Integrated Service Plan
Name one section of the Integrated Service Plan template?
Any - Family Vision, Health Goal, Reasons I want to participate in services, What needs to happen to be ready to close services, Strengths, Needs, Goals, Objectives, Measures (including all sections within the Needs box), Additional services, Discharge Plan, Expected Discarge date, Review date
Does the Integrated Service Plan template need to complete completed by the end of the CFT?
Yes!
What must be completed for a Client to receive a specific service?
SMART Goals
What must be completed by all attendees at the end of the CFT and creation or update of the Integrated Service Plan?
Signatures (hard copy or electionic for in person CFTs and verbal consent by Zoom or phone)
For birth to five Clients who must be included in treatment in achieving goals identified on the Integrated Service Plan?
Parents and/or Caregivers
What topic do we want to focus on during the CFT that the Client already has that will help achieve their goals?
What technique can be used to complete documentation during the CFT?
Concurrent/Collaborative Documentation
What is required for all Client's 15.5 and older (2)?
A completed (and frequently updated) TAY Checklist and a TAY specific goal on the Integrated Service Plan
How frequently do we want to strive to schedule CFTs to review Integrated Service Plans? (Targetted AND high needs clients)?
Targeted/Low needs at least every 3 months, High needs at least monthly, For the first year of DCS involvement for clients, CFTs should be held every month, exceptions to this will only be based on request of DCS and must be documented in chart
What template must be completed with the Integrated Service Plan to reflect what is not captured in the Integrated Service Plan and where billing is submitted?
CFT Meeting Note
What is the TYPICAL purpose of a Client receiving psychatric services?
Medication Management
What billing codes are required on all Integrated Service Plans?
Case Management, Assessment by non-physician, and Interpretation Services if a family member or team member preferred language is other than English
What must you provide to each CFT member following the creation or update of the Integrated Service Plan?
A copy of the Integrated Service Plan
What services can be explored and provided to Clients that do not require a referral to be completed?
Community Resources or Support Currently in Place