Show:
Crisis Planning
Documentation
Procedures
Service Definition
Signs/Symptoms
100
- Health and Behavioral Concerns that may trigger the onset of a crisis: - Signs and Symptoms that Show You are Starting to Not Do Well: - What Can Be Done In the Future to Help You Avoid Another Crisis?: - What things helped and did not help you resolve the crisis: - What specific interventions can natural or professional supports use to help you if another crisis occurs: - Contact List: - Advances Directives: - Crisis Plan Distribution List:
What are key components of a Crisis Response/Crisis Prevention Plan?
100
3 business days
What is agency expectation for documentation submission following date of service?
100
During this time, the following activities should be completed: monitor of symptoms, assess level of functioning, review, modify and provide copy of crisis plan, providing psychoeducation, engaging in a skill building activity, goal of transition and completion of the satisfaction survey.
What is during follow-up?
100
Clinical Social Worker, Nurse, Psychologist
What is the QP on the mobile crisis team?
100
Sleep disturbance, sad mood, low energy, suicidality, guilt, hopelessness, inability to experience pleasure
What is depression?
200
1. Client has to be hospitalized 2. Client lack coping skills that can be used during a crisis 3. Client lack support that can assist him/her through a future crisis
What is the outcome of poor crisis planning?
200
1. Risk Factors 2. Protective Factors 3. Suicide Inquiry 4. Risk Level/Intervention 5. Document
What are components of the SAFE-T assessment?
200
1. Text Dr. Reynolds at (252) 717-1844 with the following message: Responding to MC call. Verbal order needed. Client is … (briefly include the presenting problem) i.e. suicidal with no plan and depressed/ client is intoxicated and requesting linkage to detox/client is experiencing sx related to anxiety due to dv dispute) 2. Following MCM response, enter Service Order request in eNotes.
What is how a verbal service order is obtained?
200
a. Is experiencing an acute crisis coupled with insufficient resources or skills to cope with the crisis AND b. Evidences impaired judgment, impulse control, or cognitive/perceptual difficulties OR c. Is Intoxicated or withdrawing from substances and in need of substance abuse treatment services
What is when an individual is eligible for mobile crisis management services?
200
Hallucinations (auditory or visual), delusions, paranoia, social withdrawal, confusion, incoherent or reduced speech, odd movements
What is psychosis?
300
• Natural supports that can be involved • Activities of the client (Does the client work?, Does the client go to school?, Does the client have aftercare until their parents get off work?, etc) • Does the client have transportation? • Is the client compliant with other services? • Does the client have children/other dependents/pets?
What are things to consider in crisis planning?
300
Mobile Crisis Worker will assess and de-escalate crisis, identify coping skills, work towards creating a crisis plan and monitor services implemented. Mobile Crisis Worker will also provide preventative interventions and strategies to assist the client in reducing the risk of future crisis.
What is each client goal of mobile crisis management?
300
b. Good Day, my name is _______. I am a Mobile Crisis Worker with Integrated Family Services. Recently we served one of your patients, ________, through our Mobile Crisis Team. We have faxed a release of information and a copy of the crisis plan developed with their supports. Their guardian, __________, shared that you are currently prescribing medications to assist with symptoms related to an ADHD diagnosis. Either of our Child and Adolescent Psychiatrist are available to collaborate with your pediatrician to offer a physician peer consultation regarding treatment or medication recommendations. If this is something you're interested in, please contact our Greenville office at (252) 439-0700 or call me at (252) ________.
What is an example of how MCM engages in integrated care?
300
32
What is the number of units per episode when no prior authorization is needed for Mobile Crisis Management?
300
Sense of impending doom, intense fear, chest pain, rapid heartbeat, shortness of breath, dizziness, sweating, abdominal distress
What is anxiety/panic?
400
• Attending medication management appointment • Taking medication as prescribed • Attending outpatient therapy appointment • Calling other people
What are essential elements to a crisis plan; however they are not hard core strategies?
400
- STR and eNotes Demographic Form - Crisis Prevention/Crisis Response Signature Plan Signature Page - Consent to Treatment (signed w/ credentials) - Client survey - Consent for Release of Client Information
What are documents submitted for review and then submitted to Medical Records Associate?
400
Treatment Authorization Request
What is the form completed/submitted when more than 8 hours/32 units are needed with client?
400
80
What is the percentage of units that must be provided on a face-to-face basis with individuals receiving Mobile Crisis Management.
400
Euphoria, relaxation, dry mouth, rapid heartbeat, loss of coordination and balance, slower reaction times, "red eyes". Long-term effects: impairment in memory, thinking, learning and problem solving; distorted perception.
What is cannabis (marijuana) use?
500
1. To assist a client and family in identifying triggers that can cause a crisis. 2. To identify strategies that can be used in the event of a crisis. 3. To identify people who can be involved in the Crisis Response/Crisis Prevention Plan to aid the client in de-escalating. 4. To make involved people aware of what works and help the client during a crisis. 5. To divert the client from hospitalization. 6. To prevent a future crisis from occurring.
What is the purpose of crisis planning?
500
This is information the referral source is providing to the screener. Include symptoms, complaints, behaviors, etc. Eg. Caller states client is... or Client reports... Ensure this is THOROUGH and begins to justify the amount of time billed for each client. Documenting "Client reports he is suicidal with a plan" is UNACCEPTABLE. Documentation here should reflect your assessment of the client.
What is presenting problem?
500
1. Prior to screening out a call 2. Prior to responding to the call 3. Prior to leaving the scene of a call 4. Prior to taking client to hospital/filing petition for IVC 5. At any time additional clinical feedback is needed after consulting with direct supervisor
What is contacting the on-call LCSW/LCAS?
500
Evaluation, 24-7/365 access and response, crisis prevention
What are the essential elements of Mobile Crisis response?
500
Euphoria, slurred speech, loose muscle tone, loss of fine motor coordination, staggering gait, loss of judgment. Impairment of balance, vision, hearing and reaction time. At higher BAC: dysphoria, anxiety, restlessness. Withdrawal: nausea, sweating, shakiness, anxiety, delirium tremens, hallucinations, seizures.
What is alcohol use?