Revised: 12/13/10, 12/27/11, 12/21/12, 12/17/13, & 12/23/14
|
|
- Hilary Perry
- 8 years ago
- Views:
Transcription
1 Protocol for Coordination of Care Between Northern Arizona Regional Behavioral Health Authority (NARBHA) and Adult Probation Departments (APD) Effective 01/01/2015 Revised: 12/13/10, 12/27/11, 12/21/12, 12/17/13, & 12/23/14 Northern Arizona Regional Behavioral Health Authority (NARBHA) and its Responsible Agencies, along with the Adult Probation Departments in Mohave, Coconino, Apache, Yavapai, and Navajo Counties agree to coordinate care in the areas of referral, intake and assessment, treatment planning, and crisis management for those enrolled in any treatment programs within the NARBHA Network. NARBHA, the Responsible Agencies, and Adult Probation believe that it is paramount to join efforts and form a partnership for the purpose of helping probationers who are being released from incarceration and/or are being supervised in the community access behavioral health services upon discharge. In order to ensure effective service delivery, both agencies agree to coordinate the roles and responsibilities outlined below. *Links for this protocol can be located on the NARBHA website ( or in Provider Policy 4.4 Coordination of Care with Other Government Entities NARBHA is the Regional Behavioral Health Authority for Coconino, Navajo, Yavapai, Apache and Mohave counties. Funds for services are provided through a contract with the Arizona Department of Health Services/Division Of Behavioral Health Services and AHCCCS". 1
2 Crisis Assessments Crisis Triage through NARBHA s Responsible Agencies can be accessed during business hours and after hours, 24 hours a day, seven days a week. NARBHA maintains a toll free telephone number [ ] for this purpose. Responsible Agencies (RA) provide both telephone and face-to-face Crisis Triage during business hours. ProtoCall staff provide telephone Crisis Triage after business hours and determine whether the person s needs are either Immediate, Urgent or Low/Routine. Immediate Need: Requires crisis assessment within less than two hours from identification of need or as quickly as possible when a response within 2 hours is geographically impractical. Urgent Need: Requires crisis assessment within less than 24 hours. Routine Need: Requires routine assessment within 7 days. ProtoCall is not required to contact staff at Responsible Agencies regarding members with Low/Routine acuity whose immediate needs have been handled during the Telephone Crisis Triage; however reports are forwarded to the Responsible Agencies by the next morning. All persons with Immediate or Urgent acuity are referred immediately by ProtoCall to on-call staff at the Responsible Agencies for Crisis Services. The on-call crisis evaluator will provide a mobile crisis assessment if there is an immediate or urgent need. Responsible Agency staff will arrange for hospitalization (when required) as well as transportation to the identified facility. The Responsible Agency will provide the date and time of the intake appointment to the Probation Officer. The Responsible Agency is expected to offer an intake appointment within 7 days of the request being made. For Persons in Crisis: See NARBHA responsibilities for Crisis Triage Services, which are available 24 hours a day, 7 days a week by calling the local Responsible Agency or the NARBHA Crisis Line [ ]. If the Probation Officer is making a referral for an individual experiencing a psychotic episode or is in crisis, be sure to request Crisis Triage services for immediate response. 2
3 Referral and Service Delivery NARBHA s Responsible Agencies offer the comprehensive array of covered behavioral health services detailed in the Arizona Department of Health Services/ Division of Behavioral Health Services Covered Services Guide. Services-Matrix.pdf Upon receipt of the referral from the Adult Probation, the Responsible Agency will offer an initial assessment to the member within 7 days of the referral. NARBHA monitors providers to ensure compliance with PM 3.2: Appointment Standards and Timelines of Service. The Responsible Agency shall review Adult Probation documentation when considering treatment options for members. *The majority of NARBHA s Responsible Agencies are able to provide Same Day Intakes, granted the probationer arrives earlier in the day. If an intake is not possible for that day, the probationer will be asked to return by a specified time the following day. The Responsible Agency will notify Adult Probation if there is a change of status in any of the following as soon as able: Discharge Completion Change of groups Change of service / treatment plan Change of level of care Missed appointments