Notes/Activities
A note used to check in with client and/or caregiver.
What is Brief Telephone Check in
The service category chosen when creating a Mental Health goal.
What is Calaim Mental Health?
The two options you can choose from when a problem is no longer an issue.
What is inactive and resolved?
The button you choose to update the diagnosis mid treatment.
What is Record New Diagnosis?
The staff who we send the 24 hour packet to.
What is QA?
When tracking, modifying, and monitoring the treatment plan.
What is plan development?
Two types of mental health goals that can be worked on in treatment.
What is a measure goal and SI/HI/self harm goal?
Period of time a problem can remain open.
What is as long as it's clinically relevant?
After receiving this information, therapist updates the diagnosis to reflect the addition of a developmental diagnosis.
What is consult/confirmation from a psychologist of a developmental diagnosis.
Type of note used when therapist provides therapeutic interventions to a client.
What is individual therapy?
When the only service given that day was administering measures with a client and/or family.
What is screening tool?
A reason a SI/HI/self harm goal would be closed out.
What is no endorsement over a time period of 2-3 months, using clinical judgement.
For this task there is no exact number, however, we should assess for very long problem lists to ask ourselves is this still being worked on.
What is the number of items that can be on the problem list.
A diagnosis that has a 6 month time cap.
What is Adjustment Disorder?
Note or notes used when two consults occur in one day.
What is 1 plan development note?
When obtaining consent from client and/or family to speak to an outside party.
What is authorization for use or disclosure of protected health information aka release of information?
A client has a diagnosis of PTSD, a measure that can be utilized.
What is the UCLA PTSD?
Staff who can add and close out problems.
What is any team member? As long as the team is consulting to determine what problems are of focus so that there is not a long laundry list of items.
Client doesn't meet full criteria for MDD and it's a single episode.
What is F32.A Depressive Disorder Unspecified or F32.9 - Major depressive disorder, single episode?
This gets renewed annually in order to be able to input on the problem list.
What is the NLM license renewal?
What is release on file?
A typical period of time a goal can be open/worked on.
What is 6 months?
Client has a diagnosis of PTSD and MDD, what would the problem list reflect?
What is PTSD and MDD?
A placeholder diagnosis when assessing further amid the intake.
What is Z03.89 Encounter for Observation for other suspected diseases and conditions ruled out.
A collaborative meeting with client and team.
What is a CFT?