A live working space. Where we are, where we are going, and the specific decisions that need your input. Updated by Avina as the situation moves.
Erin was admitted to the Behavioural Health Unit at Glendale Adventist Hospital on the evening of 1 May 2026 under a 5150 involuntary psychiatric hold. The hold is expected to extend through the weekend. Toxicology negative. Blood work normal. Kelly visited Saturday morning.
Three options were offered to Erin in the four months leading up to 1 May. She declined all three. Her counter-proposal was that family secure housing in exchange for outpatient therapy. Avina assessed this as not feasible. On 1 May during move-out, Erin's distress escalated to explicit suicide threat ("hang myself with a belt tonight"). Kelly issued advance warning, then called 911 at 3:53 PM. Police initially could not place a hold without documented evidence; Kelly's audio recording substantiated the threat. Erin admitted at 5:30 PM. You and Chris notified at 3:18 PM.
Three paths. Drag, swipe, or use the arrows. Each card shows what happens, what it costs, what Avina does, and the realistic probability based on Erin's pattern over the past three weeks.
Direct hospital-to-Clearview transport. Clearview confirmed bed and transport readiness. Best clinical outcome. The path the family has been investing toward.
Clearview program fee (already budgeted) + ongoing Avina retainer.
Weekly status reports, Clearview clinical liaison, post-program planning under defined conditions.
Erin retrieves vehicle and possessions. Family financial support paused. Erin responsible for own housing and expenses. Avina engagement reduces to crisis-only.
Hardest emotionally. 2-6 weeks of uncertainty. Meaningful risk of another acute event.
Erin has consistently said she wants to manage her own life. Path B gives her that, with love unchanged but financial scaffolding withdrawn.
Outpatient with conditions: weekly drug and alcohol testing, daily Kelly check-ins, attendance verification, agreed consequence schedule, 30-day review.
Erin's pattern over past three weeks suggests she would test conditions early and engagement would unravel. Recommends Path A.
Same as Path A + outpatient fees + risk of mid-stream disengagement.
| Dimension | Path A | Path B | Path C |
|---|---|---|---|
| Direct family financial outlay | ~$30K-$50K (program + retainer) | $0 (support paused) | ~$15K-$25K |
| Risk of another acute event in next 60 days | Low (in structured care) | Moderate-High | Moderate |
| Probability Erin engages | Low-Moderate | N/A (default) | Low |
| Time before next family review | Weekly | Monthly | Weekly |
| Probability of long-term recovery | Highest | Lowest in short-term, recoverable in 6-12 mo | Mid (mid-stream failure risk) |
Click an option for each decision, or write your own answer. They auto-save to your browser. Once Kelly sees them, the engagement reflects your direction.
Pre-agreed at intake. Triggered automatically. No real-time judgement, no negotiation. The forcing function that prevents slow drift becoming sudden crisis.
The Erin case proved this. Three weeks of missed milestones with no forcing function accumulated until 1 May, when the consequence layer activated belatedly under emergency conditions (911 call) rather than as an intermediate step at week two. Pre-agreed automatic consequences prevent that.
Status as of 3 May 2026, 1:00 PM LA
Erin in BHU on day 3 of 5150 hold. Kelly visited Saturday morning. Family briefing planned for Sunday evening. Discharge handover Monday.
Will publish next Monday morning.
Every document related to Erin's care, accessible directly. Click to open in Drive. Filter by category or search by filename. The full folder is also accessible via the button below.
Today, this week, this month. Your goals. Your reflection space. Your messages from Kelly. Everything in one place.
Today is a hospital day. Three things to focus on. Tick them off as you go. Kelly visited this morning.
Three sliders, one mood, one note. Takes 30 seconds. Auto-saves. Helps Kelly know how to support you tomorrow.
Day by day. Kelly issues this every Monday morning.
| Week | Theme | Milestone | Status |
|---|---|---|---|
| Week 1 (4-10) | Stabilisation and decision | Discharge handover and path chosen | In progress |
| Week 2 (11-17) | Settle | Day-7 review of chosen path | Upcoming |
| Week 3 (18-24) | Build | Daily routine in chosen path | Upcoming |
| Week 4 (25-31) | Mid-engagement review | Month-end review with Kelly + family | Upcoming |
Two named goals + the longer-term vision your mother holds for you. Updated as the picture moves.
Your space. Auto-saves. Kelly does not see your responses unless you choose to share.
Erin, today was hard. I want you to know I heard you. The 72 hours is structured care, not punishment. Use it to rest. Whatever you decide on Monday, I will be there. Kelly
BHU nursing station — anytime, no judgement.
Direct line, business hours. Crisis line, anytime.
Call or text 988. Free. Confidential. 24/7.
He has Ollie. Ollie is fine. He is also a phone call away.
Documents related to your engagement. You can read everything Avina has put together for you and your family. Open in Drive to view full screen.
The full case file in one working surface. Plan cascade, reflection log, methodology, transcripts, all documents. Edits auto-save.
Every compliance dimension that needs Kelly's attention. Status badges show what's green, what's amber, what needs immediate action. Updated as the engagement progresses.
Family signed authorisation: YES (engagement contract section 6)
Client consent script read at session start: YES
Recordings storage: encrypted folder on Drive, 7-year retention
CompliantStatus: NOT YET ACTIVE (path being decided Monday 5 May)
If Path C activates: weekly testing required, Sunday evenings.
Pending decisionIn hospital under 5150 hold. Attendance N/A this week.
Re-activates after Monday discharge per chosen path.
Hospital · N/ASigned: YES · Date: [TBD] · Last reviewed: 03/05/2026 · Next scheduled review: 30 days post-discharge
Erin in stable housing within commuting distance, working part-time, in continuing outpatient care, regular family contact. 18-month horizon.
Family financial leverage has been hurting more than helping. Pattern dates to childhood not the past four months. Treatment-program acceptance probability is low without the forcing function.
BPD pattern of premature termination. Mitigation: family alignment before Monday handover.
If Path B, Carol may want to soften financial pause. Mitigation: position document signed.
Recording legality. Mitigation: counsel engaged this week.
| Week | Theme | Milestone | Owner | Status |
|---|---|---|---|---|
| Wk 1 (4-10) | Stabilisation | Discharge + path chosen | Kelly + Erin + family | In progress |
| Wk 2 (11-17) | Settle | Day-7 review | Kelly | Upcoming |
| Wk 3 (18-24) | Build | Daily routine | Erin | Upcoming |
| Wk 4 (25-31) | Mid-engagement | Month-end review | Kelly + family | Upcoming |
Six questions. Logged. Heatmap shows entry density. Click a date to view that day.
All notable utterances from the 1 May audio set. Filter by speaker, by file, by use case, or search.
| Decision | Status | Selected |
|---|---|---|
| 1. Preferred path | Awaiting | — |
| 2. Financial-support boundary if Path B | Awaiting | — |
| 3. Weekly cadence day | Awaiting | — |
| 4. Family members copied | Awaiting | — |
| 5. Crisis-engagement preference | Awaiting | — |
What family sees as success 12 months out. Plus Avina's professional read. Set in first mother meeting. Reviewed quarterly.
Two or three named outcomes. Concrete. Measurable. Time-bound.
Monthly · weekly · daily · progression. Each shorter and more concrete than above.
Every milestone has, in writing, the specific consequence that activates if missed. Pre-agreed at intake. Triggered automatically.
10 minutes per active client per day. Six questions. Logged. Compounding asset.
Complete case file. All audio, transcripts, references, incident reports, family briefs, and methodology in one searchable, filterable surface. Drive links go straight to the file.