Advanced Planning for and by Keith Torkelson MS, BS (2026.01)

 

In this Report we address the Following areas, and more.

• Advanced Planning
• Crisis Avoidance
• Dream’s Unlimited
• Confidential Information [STAYED]
• Supports and Services
• Critical Control Points
• Psychosocial
• Needs Assessment 21 Items
• Planning
• SMART Method – Roommate Matching
• EOL Considerations
• Behavioral Health
• Safety Net
• Insurer
• Legal
• Transportation
• Living Arrangements & Belongings
• Financial
• Doctor Info
• Medication Process
• Success

Advanced Planning (AP) and Crisis Avoidance

Advanced planning and crisis avoidance involve proactive identification of risks and the creation of structured, written, or digital action plans to prevent emergencies, guide responses, and ensure continuity of care or operations. Key tools include crisis planning documents, safety plans, advance directives, and a deep analysis of potential threats to minimize or avoid crises entirely.

 

Deep Analysis of Potential Threats

Deep threat analysis is a proactive, intelligence-driven process that goes beyond surface-level risks to evaluate the likelihood, impact, and sophisticated tactics of potential hazards. It involves identifying assets and using frameworks like DREAD (Damage, Reproducibility, Exploitability, Affected Users, and Discoverability) to prioritize risks.

 

Crisis = Danger and Opportunity

The concept that the Chinese word for "crisis" (wēijī, 危机) signifies both "danger" (危, wēi) and "opportunity" (机, jī) is a popular, albeit linguistically inaccurate, trope. While wēi does mean danger, jī is more accurately translated as a "crucial point" or "juncture," making it a "dangerous, critical turning point".

 

Overarching Goal - Avoid Preventable Suffering

The overarching goal of avoiding preventable suffering is a foundational principle in global health, safety, and ethics, centered on eliminating needless pain, disease, and premature death. It drives initiatives such as UN Sustainable Development Goal 3 (good health and well-being) and aims to reduce, if not eliminate, patient harm and morbidity through proactive measures.

 

Suffering

Suffering, or pain in a broad sense, may be an experience of unpleasantness or aversion, possibly associated with the perception of harm or threat of harm in an individual. Suffering is the basic element that makes up the negative valence of affective phenomena. The opposite of suffering is pleasure or happiness.

 

Affective Phenomena

Affective phenomena refer to the broad range of feelings, emotions, moods, and dispositions that influence human behavior, cognition, and social interactions. These subjective, often embodied, experiences range from intense, short-term reactions (emotions) to prolonged, lower-intensity states (moods), and are investigated across disciplines like psychology, neuroscience, and sociology.

 

AP - Finding a Palliative Care Doctor

To find a palliative care doctor, start by asking your primary physician or specialist for a referral, as they are essential for coordinating care. Utilize the GetPalliativeCare.org provider directory to search for specialists by location (hospital, home, clinic, or nursing home). Many hospitals, hospices, and major medical centers (e.g.UCI HealthCity of Hope) have dedicated teams to help manage pain and improve quality of life.

 

FAQ - Can your PCP provide medical aid in Dying?

 

Aside - Apply material from this study to EOLCCA work and papers

08_Managed_Passing_EOL_Choices_California_25031302_Content V2026

Work Done

https://healthman2059.blogspot.com/2025/08/eolcca-centered-medical-aid-in-dying-by.html

 

What would you like to do with the rest of your life?

People often dream of spending the rest of their lives traveling, learning, engaging in creative passions, and fostering meaningful connections with loved ones. Common aspirations include achieving financial freedom to live on one's own terms, giving back through philanthropy or volunteering, and creating a comfortable, balanced life.

 

Common Life Goals and Aspirations

Continuous Learning (Lifelong Learning)

Pursuing education, or studying

Travel and Exploration

Visiting new countries, living a nomadic lifestyle, and exploring the world (Online)

Creative Pursuits

Writing, painting, cooking, or starting a business (e.g., a bookshop or cinema)

Helping Others

Volunteering, coaching, or supporting charities

Family and Connection

Spending quality time with family, raising children, or supporting partners

Financial Independence

Building wealth to secure a comfortable life and help loved ones

 

How to Define Your Path

To determine what you want to do, consider these approaches.

