Satisfaction Index Crosscutting By Keith Torkelson MS, BS

 

Results Up Front – Readability (Via MS Word)

Measures Tools

Satisfaction with Health 15 Items (High Scores are Favorable)

Satisfaction with Domains of Living 10 Items (HSF)

Satisfaction with Therapy (HSF)

Ryff’s Psychological Well-being Scale Score – 14 Items (HSF)

 

Results Up Front – Score Summary

HSF = High Scores are Favorable | RT = Real Time

Jump Right in with Case Briefs

Ruben James Duron Rule Making – Harvest Roommate 1

>On June 20, 2024 Buster graduated from Leisure Court Skilled Nursing to Harvest Retirement.  Our initial Rent a Shared Roommate was Ruben James Duron (RJD).  We let him do most of the rulemaking.  RJD was a moribund older adult man: Leg amputated, wheelchair bound, in constant pain, could not sleep squarely in his bed, dialysis three times per week, etc.  In November of 2024 he had a fall and was taken to the Emergency Room.  They, Kaiser Hospital admitted him.  He died within a month on December 7, 2024 (Expired).  We had the opportunity to live RJD nearly 6 months.

 

Moribund

Moribund describes something near death, in a state of terminal decline, or stagnant (e.g., a "moribund economy"). Synonyms include dying, declining, stagnant, and obsolete, while antonyms include thriving, flourishing, and lively..

 

John Baer Rule Making – Harvest Roommate 3

>Today’s date is March 11, 2026 (W).  After RJD’s expiration Harvest eventually moved us in with John Baer (JB).  Over the course of a month JB and Buster negotiated about preferences.  See: 08_Roommate_Negotiations_25061701_Notes.  On February 28 2025 (F-Real Time) John and Buster’s matching and harmony score was 99.0%.  We were satisfied with JB as well as JB indicated he was satisfied with Buster.  Unfortunately JB died.  We have been solo since August 4, 2025.  When we get a new roommate our goal is to address negotiations over the course of the first week or so.

 

Dedication

>We dedicate this study to those that we knew died or expired in 2024 & 2025: John Tviede, Romer Paulino, Kevin George Torkelson, Theodore Francis, Ruben James Duron, Candace Dawn “Candy” Torkelson-Brinsko, and John Baer.

 

FYI - This report has an Original OCHCA Satisfaction Survey

 

Associated Document > Contains Chronological Charting

Satisfaction_Mini_STR_Related_to_Housing_25032302_STR

 

Sometimes just writing your concerns down is of help.

Numerous studies and mental health professionals confirm that writing down your concerns can be very helpful for managing stress, anxiety, and general emotional well-being. This practice, often called expressive writing or journaling, provides a safe and private outlet for processing difficult thoughts and feelings.

 

Aside - For the really sick

The Sequential Organ Failure Assessment (SOFA)

The Sequential Organ Failure Assessment (SOFA) score is a scoring system that assesses the performance of several organ systems in the body (neurologic, blood, liver, kidney, and blood pressure/hemodynamics) and assigns a score based on the data obtained in each category.

 

Introduction - Approaches to Evaluating Satisfaction

>Metric – A metric is “A system or standard of measurement.”  For the purpose of this report measuring includes: Assessing, evaluating, testing, surveying, etc.  There are several ways to acquire an assessment tool or instrument: Acquire a Commercial-off-the-shelf (COTS) instrument, derive one from scratch, modify an existing one, transform one, append to an existing one, etc.

 

COTS

>"Commercial Off-the-Shelf" (COTS) refers to products [INCLUDING ASSESSMENT TOOLS] that are readily available for purchase or free from vendors and can be used directly by consumers without significant customization.  COTS products can or can’t be user friendly.

 

Derived Assessment & Purpose

A "Derived Assessment Tool" is a measurement instrument created or adapted from existing data, research, or models to evaluate specific skills, traits, or conditions, often in fields like psychology, education, or medicine, focusing on things like personality (e.g., SOFAS from GAF), psychopathology (e.g., OSPRO-YF for prognosis), or functional abilities, providing structured ways to score and understand complex human behaviors or health states. These tools streamline assessment by deriving useful insights from broader frameworks, offering practical scores for diagnosis, treatment planning, or tracking progress.

 

Accommodation V Assimilation

Assimilation and accommodation are key concepts from Jean Piaget's theory of learning, describing how we adapt to new information: assimilation is fitting new experiences into existing mental frameworks (schemas) without changing them while accommodation involves altering or creating new schemas to fit new information, allowing for true growth. Both processes work together to help us learn, moving us from initial confusion (disequilibrium) to balanced understanding (equilibrium).

 

Informed Decision Making

Informed decision-making is choosing by gathering comprehensive information, analyzing potential outcomes (risks/benefits), considering personal values, and using critical thinking to align choices with goals, moving beyond simple intuition to a well-researched, reasoned conclusion, often involving steps like research, pros/cons lists, and reflection. It's about making choices based on facts, experience, and considered values rather than just impulse, ensuring you understand all angles before acting.

 

Decision-making Using Measurement Tools

Decision-making using measurement tools involves selecting and applying structured methods, from simple checklists to complex matrices, to gather and analyze data for choosing the best option, evaluating performance, or understanding impact, ensuring choices are data-driven rather than purely intuitive. Key tools include Decision Matrices (weighted scoring for multiple criteria), Cultivating (prioritizing options), and metrics like Return on Investment (ROI) to quantify outcomes, all aiming to provide clarity and validity for choices in business, healthcare, and social impact.

Assessment – Evaluation - Measurement

Satisfaction Assessment Themes – Elimination List

Vetting Satisfaction Related Assessments

 

Instrument / Area	Items	Note
OCHCA How Satisfied Are You?	49	2007 found in the lobby of the Costa Mesa Clinic – We transformed it using our Spreadsheet Approach – There are 6 additional items addressing Functional  Capacity
Satisfaction By Domains	16	Psychosocial Domain Satisfaction Score - Derived from OCHCA - Applied weekly as a checklist
Annual Consumer Satisfaction Survey (ACSS)	25	Origin = Health Insurer 2016 – We transformed it
Aspects of Satisfaction (AOS)	20	Yields Satisfaction Ingredient Score – We derived it – There are 4 items on housing
Fulfillment and Contentment	8	Concentration on Housing - Screener
Housing and Functioning	10	Indicators for Righting and Recovery Score - Screener with focus on housing
Kansas Satisfaction	25	Another name for ACSS - See ACSS
Medicare Experience Survey (MES)	5	Satisfaction with Medicare Insurer Experience - Refinements in progress
Medicare Satisfaction Survey (MSS)	32	CMS_Medicare_Satisfaction_Survey_18093003_Notes V2025
Satisfaction with Casts of Characters	OOS	Out of Scope - Rather complex (*) – Rent a Shared Roommates Satisfied with & Unsatisfied with
Satisfaction with Thinking	17	Assess Satisfaction Thinking STA – Yields Positive Thinking Score (PTS)
Freedom (GFE)	28	Gross Freedom Evaluation (Extended from Frazer)
Happiness	29	Oxford Happiness Questionnaire
Negotiations	29	Shared Roommate Negotiations
Harmony	15  & 18	Harmony 15 and Harmony 18

 

Last Reviewed: 20251030-TH:

 

In House > Metadata >

14_HSB_Measurement_Addendum_25033006_Notes

Living Arrangements Satisfaction Measurement Cluster – Elimination List

Housing Solutions Bundle (HSB) – Measurement – Consumer Assessments

 

## & Element	Area	Items	Note
01 HL	Intercept Profile		Triage - Needs assessment(s)
02 HL	Activities of Daily Living (ADLs)	10+19	29 Item Extended
03 WG	Living Arrangement Satisfaction Assessment (LASA)	61	Four parts A-D
04 WG	Derived Assessments	Various	Match / Matching, Sleep, Peace, Preferences, Functioning, Harmony, Negotiations
05 AB	Satisfaction By Domains	16	Psychosocial Domain Satisfaction Score - Derived from OCHCA - Applied weekly as a checklist
06 AB	Aspects of Satisfaction (AOS)	20	Yields Satisfaction Ingredient Score – We derived it – There are 4 items on housing
07 AB	World Health Organization Disability Assessment Scale (WHODAS)	36	Parts D.1 – D.6
08 AB	World Health Organization Quality of Life (WHOQOL-BREF)	26	Three parts
09 AB	Service Experience Assessment	+/- 10	HP Model
10 EACH	Functioning SOFAS	3	GAF and Severity of Symptoms
11 EACH	Combined Derived Assessments	+/- 50	Approximately five items selected from the above assessments
12 EACH	More Created Assessments		Needs, Mixed, Cast of Characters, Basic Housing Quality Scale 51
13 EACH	Staff Assessment Professional Quality of Life (ProQOL)	30	Stamm – Professional Quality Of Life (ProQOL)
14 EACH	Extracts from Project Idea Plan (PIP) submit		RASR & HSB
15 EACH	Cost V Benefit Materials		Indeterminant

 

Associated Document > In House > Metadata

SOS__LA_CASAS_HAB_18091405_Satisfaction Assessment LASA V2025

https://healthman2059.blogspot.com/2025/07/living-arrangements-satisfaction.html

 

