LOC Madness
Please provide service frequency for the following:
LOC 1
LOC 2
LOC 3
LOC 1 - once every 3 months (unless deviated from upper LOC)
LOC 2 - every month
LOC 3 - every 2 weeks
Who should assist a client with food stamps/SNAP applications process?
Consumer Benefits OR Case Managers
I am a LOC-1S client sharing with you during a skills training session that I struggle to take my medication daily and on time. What IMR topic would be MOST helpful in this situation.
Topic #5 Using Medication Effectively
If all service offices are taken or occupied then I should?
Consult with PM or TL for alternate locations to host the service.
How many days between each contact is necessary per AMH procedure whenever it comes to discharges?
14 days
What service does this description best fit?
"Tasks with the individual or collaterals in order to develop treatment alliance and rapport with the individual and includes activities such as: motivational interviewing, providing an explanation of services recommended, education on service value, education on adherence to the recommended LOC and its importance in recovery, and short term planned activities designed to develop a therapeutic alliance and strengthen rapport."
Engagement Activity
What is missing below?
1. Initial Contact
☐ Call client within 10 minutes of missed appointment with CM (Day 1)
2. Second Contact Attempt (14 Days After First NCNS Appointment)
☐ Call client again within 2 weeks of first NCNS appointment
☐ Send and upload re-engagement letter (with first NCNS appointment indicated)
3. Third Contact Attempt (30 Days After First NCNS Appointment)
☐ Call client again 2 weeks after Second Contact Attempt/Before 30 Days After first NCNS
☐ Send and upload pre-discharge letter (with tentative discharge date indicated)
4. Fourth Contact Attempt (60 Days After First NCNS Appointment)
☐ Call client again 30 days after Third Contact Attempt/Before 60 Day Mark
☐ If LOC3: Attempt at least one unscheduled home visit before 60 Day Mark
☐ Send and upload discharge letter on or after 60th day of no contact after first NCNS appointment
5. Discharge Procedures (All Steps Completed Same Day)
☐ Send and upload discharge letter
☐ Send email to clinic@dentonmhmr.org to cancel remaining appointments
☐ Write contact note indicating discharge letter was sent
☐ Discharge TRR
☐ Remove primary clinician and provider from record
☐ Complete Discharge Summary
☐ Uncheck “Active” on client information tab
☐ Add client to Microsoft Teams list of discharged clients and fill out all columns
WORK NO!! Please close the client's programs :)
Which IMR topic would be most helpful for this specific need from a client?
"Help consumers understand the origins of mental illnesses, their course, and how they are diagnosed."
Topic #2 Practical Facts About Mental Illness
If a client scores naturally into LOC-2 on the TRR then the staff should inquire about what core service?
Counseling
Who MUST be added to the client's contact note about dischares for Continuity of Care purposes?
The Provider
After ______ of a client's TRR being out of compliance Smartcare will Auto Discharge the client from their LOC
30 days
When requesting a new provider appointment:
Send to the DOPC AMH rockstars chat:
Hello! I would like to request a provider appointment for:
Client Name
Client ID
Provider
Day of the Week Preferences
Time of Day Preferences
Special request (phone/video same day as cm, etc)
Anything that does NOT work
WORK NO!! - All provider appointment requests must be sent to the Adult Case Managers chat.
I am a client coming in for services requesting skills training for Drug/Alcohol Use. What IMR Topic would be the MOST helpful in this case?
Topic #6 Drug and Alcohol Use
If you get notification of a client of yours or someone else's having passed away then what should you do?
Please be advised that while we want to immediately inform CMs of their client's passing, this information is best relayed via Quality Management.
Please ensure any notifications of a client's passing is relayed to one or all of the following:
Quality Management is responsible for investigating and confirming the ase4information before direct care staff are notified by leadership.
Please share the 5 "contact" attempts needed for LOC 1 & 2 to be completed by CM or other staff in AMH for discharge to be valid.
1. NCNS call and NCNS/re-engagement letter
2. Re-engagement call and letter
3. Pre-discharge letter and call
What LOC are Flex Funds not available for?
Trick question!! Every LOC is available for flex funds as long as they are compliant with services and paperwork is up to date.
Modified Intake
Workflow :))
If a client shares during a Psychological Social Rehabilitation session that they want to "reduce my risk of relapse". What IMR Topic would be the MOST helpful in this situation?
Topic #7 Reducing Relapses
If a client needs assistance with copays then I should?
Staff medication with Jorge Olguin for Prescription Assistance Program (PAP) eligibility. If not eligible then reach out to Sarah Yeoman-Lomangino for additional assistance programs/resources.
What two staff should be emailed for "DOJ Re-entry" program closure?
Both Kendra James and Anna Richey
What should follow a recommended LOC2 client, but deviated to LOC1 due to no being interested in counseling services?
All deviations should have a corresponding declination of LOC completed and signed.
When CMs update a client’s TRR and they naturally (LOCR) score into LOC4:
CM will add client to the waitlist and deviated to LOC3 due to resource limitations. CM will then email Terrica for notification of the client joining ACT services.
Terica monitors the ACT wait list and will email CM and PM AMH to discuss a continued clinical need to continue into ACT services monthly.
If the individual has a continued need (this requires CM updating TRR to determine if clinical need continues to exist) and is in agreement, Terica will provide the next steps on scheduling an ACT intake.
If the individual is no longer in need or in agreement with pursuing ACT services, Terica will remove them from the wait list.
CM to update TRR to determine if the client continues to score LOC4
If they do continue to score LOC4 CM will deviate for reason client refused
If they do not continue to score LOC4, CM will complete TRR based on clinical need and client agreement
WORK NO!!
When CMs update a client’s TRR and they naturally (LOCR) score into LOC4:
What IMR Topic would be most helpful to a client who shares during a skills training session that they need help "identify common problems and persistent symptoms that cause distress?"
Topic #9 Coping with Problems and Persistent Symptoms
If a client is deviated from ANY LOC to LOC 1-S then their service frequency should be?
once a month
True or False?
I have followed workflow perfectly for discharge on a client, but then whenever I call after sending the pre-discharge letter the client answers. I am unable to schedule an appointment with the client, and they request a call back at a later date due to being "busy." Whenever I call at a later date the client does not answer. At this point I would then complete the discharge workflow for this client.
TRUE!! The client can re-engage whenever they are truly ready, and we do not want to hold up slots in services for clients on the waitlist.