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 and 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 who 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
cannot 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
|
|
|
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 were 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 the Project Idea
Plan (PIP) submitted
|
|
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 Online 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. Online, 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 where 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
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 began 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
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.
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).
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)
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.
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)
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:
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.
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
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1Children
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2TAY
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3Adults
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4Older Adults
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5Oldest Old
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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
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.
LA_Program_JHF_John_Henry_Bera_22012501_Notes
V2023
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 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
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
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 >
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.
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
