I Need a Break!
The first person to notify when I am calling out of work.
My supervisor.
Is there a waitlist? How long do I have to wait? What do I do while I wait? If yes or no give explanation.
Yes there is. Wait is unknown as we go by first come, first serve. In the interim the BHS can provide supportive counseling until there is spot that opens or we can provide you with some other resources who may have openings.
I am the first person to contact when the patient has insurance issues such as does not have insurance or their insurance has lapsed.
BH Practice Manager
Have not heard from patient after being placed on engagement 30 days ago.
Yes discharge.
Appointment was to start at 1:00pm and it is now 1:10pm.
Call patient and note in a TE.
The best method to use when calling out.
Text message.
What screenings should be completed by the time open intake is completed for Adults.
PHQ-9, GAD-7, PTSD-5/PCL-5, Audit C Plus, LOCUS
I am the person that can help your patient who is struggling with weight loss.
Nutritionist - Shaunice Wells
Patient is moving to Texas permanently in 2 weeks and you have known about it for 2 weeks.
Yes, discharge.
My patient just grabbed a blunt and begins to smoke during session.
Discuss with patient the importance of not being under the influence during sessions and see if they are able to delay smoking til later. If not, discuss how the blunt is helpful to them and in this moment. It maybe the patient is anxious or having other feelings that may not allow them to tap into other coping skills. Perhaps reviewing those coping skills at this time maybe more beneficial.
Patient has been called 2 times after a no show and there is no response. What happens next?
Patient is eligible for engagement. If admin is involved they will alert clinician. If clinician states do not put them on engagement, please be clear in your explanation. If wanting admin to reach out again, please provide a reasonable limit. Ex: one more call, or email, etc.
What screenings should be completed by the time open intake is completed for a child who is age 5.
CALOCUS
I am the first person to consult if your patient is having issues with his/her psychotropic medication.
Patient states they are not happy with their therapist or Psych NP. If yes or no give explanation.
Initial step is not to discharge. Must speak with supervisor first to see if matter can be resolved. If not, will try to look for another therapist internally.
Patient stated they are running low on their psychotropic meds prescribed by Dr. Goins and it is not a Thursday.
Ask patient which medication, how much they have left and how is it prescribed. Notify BH Director via TE marked urgent.
TE is sent to provider from admin that patient is now on engagement. What is the turn around time for a response? How about if it is a discharge?
48 hours turn around time for all TE's that are not considered urgent. 24 hours if urgent. Engagement is 48 hours and discharge is 1 week as there has to be a summary attached.
What screenings should be completed by the time open intake is completed for a child who is age 12.
PHQ-9, GAD-7, and CALOCUS
I hear that you are wanting a flyer for your next therapy group series. After talking with your supervisor, we are the next department to get involved.
Development Department
Patient is not making any progress in therapy and has been working with you for over a year. If yes or no, given an explanation.
Initial step is not to discharge. Clinician should discuss the case with their supervisor and think if best next steps.
At the end of todays session, the patient is scheduling their 3rd and 4th sessions.
Discuss treatment plan and screeners. Perhaps providing a goal sheet for homework to help them think about goals they want to work on in treatment.
3 places to put my "Out of Office".
Email, voicemail, eCW
What are the 4 areas that should be reviewed with the client during their first session with you?
Limits of confidentiality, mandated reporting, safety, and engagement policy.
If your client/patient is in a domestic violence relationship or wanting custody support and looking for legal guidance, we can help. We are not apart of COH, but we are located on the COH side of the Commons.
DC Volunteer Lawyers Project
Patient just had a baby at the Birth Center and is going on maternity leave for 30 days and states that she has too much to do to attend therapy appointments. If yes or no, give an explanation.
Initial step is to not discharge as maternity leave is a reasonable request. However, patient is a patient at COH and therefore has to come in for her postpartum appointments. Perhaps some brief check-ins can occur before or after those appointments. This way the patient feels supported but not thinking of separate times or an hour long session.
You have received a request to complete a disability form for your patient. Please explain all steps in this process with details.
See "Intake and Ongoing Treatment Workflow Guidelines" #3 Medical Records Request.