Level of Care (LOC) 101
Miscellaneous
Safety/Risk
Documentation
Intake
100

Program that runs from 9:30am-2:30pm, consists of psycho-education, psychotherapy, expressive therapy, weekly case management, and medication management as needed. 

What is Partial Hospitalization Program (PHP)?

100

This plan helps a client identify triggers, warning signs, coping strategies, and supports to reduce the risk of returning to substance use or other unhealthy behaviors.

What is Relapse Prevention Plan?

100

A client whose name is in red ink on the census indicates

What is High Risk?

100
A way to document direct verbiage from client

What is "quotation"?

100
The primary purpose of the intake assessment

What is assessing appropriate level of care/appropriate for treatment?

200

 What does SOAP stand for?

What is Structured Addictions Outpatient program

200

A client consistently uses substances after arguments with their partner. The argument may function as this.

What is a trigger?

200

This document is developed with a patient to identify warning signs, coping strategies, supportive people, and resources to help maintain safety during a mental health crisis.

What is a Life Safety Plan?

200

The paragraph at the end of an intake which summaries client information, needs, and recommendations, and is often used for insurance authorizations is 

What is a clinical formulation?

200

Something that should be offered to every client on intake if they have outside providers or family members where there may be a need for collateral contact, foreseeable or unforeseeable

What is Release of Information (ROI)?

300

A client presents as a step down from inpatient LOC with severe depression, daily alcohol use, poor sleep, and increasing suicidal thoughts. Client discloses the do not have a medication provider. Solely based on this information, what LOC and track would be the appropriate recommendation?

What is PHP DUAL?

300

This is generally more concerning than simply having thoughts of death because it indicates a greater level of commitment to the act.

What is suicidal intent?

300

The scale in which you would have a client rank their suicidal ideation.

What is 0-5?

300

This document outlines a patient's identified problems, goals, objectives, and planned interventions.

What is a treatment plan?

300

This scale was developed by Columbia University

What is CSSRS?

400

Client has completed 2 weeks at PHP LOC and has met treatment goals. The next LOC to consider is

What is Intensive Outpatient Program (IOP)?

400

When a therapist helps a client identify the connection between thoughts, emotions, and behaviors, they are using a fundamental concept from this therapy model.

What is Cognitive Behavioral Therapy (CBT)?

400

Name three areas that may be important when assessing suicide risk.

What are ideation, plan, intent, access to means, past attempts, protective factors, or other relevant risk factors?

400

Clinician or intern makes a phone call to client's therapist. The appropriate way to document this interaction is 

What is a clinical message and clicking the button: collateral contact

400

A clinician documents that a patient is casually dressed, cooperative, has pressured speech, an anxious mood, tangential thought process, and fair insight. What type of assessment is being documented?

What is Mental Status Exam?

500

A client is experiencing acute psychiatric symptoms, cannot safely function in the community, and requires continuous monitoring and stabilization. This level of care may be indicated.

What is inpatient psychiatric hospitalization?

500

This medication is commonly used to support abstinence from alcohol by reducing alcohol's rewarding effects.

What is naltrexone?

500

Client discloses they had a suicide attempt via overdosing on prescription medication 3 weeks ago. What are at least 3 critical steps clinician should take?

What is collateral contact, safety planning, highlight in red on census, assess for current plan/intent?

500

Form of documentation for compliance necessary when there is a need to get any outside agencies involved, most frequently in regards to a safety concern

What is a Critical Incident Report?

500

Presenting symptoms/concerns, history of symptoms/concerns, history of past diagnoses, medication list

What are things to consider when making a diagnosis?