Demographics
This document is completed within 365 days and reviews agency/program specific information, such as rights, financial obligations, expectations, and policies.
What is CONSUMER ORIENTATION CHECKLIST.
The consumer orientation checklist helps the family understand the expectations of the program. Needs to be updated at a minimum of every 365 days and needs to be signed by the parent or guardian.
Health Screens are found where on the consumers chart
What is MEDICAL SERVICES or CHART DOCUMENTS
This document indicates that the parent/guardian is in agreement with the plan and requires a signature
What is AN IPOS
IPOS must be signed by parent/guardian to show that they agree with the services that are being provided. If it is not signed, the document is invalid.You email these people when you need a HCCN sent out
Who is CRYSTAL, AMANDA, and CAROLYN
Deondra Stallings, Kenda Herrick, Jonathan Albert, Lindsey Hosmer, and Lisa Whitson
Who are MEMBERS OF COMMUNITY TEAM
This form gives permission to coordinate care with primary care doctor and schools.
What is CONSENT TO EXCHANGE HEALTH INFORMATION.
This needs to be completed annually to allow coordination with the school. If the consumer switches schools, we would need a new consent. If a consumer is home schooled, it needs to be documented in the BPSA.
If a release for a PCP is not current, medication letters, program changes, hospitalizations, a health care coordination letters can not be completed.
Health Screens and BPSAs are completed at this frequency
What is 365 DAYS
The BPSA Update and Health Screen need to be competed BEFORE the IPOS in order to justify medical necessity and continued services.
Quarterly reviews are completed within what time frame
What is 80-90 DAYS
Quarterly reviews must be done within 80-90 day time frames and are stated in the IPOS. This is a good time to review progress from clinician and family perspectives. Give a combination of quotes and ensure there is an update for ALL objectives. Complete CAFAS to show progress.
Wraparound Quarterly Reviews also review each task, team member participation, previous/current CAFAS, and outcome measurements.This document is sent to the PCP when families start Wraparound services
What is HEALTH CARE COORDINATION NOTICE
This safety plan is included in the IPOS
What is IPOS SAFEGUARD PLAN
This document outlines family's crisis situations and safety risks and outlines steps to respond.
Prior to a medication being prescribed, a parent/guardian must sign this.
What is A MEDICATION CONSENT.
When a new medication is prescribed, the consent needs to be signed stating that side-effects and education have been provided regarding the medication.
An assessment tool that is used quarterly to monitor progress
What is CAFAS/PECAS/DECA
Depending on the child's age, the above assessments need to be completed quarterly and scores placed in the quarterly review. If the child is DD, these are not applicable.
Relapse Prevention/Crisis plans are completed within what timeframe
What is 365 DAYS
RPPs are also updated anytime there is a new safety concern identified.
This document is sent to the PCP when medications are changed
What is a HEALTH CARE COORDINATION NOTICE
These documents need to be signed by staff
What is ALL OF THEM
Please sign your notes and any other documents that require your signature :)
Annual documentation must be completed within this time frame
What is 365 DAYS
All annual documents need to be completed within 365 days: Consent to Treat, BPSA, Notice of Privacy Practices Notification of Rights, Health Screen, etcThis comprehensive document is reviewed annually and includes consumer’s strengths, abilities, needs, and preferences.
What is a BPSA UPDATE
BPSA updates must include:
· Brief Description of the Individual: Age, education, family/social history, placement changes, trauma history, sexual history
· Reason individual is seeking services: changes in mental status (hallucinations, memory, affect, mood)
· Individual’s acceptance or understanding of his/her needs/problems
· Individual/family’s apparent strengths and functional limitations: Include SNAP format for individual and family; Strengths, Needs, Abilities, Preferences (from consumer, parent, and clinician view point)
· Potential barriers to community inclusion/integration and successful movement toward recovery:
· Complicating conditions/disorders (including substance abuse and medical conditions): Medical history, substance use/abuse history for individual and family, safety concerns
· Strategies for relapse prevention
· Risk verse Choice issues
· Explanation of goals to be worked on
· Rating Scale (DECA, PECFAS, CAFAS)
These are people that support the consumer but are not paid
What are NATURAL SUPPORTS
Natural supports include parents, friends, relatives, volunteers, church members that assist in meeting the client/family needs and should be included in the IPOS.
Coordination with the school is found in these documents
What is CONTACT NOTE, PROGRESS NOTE, and/or LETTER
Coordination with the school must be thoroughly documented within the chart. Ideally, the school is invited to the Wraparound team.These people can consent to services and sign documents.
Who are PARENT/GUARDIANS
Documentation must be in the chart to show proof of adoption, guardianship, or 3765.
This is where you can find evidence of assessment of need for advance directive
What is INPUT FOR IPOS
During the Input, the need for Psychiatric Advance Directives is evaluated and discussed with parents. This box must be checked.
BPSAs and BPSA Updates are completed _____ the IPOS
What is BEFORE
BPSAs document the need for continued service and also show changes from the previous year.
These documents need to be completed following a psychiatric hospitalization.
What is BPSA, IPOS AND RELAPSE PREVENTION CRISIS PLAN
These documents are updated to explain what led to the hospitalization, what needs to be done differently, and demonstrate increased contact needed.
Coordination with this entity should support medical necessity
What are SCHOOLS
Coordination with schools demonstrate the need for services. At our level, clients typically have issues in numerous life domains and this supports medical necessity. When visiting a school, be sure to include talking to staff.
These documents must be in the chart to show proof of who can consent to treatment.
What is PROOF OF GUARDIANSHIP, ADOPTION PAPERWORK, OR DHHS 3765.
In order to consent to treatment, we need verification of adoption, guardianship, or foster care. If they are not in the chart, the documents they have signed are not valid.