) passed away in motor vehicle (ATV) accident
20250804-M-JB goes to hospital
20250824-SU-Sarah’s Motor Mounts
20260129-TH-Forwarded
20260211-W-Found Vet Med Letter
20260915-TU-Neurology EEG
20260918-TH-AgP Warm Fuzzy
20260928-M-Dr. Backman reports via telephone Normal lab and EEG
20261005-M-Isolated Results
20261017-SA-Published

Life Change Units (Approach)

A Life Change Unit (LCU) is a numerical point value assigned to a specific life event on the Holmes-Rahe Stress Scale (also called the Social Readjustment Rating Scale) to measure stress and predict health risks.

How the Scale Works

Created in 1967:

Psychiatrists Thomas Holmes and Richard Rahe asked thousands of people to rank how much social readjustment various life events required.

Scored 0 to 100:

The death of a spouse is the highest stressor at 100 units. Minor law infractions (like a traffic ticket) are the lowest at 11 units.

Cumulative Impact:

You add up the LCU scores for every major event you experienced in the past 12 months.

Interpreting Your Score

According to the Holmes-Rahe model, higher totals mean a greater risk of falling ill from stress within the next two years:

Under 150 units:

Slight or low risk of a stress-induced health breakdown.

150 to 299 units:

Moderate risk (about a 50% chance) of a major health issue.

300+ units:

High risk (about an 80% chance) of a major health crisis.

 

FYI – AI – If you’d like, you can share: Events you experienced over the past year. I can help you estimate your total Life Change Units and assess your cumulative stress level.

Holmes & Rahe on Stress AMB Life Change Units (LCUs) 

https://en.wikipedia.org/wiki/Psychological_stress (Circa 2012)

 

Life Event	LCUs
Death of a spouse	100
Divorce	73
Marital separation	65
Imprisonment (Jail)	63
Death of a close family member	63
Personal injury or illness	53
Marriage	50
Dismissal from work	47
Marital reconciliation	45
Retirement	45
Change in health of family member	44
Pregnancy	40
Sexual difficulties	39
Gain a new family member	39
Business readjustment	39
Change in financial state	38
Death of a close friend	37
Change to different line of work	36
Change in frequency of arguments	35
Major mortgage	32
Foreclosure of mortgage or loan	30
Change in responsibilities at work	29
Child leaving home	29
Trouble with in-laws	29
Outstanding personal achievement	28
Spouse starts or stops work	26
Begin or end school	26
Change in living conditions	25
Revision of personal habits	24
Trouble with boss	23
Change in working hours or conditions	20
Change in residence	20
Change in schools	20
Change in recreation	19
Change in church activities	19
Change in social activities	18
Minor mortgage or loan	17
Change in sleeping habits	16
Change in number of family reunions	15
Change in eating habits	14
Vacation	13
Minor violation of law	10
Total =	1453

 

Holmes & Rahe on Stress AMB Life Change Units (Applied)

Holmes and Rahe Stress Scale

Holmes and Rahe found that a score of 150 gives you a 50-50 chance of developing illness.  A score of 300+ fives you a 90% chance of developing an illness, having an accident or “blowing up”. Notice that “positive times” like Christmas, marriage and vacations are stressful.  Multiply event by the number of times you have experienced it in the last year.

 

Scored by and for Keith “Buster” Torkelson for Whole Year 2012

20230602-F: Moved from Satisfaction Index

 

Satisfaction & Addressing Catastrophic Losses 23 Items

Magnitude of Catastrophic Loss Score
What was lost in 2012?
Scored by and for Keith Torkelson, MS, BS
Part A of 2

Magnitude of Catastrophic Loss Score 23 Items

Scored by and for Keith Torkelson, MS, BS
(*) First 6 months
Part B of 2

(*) 2012 Loss of best fit medication via doctor’s recommendation

(**) 2012 Losses at Chapman Board & Care – Belongings replacement cost around $700-$1,000.

Last Reviewed: 20240725-TH:

Magnitude of Catastrophic Loss Score – 23 Items

Tie up resources on coping behaviors
Scored by and for Keith Torkelson, MS, BS
Loss of Freedom, Sleep and Peace are the highest weight items
LSF = Low Scores are Favorable

Impact Score

An impact score is a numerical value used to measure the importance, effectiveness, or potential outcome of a project, product feature, scientific, or business initiative. It helps prioritize resources, assess sustainability or evaluate academic, research, or clinical outcomes (e.g., concussion care).