The "$100 Billion Question" (Dreams Unlimited)

If money were no object, what would you do every day after the initial excitement of luxury fades?

Visualize Your Ideal Day

Describe your dream day in detail—where you live, who you are with, and what you are doing—then reverse-engineer it.

Identify Your Values

Align your daily activities with what brings you the most fulfillment and joy, such as nature, community, or creativity.

Set Balanced Goals

Create goals across key areas: Spiritual, financial, career, intellect, health, family, and social.

 

Overall Thrive Globally

 

Finding Meaning

Many people find fulfillment in the second half of life by pivoting to careers based on passion, starting new businesses, or engaging in activism. Ultimately, the goal is to create a life where you wake up excited for the day, regardless of your age or career stage.

 

Engaging in Activism

Engaging in activism involves taking action to create social, political, economic, or environmental change through methods like protesting, lobbying, community organizing, and social media advocacy. It aims to raise awareness, influence policy, and hold institutions accountable. Effective engagement often includes identifying a cause, joining local organizations, and taking consistent, sustainable action.

 

Commenting on Quora

Commenting on Quora is done by clicking the speech bubble icon or "Add Comment" link below an answer or question. Comments are meant to add value, provide clarifications, or offer alternative viewpoints, rather than just acting as a conversation thread. Writers can disable comments on their posts.

 

[STAYED AS CONFIDENTIAL]

Advanced Planning - Food For Thought List

Sample of Tasks (Succession)

Supports in Sociology

Social support in sociology refers to the intangible and tangible resources—emotional, instrumental, informational, and appraisal—that individuals receive from their social networks (family, friends, neighbors, and coworkers) to help them cope with stress, crises, and daily life. It acts as a buffer against negative life events, enhancing physical and mental well-being.

 Services in Health & Human Services

Health and Human Services (HHS) agencies provide a broad spectrum of services aimed at improving public health, safety, and well-being. Core services include healthcare (Medi-Cal, Medicare), mental health and substance abuse treatment, social services (food assistance, housing, child welfare), and, critically, support for seniors and individuals with disabilities.

 

Motivational Interview

Motivational interviewing (MI) is a collaborative, person-centered conversation style designed to strengthen a person’s own motivation and commitment to change. By focusing on empathy and addressing ambivalence, it helps individuals explore their own reasons for change, reducing resistance and encouraging healthier behaviors.

 

Reworded - Deep Analysis of Potential Threats

Deep analysis of potential threats is a proactive, intelligence-driven process that identifies, evaluates, and models risks to an individual’s assets, including IT systems and people. By assessing vulnerabilities and threat actor behavior (intent/capability), networks can move from reactive security to predicting, preventing, and mitigating potential damages.

 

Potential Losses and Suffering for Individuals

Potential losses and suffering for individuals, particularly in the context of personal injury or negligence, encompass a broad range of physical, emotional, and economic impacts that severely alter quality of life. These damages are generally classified as non-economic (intangible, such as pain) and economic (tangible financial losses).

 

Losses of Individual Resources

Losses of individual resources, often analyzed through the lens of Conservation of Resources (COR) theory, refer to the depletion, threat, or loss of valued resources—such as health, social support, financial stability, or personal energy—that causes stress and can lead to diminished well-being. COR theory posits that individuals strive to obtain, retain, and protect resources, and the loss of these resources is more impactful than the gain of new ones.

 

Conservation of Resources Theory

Conservation of Resources Theory (COR; Hobfoll, 2001) is a psychological stress model positing that individuals strive to acquire, retain, and protect valued resources (objects, conditions, personal characteristics, energies). Stress occurs when these resources are threatened, lost, or not replenished after investment. Key tenets include that loss is more salient than gain, and loss spirals often occur, where initial losses trigger further, rapid resource depletion.

 

Critical Control Points (CCPs) and Loss

Loss of control at a CCP—a deviation from critical limits—indicates an unacceptable, immediate health risk to consumers. AMB = As Measured By.