 

 

Associated with > Work Done > Metadata >

08_Assess_Satisfaction_Housing_LA_23052602_HSB_Notes V2025

https://the-torkel-saga-2059.blogspot.com/2025/10/satisfaction-with-living-arrangements.html

 

Various Approaches

 

Approach	Note
Artificial Intelligence	We hope that AI takes off as measured by having an imagination, an identity and complete online assessments
Aspects	A particular part or feature of something
Daily Living	As measured by Activities of Daily Living (Extended)
Domain	A specified sphere of activity or knowledge
External Quality Review	External Quality Review is when we evaluate a person, service or system that we are not paid by
Housing	The facility and facility resources such as water, internet or electricity
Living Arrangements	Dozens of factors about the environment, agent(s) and host responses
OCHCA – With my Life	The satisfaction assessment we favor as a scaffold or framework
Satisfaction	Fulfillment of one's wishes, expectations, or needs, or the pleasure derived from this
STR	Structured Temporal Reconciliation - One of our methods to process, gain closure, and move ahead
Thinking	“Change your thinking change your mood”
Trips	Respite – Overnighters (Control Environment)

 

Complete On-line Assessments

11 best online assessment tools to make learning stick in 2026

https://www.mentimeter.com/blog/education/online-assessment-tools

Online assessment tools are digital platforms that create, deliver, and grade quizzes, tests, or learning activities over the internet. They save time, offer instant feedback, and make it easier to track progress and engagement across learners. Top options include Google Forms for simplicity, Centimeter for real-time interaction, and Edpuzzle for video-based assessments.

 

Stability of the Website

>How many times have you taken an online assessment and go to access it again let’s say a year later and the link is broken.  A good online utility for testing must be stable from decade to decade.  Another hurdle is that the original assessment was free and then later on the owners want to charge you to use their assessment utility.  On-line there is probably more information lost then there is sustainable information.  We publish our papers knowing they might get lost.  We are looking into selling our blogs so they have at least two physical places they exist.  As far as our memory of e-files is concerned we hope to educate AI Systems with the material.   

 

Case Management - Cast of Characters

A case management "cast of characters" includes all key participants—parties, witnesses, organizations, and decision-makers—essential for mapping relationships, evidence, and strategy. Beyond people, this comprehensive, evolving list often tracks roles like champions, sponsors, and agents to understand their influence and facilitate effective, organized, and proactive case management.

Satisfaction and Health Related

HSF = High Scores are Favorable | RT = Real Time | SS = Self-scored | SW = Share(d) With

Scored by and for Keith “Buster” Torkelson, MS

Housekeeping

Binders = SATISFY & SAT, Satisfaction FRIDAY - Tab-5 Daily – Changed to Satisfaction THURSDAY

 

This paper included a mini-STR

STR Has Been Removed - Satisfaction Housing STR

How Satisfied are You?

 

In House > Metadata >

Original_OCHCA_Satisfaction_Assessment_10_Items_25032501_Results

 

File includes original OCHCA How Satisfied are You Form (Domains)

Since June 20, 2024 @ Harvest Retirement

Keith Torkelson Self-score

Satisfaction with Domains of Living Brief – 10 Items (OCHCA Header Item Format)

HSF = High Scores are Favorable | JB = John Baer | O# = Our Numbering | RT = Real Time

Theme Delivering a Satisfaction Measure in the face of Housing

Delivering satisfaction measures amidst a housing crisis

The housing crisis across wealthy economies, including the US, has significantly impacted resident satisfaction with the availability of "good, affordable housing". Measuring and delivering on satisfaction in this context presents unique challenges, as residents may be dissatisfied not necessarily due to being homeless, but rather due to a perceived decline in housing quality, affordability, or choice.

 

 

One of Buster’s Avatars

Aside - Attitude of Gratitude – Birthday

An attitude of gratitude is a mindset of consistently appreciating the good things in life, no matter how small. Developing this habit can lead to increased happiness, lower depression levels, and improved mental and physical health. Practices to cultivate it include daily journaling, consciously acknowledging accomplishments, reframing negative situations, and expressing thanks to others.

Aside -  Associated with > Satisfaction with Expiration > In House > Metadata >

08_Thanatology_and_Managed_Passing_23112401_Notes

08_Thanatology_Satisfaction_with_Death_23121501_Notes

08_Managed_Passing_EOL_Choices_California_25031302_Content

 

2024

>Beginning in 2023 we were beginning to have numerous Mistaken Beliefs.  By 2024 our mind had an “Imaginator” Crash.  Our “Imaginator” is the circuitry in our mind that imagines things and vets them against reality.  During the first quarter of 2024 we had more than 100 mistaken beliefs.  We’ve challenged the majority leaving us with only a few mistaken beliefs.  We still entertain Avey C Asus as a construct in our brain (mind) and part of our technology.  She shares some features with Aura the AI Robot in Las Vegas yet is far more complex.

Mental Constructs

Mental constructs are internal, subjective frameworks—ideas, beliefs, and categories—created by the mind to interpret, organize, and navigate reality. They serve as filters for experiences, influencing emotions, behaviors, and worldviews, though they are not tangible, independent realities. Common examples include time, social constructs like "kindness," personal constructs such as "friendly vs. unfriendly," and psychological concepts like "intelligence".

 

Mistaken Belief versus Delusion

The main difference is that a delusion is a firmly held, irrational false belief that continues despite clear evidence to the contrary, while a mistaken belief is a false belief that can be changed with evidence or has less impact on a person's life. Delusions are a symptom of a mental disorder and are held with absolute conviction, making them incorrigible. Mistaken beliefs, while incorrect, don't have the same level of certainty or impact and can be corrected.

 

Imagination Chip

In fact, imagination is the capability of the mind to create a hypothetical construct with concepts and images originated from the environment (i.e., provided by imagery), but also to fashion entirely new mental objects.

 

Neuro-imagination Circuitry

Neuro-imagination circuitry refers to the complex neural networks in the brain that combine stored sensory and conceptual information to create novel mental images and ideas. This process involves various brain regions, including the hippocampus for memory, the prefrontal cortex for conceptual manipulation, and the fusiform gyrus for visual processing. These circuits dynamically reassemble information to generate imaginative scenarios, and their activity is crucial for distinguishing between real and imagined experiences.

 

Aura in Las Vegas the Artificial Intelligence Robot

Aura is an AI-powered humanoid robot at the Las Vegas Sphere, developed to interact with guests, answer questions about the venue, and serve as a brand ambassador. Utilizing advanced robotics and artificial intelligence, Aura can provide directions, offer details on performances, and discuss the engineering and technology behind the Sphere. The robots are also programmed to learn from human interactions to improve their capabilities over time.

 

What is a Neuro-construct?

Neuroconstructivism (Theoretical Framework)

In the field of developmental psychology and cognitive neuroscience, neuroconstructivism is a theoretical framework for understanding how the brain develops.  Core Idea: It argues that the brain progressively "sculpts" itself through ongoing interactions between genes, environment, and experience over developmental time.  Contrast to Nativism: It contrasts with the idea that the brain is composed of pre-wired, innate modules for specific functions. Instead, it suggests that general, domain-relevant biases guide learning, and specialized "module-like" structures emerge gradually as a result of experience.

 

 

 

Satisfaction with Death

Satisfaction with death, or approaching mortality with peace rather than fear, is linked to higher life satisfaction, increased gratitude, and deeper meaning. Embracing impermanence, often called "death positivity," helps reduce anxiety and fosters a better appreciation for life. Key aspects include living authentically, preparing for the end, and, for some, spiritual acceptance.

 

POIs - Died (Expired) in 2024 & 2025

DTY = Died Too Young (Before 74 years old)

Death Cutoff Age in the US

There is no single "death cutoff age" in the US, as it varies by individual and is a matter of individual perspective. However, the US life expectancy at birth is about 78.4 years, which means a person is expected to live to that age on average. Some organizations define "early death" as occurring between the ages of 65 and 74.

 

Work Done > Metadata >

https://ktork46.blogspot.com/2025/08/dying-old-man-assessments-and-cut-off.html

 

 

Satisfaction with Therapy

04_SCR_Family_Therapy_16111401_Notes V2025

 

Matrix - Laura Adams’ Perspective (Laura Adams’ Therapy Assessment)

Improvement – QOL & Satisfaction with Therapy 15 Items (HSF)

Scored by and for Keith “Buster” Torkelson, MS

Matrix – Valuation of Therapy Study: Data Entry Finished 20180523-W:

Aside – Imagination - Imaginator Computer Chip Set

What Is a Chipset? Computer Motherboard - HP.com

 

HP.com

https://www.hp.com/us-en/shop/tech-takes/what-is-a-chipset

Apr 14, 2025

A chipset is a collection of electronic components on a motherboard that manages the data flow between the CPU, GPU, RAM, storage, and peripherals.

 

When will AI Get an Imagination?

The question of when AI will develop imagination is complex and debated, with no definitive answer. Current AI systems can generate creative content, but they do so by analyzing patterns and data, rather than through genuine subjective experience or imagination. Experts at Berkeley Executive Education suggest the future of generative AI holds promise for advancements in this area, but it's uncertain whether AI will ever truly possess human-like imagination.