2012 V 2024 – CloZAPine Gaps

Not having Clozapine in 2012 is associated with a hospitalization for Buster.  In 2012 Diana M. (Caseworker) and Bum Soo Lee (Psychiatrist) both approved discontinuing Invega in lieu of CloZAPine.  In 2024 we were put on Invega Sustenna again.  Doctor and we decided to stop it on August 21, 2024 (W) (Consensus).  Conclusion: A monthly Invega injection cannot substitute for our nightly CloZAPine.

 

Work Done > Metadata >

https://clozapinerx4ecstasy.blogspot.com/2024/07/invega-experiments-on-keith-torkelson-ms.html

 

Gains in 2012 Offset – 12 Gains (2024)

Quickly we gained some ground in 2012.  On July 1^st, 2012 we had our last drink of alcohol (beer).  As of 2024 we now have 12 years clean and sober.  In 2012 Kevin our older brother helped us attend a MADD meeting which we couldn’t have attended without him.  We moved into a Good Bed at Shank’s Guest Home.  We gained competency riding the bus.  We revived our relationship with our mother’s sister Aunt Joyce.  We linked Joan, our Most Significant Other Ever (MSOE), with our Aunt Joyce.  We maintained our overnighters with Joan.  Some family members including Aunt Joyce and Christine our sister gave us money.  We began our association with the best care coordinator ever Oswaldo Escalante. Charley our brother-in-law picked us up on release day from Theo Lacy.  If it were not for him we would not have linked with Westminster Superior Court.  Aunt Joyce helps Joan and us out.  Lastly, our Medi-Cal was sustained via redetermination.  Chapman Board & Care stole some of our property including a leather jacket and karaoke setup.  The items in this paragraph are some of our 12 gains.  Overall in 2012 we lost about 22 things.

 

Scored by and for Keith Torkelson, MS, BS
Catastrophic Level Impact Evaluation (CLIE) 12 Items
LSF = Low Scores are Favorable | RS = Rodney Spink | SW = Share (d) With

2012 – Started OK

For Buster 2012 seemed to start out OK.  After successfully taking 10 or so units at Cypress College for fall semester of 2011 he enrolled again starting January 2012.  In fall 2011 he earned a 4.0 GPA.  Then a series of losses transpired.  His insurance denied payment for his monthly CloZAPine driven CBC lab work.  He was still having difficulty getting good sleep.  His great Rent a Shared Roommate (RASR) Raul Romero had passed away.  The replacement RASR made it difficult to get rest and sleep.  Buster called the paramedics and was transported from Anaheim to South Laguna.  After about three days Buster was released to the streets.  He made it back to Anaheim by bus.  Unless Buster found a Better Bed his pattern has it that he would be re-hospitalized.  He was transported to Huntington Beach Hospital then Western Med Anaheim (WMA).  He was released from WMA to Brand New Day.  Brand New Day temporally placed him at Shanks Truck Stop.

Loss by Domains of Functioning 15 Items

Scored on February 12, 2026 (TH)
Scored by and for Keith Torkelson, MS

Associated Functioning
GAF Scores
GAF_14010603_Tracker_DAG V2020-Results

Aside – Work Done > Metadata >

Digital Appointment for Behavioral Health Doctor by Keith Torkelson MS - Torkelson Pathology
https://ktork46.blogspot.com/2019/06/technologicalneeds-in-human-services.html
20250824-SU = 140 Page Views
20260212-TH = 145 Page Views

 

Digital Appointment – For and By Keith Torkelson MS
http://ktork46.blogspot.com/2018/?view=classic
Keith E Torkelson (2018) – Features Julie's House Model

Includes 
Shared Room List
Mental Health Association Orange County (MHA-OC)
Has broken nose as feature image
Quality Of Life (QOL) Unit
Professional Quality Of Life (ProQOL)
 

The Torkel Saga 2059 (Dec 13, 2017)
http://the-torkel-saga-2059.blogspot.com/2017/
Keith E Torkelson Reviews Chapman Board and Care in Scope of Alleged Unprotected Battery Complaint
Sample Complaint Involving Chapman Board & Care
Shared Room – B&C Roommate Suffering Shoulder Injury and distributes Cannabis

 

HealthMan By Keith Torkelson MS_UCD Educated
https://healthman2059.blogspot.com/2018/05/mental-health-association-orange-county.html
May 4, 2018 - MHSA Innovation Component Minute – V2018.01 - MHA-OC Room
Christopher AKA Matt is associated with operating Chapman Board & Care.
You've visited this page many times. Last visit: 1/10/20

 

