Treatment Planning
What part of the treatment plan
must be in client quotes
Goal
How often does the Healthwatcher need to be updated?
Every 90 days
How often should risk be
assessed?
Every session
True or False: The time on the Info Tab does not have to match the time in the Progress Tab/Progress Note time.
False
Who is responsible for completing the D/C summary?
Last provider to see the client
The acronym S.M.A.R.T stands
for....
Specific
Measurable
Achievable
Relevant
Time-bound
Which documentation needs to
be linked to the "encounter"?
TH- Therapist F/U note
TH- Family F/U note
Explain the difference between passive suicidal ideation and active suicidal ideation
Passive Suicidal Ideation: thoughts occur without any desire to make a plan of action to harm.
Active Suicidal Ideation: Suicidal thoughts motivate the creation of an action plan for self-harm.
Does every "box" need to be filled out in a follow-up note?
No- the person-specific intervention (PSI) can be left blank; however, it is recommended to add the specific intervention to save wording in the progress note.
What documents are required to be sent to the client upon discharge?
- D/C Letter
- FL Crisis Resources
How many "interventions" can be continued on a treatment plan review?
2 *At least 1 modification is
needed
Who is responsible for the maintenance of the AMD scheduler?
The Clinician
Name 7 risk factors that are NOT related to Suicide, Self-harm, Trauma, Substance, Medical Issues, or LGBTQ+
- Access to lethal means,
- Anniversaries,
- Seeking revenge,
- Feeling like a burden,
- Feeling trapped,
- Impulsivity,
- Isolation,
- Bullied,
- Low self-esteem,
- Limited social support,
- Lack of purpose,
- Relationship conflict,
- Spiritual values conflict,
- Perception of insignificance,
- Life stressors,
- Financial concerns,
- Poor work/academic achievement,
- Discrimination,
- Lack of access to services,
- Lack of family support,
- Incarceration or loss of freedom
True or False: Treatment Tracker is an optional tracking tool.
False! Required to be updated throughout the week, and communicate with the supervisor once it is completed/updated. TPT needs to be sent to the supervisor, typically on Thursday at the end of your shift.
Is a PHQ-9 required when completing a planned discharge with the client in session?
Yes!
How many goals are required in
each treatment plan?
3 at all times
Where can the current Psych diagnosis be found?
From the most recent psychological evaluation, look for the A&P Tab; the current diagnoses will be listed under 'Current'.
When a client presents with a CSSRS of 3, how should the clinician proceed?
Continue with the session, but switch to a strengths-based session. Complete the Crisis Plan, have the client sign the Crisis Plan, add HLOC healthwatcher, and notify the supervisor after the session has been completed.
What is required to be completed every 90 days per HBW policy?
- Treatment Plan Review (TPR)
- PHQ-9
- 90-day trauma re-assessment
- GAD-7 as needed
What dates should be used for:
- Treatment start date
- Date of last service
- Treatment end date:
- Day of intake
- Day the client was last seen by a provider
- Day the DC Summary has been started/completed
These are the services that should be included in the "Services provided" section.
EVERY single service the client has attended, including but not limited to:
Initial Intake, Biopsychosocial Evaluation, Individual Therapy, Couples or Family Therapy, Psych. Evaluation, Medication Management.
How do you filter the timeline to see the "hidden" canceled/no-show appointments?
Click the ...
Click the filter icon, scroll down to view options
Select/Verify the box is checked
to include no-shows and cancellations
What is the refer-out criteria for HLOC at HBW?
- CAGE 2+
- SCOFF 3+
- CSSRS 4 or 5
- Combination of PHQ9 (15 +) with SI in #9 and 1 or more in the Columbia (CSSRS)
- PHQ9/GAD7 jump of 10 points in 2 weeks
- CSSRS rating of moderate for 30 days.
- New onset or worsening SI
- Presence of unmanaged psychosis
- Request for FMLA or Disability paperwork
- Self-injurious behavior in the last 30 days
- Suicide attempt in the last 30 days
- Discharge from the inpatient within the last 14 days
How long is an ROI valid for?
365 days
When submitting an HLOC Referral, when can you complete the D/C Summary?
The DC Summary can be signed only after the ARC/HLOC Team has provided a referral resource.