Psychosocial Resource Assessment

A Psychosocial Resource Assessment evaluates a person's mental health, social status, and functional capacity to identify strengths, risks, and support systems. Conducted by professionals using interviews or tools like the Psychosocial Assessment Tool (PAT), it covers family structure, social support, financial stability, and coping mechanisms to guide treatment plans.

(PDF) The Psychosocial Assessment Tool (PAT2.0)

 

FYI > Metadata >

https://sccap53.org/wp-content/uploads/2023/11/PAT-presentation-to-SCCAP-webinar-Smith-Award-11.08.23-FINAL.pdf

Neighborhood and built environment

Neighborhood and built environment refer to the physical, social, and environmental conditions where people live, work, learn, and play, acting as a key social determinant of health. It encompasses housing quality, transportation access, neighborhood safety, and proximity to services like healthy food. These factors directly impact physical safety, mental well-being, and chronic disease risk.

 

Work Done > Metadata >

Social Determinants of Health (SDoH) Assessment

Assess_QOL_Social_Determinants_21052903_Notes V2025

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

Psychosocial Assessment Tool (PAT) (Aspects)

PAT Subscales (Elements)

Needs Worksheet

Your Basic Needs Checklist

Metadata >

Texas Tech University Health Sciences Center – PDF 1 Page

https://www.ttuhsc.edu/medicine/psychiatry/counseling/documents/SelfCareBasicNeedsChecklist.pdf

Your Basic Needs Checklist - Adapted from the Woman’s Comfort Book (Louen, 1992)

Basic Self-Care Needs – 21 Items (Modified) = 81.0% (High Scores are Favorable)

Scored by and for Keith “Buster” Torkelson

#	Need	2026 0227 F-RT SW-Solo
01	Do I usually get enough sleep? (HW)	1.00
02	Do I usually eat something fresh and unprocessed every day?	1.00
03	Do I allow time in my week to touch nature, no matter how briefly?	0.75
04	Do I get enough sunlight, especially in wintertime?	0.75
05	Do I see my medical practitioner at least once a year?	1.00
06	Do I see a dentist every six months?	1.00
07	Do I get to move my body?	1.00
08	Am I hugged and touched amply?	0.75
09	Do I make time for friendships?	1.00
10	Do I nurture my friendships?	1.00
11	Do I have friends I can call when I am down, friends who really listen?	0.75
12	Can I honestly ask for help when I need it?	0.75
13	Do I regularly healthily release negative emotions?	0.75
14	Do I forgive myself when I make a mistake?	0.75
15	Do I do things that give me a sense of fulfillment, joy,   and purpose?	0.75
16	Is there abundant beauty in my life?	0.75
17	Do I allow myself to see beauty and to bring beauty into my home and office?	0.75
18	Do I make time for solitude?	1.00
19	Am I getting daily or weekly spiritual nourishment?	0.75
20	Can I remember the last time I laughed until I cried?	0.00
21	Do I accept myself for who I am?	0.75
	CALC	=17.00/21
	Female Needs Checklist 21 Items (HSF) =	81.0%

Texas Tech University Health Sciences Center – PDF From 1 Page

https://www.ttuhsc.edu/medicine/psychiatry/counseling/documents/SelfCareBasicNeedsChecklist.pdf

 

1)    What do I need to help me better care for myself right now?

 

To better care for yourself right now, you need to address your immediate needs across physical, mental, and environmental areas, often referred to as building a "self-care toolkit". The goal is to prioritize your own well-being to manage stress and avoid burnout.

 

2)    What stops me from taking better care of myself?

 

Barriers to better self-care often include a lack of time due to busy schedules, guilt over prioritizing oneself, financial limitations, and low energy. Other common obstacles include viewing self-care as selfish, a "push-through-it" mentality, poor mental health, or not recognizing the importance of self-assessment.

 

3)    What fears do I have about reprioritizing my routine?

 

Reprioritizing your routine often triggers deep-seated fears of the unknown, discomfort, and failure. You may fear losing comfort, facing backlash from changing obligations, not being perfect, or failing in new pursuits. These fears stem from a desire for safety, avoiding conflict, and the risk involved in change.

 

4)    What intention can I create to improve my self-care today?

