Random
The labeled group of symptoms reported by a client during assessments or sessions
Diagnosis
This document, when signed by a client or a legal guardian, authorizes staff to share protected healthcare information with other providers or parties.
What is a Release of Information (ROI)?
This state agency licenses Community Mental Health Centers.
DBH
This service does not require a face to face intervention, must be identified on the plan of care and main focus is collaboration, resource acquisition, and treatment planning
Treatment meeting
Process of seeking to find solutions to situations that involve difficulty or uncertainty.
What is problem solving?
2013 update to the Diagnostic and Statistical Manual of Mental Disorders, the taxonomic and diagnostic tool published by the American Psychiatric Association (APA).
DSM V
This document, done at intake describes the client's history, presenting problems, symptoms, identifies the client strengths and preferences as well as what was done to meet immediate needs.
What is DA
Provides clinical supervision and oversight
Clinical manager
Necessary for establishing what has/has not worked in the past.
What is Documentation?
Mutual sharing and working together to achieve common goals in such a way that all persons or groups are recognized and growth is enhanced.
What is collaboration?
Exists when a person shows symptoms of severe mental illness or Substance Use.
What is a Behavioral Health Crisis?
This document is completed at intake and updated at least every 180 days thereafter.
Treatment Plan
Is an official, usually appointed by the government, who investigates complaints (usually lodged by private citizens) against businesses, financial institutions, or government departments or other public entities, and attempts to resolve the conflicts or concerns raised, either by mediation or by making or decisons
Who is the Ombudsman
This service is designed to promote skills for coping and managing psychiatric symptoms while facilitating the use of natural resources and enhancing community living. This service must be identified on the plan of care, must be provided face to face and must be provided by an individual who as completed the DBH Certified Peer Specialist training.
What is Peer Support (PS)?
attempts to redirect care and monitors appropriate use of provider care and treatment services for both acute and community, ambulatory services.
What is the use of management?
A 25-year-old woman presents to the emergency room complaining of sad mood, nervousness, difficulty falling asleep, and disinterest in her friends for the past 2 months. She notes these symptoms started following a rape by a former male friend after a party. She appears visibly uncomfortable when asked further questions about the attack. The patient has disclosed the incident to some of her peers but did not report it to authorities. She reports nightmares about the rape, concerns for her safety, difficulties in intimate relationships with men, and repeated avoidance of nondangerous situations reminding her of the assault.
What is Post-Traumatic Stress Disorder?
This document should be completed within 2 business days of the encounter and clearly justify the service(s) provided to the individual.
Progress Note
MCO
What is Managed Care Organization
This service must be provided face to face for an individual who is experiencing a psychiatric crisis. The crisis being addressed must be assessed either face to face or via phone contact with a Qualified Professional (QP). This service is limited to the crisis episode established by the QP and does not necessarily have to on the plan of care before it can be billed.
FD-12 Evaluation
An individual attempts to find mutually acceptable solution that partially satisfies both parties
What is compromising?
A 22-year-old male in his freshman year of college reports increasing stress at school. Although historically he has done well academically and appears quite extroverted, the transition to college has been difficult and his grades have been suffering. He is afraid of drawing attention to himself in his classes by asking "stupid questions" and has avoided meeting with his professors and teaching assistants. He experiences particular difficulty in seminars and tutorials, where there is less opportunity to hide than in a lecture theater. He feels his mouth getting dry and his heart racing when even thinking about trying to get help. He has become more withdrawn, is starting to feel more depressed, and recently began missing classes.
What is Social Anxiety Disorder?
This is a document that describes the client's goals for treatment that must be updated every 90 days.
What is a Plan of Care (POC)?
This office investigates allegations of privacy or security breaches.
What is the Office of Civil Rights?
This service is goal-directed and solution-focused interventions to achieve goals identified on the plan of care. It must be provided in the community as a strength-based or supported employment housing first model with interventions such as supportive counseling, skill-building, resource acquisition, treatment planning, and safety planning.
Assertive Community Treatment
is "doing no harm" When case managers incorporate outcome measures, evidence based practice and monitoring progress in their plan of care.
What is nonmaleficence?