Unplanned discharge from a Behavioral Health Acute Hospital Information that could be associated with any acute risk factors or community safety will be communicated to APD immediately. *The clinician will keep confidential the probationer s change in status until there is agreement with the assigned probation officer regarding the therapeutic value of the information. Adult Probation will communicate and collaborate with the Responsible Agencies to increase the probationer s participation in treatment services and attend Adult Recovery Team meetings as requested by the Responsible Agency. If it is determined that a probationer has an issue of substance abuse or mental heath, the probation officer will make a referral to the Responsible Agency (if there are multiple providers, probationer will choose) along with the following, as applicable: Terms of Probation Pre-sentence Report Offender Screening Tool or Risk Level (when completed and as requested) Case Plan (when completed) Release of Information Adult Probation will have probation officers available for consultation for Responsible Agencies. Adult Probation will notify the Responsible Agency if there is a change of status in any of the following as soon as able: A warrant has been issued Petition to revoke Probationer has absconded Probationer has been arrested/jailed Probationer has transferred out of the current service area Probationer has failed drug screens 3
4 Adult Recovery Teams (ART) The goals of an Adult Team are to enhance the member's engagement in services; improve the member's satisfaction and treatment outcomes; and to adhere to Arizona's Principles for persons who have a serious mental illness (SMI). If the member is hesitant about including Adult Probation during the ART process, the Responsible Agency will discuss with the member the advantages of having the complete team present for coordination of care and will attempt to mediate any concerns with Adult Probation s participation. Attendance at ART meetings is guided by the probationer, though all ART members should be made aware of any updates resulting from the meetings. If the probationer refuses inclusion of Adult Probation at the ART, Probation may consider including the Responsible Agency during a probation-lead staffing to attend to enhance coordination of care. Mechanisms for Information Sharing Responsible Agencies and Adult Probation are committed to discussing the importance of coordination of care with the member/probationer. The Responsible Agencies will maintain a current roster of offender referrals, level of care / treatment placements and case status. Upon request and in a timely manner, the Responsible Agency will provide Adult Probation with clinical documentation that has been authorized for release by the member. Adult Probation shall ensure that all necessary informed consents are obtained to allow for coordination of care pursuant to federal confidentiality of substance abuse treatment patient information (42CFR Part 2). *The member must agree to and sign a release of information for the RA to discuss any substance abuse issues with APD (per DBHS PM 4.1: Disclosure of Behavioral Health Information and 42CFR Part 2 requirements). 4
5 Problem Solving and Specialty Courts NARBHA, the Responsible Agencies, and Adult Probation are committed to supporting the member s success in treatment, recovery, and adjudication through the process of the Problem Solving and Specialty Courts throughout our regions. Apache County: Drug Court Coconino County: Drug Court; Mental Health Court Mohave County: Drug Court Navajo County: Drug Court Yavapai County: Drug Court; Mental Health Court Responsible Agencies who have members involved with the county s Specialty Court will assign a regular representative to attend court hearings as well as the staffings that occur prior to court. Responsible Agencies will provide written and or verbal updates as requested by the Court and Adult Probation regarding members involved with Specialty Court. Adult Probation will ensure that the Responsible Agencies representatives have current lists of youth involved with the Specialty Court. Joint Training Joint training needs are discussed and decided on in a collaborative manner. Ideas for trainings are obtained from management staff at NARBHA, the Responsible Agencies, and Adult Probation. Ideas can also come from line staff input during joint meetings, and NARBHA s Adult and Children s Services Meetings. NARBHA s Criminal Justice Liaison will schedule trainings as needed or requested by the Responsible Agencies and Adult Probation Departments. NARBHA providers receive trainings relevant to substance abuse issues. Adult Probation is welcome to attend these trainings. Training on this Protocol is mandatory for all adult behavioral health employees who provide services for probationers. Appropriate APD employees should receive training within six months of employment and updates should be reviewed annually. Information Sharing Member Privacy NARBHA, Responsible Agencies and Adult Probation are committed to adhering to compliance with all HIPAA and 42 CFR Part 2 Requirements. Responsible Agencies will send encrypted s to JPO when discussing specific client information. Secure faxes may be sent to NARBHA at