Chapman Board & Care – Chapman
http://the-torkel-saga-2059.blogspot.com/2017/12/chapman-board-care-chapman-board-and.html
Dec 13, 2017 - Keith E Torkelson Reviews Chapman Board and Care in Scope of Alleged Battery.
Stolen Property - Theft
Replacement Cost. $700-$1000 USD
You've visited this page 3 times. Last visit: 6/5/18

FYI - World Wafers - Live Aide & Famine Relief

Live Aid was a pair of massive concerts held on July 13, 1985, with the primary goal of raising funds and awareness for famine relief in Ethiopia. Organized by Bob Geldof, the event featured over 70 musical acts and was broadcast to a global audience of an estimated 1.5 billion. The concerts took place simultaneously at Wembley Stadium in London and JFK Stadium in Philadelphia.

 

In House > Metadata >

ACPA = A Catastrophe Prevention Assessment 15 Items

Aside – Loss of Functioning
Global Assessment of Functioning (GAF) >
In House > Global Assessment of Functioning > Metadata >
GAF_14010603_Tracker_DAG V2020-Results
GAF_14010603_Tracker_DAG V2020-Results V2026

 

Champions Needed

“I protect those that can’t protect themselves”

 

Note: Losses exceed gains

 

Aside - 20200522-F: Annoyance of Carl Zeh calling me “Trouble”. 

 

Table – 2012 - Catastrophic Loss Worksheet

Key Event Log (KEL) – I of II
Roughly Chronological
Completed: 20180415-SU-Retro for 2012

How is it re-hospitalization?

Re-hospitalization (or readmission) is the unplanned return to a hospital for inpatient care, often within 30 days of a previous discharge for the same or a related condition. It often stems from issues like complex medication routines, lack of follow-up care, or insufficient support at home.

 

2012 - Hard Move

Chronology of 2012 Catastrophic Loss I – Last Update: 20180823-M:
(**) – Not Peaceful and could not get sleep

Table – 2012 - Catastrophic Loss Worksheet – Key Event Log (KEL)

Roughly Chronological
Generated 20180415-SU

After Move to STS June 2012
Generated 20180415-SU

Chronology of 2012 Catastrophic Loss II – Last Update: 20261017-SA:

All 4 Failed to Serve Us

• Shanks Truck Stop (STS)
• Blue House of Hope (BHOH)
• Chapman Board and Care
• Chapman Room and Board

 

In House > Metadata >
MM_Chapman_14031907_2012_Losses V2026
Note: 20180416-M Applied to AMIN-0013
 
Belongings Report
 
Applications > In House > Metadata >
02_Housing_Quality_18021501_HQS Julie Paulino
20180416-M Applied to AMIN-0013
Note: 20200405-SU Corona Driven Loss

 

 Prevention & Risk Management

Protections

Generated: 20260918-F-Resources to Counter Losses
RASR = Rent a Shared Room

Aside - Catastrophic Loss Triggers & Drivers
Generated: 20260926-SA

2012 Loss Inventory – Individualized - Capturing the Situation

Scored 20200406-M: 2012 Retro Scores

 History Grid & Sampling of Key Events – Since onset of treatment

Mechanism – Catastrophic Loss of Life – Corona in Reverse Order

A cutoff value for catastrophic loss

75% or Greater when low scores are favorable = Catastrophic Loss

In House > Metadata >
20180416-M
AMIN-0013_MHSA_CSS_Housing_17100901_Report V2018
Blue House of Hope – Garden Grove

LA_BHOH_Chapman = Blue House of Hope

 

Began - 20190419-F:
People Things
Blue House of Hope Features - Example of Catastrophic Loss
Retroactive - Image of BHOH (2012)

Began - 20190419-F:

Other Things
More Blue House of Hope Features - Example of Catastrophic Loss
Retroactive - Images of BHOH (2012)

A Catastrophe Prevention Assessment - ACPA-15 Item - Summary

Matrix – Disaster Status Scores
AKA Catastrophic Level Score (CLS)

Last Reviewed: 20261017-SA:

01_Plan_Px_Early-Warning_14112504_V2018 Prevent Loss (ACPA – 15 Item)
Assess_Catastrophe_ACPA_18041102_Template V2011
 
A Catastrophe Prevention Assessment – ACPA 15 Items
A Mechanism (Flowchart) - One of many routes to premature and/or accidental DEATH
AKA Catastrophic Loss Magnitude Score (CLMS)
Notes for 2012

Aside > Reference MSG Cemetery > Metadata >

08_MSG_Cemetery_20090801_Notes III V2026