General
What areas should be captured in the Presenting Problems section?
Onset, Stressor, Precipitants, Symptoms, Consumers Perception of Problem
What is the initial/baseline assessment tool used for pre-school aged children used for Progress Monitoring as required by DBH?
PECFAS
Can you name 2-3 screeners/screener questions on the DA?
Depression (PHQ-9), Suicide (ASQ), Pain, Nutrition
Name at least 3 areas that must be included in the interpretive summary.
Explanation of Illness, Risk Assessment: Self-Harming Behaviors, Homicidal Thoughts, Cultural Understanding, Strengths, Preferences and Priorities, Stage of Change, Summary of Priority Needs/Barriers to Goal Attainment, Hypothesis, Treatment Recommendations, Discharge Criteria.
What CPT code is used for the DA?
90791
What section of the DA do the details of the Trauma history go?
Interpretive Summary section
What are the ages for the CAFAS assessment tool?
5-19/20 years old (school age)
What pain level requires a referral to PCP or referral to Unity Health Clinic?
Moderate to Severe pain
(DOUBLE JEOPORDY QUESTION!)
True or False
The interpretive summary should list symptoms of the diagnosis.
True
Which ICD code are we no longer able to use for billing?
Adjustment Disorders ICD Codes:
F43.20 - F43.25
A new change to the DA in accordance with BHSD guidelines include "Legal History". The clinician must ask if the consumer has been arrested in the past:
30 days? 45 days? 60 days? or 90 days?
30 days
What is the name of the adult progress monitoring assessment tool as required by DBH?
DLA-20
Name 1 of the questions on the ASQ screening tool
In the past few weeks, have you wished you were dead?
In the past few weeks, have you felt that you or your family would be better off if you were dead?
In the past week, have you been having thoughts about killing yourself?
Have you ever tried to kill yourself?
Are you having thoughts of killing yourself right now?
Name 1 treatment recommendation that should always be included in the DA's interpretive summary.
Psychiatric evaluation and treatment as needed.
What are the time requirements for billing code 90791?
At least 16 minutes
Name a new category of information that needs to be collected when completing the DA according to the BHSD reporting requirements.
Arrest history, living arrangements, referral source, last grade completed, employment status, school attendance status, mental health legal status
Initial, every 90 days, Discharge
If a consumer reports a history of trauma and being a victim, name a screening tool the VOC program uses to assess for PTSD.
PCL-5 or CPSS
Name 5 stages of change from the stages of change model.
What is the ICD-10 code for Generalized Anxiety Disorder?
F41.1
True or False:
You are required to complete the CAFAS/PECFAS/DLA-20 during the DA session
False - you have aprox 1 month to complete these baseline assessments as required by DBH.
On the DLA-20 adult screener, what does DLA stand for?
DLA = Daily Living Activities
True or False:
The DA has a full Trauma Screen on it.
False - it has the initial part/ half of the trauma screen (exposure to trauma). The other half (trauma symptoms) would need to be completed to complete the full trauma assessment.
True or False:
The Hypothesis and Treatment Recommendations section is optional.
False - The Hypothesis and Treatment Recommendations sections are required in the Interpretive Summary section of the DA and ask that the clinician reflect on their assessment of the consumer during this initial session.
What code is used for family sessions (no consumer) which are more than 16 minutes but less than 26 minutes?
90832