AFBH 101
Speaking slowly and clearly, repeating/rephrasing statements, and allowing additional processing time are examples of adaptive needs used to achieve ________ so that individuals can understand and participate in treatment, services, and communication about their care.
Effective Communication
This AFBH role evaluates individuals returning from JGP.
Crisis Responder ("Runner")
An individual has this level of functioning that is generally stable, a low risk for harm to self/others, and can consistently manage their daily environment and ADLs without mental health symptoms impairing ability to do so. These individuals are not housed in a Therapeutic Housing Unit (THU).
LOC X and/or LOC 1
Per HU2 Deputy, Client sometimes seems disoriented and has an abrupt change in attention or awareness. He seems "sluggish" but then is abruptly alert and can be aggressive but not towards others. Deputy also reports observing Client hit himself in the head 3x and says, "I can't take this anymore!"
Emergent
This is a brief, daily, multidisciplinary team meeting between the AFBH Treatment Team, Wellpath, and ACSO to communicate important clinical information about Clients and ensure the team is aware of immediate concerns or changes in any Client's presentation.
Huddle
True or False: A Behavioral Health Client is always housed in a Therapeutic Housing Unit (THU).
False: A Behavioral Health Client can be housed in Mainline as a LOC1.
AFBH begins this type of service within ____ hours for individuals identified as a Therapeutic Housing Inmate (THI) to help prepare for continued mental health care after release.
Re-Entry Planning / 72 hours
Individuals are assigned this LOC when they present to be an imminent risk to self/others, are persistently violent, and/or are actively psychotic. These individuals receive daily clinical contact and are closely observed by both AFBH and ACSO.
LOC 4
HU7 Deputy called to report 2 inmates got into a fight and force was used to separate. Both inmates are not open to AFBH services and neither inmates are requesting AFBH.
Informational
This multidisciplinary meeting occurs weekly for the discussion of high-risk or complex Client cases to communicate treatment plan, progress towards goals, and collaborate on interventions to support Client.
Treatment Team Meeting
What term clinically informs how an individual should be housed based on their current mental health needs and concerns?
Level of Care (LOC)
This service provides treatment to individuals who are deemed incompetent to stand trial, are evaluated for competency related to their charges and court proceedings, and may eventually be transferred to state hospital to be restored to competency.
Early Access Stabilization Services (EASS)
AFBH would provide an individual this level of functioning when current mental health symptoms are managed through sustained treatment and medication compliance and can usually program in a dorm-style setting.
LOC 2
Per HU4 Deputy, Client is requesting to speak with AFBH because he is "not stable," feeling depressed, and frustrated with court/being in-jail, but he denies any SI/HI. Client is asking Deputy "what is it like in greens," and stated that he needs remeron for sleep. Client is currently calm in his cell.
Routine
These multidisciplinary weekly committees meet to review if an individual's current placement is appropriate or if they can be transitioned to a less restrictive setting by considering their current behavioral and mental health concerns, and ability to return to their previous housing unit.
Restrictive Housing Committee (RHC)
These groups of individuals have significantly impaired judgement, behavior, capacity to recognize reality, and/or ability to cope with the customary demands of life in the General Population facilities of the Jail.
Severely Mentally Ill (SMI)
Individuals who are placed at an LOC4 from Intake go to either of these two units.
Assessment Pod (HU9) or HU21
An individual would be placed at this level of care when they recently engaged in self-injurious behavior of cutting because they were frustrated. This individual also has history of being unable to maintain their personal hygiene.
LOC3
HU23 Deputy called to inform that a Client has been acting "bizarre," where he is yelling at people who are not visibly present, seems confused when asked questions about his well-being, and appears frightened but is not making threats about self or towards other. Deputy says Client has been in-custody for about 1 month and this behavior is new.
Urgent
What legal order may authorize the administration of psychiatric medication without the Client’s consent when the required legal and clinical criteria are met, AND which Clients at SRJ would fall under this category in order to meet criteria?
Involuntary Medication Order (IMO) and EASS Clients
During Intake, all individuals must be screened using this type of standardized assessment to evaluate for any mental health concerns, risk for suicidality and/or homicidality, as well as potential for self-harm, and should be evaluated within _____ hours.
Brief Initial Assessment (BIA) / 4 hours
AFBH is required by the Consent Decree to provide this daily client contact in the Therapeutic Housing Units to those individuals on an IOL, allowing mental health staff to briefly observe and interact with the individual.
Rounding
True or False: Individual's LOC always go through a step-down process.
False: Individual's LOC can increase, decrease, or remain the same at any time.
A Client in HU8 is placed in the Restraint Chair after repeatedly banging his head and expressing he will do "anything to get to John George." AFBH has ______ hours to respond following Client's placement in the Restraint Chair, and AFBH will initiate what type of safety intervention?
4 hours / Modesty IOL
While at court, a client fashioned a jail-issued bedsheet into a makeshift ligature and attempted to hang himself from the bathroom stall. He was 5150'd and transported to JGP. Where should this information be sent?