 

Create a daily self-care intention by choosing a manageable, specific action—such as "I will move my body for 10 minutes," "I will drink an extra glass of water," or "I will turn off screens an hour before bed". Focus on small, actionable habits like deep breathing, taking a walk, or setting a boundary.

 

Self-care Intentions

Now that you have set your daily intention...Take a few moments to connect to gratitude. Feel how blessed you are. Appreciate your life...Know that you are going to fulfill your self-care intention for today.

 

AP - Planning

Planning is the process of thinking regarding the activities required to achieve a desired goal. Planning is based on foresight, the fundamental capacity for mental time travel. Some researchers regard the evolution of forethought - the capacity to think ahead - as a prime mover in human evolution.

 

Goal Setting

Goal setting is the strategic process of identifying specific, actionable objectives and creating plans to achieve them, designed to boost motivation, focus, and performance. Effective goals are generally structured as SMART (Specific, Measurable, Attainable, Relevant, Time-bound) and often broken down into process, performance, and outcome targets.

 

Discuss Strengths [Project]

Project strengths are internal, positive attributes that increase the likelihood of success, encompassing skilled team members, clear requirements, and robust management tools. Identifying these—ranging from technical expertise to strong leadership—allows teams to leverage existing advantages, improve performance, and overcome challenges.

 

Personal Resource Levelling

Personal resource leveling is a project management and productivity technique designed to balance an individual's workload by adjusting the schedule of tasks to match their actual availability, capacity, and energy levels. While traditionally used in project management to prevent overbooking team members, it can be applied personally to avoid burnout, manage energy (e.g., "spoons"), and ensure a sustainable pace of work.

 

Outcomes/Behaviors Desired – Self-care

Desired outcomes are specific, measurable, and time-bound goals (SMART) that define the exact changes in knowledge, skills, or attitudes needed for success. They act as the "what" (final results) while desired behaviors are the "how" (actions/habits) that drive those results. Effective, long-term behavior change is best sustained when treated as a "gift" of self-care rather than a "chore".

 

Thinking > Feeling > Doing

Cognitive Behavior Therapy (CBT): Thinking, feeling, and doing are deeply interconnected components of human experience, forming a cognitive-behavioral triangle where thoughts generate emotions, which in turn drive actions. Changing one, such as reframing thoughts or altering behaviors, can positively influence the others. Understanding this sequence helps manage reactions and improve mental well-being

 

Aside - Thoughts have no mass

Thoughts are generally considered to have no mass because they are intangible mental processes, not physical objects, although they are generated by the physical brain. They are understood as functional states or electrical energy patterns rather than, for instance, an accumulation of atoms.

 

Applied SMART Plus (Example)

There is hope

"There is hope" signifies that as long as there is life, possibilities for positive change and recovery exist. This message is often associated with Christian faith, highlighting hope in Jesus for peace and strength during trials.  The phrase also represents a message of encouragement, resilience, and optimism, suggesting that challenges can be overcome.

 

Hopeless – Powerless

Hopelessness and powerlessness are closely linked emotional states characterized by a lack of control, often manifesting as depression, anxiety, and a feeling of being stuck due to external pressures or internal, low self-esteem. While powerless means lacking the ability to change circumstances, hopeless implies a pessimistic outlook, often leading to a voluntary surrender to these negative emotions.

 

12-Step Program – Powerlessness

In 12-Step programs, admitting "powerlessness" (Step 1) means acknowledging that addiction has made life unmanageable and that self-will alone cannot overcome it. It is not a sign of weakness or defeat, but rather a courageous acceptance of reality that allows individuals to stop fighting a losing battle and seek necessary help.

 

Unmanageable Life

An unmanageable life, a core concept in addiction recovery (Step 1 of AA), refers to a state where, despite attempts at control, one's existence is dominated by chaos, emotional turmoil, or compulsive behaviors. It manifests as broken promises, inability to meet obligations, neglected health, and broken relationships.

 

Empowerment

Empowerment is the degree of autonomy and self-determination in people and in communities. This enables them to represent their interests in a responsible and self-determined way, acting on their own authority.

 

Luck

Luck is the phenomenon of experiencing significant positive or negative events by chance, rather than through one’s own actions or skill. It represents the, often unpredictable, sum of fortuitous or unfortunate circumstances. Common idioms include "good luck" for wishing success, "bad luck" for misfortune, and "luck out" for unexpectedly succeeding.

