DSM-5 Dive
At what age must ADHD symptoms be present to meet full criteria?
Age 12
Who is responsible for maintaining schedules
Each intake clinician including filling in white spots, blocking out time off, and making schedule approved adjustments.
How far out can we schedule a client for therapy?
Ideally 2 weeks. If no risk factors are present, consult/staff for longer but no more than 30 days.
What is the first step when a client expresses suicidal ideation during an intake?
Assess the immediacy of the risk by asking about a plan, intent, and means.
Which of the following diagnoses have a required duration of at least 6 months?
GAD, Bipolar, MDD, Social Anxiety, PTSD, Specific Phobia, OCD, Gender Dysphoria
GAD, Social Anxiety, Specific Phobia, and Gender Dysphoria.
What is the BPS audit score requirement?
80%
What are the areas of risk we screen for during intakes?
Suicide/Self-Harm, Homicidal Ideation, Substance Abuse, Eating Disorders, Psychosis
If a client reports active homicidal ideation with a specific target, what should you do?
Send a chat to your supervisor to discuss the next steps which may include contacting emergency services and warning the potential target if required by duty-to-warn laws.
What is the difference between Bipolar I and Bipolar II?
Severity and duration of episodes. Bipolar I only requires a history of a manic episode, while Bipolar II requires both hypomanic and major depressive episodes
After how many days of employment are employees eligible to use PTO
90 days
Generally how long after an intake can a client re-intake
30 days
What steps should you take if a client becomes agitated or verbally aggressive during an intake
A) End Intake
B) Tell Them The appointment will need to be rescheduled
C)Remain calm, use de-escalation techniques
C) Remain calm, use de-escalation techniques, and message supervisor for support if needed
What types of trauma qualify for Criterion A of PTSD
Exposure to actual or threatened death, serious injury, or sexual violence
How long before the requested time off should it be submitted?
At least 2 weeks
What is the intake appointment grace period, and what should be done if consents are not completed at the time of intake?
Wait up to 10 minutes for clients who have completed forms but haven’t shown. Call after 5 minutes to check if they need assistance. If forms are incomplete, call at the appointment time and let them know they must reschedule or leave a voicemail with the FD number for follow-up
What should you do if a client is visibly intoxicated during an intake?
Assess for a history of medical conditions that may be causing this presentation, and if the client acknowledges being heavily under the influence or is incoherent reschedule the intake
Which of the following are not criteria for GAD
Sleep disturbance, Panic Attacks, fatigue, restlessness or feeling on edge, Overthinking, irritability, difficulty concentrating or mind going blank, fear of judgment muscle tension
Panic Attacks, Overthinking, fear of judgment
Which type of paid time off does not roll over and must be used by the end of the year
Floating Holidays and Wellness Hours
What should you do if a client has a CSSRS score of 3, 4 or 5
Post this in the team chat & complete the suicide behaviors subnote. Also include last time they were a 4 or 5, to indicate the level of urgency and assess for appropriate LOC.
What steps should you take if you have a client who appears to be experiencing active perceptual disturbances (psychosis)
Assess if client is oriented x 4, determine if psychosis is placing client at risk (risk command hallucinations) and refer out/ end intake if client is incoherent during intake