6 Process Improvement NARBHA, Responsible Agencies, Arizona Office of the Courts, County Adult Probation Departments and AZ Dept. of Corrections have agreed to mutually plan for and attend joint meetings. All parties agree to use this opportunity to discuss systems related issues and jointly needed program development. Responsible Agencies and their county s Adult Probation Departments will meet at a minimum of twice each year. NARBHA s Criminal Justice Liaison, along with AOC and ADC, will attend meetings at least annually and will coordinate as requested. NARBHA s Criminal Justice Liaison will be called upon to coordinate and facilitate joint meetings at any time if any party desires for this assistance. Agenda items could include: Joint training needs What s working what s not working Reporting Community resources/ initiatives Mechanisms for Resolving Member/Consumer Complaints and System Barriers All persons involved with NARBHA and/or Adult Probation have access to a complaint process for expression of dissatisfaction with any aspect of their care. Complaints about behavioral health or adult probation services should always be encouraged to be resolved at the lowest possible level, yet it is equally important that persons understand that a formal complaint process is also available when needed. Attempts to resolve issues at the local level should occur through the ART process but may also include contacting the Responsible Agency s Adult Services Manager or Director. Consultation is available at the regional level by NARBHA and Adult Probation as needed. Adult Probation s Treatment Supervisors are the point of contact for directing member related complaints. Complaints pertaining to member specific situations can be reported to NARBHA by utilizing their toll free telephone number: To submit a written complaint, mail the complaint to NARBHA Member Services at 1300 S. Yale Street, Flagstaff, AZ System-level issues may also be reported to either the NARBHA Adult Recovery Services Department or to Adult Probation Department for review at local or regional collaborative meetings. If issues cannot be resolved at these levels, see the DBHS Provider Policy Manual Section 5 for more information regarding grievance and appeal rights. Reports called Complaint Resolutions may additionally be reported to the Division of Behavioral Health Services. 6
7 Apache County Little Colorado Behavioral Health Centers (LCBHC) serves Apache County. LCBHC will updates to Probation Officers, as requested regarding treatment progress of probationer. Adult Probation to send a roster to case managers, clinical director and deputy clinical directors every 6 months. LCBHC will provide an intake for a probationer within seven days of Adult Probation will include their substance abuse screening at time of receiving a referral. The case manager will contact the probation referral, or as soon as it is competed. officer after the intake to confirm completion and request any further information. Drug Court meets weekly. Probation and LCBHC will continue to discuss needs and supports for ongoing programming during Court staffings. Coconino County Child & Family Support Services (CFSS), Southwest Behavioral Health Services (SBHS) and The Guidance Center (TGC) serve Coconino County. Responsible Agencies to incorporate Probation Report template into Adult Probation will send referral packets to Responsible Agencies on all monthly data collection and to to: apdtx@coconino.az.gov referred probationers, regardless if they are already enrolled with NABHA agencies. This will enable the Responsible Agencies to provide a means of tracking members who require monthly reporting to Adult Probation. Responsible Agencies and Adult Probation will meet quarterly to discuss access to reporting, communication, and programming. Mohave County Mohave Mental Health Clinic (MMHC) and Southwest Behavioral Health Services (SBHS) serve Mohave County. The Responsible Agency will a confirmation of the completed intake to Adult Probation. Responsible Agencies will treatment/service plan to Adult Probation when completed. Responsible Agencies will reports to Probation s Services Assistant. On-going regular staffing times will be coordinated within the three regions of Mohave County. Adult Probation will referral packet, to include Release of Information, Offender Screening Tool, Pre-Sentence Report, and Substance Abuse Screening Tool. Case Plans and Conditions of Probation will be sent after the initial intake. Adult Probation will probation/member list to SBHS s Program Directors and MMHC s Clinical Directors monthly by the 5 th of the month. 7