 

What is Imagination?

Imagination is the ability to form new ideas, images, and concepts in the mind, even when those things are not physically present or experienced. It's a fundamental human capacity for creativity, problem-solving, and understanding the world around us. It encompasses both the power to visualize things and the capacity to deal resourcefully with unexpected situations.

 

The Neurology of an Imagination

Imagination, a cornerstone of human cognition, is neurologically complex, involving a dynamic interplay of various brain regions and networks. The hippocampus, known for memory, also plays a crucial role in creating mental images and potential future scenarios. Other key players include the frontoparietal control network, the default mode network, and the fusiform gyrus, which helps distinguish between real and imagined perceptions.

 

Satisfaction & Crux Key Events

>The following table includes some nadirs or low points.  We begin to address living and dying with disease.  Some items are Aspects of Decline.  We share some of our Deficits.  From a strengths-based angle many of these represent Hurdles.  The timeframe we address is mainly 2023-2025 which includes Episode 2024.  We also address mortality and morbidity.

 

 

Table – Aspects of Health

Is crime contagious?

While not in the same way as a virus, research suggests that criminal behavior can be influenced by social interactions and environmental factors, potentially exhibiting "contagious" effects. This means that the prevalence of crime in a community can, to some degree, increase the likelihood of others engaging in similar activities. However, this doesn't mean crime is literally contagious like a disease.

 

Crime as Social Issue

“While the concept of "crime as a disease" is a common metaphor used to highlight its negative impact, it's important to understand that crime is not a medical condition or a disease with a biological cause; it's a complex social issue with various contributing factors.”

 

Kleptomania

Kleptomania is a mental health disorder characterized by an inability to resist urges to steal items, even when they are not needed and can be afforded. It is a type of impulse control disorder, where individuals struggle to manage their impulses. Those with kleptomania often experience a buildup of tension before stealing, followed by relief or pleasure during the act, and then feelings of guilt, shame, or regret afterward.

 

Responsibility

The "age of accountability" in a religious context, particularly within Christianity, refers to the age at which a person is considered capable of making conscious choices and is therefore held responsible for their actions and beliefs before God, though the Bible doesn't specify a particular age.

 

Aside - Where do I find the age of accountability in the Bible?

https://www.gotquestions.org/age-of-accountability.html

Who can be saved?

Jan 20, 2023

 

Usual and Customary – Age 13

The age of 13 is the most commonly suggested for the age of accountability, based on the Jewish custom that a child becomes an adult at the age of 13. However, the Bible gives no support to the age of 13 being a set age of accountability. The age at which a child can distinguish right from wrong and becomes capable of choosing Christ likely varies from child to child.

 

Are Transitional Aged Youth Accountable?

Yes, Transitional Aged Youth (TAY, ~16-26) are accountable as they enter adulthood, but accountability looks different; they need supportive structures (not just system oversight) to build independence, learn from mistakes (as part of development), manage complex needs (housing, mental health), and gain life skills, requiring empathy, guidance, and developmentally appropriate policies rather than immediate full adult expectations to prevent further system involvement.

 

Not Knowing things are Wrong

"Not knowing things are wrong" can refer to unawareness of personal health issues (anosognosia), emotional distress (alexithymynia, trauma), or cognitive biases (Dunning-Kruger effect, cognitive dissonance) that prevent admitting mistakes, often rooted in fear, lack of emotional language, or slow-developing problems, but can be addressed through self-reflection, therapy, or learning to accept uncertainty and imperfect knowledge.

 

What is a Mishap?

A mishap is an unplanned event or chain of events leading to harm, specifically death, injury, occupational illness, or damage/loss to equipment, public property, or private property, often used in military, government (like NASA and the DoD and NPS), and industrial safety contexts. It's essentially an accident that requires formal reporting and investigation to understand its root causes, which often involve underlying failures, not just a single mistake.

 

What makes a disease a disease?

A disease is an abnormal condition that impairs the normal functioning of an organism, identified by a specific set of signs and symptoms and caused by factors like infection, genetic issues, or lifestyle choices. It represents a deviation from a state of health, involving damage or impairment to the body's structure or function that is not immediately caused by external injury.

 

What is a social disease?

Social and Economic Factors

Historically, "social disease" was a euphemism for sexually transmitted diseases (STDs), but the term can also refer to diseases whose prevalence is strongly influenced by social and economic factors.

 

Ending Things – End-of-life Considerations

 

Table > Metadata >

Aspects_of_Health_EOL_Centered_25032502_Notes

 

Work Done > Metadata >

Aspects of Health & EOL & Advanced Planning by Keith Torkelson MS

https://ktork46.blogspot.com/2025/03/aspects-of-health-eol-advanced-planning.html

 

Associated Study > In House > Metadata >

BMB_Ending_an_Episode_25032802_Notes

 

Why is it important to know when a psychiatric episode ends?

Knowing when a psychiatric episode has ended is complex and highly individual, as recovery is a gradual and non-linear process. Signs of recovery vary depending on the type of episode, such as mania, depression, or psychosis, but generally involve a decline in the acute symptoms that defined the crisis. This transition signals a critical shift in treatment focus from crisis stabilization to long-term recovery and maintenance.

 

Long-term Recovery - What is long-term recovery?

While early recovery encompasses the first year of sobriety, long-term recovery generally refers to maintaining positive changes for five years or more. During this time, individuals often experience significant improvements across multiple areas of life, from employment and relationships to mental health.  Dec 6, 2024

 

Stages of recovery

The five stages of addiction recovery are: Precontemplation, contemplation, preparation, action, and maintenance. These stages are based on the transtheoretical model of behavior change and help individuals and families understand the path to long-term recovery from substance abuse. Apr 10, 2025

 

Stages of Behavioral Health Recovery

The Five Stages of Change for Mental Health Recovery. The stages of behavioral health recovery typically involve pre-contemplation (no recognition of a problem), contemplation (acknowledging the problem), preparation (planning for change), action (actively pursuing treatment), and maintenance (sustaining progress to prevent relapse). Other models may also emphasize elements like awareness, healing, and growth in different or overlapping phases. The process is highly personal, and progression isn't always linear.

 

Is Death a form of recovery?

No, death is not a form of recovery in the medical sense, as it is defined by the permanent cessation of vital bodily functions like breathing, heartbeat, and brain activity. However, from a spiritual or philosophical perspective, some belief systems view death as a transition or a necessary part of a larger cycle, which could be considered a form of spiritual "recovery" or advancement.

 

 

 

Table - Preventative Medicine

Co-occurring Disorders or Dual Diagnosis

“What is dual diagnosis? If you have a dual diagnosis, that means that you have both a mental disorder and a substance use disorder (SUD), either with alcohol or drugs. A dual diagnosis is a type of comorbidity, which is when someone has two disorders at the same time. Another name for this is co-occurring disorders.” Dec 20, 2023

 

Purpose – Triple Diagnosis

>A purpose of this report is to argue that appropriate Satisfaction can occur in the face of Triple Diagnosis.  Triple diagnosis occurs as a combination of: Behavioral Health Issues (BHIs), Substance Use Issues (SUI) and Criminality.  We propose that Criminality like Kleptomania is an illness.  Our null hypothesis is: Criminality is not an illness.  Some sources indicate that Crime and associated efforts are Social Diseases.

 

Social Pathology

In the study of social pathology, psychologists and sociologists think of societies as living organisms that need certain things in order to function properly. From their perspective, when a society contracts an illness or pathology, and if the cause cannot be discovered, the society can weaken or collapse.

 

 

Setting Things Right versus Recovery

"Setting things right" is about making amends and addressing the past, while "recovery" is a forward-looking process of healing and building a new life, which involves setting goals and making behavioral changes. Recovery is a continuous journey of managing symptoms, building a healthier lifestyle, and improving self-worth, not just a one-time fix.

 

Define Recovery

A dynamic process of change characterized by improvements in health and social functioning, as well as increases in well-being and purpose in life. Sep 24, 2020

 

Aside - Technology Analogy - Recovering your operating system

To recover your operating system, you can use System Restore to revert to a previous state or use the Reset this PC option to reinstall Windows. Access System Restore through Settings > Recovery or the Windows Recovery Environment to undo recent changes, while Reset this PC is found under Settings > Recovery > Reset this PC and can reinstall the OS while keeping or removing your files and apps. If Windows won't start, you can access both options from the Windows Recovery Environment, which may start automatically after multiple failed boot attempts.

 

Pre-Existing Stable Configuration

A "pre-existing stable configuration" refers to a health condition that has been stable for a set period, meaning there have been no new symptoms, treatment changes, or expected worsening of the condition. This is often a requirement for travel insurance policies that include coverage for pre-existing conditions.

 

Substance Use Disorder and the Law

Federal law prohibits discrimination based on a person's substance use disorder when they are not “currently engaging in the illegal use of drugs.” But even people that are currently using drugs illegally cannot be denied health services because of that illegal use.