 

Aside - Law of Equal Exchange – H-Net – Graduation

The Law of Equivalent Exchange, central to Fullmetal Alchemist, dictates that to obtain anything, something of equal value must be lost or given. This principle implies that something cannot be created from nothing, requiring a balanced, one-to-one exchange of material or energy. It is often applied metaphorically to life, emphasizing sacrifice, effort, and accountability for personal gains.

 

Inheritance

>Indirectly Buster inherited the money in his Special Needs Trust (SNT) from his mom (June).  Most if not all the accounts sold to fund the trust were mom’s accounts.  Sarah the Car was purchased with the trust so in a manner Ford Focus Sarah is moms or the family car.

 

AP - Death with Dignity (Managed Passing)

Death with Dignity, often called medical aid in dying (MAID) or managed passing, allows terminally ill, mentally competent adults with six months or less to live to legally request and self-administer medication to end their lives peacefully. It is authorized in 10 states and D.C., including California, under strict safeguards to prevent coercion.

 

Promotion

End-of-life Choices California (EOLCC)

https://endoflifechoicesca.org/

Representative Payee – Acton Item

What Is a Representative Payee for SSDI or SSI?A representative payee is an individual or organization appointed by the Social Security Administration (SSA) to manage Social Security or SSI benefits for someone incapable of doing so, such as minors, or mentally/physically incapacitated adults. They must use funds for the beneficiary's basic needs (food, shelter) and file annual reports, usually without receiving payment unless authorized.

 

Working Diagnosis = OCD (Smoking Cigarettes) + Anxiety Cluster + Sleep Disorder

A working diagnosis of OCD, anxiety, and sleep disorder indicates a complex, often intersecting, triad of conditions. Research shows up to 40% of people with OCD have comorbid sleep issues like Delayed Sleep Phase Disorder (DSPD), with anxiety frequently exacerbating both, leading to reduced sleep efficiency and increased, often nighttime, obsessions.

 

Diagnosis V Working Diagnosis (WD)

>The following are the diagnoses that Buster has been given by Medical Doctors since 1989.  The working diagnoses are what he is being treated for (2026).

 

• Depression (Dobos)
• Bi-Polar (Several)
• Manic (Several)
• Schizoaffective (Bera and others)
• Schizophreniform (Deutsch)
• Anxiety (WD-Cal Optima)
• Sleep Disorder (WD-Cal Optima)

 

Disability Update Reports (DURs)

Disability Update Reports (Form SSA-455) are short, periodic mailers sent by the Social Security Administration (SSA) to determine if a beneficiary's condition has improved enough to warrant a full Continuing Disability Review (CDR). These forms, usually sent every 1–7 years, ask about recent medical treatment, work, and hospitalizations, typically covering the last 24 months.

 

Behavioral Health Safety Nets (2026)

Behavioral Health Safety Nets are critical systems of care providing mental health and substance use services to low-income, uninsured, or vulnerable populations. They offer essential, often state-funded, resources—including crisis intervention, outpatient treatment, residential care, and, in some cases, integrated care—to prevent worsening conditions and ensure access to care regardless of ability to pay.

 

Assessment and Valuation

Assessment and valuation determine an individual’s monetary position, but for different purposes: assessment calculates individual value for investments (often lower than average), while appraisal/valuation estimates what is fair for investments in an individual.  Assessments are typically updated annually.  An example was the Social Security Disability Update Report (DUR).

 

Monetary Value of a Person in the US

The monetary value of a person in the US is often estimated around $10 million by federal agencies for regulatory, safety, and economic purposes, known as the Value of a Statistical Life (VSL). Alternatively, the median net worth of an American in 2022 was $192,700, while the average was $1.06 million.

 

Prevention and Early Intervention (PEI) Organization

Prevention and Early Intervention (PEI) is a mental health strategy focused on reducing the severity of mental illness by intervening early, often targeting children, transitional youth, and older adults before a condition becomes disabling. As a core component of the Mental Health Services Act (MHSA), these programs aim to reduce stigma, improve access to services, and provide early support for mental health, such as depression, anxiety, and trauma, particularly among underserved populations.

