Billables/crediblele
credible help desk
How soon after I take a referral from my FRA, do I have to contact the potential client?
Once you accept the referral you have 3 business DAYS to reach out to the client.
*Please be mindful of accepting referrals on Fridays, or right before school breaks or PTO.*
An 16 year old discloses current sexual abuse by her 18 year old boyfriend and begs you not to call CPS due to fears of her boyfriend getting in trouble.
-Ethically you have to report it to CPS. You can also create a safety plan, and help identify safe people the client can connect with.
-Also connected with client to target safe relationships with people her own age.
My FRA keeps giving you bad referrals. What can you do?
-continue to educate them why you can't accept the referrals and assert the type of clients CHS can accept
-check in with a school coordinator to brainstorm ideas (or the school coordinator will reach out to the coordinator and do updated training)
-ask if you can be included in the newsletter/send out a flyer
-connect with other staff to see if they'll help you recruit
-network with other staff to make connections/make yourself known
How many school districts is CHS in? What school districts are they?
We are currently in 4 districts for the 2026-2027 school year. They are Edmonds, Everett, Mukilteo, and Shoreline
True or False: Text messages are considered billable
FALSE. Any electronic transmission is not considered billable. Always try to speak in person, on the phone, or a HIPAA compliant platform.
After an assessment, I realize the level of acuity for my client is too high, what should I do?
Explain to the client the limitations of school based therapy and refer to intensive outpatient or appropriate care.
My 15 year old client tells me they are experiencing suicidal ideation. What should I do?
-Create a safety plan
-Assess for risk, intent, and plan
-If risk is low, monitor
-If risk is medium or high, call guardians, inform school, and possibly take to hospital/recommend IOP services
While at your school a teacher asks you about one of your clients. They say "She has been more quiet lately and seems depressed. I know she has lots of stuff going on at home but I wish she would open up to me so I could help her. Can you tell me what you and her talk about? You know this client only has an ROI for attendance and participation verification. How should you reply to the teacher?
-Assert that you follow HIPAA and can't share what is discussed in session/what is going on with her and the family
true/false: it's not a big deal if my nonbillables are entered late
If I work 40 hours a week, about how many billables should I aim for?
CHS recommends an average of 45% of time be billable- so a minimum of 18 hours a week.
What is the bare minimum for reviewing treatment goals?
You should be reviewing treatment goals at least every 90 days
What paperwork needs to be done after dealing with a crisis situation?
Critical Incident Report:
Must complete form group within 24 hours of discovery
Must email service ID to manager and supervisor
Safety Plan
Created in/uploaded to Credible
Progress Note from the session
Case Management Note
Complete case management note after calling CPS or family
Update TX Plan with goal related to safety plan created
Create a Credible warning
Red warning = safety concerns: safety plan, relationship issues, SI/HI, CALOCUS score of
3 within two sessions
Purple warning = anticipated trauma reactions
True or False: Teachers follow HIPAA
False. Teachers do not follow HIPAA. They follow The Family Educational Rights and Privacy Act (FERPA.) FERPA is a federal law enacted in 1974 that protects the privacy of student education records.
Who is CHS's executive director?
Beratta Gomillion
Outreach and Engagement
True/False If a client doesn't have Medicad, I should try to sign them up for the SNOCO grant next.
False. After Medicad, you should look to see if private insurance is an option, ASO, Verdant grant, and then utilize SNOCO as a last resource. There is a limited number of SNOCO slots available, so you need to check with Jamie and Lilly first.
During an assessment, a parent tells you that their teenage son has frequently said "I want to die" and self-harms but they think the student isn't serious and just wants attention. How should you handle it?
-Ask more questions about frequency and context of comments and self harm.
-Inform mom that we do take those comments seriously and we want to do a safety plan.
Provide mom with psychoeducation.
-Create a safety plan. Assess for risk, intent, plan
-Ask questions about self harm
-Potentially call 911/have mom take child to hospital
My FRA tells me I can't be in my space next week, what should I do?
-ask about alternative HIPPA space
-inform the school coordinator about the situation and they will brainstorm ideas with you/talk to the FRA directly
What is the process of transferring a client to WISE?
1. Ask your supervisor if they think they would be a good fit for wise.
2. Talk to your client/client's family about WISE and make sure they know level of commitment.
3. Fill out transfer request
4. Wait for confirmation of approval/denial
5. Complete transition request once transfer is accepted
6. Meet with wise team to complete transfer
Purple warnings relate to health conditions or allergies
What services might be recommended for a client who has level 4 CALLOCUS score?
A score of 20-22, generally would require partial hospitalization so PHP programs would be recommended.
A 13 year old tells you that he has been having thoughts of killing his bully at school with a gun. After doing a risk assessment, you learn he doesn't think himself and his bully safe. You think he needs to go to the ER but his parents aren't answering.
-Assess if he has access to a gun.
-Create safety plan
-Keep calling parents and inform them that he needs to be taken to the emergency room
-Inform school
-Call 911 at the end of the day as a last resort
You recieve a referral for a client and check their Medicad benefits only to find out that their Medicad expired 2 months ago. What should you do?
-connect with FRA to see about getting them renerolled in Medicad
-offer grants