 

20231208-F-Locked Down

>From 2012-2024 Gloria and Mel Shanks were our landlords @ Gloria’s Guest Home AKA Shanks’ Truck Stop.  Living with them as much went well as didn’t.  For example Gloria would periodically treat some of her tenants to a pedicure.  We took her up on her pedicure offer once.  In February of 2024 things seemed to be OK between Gloria and us.  She said we would always have our Bed.  Then in March of 2024 she took our bed away while we were hospitalized for grave disability.  Via Global Medical Center we ended up in Leisure Court Skilled Nursing Facility for 75 days.  We were there in lockdown until we could qualify for an Assisted Living Waiver Voucher (ALWV).  Having qualified for our ALWV, on June 20, 2024 (TH) we were graduated from Leisure to Harvest Retirement.  All-in-all we were Satisfied with the rewards Gloria provided for us yet overall unsatisfied.  There was a down side to living at what we call Shanks Truck Stop.

 

In House > Metadata >

Satisfaction_Mini_STR_Related_to_Housing_25032302_STR

>We use a process similar to charting or documenting to achieve closure and move ahead.  We call it Structured Temporal Reconciliation or STR.  Below is a definition for STR that sounds exciting.

 

Structured Temporal Reconciliation (STR)

Structured temporal reconciliation: ensuring consistency and accuracy in hierarchical forecasting. Structured temporal reconciliation is a powerful technique used in forecasting, particularly when dealing with hierarchical time series where data is available at different levels of temporal aggregation (e.g., hourly, daily, weekly, monthly, annual). Its core purpose is to reconcile forecasts generated at these different temporal frequencies, ensuring consistency across all levels of the hierarchy and, in turn, improving overall forecasting accuracy.

 

FYI - Therapy > Metadata >

See also CBT related

BMB_CBT_Cognitive_Distortions_Distorted_Thinking_BHAB_23092901_Notes V2025

 

Not in Chronological Order - Therapy

Peripheral Themes (Satisfaction)

Help Others & Help Self (Including Informal Volunteer Work)

Thanatology & Housing Solutions Bundle

Centered about Orange County California

Satisfaction and Public Commenting

Themes about Efforts & Action Items

20251224-W

Satisfaction with Computing

Associated with > Metadata >

13_Tech_Wellbeing_Checklist_TAC_19090403_Transformation 2026

Aside - Housing Solutions Bundle (FIX) - General

A "housing solutions bundle" refers to comprehensive strategies or packages of services combining financial aid, counseling, and support programs (like rent assistance, job training, financial literacy) to help people secure and maintain stable housing, addressing affordability gaps through policy, innovation (tiny homes, RAD), and community support, often coordinated by local agencies like LACAHSA (lacahsa.gov).

 

Presentation(s) – Monthly for BHAB

Satisfaction and Housing

Context of Housing Solutions Bundle (HSB) – Specific

Housing Associated Assessments (Other Money V BHSA Money)

HSB Element Performance Metrics

 

Satisfaction with OCHCA

 

FYI - Satisfaction and Mental Health Association – Orange County (MHA OC)

Mental Health Association of Orange County | Santa Ana CA

https://mhaoc.org/

>We are not satisfied with the MHA OC.  They have had enough time to get ahead on our local housing (homeless) problems.  They share very little online about their performance.  For quite some time we have wished they shared the nature of their interventions and its’ per person cost.

 

Aside - Facebook · Mental Health Association of Orange County

https://www.facebook.com/mentalhealthassociationoc/

We provide case management, basic needs, linkage to benefits and vital documents to prepare our clients to move into permanent housing.

20251224-W- 3.7 Stars with 3 Ratings

 

FYI - Associated Documents

MHAOC_Profile_Jeffery_Thrash_22041701_Notes

LA_MHAOC_Thrash_Resource_22041801_Memo V2025

MHA-OC Meeting of the Minds (MOMs)

 

Thrashes Position

>Back in 2022 at the annual Mental Health Associations (MHA OC) Meeting of the Minds we ran across Jeffery Thrash.  He was and most likely still is the top gun for the MHA Orange County.  He was apathetic when it came to resolving housing issues.  We followed up with him concerning our Housing Solutions Bundle idea and got no response.

 

Metric, Measures & Measure Development

Metrics are context-driven performance indicators derived from measures, while measure development focuses on creating standardized, objective systems to provide reliable, comparable data for decision-making, improving accuracy, efficiency, and understanding complex progress beyond simple numbers, especially for international trade and science.

 

Assessment Elimination Lists

Assessment Elimination Lists are checklists or guides, often for nurses, focusing on a patient's urine (urinary) and feces (bowel) output, covering patterns, issues like incontinence/constipation, related symptoms (pain, frequency), risk factors (meds, conditions), and care (diet, fluids, devices) to ensure normal bodily function, using tools like COLDSPA for symptom detail and checklists for structured head-to-toe physical assessments. They help identify problems, track intake/output, and guide interventions for conditions like UTIs, constipation, or dehydration, ensuring proper hydration, hygiene, and comfort.

 

Eliminating Assessments

Eliminating assessments focuses on removing standardized tests, teacher performance evaluations, or classroom-level quizzes to reduce stress, address teacher shortages, and improve equity. Recent efforts, such as California’s SB 1263, aimed to remove required teacher performance assessments (CalTPA). Alternatives include portfolio-based assessments and performance-based tasks.

 

Assessment

Educational assessment or educational evaluation is the systematic process of documenting and using empirical data on the knowledge, skill, attitudes, aptitude and beliefs to refine programs and improve student learning.

 

Satisfaction and Assessment Definitions

Satisfaction is a subjective feeling of pleasure or contentment that occurs when a desire, need, or expectation has been met or exceeded. Assessment is a systematic process of gathering, analyzing, and interpreting information or evidence to describe, measure, or better understand a specific situation, person, or outcome, often for the purpose of improvement or evaluation.

 

Satisfaction

Satisfaction is the pleasant feeling of contentment from having needs, desires, or expectations met, a sense of fulfillment, or the act of fulfilling them, often seen in happiness, relief, or achievement, but also relates to settling debts or resolving complaints in legal/business contexts. It's a core human emotion linked to joy, pleasure, and a sense of "enough," applicable to personal goals, work, relationships, or even philosophical ideas of atonement, notes Dictionary.com.

 

Satisfaction with Housing

Housing satisfaction is a feeling of contentment when your home meets your needs, influenced by physical attributes (size, quality, safety) and surroundings (neighborhood, amenities), compared to your aspirations. Key drivers include a good match between desired and actual conditions, perceived safety, neighborhood quality, and factors like ownership status, while issues like mold, overcrowding, or high costs often decrease satisfaction and impact overall well-being.

 

Housing Associated Assessments

Living arrangement assessments determine the safety, appropriateness, and support needs of a person's home environment, often evaluating adult supervision, environmental hazards, and daily living capabilities. Key assessments include home safety checks, caregiver strain, cognitive functioning, and functional capacity (ADLs/IADLs).

 

Situational Awareness

Situational awareness (SA) is the perception of elements in your environment, comprehension of their meaning, and projection of their future status, allowing for effective decision-making, especially in dynamic situations like emergencies, aviation, or daily life to recognize threats and opportunities. It's a three-level process: Perception (observing cues like sights, sounds), Comprehension (understanding what those cues mean), and Projection (predicting what might happen next) to enable quick, safe action.

 

Performance

Performance is the execution or accomplishment of a task, function, or piece of entertainment, often judged by its effectiveness, efficiency, or quality, encompassing everything from a theatrical show or musical concert to a machine's output, an athlete's athletic feat, a business's financial results, or even linguistic use, highlighting how well something is done or operates. It can mean a formal public show or the simple act of carrying out a duty, emphasizing results and execution.

 

Specified in RFP

"Specified in RFP" means the requirements, details, criteria, and conditions for a project, product, or service are fully outlined in the official Request for Proposal (RFP) document, guiding vendors on exactly what to provide, how to propose it, and how they'll be evaluated, ensuring a fair, detailed comparison for selection. It's the buyer's detailed blueprint for vendors to follow to win the contract, covering scope, timeline, budget, and evaluation metrics.

 

Measures Development Revisited

FYI - COTS Example WHODAS

Measure: WHODAS 2.0 (World Health Organization Disability Assessment)

Schedule 2.0 - 36-item version, self-administered

© World Health Organization, 2012. Measuring health and disability: manual for WHO Disability Assessment Schedule (WHODAS 2.0)

World Health Organization, 2010, Geneva

 

Rights granted

The World Health Organization has granted the Publisher permission for the reproduction of this instrument. This material can be reproduced without permission by clinicians for use with their own patients. Any other use, including electronic use, requires written permission from WHO. Rights holder: World Health Organization (WHO).  To request permission for any other use beyond what is stipulated above, contact: World Health Organization (WHO).