 

Aside - The Kline Coalition (TKC)

>LAK, CSK, ASK, EAK, SG, AGK and QLK

 

Coalition

A coalition is a temporary or strategic alliance of individuals joining forces to achieve a common, specific goal. Often used in advocacy, these unions allow members with different backgrounds to pool resources and influence, exceeding what they could achieve alone.  >An example was Buster’s family helping him move his storage 20 mile across town (2026).

 

Advance Planning – Action Item

Advance care planning involves discussing, deciding, and documenting your medical, legal, and financial wishes for future care if you become unable to speak for yourself. Key components include appointing a healthcare proxy, completing advance directives (living wills), and sharing these preferences with loved ones and doctors to ensure your values are respected.

Resource Leveling - Reworded

Resource leveling is a project management scheduling technique that adjusts project dates, delays tasks, or reallocates resources to resolve over-allocations and ensure resource constraints are met. By balancing workloads, it prevents burnout, optimizes usage, and stabilizes the schedule, though it often extends the project timeline.

 

Aside - Debt Forgiveness

Debt forgiveness is the cancellation, reduction, or discharge of all or part of an outstanding debt by a lender, often due to financial hardship, settlement, or specific, qualifying programs. While it offers relief from obligations like credit cards, medical bills, or student loans, forgiven debt is generally considered taxable income by the IRS (https://www.irs.gov/taxtopics/tc431).

 

Strength of not being in Debt

Being debt-free provides immense financial strength by eliminating interest payments and freeing up income for saving, investing, and building a secure emergency fund. It offers psychological liberation, reducing stress and increasing life satisfaction while removing the necessity to work for creditors. Key advantages include increased career flexibility, enhanced peace of mind, and the ability to build long-term wealth.

 

Medi-Cal Payback

Medi-Cal repayment, known as Estate Recovery, is the process where California seeks reimbursement from the estates of deceased beneficiaries for services received at age 55 or older, or if permanently institutionalized. Recovery is limited to assets subject to probate, such as homes not in a trust, and only for benefits received on/after Jan 1, 2017.

 

Aside – Assessment - ProQOL – Streaming or Baseline

The Professional Quality of Life (ProQOL) scale is a 30-item, self-administered survey used as a baseline assessment to measure the positive (compassion satisfaction) and negative (burnout, compassion fatigue) impacts of working with people experiencing traumatic stress. It is designed for ongoing, periodic monitoring (streaming) of professional quality of life.

 

AMB=As Measured By

"As measured by" is an idiomatic phrase used to identify the specific metric, tool, or criterion utilized to evaluate, quantify, or assess a subject. It defines the standard of measurement for a variable, such as "success as measured by profit," indicating that profit is the specific metric used.

 

Promotion – Cal Optima

https://www.caloptima.org/

Current – Cal Optima Network

CalOptima Health offers health insurance plans for low-income children, adults, seniors and people with disabilities in Orange County. Local leaders launched CalOptima Health in 1995 as a county organized health system to better serve vulnerable residents and provide access to quality health care.

 

Who Launched Cal Optima?

CalOptima Health was created by the Orange County Board of Supervisors in 1993 to serve as a County-Organized Health System (COHS) for Medi-Cal beneficiaries. It was established to manage care for low-income residents in Orange County and began operations in 1995.

 

Prevent Catastrophic Loss – Action Item – Out of Scope

Personal loss prevention focuses on securing assets, preventing theft, fraud, and operational errors to minimize financial shrinkage through security technology, employee training, and inventory tracking. Key strategies include using surveillance cameras, Electronic Article Surveillance (EAS) gates, and rigorous, consistent staff training programs to address both internal and external threats.

 

Succession – Action Item

Depends on sister’s efforts to pass forward her tasks, efforts and knowledge.

The act or process of following in order: sequence. The act or process of one person's taking the place of another in the enjoyment of or liability for rights or duties or both. The act or process of a person's becoming beneficially entitled to a property or property interest of a deceased person.