8 Navajo County Community Counseling Center (CCC) serves Navajo County. CCC s clinicians complete monthly reports on template and directly to Probation Officer. Adult Probation will ensure CCC has updated lists of probationers. Drug Court Liaisons and Adult Probation meet quarterly with Drug Court Coordinator. CCC and Adult Probation meet quarterly to discuss high needs cases and programmatic needs. Yavapai County Southwest Behavioral Health Services (SBHS), Spectrum Health Care, and West Yavapai Guidance Clinic (WYGC) provide services in Yavapai County. Responsible Agencies will fax back Client Advisory Reports after receiving blank requests from Adult Probation. Responsible Agencies and Adult Probation will meet jointly at least bi-annually. Adult Probation will fax/ Client Advisory Reports with probationer s name included as a request for member s treatment update. Adult Probation Department Contacts Apache County St. Johns, Springerville, Sanders Coconino County Flagstaff, Page Mohave County Kingman, Lake Havasu City, Bullhead City Navajo County Holbrook, Show Low, Snowflake, Winslow Yavapai County Prescott, Cottonwood 8
9 NARBHA Region Responsible Agency Contacts- Adult Services Providers A more detailed contact list is available at NARBHA s website: Child & Family Support Services (Flagstaff / Prescott Valley) Flagstaff, Prescott Valley, Kingman Community Bridges, Inc. (Winslow / Holbrook) Winslow, Holbrook Community Counseling Centers (Winslow / Holbrook / Show Low / Snowflake/Taylor) Winslow, Holbrook, Show Low, Snowflake/Taylor Encompass Health Services (Page / Fredonia / Littlefield) Page, Fredonia, Littlefield Little Colorado Behavioral Health Centers (St. Johns / Springerville) St Johns, Springerville Spectrum (Cottonwood / Camp Verde / Sedona) Cottonwood, Camp Verde Southwest Behavioral Health Services (Bullhead City / Kingman / Lake Havasu City) Bullhead City, Kingman, Lake Havasu City Mohave Mental Health Clinic (Kingman / Bullhead City / Lake Havasu) Kingman, (BHC), (LHC) The Guidance Center (Flagstaff / Williams) Flagstaff, Williams West Yavapai Guidance Clinic (Prescott / Prescott Valley) Prescott, Prescott Valley, Chino Valley NARBHA (Criminal Justice Liaison)
Arizona Department of Health Services Division of Behavioral Health Services PROVIDER MANUAL NARBHA Edition
Section 10.6 NARBHA Block Purchased Inpatient/Subacute and Chemical Dependency (CD) Residential Facilities 10.6.1 Introduction 10.6.2 References 10.6.3 Definitions 10.6.4 Did you know? 10.6.5 Objectives
More informationArizona Department of Health Services Division of Behavioral Health Services PROVIDER MANUAL NARBHA Edition
Section 10.6 Coordination of Care for Referrals to In-Network GSA 1 NARBHA Inpatient and 10.6.1 Introduction 10.6.2 References 10.6.3 Definitions 10.6.4 Did you know? 10.6.5 Objectives 10.6.6 Procedures
More informationCollaborative Protocol between Cenpatico Integrated Care and Cochise County Adult Probation 2014-2015
Collaborative Protocol between Cenpatico Integrated Care and Cochise County Adult Probation 2014-2015 Table of Contents Introduction... 1 Definitions... 1 Referral Process... 3 Voluntary Crisis Services
More informationEffective January 1, 2006 Revised 12/31/06; 12/31/07; 12/31/08; 12/31/09; 12/31/10; 12/31/2011; 12/27/2012; 12/31/2013
Protocol for the Definition of Roles and Responsibilities in the Coordination of Service Delivery Between: Northern Arizona Regional Behavioral Health Authority (NARBHA); and Department of Economic Security/Rehabilitation
More informationRural Community Psychiatry Northern Arizona Behavioral Health Authority
Rural Community Psychiatry Northern Arizona Behavioral Health Authority Sara Gibson, M.D. Psychiatrist, Medical Director of Telemedicine for NARBHA in Flagstaff, Arizona Sole psychiatrist for rural Apache
More informationEffective January 1, 2006 Revised 12/31/06; 12/31/07; 12/31/08; 12/31/09; 12/31/10; 12/31/2011; 12/27/2012; 6/5/2013; 12/30/14
Protocol for the Definition of Roles and Responsibilities in the Coordination of Service Delivery Between: Northern Arizona Regional Behavioral Health Authority (NARBHA); and Department of Economic Security/Rehabilitation
More informationWhat is the Medical Services Project?