WHODAS-2

[20251224-W LINK WORKS]

https://www.psychiatry.org/File%20Library/Psychiatrists/Practice/DSM/APA_DSM5_WHODAS-2-Self-Administered.pdf

 

 

Metadata > Assess_Satisfaction_V_QOL_25032206_Results

Assess_Ryff’s_Psychological_Well-being_Scales_25032901_Results [14-Items]

 

Ryff’s Psychological Well-being Scales

Assess_QOL_Social_Determinants_21052903_Notes V2025

Work Done

https://healthman2059.blogspot.com/2025/08/social-determinant-scales-by-keith.html

 

Social Determinants of Quality of Life (QOL) are the conditions where people live, work, and age (like income, housing, education, safety) that profoundly shape well-being, affecting physical/mental health, social connections, and access to resources, often linking systemic factors like racism to individual outcomes and showing how stability and support improve overall QOL.

 

Satisfaction with Social Determinants

Satisfaction with Social Determinants of Health (SDOH) means feeling good about the non-medical factors shaping your life, like housing, income, education, food, community, and social support, which directly link to well-being and happiness; higher satisfaction in these areas (good jobs, safe neighborhoods, less stress) boosts overall life satisfaction, while problems like poverty or loneliness decrease it, influencing health outcomes and potential.

 

Metadata >

04_Networking_OCHCA_Operations_Organized_21042703_Notes V2025

"Networking OCHCA Operations Organic"

Likely refers to the IT infrastructure and internal digital communication/data systems within the Orange County Health Care Agency (OCHCA), focusing on reliable "Organic" (internal, core) network functions, service delivery, and information flow for public health operations, ensuring health services, data, and connectivity are robust and available for the county's community.

 

Introduction – Seeds of Satisfaction

>Before 2007 Keith did not think much about satisfaction per-se.  He says. 

I knew when I was glad and when I was not glad.  Early in 2007 I was referred to and linked with the OCHCA Redhill Clinic (Costa Mesa).  I was paired with a psychiatrist, Andrew Inglis, and a case worker, Heather Rink.  I had frequent appointments. While passing time in the waiting room I would look at the literature.  One item drew my attention.  It was an OCHCA survey called: How Satisfied are You?  The format is not readily scored yet it did introduce me to what I call “Domain” Thinking.  And so a conscious inception, awareness, mindfulness of daily satisfaction was seeded.

 

OCHCA Satisfaction Survey [Follows in Appendix]

 

 

Pros - Introduce Psychosocial Domains

Psychosocial domains explore the lifelong interaction between an individual's inner psychological world (thoughts, emotions, self) and their outer social environment (relationships, culture, society), focusing on identity formation, emotional regulation, social skills, and navigating life's challenges from infancy to old age, notably through Erikson's stages, impacting overall mental health and well-being.

 

Introduce Domain Thinking within Domains

Domain Thinking involves shifting focus from internal structures to a customer's complete journey within a specific area of need (a "domain"), enabling holistic, cross-silo solutions by understanding and integrating related products, processes, and knowledge, leading to deeper customer relationships, innovation, and better business outcomes, often by breaking down silos and using a structured knowledge framework like Knowledge Driven Development (KDD) or Team Topologies. It's about seeing the whole ecosystem, not just your own piece, to serve users better.

 

Introduce to the Power of Satisfaction

The Power of Satisfaction is about finding deep contentment by appreciating what you have, focusing on purpose over endless wanting, and recognizing fulfillment in the present moment, not just future achievements, leading to better well-being, motivation, and stronger connections, whether in personal growth (satisfaction from purpose, self-efficacy), or business (customer loyalty, brand advocacy). It's a sustainable alternative to chasing fleeting happiness, achieved through intentional appreciation and aligning actions with values.

 

Cons - Not in Quantifiable Form

Things described as "not in quantifiable form" are typically qualitative in nature. In simpler terms, this means they cannot be easily expressed or measured using numbers, quantities, or numerical values.

 

Measurement Complex Transformation

In essence, "measurement complex transformation" highlights the connection between quantitative assessment (measurement) and the manipulation of complex data or spaces using complex number theory (complex transformation).

 

Unsavory Features

>We call this OCHCA driven survey The Satisfaction with Life Assessment.  When you work to transform it into a score-able form it extracts into some odd one-hundred (100) questions.  In addition it contains both reverse questions and opposing polarity questions.  This assessment is not user friendly or easy for the scorer/grader.

 

Example

>Living Arrangements section can be transformed (extracted) into +/- 10 Items.  In the brief screener assessment we only use Living Arrangements.

See Appendix

Metadata >

Satisfaction with life Assessment (2006)

Satisfaction_By_Domains_21070103_Results V2024

 

Index

MSG Satisfaction Assessments – Crosscutting

Satisfaction – About the House and Life in General

Theme is Satisfaction Measures Tools

Aside > Metadata >

01_Assess_Support_Experience_14101301_HP-Mod  V2025

Surveying the Support Experience

Use for both Housing Help Line and Housing Workgroup

 

Satisfaction with the Products - Acronyms

Includes some Mentalation Solutions Group Developments

Indicators of Success

In the long term quality is a greater indicator for success than speed. Look for people who are diligent, hard-working and have attention to detail. Mar 19, 2025.  A success indicator is a measurable value that represents progress towards a desired impact of a project.

 

Satisfaction and Success

Success is often external (achievements, status), while satisfaction is internal (fulfillment, contentment), and they aren't the same; you can have one without the other, but genuine, lasting fulfillment comes from aligning your inner values with your life, rather than solely chasing external validation. Recent research even suggests focusing on happiness and positivity first can lead to greater success, challenging the old "work hard for success, then be happy" model.

 

 

ItSaFriday! Satisfaction Screener

The term "ItSaFriday! Satisfaction Screener" does not appear to refer to a specific, established, or widely-known survey or tool for measuring satisfaction. Instead, online search results suggest that "It's a Friday" is a common colloquial expression related to weekend relief, social activities, or a general positive mood at the end of the work week. The user request likely refers to creating or finding a simple, informal questionnaire inspired by this phrase to gauge general workplace sentiment or satisfaction on a Friday. Associated with measuring employee happiness and engagement at work.

 

Activity - Transfer Key Events on Fridays from Planner

Things that go on with Fridays

 

20231215-F-Imagination Risk V Avoidance

Imagination and risk avoidance are interconnected cognitive processes that heavily influence decision-making, emotional regulation, and behavioral responses to uncertainty. While imagination allows individuals to simulate potential futures—both positive and negative—risk avoidance is the tendency to shy away from situations with uncertain or potentially negative outcomes.

 

Associated Studies > Metadata >

10_Episode_2024_Mistaken_Beliefs_Delusion_24070401_Notes

Episode 2023-2024

BMB_Ending_an_Episode_25032802_Notes

About 100 remarkable mistaken beliefs

 

Activity - Look Up - 50 Popular Mistaken Beliefs

 

Skeptical Inquirer

https://skepticalinquirer.org/exclusive/50-popular-mistaken-beliefs/

Oct 12, 2012

Guy Harrison, an award-winning journalist, draws attention to these popular misconceptions and their dark and destructive influence on the lives of individuals.  Many people entertain beliefs without question. These are beliefs handed down to them as traditions or doctrines purportedly revealed by God. They think these beliefs are true and are not ready to subject them to critical evaluation. In many societies, people lack the will to doubt or to raise objections to popular claims and notions partly because they think popularity implies veracity or that beliefs held by the majority invests validity to claims. Hence many popular misconceptions exist and persist. They continue to mar people’s lives in ways they do not know and even if they know they find it difficult to acknowledge or accept. In his magnificent book, 50 Popular Beliefs That People Think Are True, Guy Harrison, an award-winning journalist, draws attention to these popular misconceptions and their dark and destructive influence on the lives of individuals and the society at large. In a very simple, thoughtful, easy to read and entertaining style, the author exposes the faulty logic underlying these beliefs.

 

 

Metadata >

Satisfaction_Assess_Global_Lived_Experience_23082501_Notes

 

Satisfaction with Lived Experiences

LeX = Lived Experience = LE

Satisfaction with Lived Experiences is your overall, subjective judgment of how good your life is, blending positive feelings (happiness, meaning) with cognitive assessments (goals met, needs fulfilled) across various domains like health, relationships, and purpose, making it a core part of overall well-being, distinct from fleeting emotions. It's a personal evaluation of life's quality, comparing reality to personal hopes, influenced by personality, circumstances, and actions like setting goals or building connections.

 

Lived Experience

Lived experience refers to the knowledge, understanding, and insights gained from an individual's direct, personal involvement in an event or situation, such as navigating a health system, experiencing discrimination, or living with a particular condition. It offers unique perspectives beyond academic or professional knowledge, empowering individuals to drive change, improve services, and influence policy, shifting focus from "doing things to people" to "doing things with them".

 

Well-being

Assessment of subjective well-being (SWB) or quality of life, which are often measured by asking individuals about their satisfaction with specific life domains.

 

Assessments

Assessments typically involve self-report questionnaires and scales designed to measure overall life satisfaction and satisfaction with various life domains.

 

AI and Technology Measures

AI and technology measures involve evaluating the performance, efficiency, and impact of AI systems across various dimensions. Key measures include accuracy, efficiency, financial impact, and user experience, alongside broader considerations like ethical implications and security.