 

Special Needs Trust (SNT) – Trust should be zero sometime in 2026

What is a Special Needs Trust? The two primary types of special needs trusts (SNTs) are First-Party (Self-Settled) Trusts and Third-Party Trusts, designed to preserve a beneficiary's eligibility for government benefits like SSI or Medi-Cal. First-party trusts are funded with the beneficiary's own assets (e.g., lawsuits, inheritances) and require a Medicaid payback upon death, while third-party trusts are funded by others (e.g., parents) and allow for flexible, non-reimbursable distribution.

 

Social Security Payee Account – Change Payees – Action Item

A representative payee for SSI must establish a dedicated checking or savings account to manage the beneficiary's funds, titled to show the beneficiary owns the money and the payee is a fiduciary. The account should be in the beneficiary's name with the payee's name added (e.g., "Beneficiary Name by Payee Name, Representative Payee").

 

Discretionary Spending Account - Routine

A discretionary spending account holds funds remaining after essential expenses (taxes, housing, food, debt) are paid, used for non-essential items like entertainment, travel, or savings. It acts as a financial buffer for luxury or lifestyle-enhancing purchases, allowing for flexibility in personal or business budgeting.

 

Savings on Big Account

>Each month we spend less than we take in from Social Security Retirement (SSR).  This adds up by the end of each year.  Before 2025 our Medi-Cal specified cash limit was $2,000.  We have about $600 on deposit in our School’s First Savings Account.  In addition, for years we have maintained a minimum balance of $500 in our allowance account. 

 

Addresses on File [PRN]

 

Continuity of Car Resource – Action Items

Owning a car involves high costs—averaging around $12,000 annually in the U.S.—driven heavily by depreciation, which can see new vehicles lose 20% of their value in the first year and 60% within five years. Key financial factors include purchase price, fuel, insurance, and maintenance, with total value often assessed over a 5-year period

 

• Gas
• Oil Change
• Registration
• CDL
• Insurance
• If need be brother in law says he will help-out and pay our auto insurance!
• Maintenance
• Repair
• Triple A

 

Car Investment List

Maintaining a car requires regular attention to fluids (oil, brake, coolant), tires, and filters, alongside following the manufacturer’s service schedule to prevent costly repairs and maximize lifespan. Key DIY actions include checking oil, tire pressure, and lights, while professional services involve brake, belt, and suspension inspections every 3-6 months.

 

New Tires

Paint Upper Surfaces

Windshield Wiper Blades

 

Car Ownership and Insurance Savings – Action Item

>As of March 5, 2026 the car is owned by “the trust”.  The trust is expected to go away this year (2026).  Decisions on car ownership are pending.  The auto insurance is with Geico and is around $100 per month for full coverage.  If need be our brother-in-law says he will pick up the cost of our auto insurance.  In addition we might be able to insure for less.  We are looking into Triple A.

 

Optimizing Use of Storage – Action Item

Optimizing storage involves maximizing capacity and efficiency for both physical and digital assets through vertical utilization,, data reduction techniques, and regular maintenance. Key strategies include using tall shelving, stacking, and modular furniture for space, while digital storage is optimized via data deduplication, compression, and removing unused applications

 

Gifts

>A gift is something of value given directly to someone: Examples are: Gift cards, out for meals, phone account, etc.  In total per year gifts directly to us are not very much.

 

Aside - 20170901-F-Asking for help

>I began addressing the next generation for helping me manage my resources.  Looking for one that would be willing to help me begin managing my resources in November (2017).

 

Reasons to Plan in Advance

Planning in advance increases productivity, reduces stress, and boosts success by providing a clear, actionable roadmap. It allows for better resource management, enhances decision-making capabilities, and enables greater adaptability to unexpected challenges. Preparing ahead transforms overwhelming tasks into manageable, organized steps.

 

Succession

Current > Team 2 to Team 3 (Family)

Team 1 was Buster’s parents

We feel that the payee – allowance system is important for succession?

 

Miscellaneous

 

Back up Keys

See separate document for locations of keys for storage and the car.

