Referral Processes
The way to refer an existing client for an additional service
Internal Referral Form
The regional domestic violence program and shelter for our 10 county area
Barren River Area Safe Space (BRASS)
peersupport@fullerlifecounseling.org or emilee.cline@fullerlifecounseling.org
Progress notes are due within this number of hours
48 hours
All medical records requests go through this person
Mandy Vibbert (practicemanager@fullerlifecounseling.org)
The e-mail address for questions related to non-medication management referrals
scheduling@fullerlifecounseling.org?
The state with the second highest rate of domestic violence in the United States according to 2023 World Population Review Data.
Kentucky
The e-mail addresses for questions related to targeted case management services
tcm@fullerlifecounseling.org or nellie.arnett@fullerlifecounseling.org
Although this may change, it must be provided in order to complete the initial assessment and for billing purposes if they have insurance
Diagnosis
The forms that are essential to protecting you from a HIPAA violation
Informed Consent, Privacy Practice Notice, Release of Information
The e-mail addresses for questions related to medication management referrals
ma@fullerlifecounseling.org or admin@fullerlifecounseling.org
Physical, sexual, emotional, financial
The type of insurance the client must have to qualify for targeted case management or peer support services
Medicaid
The treatment plan needs to be completed by this session
Third session with the client
The age of a child when the parent is no longer the personal representative of the child for HIPAA purposes
Any professional may provide outpatient mental health counseling to any child age sixteen (16) or older upon request of such child without the consent of a parent, parents, or guardian of such child.
The forms required to be completed within Theranest prior to referring for targeted case management or peer support services
SMI, SED, or SUD form
Using Coercion and Threats, Using Intimidation, Using Emotional Abuse, Using Isolation, Minimizing/Denying/Blaming, Using Children, Using Male Privilege, Using Economic Abuse
The diagnosis that does NOT qualify as SMI
Generalized Anxiety Disorder
Treatment goals should be specific, measurable, and contain at least this number of objectives per goal
3 objectives
The parent has a right to receive a copy of psychotherapy notes about a child’s mental health treatment. Respond with true or false.
False. The Privacy Rule distinguishes between mental health information in a mental health professional’s private notes and that contained in the medical record. It does not provide a right of access to psychotherapy notes, which the Privacy Rule defines as notes recorded by a health care provider who is a mental health professional documenting or analyzing the contents of a conversation during a private counseling session or a group, joint, or family counseling session and that are separate from the rest of the patient’s medical record.
The forms required to be completed prior to rendering any services
FLCP Intake Forms--Informed Consents, Privacy Practice Notice, Freedom of Choice Form, CC/DC Authorization form if needed
The change related to duty to report
As of June 29, 2017 the duty to report was replaced by duty to provide educational material and information
Three areas that targeted case management is able to assist with
Housing, vocational, medical, social, educational other community resources (ex. SNAP)
If a client expresses suicidal ideation, this form should be completed within Theranest and provided to the client and/or client's parent/guardian along with crisis-related resources
Safety Plan
When mental illness or another mental condition constitutes incapacity under the Privacy Rule
The person is unconscious, experiencing psychosis, under the influence of drugs or alcohol, or additional situations in which a health care provider believes, based on professional judgment, that the patient does not have the capacity to agree or object to the sharing of personal health information at a particular time and that sharing the information is in the best interests of the patient at that time