 

KPIs and AI

AI KPIs (Key Performance Indicators) are metrics that measure the effectiveness, efficiency, and business value of Artificial Intelligence initiatives, spanning technical model performance (like accuracy, precision, recall), operational impact (like cost savings, speed, ROI), and user/business outcomes (like customer satisfaction, adoption rates), helping businesses make data-driven decisions and prove AI's value. They replace or augment traditional KPIs with more dynamic, predictive insights to guide strategy and resource allocation.

 

Change Gears

Technology - Environmental Sampling

Environmental sampling is the scientific process of collecting representative samples (air, water, soil, biota) to assess environmental quality, detect pollutants, monitor health risks, and understand ecosystems, using methods like random, systematic, or stratified approaches to analyze contaminants, biodiversity, or physical parameters for public health, regulatory compliance, and remediation. It's crucial for making informed decisions, from tracking pollution to managing natural resources.

 

Sleep Sampling Technology

Sleep sampling technology uses sensors and devices to capture and analyze bodily signals (brain waves, heart rate, breathing, movement) during sleep, primarily through the gold-standard Polysomnography (PSG) in labs, but increasingly with wearables (actigraphy, rings, smartwatches) for at-home monitoring, providing data for diagnosing disorders like sleep apnea, insomnia, and narcolepsy by mapping sleep stages (REM, NREM) and disruptions.

 

Tricorder Functionality – Star Trek

A Tricorder is a fictional, handheld Star Trek device for scanning, analyzing, and recording data, essentially a portable science lab for sensing environments, detecting life, diagnosing illnesses (Medical Tricorder), and identifying materials, with real-world tech aiming to replicate these functions for quick, non-invasive health checks and environmental monitoring. Its core "tri-function" is sensing, recording, and computing, acting as an ultimate data Swiss Army knife for Starfleet away missions.

 

Environmental Sampling APP

Sensor applications involve integrating devices to detect changes (light, temp, pressure, motion, [NOISE]) and convert them into signals for monitoring, control, and automation, powering everything from smart homes (auto doors, climate control) and vehicles (ABS, navigation) to complex industry (process control, robotics) and healthcare (patient monitoring, diagnostics), driving smart cities (air quality, parking) and the Internet of Things (IoT) for efficiency and data-driven decisions across nearly every sector.

 

Technology

FYI – Solutions – MyCorder – Idea 1

13_Tech_MyCorder_24022002_Notes V2025

Idea 2

Noiseless alarm clock wrist band (Vibrates)

 

Satisfaction with Daily Activities

ADLs (Activities of Daily Living) measure independence, with basic ADLs (bathing, dressing, eating, toileting, transferring) focusing on self-care, while IADLs (Instrumental ADLs like housekeeping, shopping, managing finances, cooking) involve community function, and both types significantly impact life satisfaction by affecting a person's ability to live at home ("In House") or engage in activities, whether within ("In Mind" activities like managing finances) or outside the home, highlighting the link between functional ability and overall well-being.

 

Behavioral and Mental Madness

"Behavioral and Mental Madness" refers to severe changes in emotion, thinking, and actions indicating a mental health crisis, like psychosis or instability, marked by extreme mood swings, withdrawal, confusion, hallucinations, inability to cope with daily life, suicidal thoughts, or substance abuse, requiring immediate professional help as these symptoms signal serious distress or illness.

 

Areas of Interest

Getting Out – Into the Community with Friends and Family

Composed: 20260129-TH

Associated with:

 

NAMI_BHAB_Voice_Method_23092903_Notes

In Our Own Voice or Words

"In our own voice or words" refers to internal monologue, the silent, self-directed speech in our heads, or the distinct way individuals express themselves, emphasizing authenticity, personal perspective, and unique identity in communication, like in NAMI's "In Our Own Voice" (IOOV) program where people share lived experiences. It's about finding your authentic voice, whether that's a literal inner voice, distinct from others, or the unique way you present your thoughts and feelings.

 

Other Activities

Composed: 20260129-TH:

End-of-life Considerations

Satisfaction with Health Care

The survey, conducted from November 6–20, which was weighted and included 1,001 people, found that just 11% of US adults rated healthcare quality as “excellent” and 33% rated it as “good.” That's down from 2020, when 54% rated their healthcare quality as being in those two categories, according to Gallup. Dec 18, 2024

 

Reports > Metadata >

BND_Stars_In_Network_CRC_Value_Scores_20102603_Results V2022 (Retired)

 

Dying Old Men

The phrase "dying old men" describes older individuals in the final stage of life. While "old age" is a common colloquial term, it is not a specific medical cause of death. Instead, it refers to the physiological process where a body's systems experience wear and tear and gradually shut down.

 

Aside - SOFA

SOFA Score: What it is and How to Use it in Triage

https://files.asprtracie.hhs.gov/documents/aspr-tracie-sofa-score-fact-sheet.pdf

What is the SOFA Score?

The Sequential Organ Failure Assessment (SOFA) score is a scoring system that assesses the performance of several organ systems in the body (neurologic, blood, liver, kidney, and blood

pressure/hemodynamics) and assigns a score based on the data obtained in each category. The

higher the SOFA score, the higher the likely mortality.

 

DOM - Metadata >

08_Population_Dying_DOMs_22052201_Notes V2025 (Pending)

06_Population_Dying_Old_Men_DOMs_23092902_Notes (Pending)

 

Work Done

08_Population_Dying_DOMs_23112802_Assessment V2025

https://ktork46.blogspot.com/2025/08/dying-old-man-assessments-and-cut-off.html

 

Satisfaction – Advanced Planning

FAQs - Question(s)

The phrases you listed appear to be specific variables or concepts from a psychological study or research context, rather than common psychological terms. The search results indicate these exact phrases were used as measures or conditions within a specific research framework related to satisfaction, decision-making, and loss aversion, likely in a finance or behavioral economics context.

 

 

Composed: 20260129-TH:

Case Notes (CaseBook)

So what went wrong since 2006?

>In 2005 Buster was helping his family establish a start-up small business. His family was divided.  The legal processes were exhausting.  He was sharing an apartment with his Most Significant Other Ever (MSOE).  By 2006 Buster realized they would not break even for quite a while.  He crashed and burned in 2006 calling 911.  After 3 hospitalizations Buster agreed to LPS Conservatorship so he could get long term services.  Buster was interned at Westminster Therapeutic Residential Center (WTRC).  When released he began his commitment to, housing advocacy including Renting a Shared Room environments (Shared Housing).  Eventually his siblings had to pull out of the business.  Buster did fairly well for five years until 2012. 

 

So what went wrong in 2012?

>Too traumatic and stigmatizing to share at this time other than Buster suffered catastrophic losses.

Catastrophic Losses >

08_PEI_Catastrophic_Loss_16091002_Contents V2026 (Pending)

 

So what went wrong in 2024?

Reference > 06_Science_4_Ted_15012403_Complex V2026

>Buster shared a room with Ted from June 28, 2021 till March of 2024.  This is approximately two years and nine months.  The following report addresses difficulties we had living with Ted, Theodore Francis, in the room and about the house.  Ted had anger issues and destroyed quite a bit of property both his and the houses.  We have not published on Ted before because we did not want to cause him harm.  Ted and Buster sharing a room would have qualified as living in a least restrictive environment.  In reality our environment at Shank’s Guest Home was rather restrictive in that we shared rooms.  Ted was a bully.  Most of the time he was passive aggressive yet he did go as far as touching inappropriately.  We suspect that he lost his job at Dairy Queen because of touching.  As of January 21, 2026 Buster lives in a Senior Living Community.  The facility is called Harvest Retirement and it is in Buena Park California.  Through all the hard times the most important date for Ted and Buster is June 27, 2021 when Rochester Ted’s roommate died and the bed opened up.  For this paper we rely a good deal on charting and our Structural Temporal Reconciliation (STR) Method. In November of 2023 Ted was admitted to the psych ward.  Buster visited him.  Ted was released with ineffective medication.  This acerbated his sleep apnea.  We are writing this to process and find some degree of closure, freedom and hope.  By January 2024 Buster had had enough and was gravely disabled. He called 911 and was taken to Aliso Ridge an awesome recovery facility.  When released Buster faced Ted again worse for wear.  In March the landlord called 911 this time and off Buster goes to the hospital.  While in the hospital this time the landlord took Buster’s bed away.  Eventually Buster ended up at Harvest Retirement (assisted living) into a shared room. 

 

 

Aside - Measuring Google Plus Impact

Substitute for Google Plus

Since Google+ shut down, the best substitutes depend on your goal, with LinkedIn and Facebook Groups/Pages strong for business/community, Mastodon/Diaspora for decentralized privacy, and Reddit for topic-based discussions, while MeWe offers a more private social space.

 

Penetration of Content Material

"Penetration of Content Material" can mean different things: Market Penetration (how much a product/service covers a market), Digital Penetration (tech use in business/society), or even Penetration Testing (cybersecurity vulnerability assessment), but often in marketing, it's about getting content into the market (reach, trials via penetration pricing).

 

Needs [SEPARATE STUDY]

 

Satisfaction about Needs

Standalone Needs Binder

Current Needs

Needs July 2023

Worry

What ifs?

Sleep

Peace & Quiet

Uncertainty

 

Change Gears

SPMI – Satisfaction with Fear and Delusions

While often associated with distress, some research suggests that delusions, though rooted in mental illness, can sometimes provide a sense of meaning or relief, acting as a protective mechanism against overwhelming negative emotions or perceived threats.

