Documentation
What is a progress note?
A written record of your contact or service with a youth or family
Name one way to involve a caregiver.
Invite them to planning meetings or review the Plan of Care together.
What is the SCR?
The State Central Register — where you report suspected abuse or neglect of a child.
What’s one way to build trust with a youth?
Be consistent and follow through on what you say.
What is the minimum number of face-to-face contacts required for a High acuity youth?
At least two face to face contacts
When is a note due?
Within 24 hours of the contact or service.
What is “family voice & choice”?
Ensuring the family’s values, culture, and preferences guide planning and decision-making.
What’s the first thing to do in a crisis?
Ensure immediate safety of the youth or others, then notify your supervisor.
What should you do if a youth doesn't want to talk?
Respect their space and try again later with patience.
What Target needs to be selected for a Face to Face Meeting
Member
Where do you enter notes?
Netsmart
What is a natural support?
A person in the youth or family's life who helps without being paid (e.g., aunt, pastor, friend).
Who do you notify after a crisis?
Your supervisor, the Health Home, and other relevant team members or services.
How can you support a youth's goals?
Ask what matters to them and include it in the plan.
Which note, contact or care manager note, will affect billing if left in draft?
The care manager note—if left in draft, it will prevent the contact from being billable.
What happens if you don’t write one?
It appears that the service never happened and could impact compliance and care
How do you keep a care giver involved?
By checking in regularly and asking for their input
When must you call the SCR?
When you have reasonable cause to suspect abuse or neglect of a child in foster care or at home.
What is a youth-guided conversation?
A conversation where the youth leads and you listen.
What document must be kept up to date to ensure services align with billing requirements?
What is the Plan of Care (POC)
What makes a note strength-based?
It highlights what the youth or family did well or used positively during the interaction.
How do you document family involvement?
In your progress note, by describing their input, presence, and how their feedback was used.
How do you support safety planning?
Work with the youth, family, and team to identify risks, triggers, coping strategies, and resources.
What’s one reason youth may not engage?
They may feel overwhelmed, unheard, or not ready to trust.
When must a POC be finalized during the month due in order for a client to be billable for that month?
The Plan of Care must be finalized on or before the last day of the month it is due to ensure the client is billable for that month.