Authorizations
authorized for 8 units per month
Family Peer Support
LOC is always guided by this (3 words)
least restrictive environment
# of days between when you get a new case and when first contact is due
2 business days
you talk to your TL and there's concern a youth you're working with needs residential because of ongoing high-risks. Next steps?
ART referral. Due to TL no later than noon Fridays, the earlier the better so TL can complete CASII (if not already done)
50 bonus points for naming where your portion of the ART referral stops
Emotional and psychological symptoms:
Physical symptoms:
MOP services discharged on 4/8/23, what's your next step?
abbreviate review noting "(reason for discharge) on 4/8/23. (Next service to be implemented)"
send TL continued stay
DC support
difference between RTCs and PRTFs
RTC = in state facilities
PRTF= out of state
Bonus 50 points for naming the in-state facility for boys and 1 PRTF
a family you're working with moves to a new city within NCCo. so the provider will remain as is but your client has changed schools. What do you need to update?
address & School info in FOCUS
progress review is generated __# of days before authorization expires
what do you do if you cannot get the review completed by then for reasons outside of your control?
5 days
document all efforts in a DAP note with title "attempts to schedule progress review" etc. and note efforts to connect with provider. after 2 unsuccessful attempts cc: TL so TL can follow up if there's still no response
where do you list and update psychotropic meds in FOCUS?
Medication section.
ask for med list at intake and review during progress reviews to update. Obtain consent for prescriber as well.
FFT
50 bonus points for naming the 2 agencies that provide this in NCCo
this LOC targets serious mental health issues with 24/7 crisis support to prevent hospitalization
FBS
50 bonus points to name 2 other key characteristics of FBS
Clinical justification for ongoing services or need for changing services is captured here
progress review--important for everything to be here vs. notes etc.
following Court, you receive a copy of the Order via email and everything is written as you expected & clear. What are your next steps?
Forward a copy to TL as an FYI and mention any next steps you are aware of. Complete DAP note re: summary of court/outcome & next steps. Upload Order into general "files" section of FOCUS or ask Lisa to upload.
CASII vs. CAS
CASII- tool CFCC uses to GUIDE LOC
CAS- PBH unit for Consultation & Assessment Services
8 hours per week on average
FBS
bonus 50 pts for typical LOS
provides high-fidelity case management; open with ACCESS only
Wraparound DE
focused on underlying needs, building natural supports, family-driven & youth guided
Facilitated by CC at least every 90 days or PRN after crisis/major change in case
Child Family Team Meeting (CFTM)
you're working with a youth for 1 month and learn they are having increasing negative behavior at school (she has an IEP, new suspensions for verbal aggression and disrupting class, grades are declining in a few subjects, and youth has a diagnosis of ADHD- hard to sit still but fidgeting helps). We have MOP and TSF services in place and services are going well but you haven't been able to get psychoeducational records. What are your questions to determine next steps?
DBT & symptoms it targets
Dialectical Behavior Therapy focuses on 4 areas using individual & group therapy: mindfulness, distress tolerance, emotion regulation & interpersonal effectiveness
*contract in process for Ebright Collaborative for their intensive program
you are completing a POC for Odessa House, who does the concurrence?
Mary (normally Dr. Margolis)
LOCs UR completes progress reviews for
Access: Inpatient (in & out of state), Partial/Day Treatment
UR: residential- both RTC & PRTF
bonus 50 pts for where you can find the reviews in FOCUS
you're completing your first progress review for MOP services and the therapist reports progress on some goals, but none on others. The youth and family have only participated in 5 out of the 11 scheduled sessions. what additional info do you need? and where do you put this info within the review?
what happened with the 6 missing sessions?
barriers? & efforts to engage so far? how has this been addressed by the provider?
"other relevant information"
you're talking with a parent who has been homeless for 6+ months. She says they need help with gas bill and if they can't get help, they won't be able to move into their new apartment next month. She also needs a dining table for the apartment. She is reporting increased stress and crying stating "I don't know how much more I can take, I am going to have a breakdown" and normally she is unemotional in your conversations. What are your next steps to support mom & also help with the financial needs?
Adult mobile crisis by county:
Northern Delaware Hotline, call: 800-652-2929
Southern Delaware Hotline, call: 800-345-6785
SIF for the gas bill (LiHEAP first) and flex funds for the dining table
2 EBPs that focus on processing trauma
TF-CBT
EMDR
**must be trained in either, TF-CBT more common. Safety & coping are critical before any trauma work should be done**