 

Other Studies > Metadata >

Satisfaction_and_Healthcare_23072101_Notes

Satisfaction_with_Health_Helpers_23072102_Notes V2025

 

Satisfaction with Mentors

Satisfaction with mentors is generally very high for both mentees and mentors, with vast majority finding the relationship valuable, leading to better job happiness, career growth, and confidence, while mentors gain fulfillment, purpose, and improved skills, especially when training and strong relational bonds exist. Key factors driving satisfaction include good listening, constructive feedback, mutual respect, and personalized support, whereas issues like poor training or communication can hinder it.

 

FYI – Profile - Associated with CV and Chau Satisfaction

Clayton Lon Chau MD Profile (Mentor)

Garden Grove, CA | Psychiatrist

 

US News Health

https://health.usnews.com/doctors/clayton-chau-81936

20251225-TH-4.0 Stars with 8 Ratings

Overview

Dr. Clayton L. Chau is a psychiatrist in Garden Grove, California. He received his medical degree from University of Minnesota Medical School and has been in practice for more than 20 years.

 

Psychiatry

Psychiatrists diagnose and treat mental illness, such as depression, anxiety disorders, substance abuse, and schizophrenia. Most psychiatrists rely on a mix of medications and psychotherapy.

 

Psychiatrist as a Friend

A psychiatrist generally cannot be a friend to a current patient due to ethical rules against dual relationships, which create power imbalances, boundary issues, and risk professional harm, although some fictional portrayals blur these lines for drama; post-treatment, a friendship might be possible but still carries complexities. Professional guidelines mandate clear boundaries to ensure safety, trust, and objective care, preventing the therapist role from mixing with personal friendship.

 

What is a friend?

True friendship may be defined as mutual, unconditional love, expressed with encouragement and kindness. This can be a different type of love than you might receive from your family or your partner.

 

What is Love?

Love is a complex, intense emotion characterized by deep affection, attachment, and devotion toward a person, pet, or concept. It encompasses varied forms—including romantic passion, familial bonding, and platonic friendship—driven by care, trust, and commitment. It acts as a powerful, often physiological, bond that connects people.

 

Aside - Most Significant Other Ever

Shah Jahan is frequently cited as having one of the most significant, devoted, and iconic relationships in history. Following the death of his wife, Mumtaz Mahal, in 1631, his intense grief led him to build the Taj Mahal as a testament to their love, a monument recognized worldwide.

Picking an Age Group to Champion

 

1Children

2TAY

3Adults

4Older Adults

5Oldest Old

 

TAY

Transitional age youth (TAY) typically refers to individuals aged approximately 16 to 24, a period marked by significant life transitions from adolescence to adulthood. However, this age range can vary depending on the context, with some definitions extending it as low as 12 or 14 and as high as 29, especially in mental health or child welfare systems. This group faces unique challenges as they move from systems like foster care or the juvenile justice system into independence, often while navigating brain development, mental health needs, and new responsibilities.

 

Metadata >

Satisfaction_as_an_Older_Adult_23072103_Notes

Life satisfaction for older adults often stems from factors like strong social connections, purpose, good health (including sleep!), reflecting positively on past achievements, and adapting to life changes, leading to greater contentment and well-being as they age, despite physical declines.

 

System of Care > Metadata >

09_HHL_System_Of_Care_SOC_20020208_Notes V2025

A System of Care (SOC) is a coordinated network of community-based services and supports for children, youth, and families facing mental health or other challenges, aiming to help them thrive at home, school, and in the community through collaboration between agencies like schools, child welfare, and healthcare. It's characterized by being family-driven, youth-guided, culturally competent, and focused on strengths, ensuring services are individualized and accessible, not a single program but a collaborative approach to care. 

 

 

 

Populations - ListerLista

Metadata > Satisfaction_with_Engagements_23080401_Notes

Measuring satisfaction with engagement levels across different living environments (in-room, in-facility, out of the house), potentially within a residential or care setting. The concepts of resident satisfaction and engagement are important for property management and senior care facilities to improve retention and quality of life.

 

Satisfaction_with_Advanced_Planning

Satisfaction with Advance Care Planning (ACP) is generally high when it involves quality, personalized conversations focused on patient values, leading to better alignment with preferences, reduced family conflict, and peace of mind, though studies show mixed results, highlighting needs for better communication skills among clinicians and consistent engagement with the process. High satisfaction comes from feeling heard, having control, and ensuring loved ones understand wishes, reducing aggressive care and improving end-of-life quality.

 

Aside - JHF = John Henry Foundation

LA_Program_JHF_John_Henry_Bera_22012501_Notes V2023

Founded in 1989, The John Henry Foundation is located in Santa Ana, California. We specialize in providing a safe, welcoming, and clinically supervised long-term residential community that focuses on the unique needs of adults with Schizophrenia Spectrum Illnesses. JHF provides a home, psychiatric care, a therapeutic community, family support and education, recreational activities, and a community activities program to promote stabilization and healing for both the resident and their family.

 

Novel Developments applying Lived Experiences

Novel developments are integrating lived experience (LE)—personal knowledge from facing challenges like mental health issues or discrimination—into research, policy, and design, moving beyond just data to co-create solutions, using methods like co-production, design thinking, and narrative approaches (e.g., Human Library) to build empathy, improve service relevance, and shift systemic understanding, recognizing LE as genuine expertise. This approach empowers individuals with direct knowledge (e.g., service users, carers) to become co-researchers, leading to more effective, person-centered, and less stigmatizing outcomes in health, justice, and local government.

 

Aside - Aspects of Satisfaction (AOS) > Metadata >

Assess_Satisfaction_Aspects_AOS_20-Item__19041201_Develop V2021

 

Section - Rate Your Satisfaction

 

Overall Satisfaction

Overall satisfaction is a subjective feeling of contentment with one's life or a specific experience, encompassing happiness, needs fulfillment, and expectations met across various aspects like relationships, work, or a company's service, often measured through surveys asking how pleased or satisfied someone feels on a scale (e.g., 1-5, very satisfied/dissatisfied). It reflects an accumulated impression of quality and influences loyalty, behavior, and overall well-being, acting as a key indicator for businesses and individuals alike.

 

Satisfaction as Compared to Motivation

Motivation is the drive to act, the "why" behind our efforts, stemming from needs (like hunger or achievement); satisfaction is the positive feeling or fulfillment experienced after a need is met or a goal achieved, essentially the pleasant result of motivation, with intrinsic satisfaction (enjoyment) often leading to higher engagement than just extrinsic rewards (money/praise). They fuel each other: motivated actions lead to satisfying outcomes, which in turn can increase motivation, creating a cycle of engagement and contentment.

 

Satisfaction Standalone Assessment

A Satisfaction Standalone Assessment is a psychological or customer feedback tool measuring overall contentment, often using validated scales like the 5-item Satisfaction with Life Scale (SWLS) for general well-being or domain-specific ones like the Client Satisfaction Questionnaire (CSQ-8) for services, focusing on global life satisfaction or specific experiences via Likert scales, revealing mental health correlates or service effectiveness.

 

Positive Thinking - Positivism

Thinking positive means approaching life with an optimistic, constructive mindset, focusing on good outcomes and solutions rather than dwelling on problems, but without ignoring reality; it involves reframing negative self-talk, practicing gratitude, and viewing challenges as opportunities for growth, which boosts resilience, better stress management, and overall mental & physical health. 

 

 

Satisfaction Thinking Assessment (STA – 17 Items) > Metadata >

Assess_Satisfaction_Thinking_STA_17-Item_19041202_Develop V2025

 

Cognition and Thinking

Cognition is the broad term for all mental processes, including thinking, learning, remembering, and problem-solving, while thinking is a core type of cognition, involving conscious mental activities like reasoning, judging, and forming concepts to understand and interact with the world. Essentially, cognition is the brain's entire system for processing information, and thinking is a key function within that system, enabling us to make sense of experiences, plan actions, and solve problems.

 

Psycho-social Domains of Living

The Psychosocial Domains of Living describe the vital interplay between your inner self (psychological: thoughts, emotions, identity) and your outer world (social: relationships, community, culture) across the lifespan, focusing on how you develop self-esteem, form connections, build identity, and navigate life's challenges from infancy to old age, with key aspects including Erikson's stages, attachment, social skills, self-perception, and cultural influences. These domains influence overall health, impacting mental well-being, social functioning, purpose, and growth.

 

Metadata >

Satisfaction_in_P3D_Managed_Death_23080402_Notes

Satisfaction in managed death, often through hospice or palliative care, hinges on excellent pain/symptom control, clear communication, respect for patient preferences (especially location), shared decision-making, and feeling supported, with family satisfaction strongly linked to the deceased dying in their preferred setting, though coordination issues and ICU deaths remain challenges. Key factors include consistent care, dignity, presence of loved ones, and feeling that choices (like withdrawing life support) were honored, leading to better overall end-of-life experiences.

