Paperwork
How many days late is acceptable for an ISP?
0
What is the Spurwink SABH smoking policy?
Smoke at the end of the drive way/parking lot., even in the rain and snow!
True or False
Ethics are black and white
False, they are gray
How many meaningful contacts are required weekly?
three to five
What is your favorite self care activity?
No correct response
What do you need to provide progress updates on during an ISP review?
Objectives and goals!
Your client has opened with the MBH ACT team without your knowledge. The MBH ACT team calls and wants the clients chart information. Do you fax the information over immediately without talking to the client or getting informed consent?
no you must get a release first either from the client or MBH (or other providers in other scenarios)
Should you bring your client to your house?
No, never
What is the criteria for being on the ACT Team.
Psychotic Disorder
High Utilizer of Outside Services
Risk of hospitalization and jail
True or False
Supervision can be a form of self care
True
What are 5 documents needed for an intake or yearly paperwork?
Consent to treat/services
Consent to Bill
Release for PCP
AC-OK
Risk Assessment
Locus
Psychosocial assessment
ISP
Need for Change Forms
Consent or no consent form for HIN
When should you have mileage and reimbursement in?
Within one calendar month of the expense.
Is it ethical to trade cigarettes for your client to get a long acting injection?
no, quid pro quo. No doing this for that!
What is ACT?
Assertive Community Treatment (ACT) is an evidence-based practice that improves outcomes for people with severe mental illness who are most at-risk of psychiatric crisis and hospitalization and involvement in the criminal justice system.
ACT is one of the oldest and most widely researched evidence based practices in behavioral healthcare for people with severe mental illness. ACT is a multidisciplinary team approach with assertive outreach in the community. The consistent, caring, person-centered relationships have a positive effect upon outcomes and quality of life. Research shows that ACT reduces hospitalization, increases housing stability, and improves quality of life for people with the most severe symptoms of mental illness. ACT may also reduce staff burnout and increase job satisfaction, cost effectiveness, and client satisfaction.
True or False
There is a right way to do self care
False
What are four things that kepro wants in your kepro questionnaire?
Diagnosis
Frequency, intensity, and duration of symptoms
How symptoms affect clients daily living and how ACT can help.
Services provided
Progress over the review period
Hospitalizations or jail
Med changes
Barriers to service or progress
Discharge planning
What is a reason you can break confidentiality?
Reporting to law enforcement to prevent or lessen imminent threat to the health and safety of an individual or the public.
Do ACT staff members respond to demands?
NO!
Name all members of an ACT Team
Case manager
Vocational Specialist
Drug and Alcohol Abuse Specialist
Clinician/Team Lead
Nurse
Med provider
Peer
What are the signs of burnout?
Cynicism.
Sense of failure or self-doubt
Helplessness
Decreased satisfaction
Feeling detached or alone in the world
Loss of motivation
Irritability
Sleep disturbances
What are the required components to a progress note?
Date
Time
Duration
Number of face to face contacts
Type of service received
Reason 3 meaningful contacts did not occur
Treatment Plan Context aka goals!!!
Narrative for each outreach attempt weather successful or not. Think how did we attempt to outreach and for how long, what was said? what was done?
What do you need to keep up to date on for your Employee file?
Relias Trainings
Certifications/Licenses
Drivers License
Annual Employee Review
How do you go about dating a client?
YOU DON'T!
What percentage of contacts should be in the community for fidelity?
80%
How often should you do self care?
Any time you need it or at least daily.
When you find yourself in fight or flight at work, take a break and turn your phone on DND. Reach out to a co-worker, have some water outside.