HISTORY OF PRESENT ILLNESS

Dewayne was upset when he arrived at SGHC. He expressed frustration about the length of time he spent in a van while transported from CHHJS to SGHC. When he entered SGHC after completing a COVID-19 rapid test, he continued to express his frustration. He became upset when he was given a mask to wear. He also did not want to comply with admission photography and covered his face with his hands. When he was redirected to wear a mask before entering the unit, Day B, he started cursing at staff members and threw a mask on the floor. It was picked up by a staff member and when he was offered a mask again, he started becoming agitated. Dewayne cursed at staff members, clenched his fists and made verbal threats to hurt staff members. Due to ongoing agitation, more security officers came on the scene.

Dewayne then opted to don a facemask, but he remained upset. Upon arrival to the unit, Dewayne continued to show agitation, using profanity and making threats that he would hurt others. Because of ongoing agitation, he was offered as-needed (PRN) medications (lorazepam-anxiolytic and chlorpromazine-antipsychotic) which he initially refused but eventually accepted encouragement. Within couple of minutes of taking the

medications, he displayed a change in his behavior. He was more calm and pleasant. In addition, he stopped using profanity and making threats to others. Instead, he was saying “thank you” when a security officer brought him some snacks after Dewayne reported feeling hungry. The admission assessment continued until he started feeling sedated from the medications and went to nap.

Dewayne reported “I worry about her (mother) a lot” after he heard from her that she was diagnosed with breast cancer while he was at CHHJS. Later, I found out, his mother was not diagnosed with breast cancer by his guardian, Dianna Moore, who told me: “He (Dewayne) is lying.” Ms. Moore reported Dewayne has difficulty telling being truthful. For example, Dewayne stated his date of birth is June 8, 2008 on his birth certificate, when his actual birth date is June 8, 2010. Dewayne also said his cousin died two years ago, which Ms. Moore said was untrue. She clarified that the last time any family member was shot was in 2011 when Dewayne was a year old. Dewayne also reported he was living with his brother, who is four years younger than him, in the community, but Ms. Moore stated his younger brother never lived with Dewayne. She described Dewayne’s behavior as “he always lies… real bad liar and manipulator.” Ms. Moore shared with me in November 2021, Dewayne reported her boyfriend was trying to kill him with a gun, which she said, “none of that is true.”

Dewayne denied feeling depressed or having issues with sleep or appetite. Ms. Moore, however, feels he has been showing some signs of sadness after his maternal grandmother, who lived with Dewayne since age seven months, passed away when Dewayne was three years old. She pointed

out Dewayne has difficulty regulating his mood as he gets quickly angry and acts aggressively. He previously reported to an evaluator at Catholic Charities Baltimore that he struggles with anger.