 

Metadata >

Satisfaction_with_Supports_23072806_Notes (In Progress)

 

Satisfaction and Supports

Satisfaction and support are deeply linked: feeling supported by loved ones, colleagues, or services boosts life satisfaction, while a lack of it, or negative interactions, can decrease well-being. Different types of support (emotional, informational) matter, and satisfaction often comes from having enough support that meets needs, with open communication being key to aligning support with desires, whether in personal relationships or customer experiences.

 

Support Groups

Support groups are gatherings where people facing similar challenges (health, addiction, grief, caregiving, etc.) share experiences, offer mutual encouragement, and learn coping strategies in a safe, non-judgmental space, providing vital peer connection, validation, and practical advice, often filling gaps where professional or family support falls short. Organizations like NAMI (National Alliance on Mental Illness) offer structured groups, but local options for various needs exist through resources like Psychology Today, Yelp, and findhelp.org, connecting you with face-to-face or online communities for emotional strength and practical wisdom.

 

Natural Supports

Natural supports are the everyday, often unpaid, relationships and connections (like family, friends, neighbors, coworkers) that provide mutual help, belonging, and quality of life, reducing reliance on formal services and fostering independence for everyone, especially individuals with disabilities, by integrating them into their community. They're the informal networks built through shared interests, community involvement, and genuine human connection, essential for social inclusion and well-being.

 

Aside – Metadata >

Satisfaction_Assessment_Library_23090101_Notes

 

Daily Activities – Heavy Hitting Items

>In assessment there are two ways to address items: Equal weight and weighted.  The daily activities with high weight for Buster are Sleep and daily Peace.  Peace sets the stage for periodic rejuvenating Rest most every day.

 

 

 

 

ItSaFriday!

Friday used to be our Dedicated Satisfaction Day (DSD).

While there isn't an official, universally recognized day by the exact name "Dedicated Satisfaction Day," several related observance days focus on satisfaction, appreciation, or happiness.

 

Activities

 

Car drive

Doctors’ Appointments

Family Get-togethers

Good night’s sleep

Karaoke

Medications Filled

Myra saying “I love you”

Negotiation

Publishing

Satisfaction Screener

Sleep

Transfer Key Events from Planner

 

Associated Documents > Metadata >

SleepAbility x 21

 

What made/makes Friday’s Special?

Fridays are special because they signal the end of the workweek, bringing anticipatory happiness, a feeling of relief, accomplishment, and freedom as the weekend approaches, allowing for relaxation, fun, and "you-time," reinforced by cultural traditions, religious significance (like Jumu'ah in Islam, Good Friday in Christianity), and the promise of rest and possibility.

 

What makes Friday satisfying?

Friday feels satisfying due to the psychological relief of escaping the workweek, the strong anticipation of weekend freedom (rest, fun, socializing), a lighter work atmosphere, and the sense of accomplishment from finishing tasks, all boosting mood through dopamine and stress reduction. It's the gateway to personal time, hobbies, and novelty, marking a transition from duty to enjoyment.

 

Models of Satisfaction

Models of Satisfaction explain how customers form judgments about products/services, primarily centered around comparing performance to expectations, with key types including the Expectation-Confirmation Model (disconfirmation leading to satisfaction/dissatisfaction), the Kano Model (categorizing features into Basic, Performance, Excitement), the ACSI Model (linking perceived quality/value/expectations to satisfaction/loyalty), and cognitive/affective theories focusing on perceived fairness, emotions, and attributions. These models help businesses understand drivers of loyalty, complaints, and improvement priorities.

Metadata >

Satisfaction_with_Privileges_23072805_Notes

Satisfaction with privileges, especially in employment, hinges on receiving valued benefits (pay, title, flexibility, recognition) that meet evolving needs, but recent data shows a decline in U.S. job satisfaction with benefits as employers struggle to keep pace, while socially, privilege refers to unearned advantages that can feel invisible to those who have them but create systemic gaps for others, impacting opportunities. Improving satisfaction involves better communication, personalization, and aligning benefits with what employees truly value, like family support or career growth.

 

Satisfaction by Functional & Social Domains

Satisfaction by Functional & Social Domains refers to assessing overall happiness by breaking it down into specific life areas (domains) like health, work, finances (functional), and relationships (social), where satisfaction in these parts contributes to global life satisfaction, with research showing certain domains (like family, daily life) often have stronger links to well-being than others. These domains provide concrete targets for improving quality of life, moving beyond general happiness measures to understand what makes someone happy or unhappy.

 

Metadata >

Assess_Satisfaction_and_Empowerment_23081805_Notes

Assessing satisfaction and empowerment involves using structured tools to measure feelings of control, meaning, competence, and impact, often linking these to outcomes like job performance, well-being, and retention, with common scales focusing on work (e.g., PEN questionnaire, CWEQ-II) or patient experiences (e.g., PPPNBS), all revealing strong connections where higher empowerment leads to greater satisfaction.

 

Ted Francis (2023) V John Baer (2025)

>We were far more satisfied with John than Ted.  We have published a good deal of material pertaining to both of them.

Metadata >

LA_Housing_Satisfaction_23072001_Acronyms

 

Resistant to Solution

>Securing a GoodBed has been for Buster an ongoing problem.  We describe Housing for Buster as Resistant to Solution.  Finally in 2025 it looks like Buster has secured a Good if not GreatBed. This has continued into 2026.  On our quest to sell our Housing Solutions Bundle project idea we’re making progress.  Through assessment we have discovered that there are a few high weight items related to Living Arrangements: Sleep, medication, peace, rest, etc. 

 

Metadata >

03_Satisfaction_Health_Plan_Centered_23081803_Notes (Work in Progress)

>As of 2024 our new insurer is Cal Optima. Prior to that we had Brand New Day and then Imperial.  Cal Optima has gone to great lengths to serve us.  We are satisfied with Cal Optima.

 

Metadata >

Satisfaction_with_Dental_23072803_Notes (Work in Progress)

Brookhurst McFadden > Ace Dental > Sycamore

>Coming into 2024 we were satisfied with Ace Dental.  We had them perform dental implants and paid out-of-pocket for them.  Two implants alone were $6,000.  On June 20 2024 we moved to Harvest Retirement in Buena Park.  We found Sycamore Dental within walking distance.  We are happy with Sycamore Dental and give them 4.5 quick star equivalents.  One advantage with Sycamore is their spectrum of care including: General Dentistry, Endodontics and Oral Surgery.

 

Aspects of Service

How is MSGBase Different From the Legacy TRCBase?

>Tork Reconstruction Company’s (TRC’s) Database is driven by Folders and Folder Names wereas Mentalation Solutions Group’s (MSG’s) Database is driven by File Names.  Both use Windows Explorer.  TRC Base is the older of the two.  New for 2011 was the inception of MSG Base.  Before 2011 we relied heavily on Folder Names Classification.

 

External Quality Review (EQR) > Metadata >

The first time EQR appears in our (TRC) database was October 18, 2010.

External Quality Review (EQR) Invitations

>We still get invitations via snail mail, email and Messenger to rate various organizations.  Some say they will even pay us to rate them.  We call these our EQR side jobs. We were / are Satisfied with the following organizations.  We find that satisfaction is a key to quality of life (QOL).  In hindsight we give all of them and A or 4-5 Stars.

 

 

 

Introduction - Bodies with Satisfaction Surveys

Other Efforts > Metadata >

How_Satisfied_Are_You_OCHCA_25050802_Results

"How satisfied are you?" is a personal question about your contentment with life, work, or specific areas, often measured with rating scales (like 1-10) or by reflecting on happiness, gratitude, and alignment with goals, with methods like the "Wheel of Life" helping you assess different life domains like career, relationships, and health. To improve satisfaction, focus on gratitude, staying true to yourself, nurturing relationships, pursuing goals, and maintaining health, while avoiding delusional positivity.

 

Metadata >

PSDS_Psychiatric_Social_Domain_Scores_25050801_Notes

Psychiatric social domain scores measure difficulties in social functioning using various scales (like WHODAS 2.0, SRS-2, GAPD) where higher scores usually mean greater impairment in areas like getting along with people, work, or daily activities, often on Likert scales (0-4 or 0-5) that sum up to total scores or averages, helping clinicians track severity and treatment progress across specific social or functional domains. These scores assess how mental health issues impact real-world social life, from communication to relationships.

 

Assessment > Metadata >

Domains_of_Satisfaction_Assess_23072801_Notes

For the purpose of this study we considered seven life domain satisfactions that SWB research has consistently identified as relevant to life satisfaction: Health, financial situation, social relationships, self-worth, leisure-time, family, and work.

 

Behavioral Health Fitness Score(s)

Metadata > 10_Assess_BHFS_16010701_Indexing V2025

Behavioral Health Fitness Scores are metrics from tools that assess mental well-being and function, combining factors like mood, stress, social connection, and daily functioning (e.g., BHM-20, MHQ, SCL-90) or broader lifestyle habits (e.g., Healthy Behaviors Score (HBS)) to provide clinicians and individuals a snapshot of psychological resilience, symptom levels, and areas needing support, often comparing scores to population norms.

 

 

Appendix – OCHCA Satisfaction Survey – Page 1 of 2

Appendix – OCHCA Satisfaction Survey – Page 2 of 2