 

Orange County Supports Info (Family Friends and Other)

 

• KTL
• DNF
• CMF
• Triple A
• Betty
• Rimal B.
• Amy (Cal Optima)

Others

 

Living Arrangements and Belongings

Storage Abandonment

Storage abandonment occurs when a tenant stops paying rent and leaves personal items in a unit, leading the facility to seize and sell contents via a lien process, typically after 14 to 90 days of non-payment. Operators must follow state-specific notice requirements, often involving certified mail, before disposing of or auctioning items.

 

Brief - Financial Management (Provide confidential information to advocate)

Summary

• Accounts Payable
• Accounts Receivable
• ATM Card
• Checking Account Info
• Credit Cards
• Credit Union
• Entitlements
• Gifts
• Income Info
• Joint Checking Account
• Medi-Cal (Redetermination and Spend Downs)
• Payee Account
• Savings Account Info
• Treasure
• Trust(s)

Legal

 

• Advance Health Care Directive (AHCD)
• CDL Info
• Copy of Wallet Contents
• Durable Power of Attorney (Financial)
• Durable Power of Attorney (Medical)
• Euthanasia Advanced Directive (EAD)
• Will/Living Trust

Other

Promotion (Buster’s Clinic Since 2012)

Clinic – Central City Community Health Center

12511 Brookhurst St 2nd Floor, Garden Grove, CA 92840

714-643-7176

 

Promotion (Buster’s Pharmacy since 2012)

Gilbert Drugs

Address: 9240 W Garden Grove Blvd #20, Garden Grove, CA 92844

714-638-8230

Go to tech = “Nick” Since 2012

Doctors Info

 

Medication Process Info – Action Item

>See doctor > doctor prescribes > get copy of visit summary > review visit summary > wait ½ hour > call pharmacy to see that all meds were prescribed > if not go back to clerical and tell them what is lacking

 

Network of Care Info

The Network of Care is a comprehensive, county-funded digital platform designed to connect individuals, families, and caregivers with local social services, healthcare, and support. It provides a "no wrong door" approach to finding resources for mental health, seniors, disabilities, and veterans, featuring an AI-assisted navigator for personalized search.

 

Wrong Doors in Behavioral Health

The "No Wrong Door" policy in behavioral health, particularly under California's CalAIM initiative, ensures individuals receive mental health services regardless of where they first seek care—county, managed care plans, or fee-for-service systems. It removes barriers like redirection, allowing immediate assessment and reimbursement, even if the patient is later transferred to a different system.

 

Redirection in Behavioral Health

Redirection in behavioral health is a proactive, positive intervention used to guide individuals away from challenging, inappropriate, or harmful behaviors toward constructive, safe actions. It involves interrupting a behavioral pattern—using verbal prompts, cues, or physical guidance—to teach self-control, improve focus, and prevent escalation, particularly in children and dementia care.

 

Redirection and Referral

Redirection and referral are distinct processes used to guide, move, or transfer someone or something from an initial path to a new, more appropriate one, often in contexts of healthcare, behavior management, and technology. Redirection guides behavior or traffic away from a problem/destination, while a referral formally directs someone to a specific service or resource.

 

Successful Advanced Planning

Successful advanced care planning (ACP) requires early, ongoing, and, honest, structured conversations with patients about their goals, values, and preferences, involving chosen surrogates early. Key elements include, appointing a health proxy, documenting wishes (e.g., Living Will, POLST), and updating plans across changing clinical situations to ensure care aligns with patient values.

 

Patient Values (Consumer)

Patient values are the unique beliefs, goals, and preferences—such as independence, quality of life, or cultural, religious, and family priorities—that shape how individuals approach healthcare decisions. These values are essential in clinical decision-making, ensuring care aligns with what matters most to the patient, rather than just clinical outcomes.

 

Patient Mission (Provider)

Patient mission statements in healthcare generally focus on delivering compassionate, high-quality, and patient-centered care to improve health outcomes and support communities. Core goals include providing respectful treatment, enhancing safety, ensuring access to care, and fostering healing through empathy and collaboration.

 

Patience (Consumer)

Patience is a transformative virtue that fosters improved mental health, stronger relationships, and greater goal achievement by enabling individuals to endure delays or hardships with calm, empathy, and grace. It reduces stress, boosts productivity, and cultivates resilience, allowing for thoughtful decision-making over impulsive, emotional reactions.