What is the Medical Services Project? A community-service program of the nonprofit Arizona Chapter of the American Academy of Pediatrics, since 1993 Serves low-income & uninsured children across the state
More informationUTAH DIVISION OF SUBSTANCE ABUSE AND MENTAL HEALTH SUBSTANCE USE DISORDER SERVICES MONITORING CHECKLIST (FY 2014) GENERAL PROGRAM REQUIREMENTS
UTAH DIVISION OF SUBSTANCE ABUSE AND MENTAL HEALTH SUBSTANCE USE DISORDER SERVICES MONITORING CHECKLIST (FY 2014) Program Name Reviewer Name Date(s) of Review GENERAL PROGRAM REQUIREMENTS 2014 Division
More informationTechnical Assistance Document 5
Technical Assistance Document 5 Information Sharing with Family Members of Adult Behavioral Health Recipients Developed by the Arizona Department of Health Services Division of Behavioral Health Services
More informationCollaborative Protocols Between Cenpatico of Arizona and. Arizona Department of Economic Security/Rehabilitation Services Administration (RSA)
Cenpatico, as the Regional Behavioral Health Authority (RBHA) for Geographic Services Areas Two, Three and Four, and Rehabilitation Services Administration (RSA) Districts Four, Five and Six, agree to
More informationNARBHA. northern arizona regional behavior al he alth authorit y 2010 Annual Report
NARBHA northern arizona regional behavior al he alth authorit y 2010 Annual Report CONTENTS CEO and NARBHA Board Chair Report... 3 Culture It s Who You Are... 5 Community Reinvestment Program... 7 Recovery
More informationPATIENT INTAKE FORM PATIENT INFORMATION. Name Soc. Sec. # Last Name First Name Initial Address. City State Zip. Home Phone Work/Mobile Phone
PATIENT INTAKE FORM PATIENT INFORMATION Name Soc. Sec. # Last Name First Name Initial Address City State Zip Home Phone Work/Mobile Phone Sex M F Age Birth date Single Married Widowed Separated Divorced
More informationMotivational Support Program Protocols
Motivational Support Program Protocols PURPOSE: The purpose of the Motivational Support Program (MSP) is to enhance integration across the behavioral health and child welfare systems. POLICY: South Florida
More informationNumber: TBD EFFECTIVE DATE: March 12, 2001 PROCEDURE STATEMENT
Number: TBD EFFECTIVE DATE: March 12, 2001 PROCEDURE STATEMENT Policy Area: Supervision Issue: Referral Tracking, Treatment Assessment, and Placement Action/Guidance: Offender Substance Abuse Treatment
More informationThe Northern Lakes CMH Recipient Rights Officer is designated as the Substance Abuse Program Recipient Rights Advisor.
Page 1 of 5 Title Northern Lakes CMH Policies Part 106 Supports and Services NLCMH Provided and Contract Subpart I Substance Abuse Services Policy No. 106.901 Subject Rights of Substance Abuse Applicability
More informationProgram Guidelines and Procedures for Adult Transitional Case Management
Texas Department of Criminal Justice TCOOMMI Program Guidelines and Procedures for Adult Transitional Case Management Number: PGP 01.07 September Date: 1, 2013 Page: 1 of 5 Supersedes: January 3, 2011
More informationSelf-Advocacy Guide: Individual Service Planning for Individuals with a Serious Mental Illness in Arizona s Public Behavioral Health System
Self-Advocacy Guide: Individual Service Planning for Individuals with a Serious Mental Illness in Arizona s Public Behavioral Health System Arizona Department of Health Services/Division of Behavioral
More informationSubstance Abuse Treatment Services Policy
Substance Abuse Treatment Services Policy Rhode Island Department of Children, Youth and Families Policy: 700.0195 Effective Date: June 1, 2000 Version: 1 The Department frequently works with families
More informationDrug Treatment and Education Fund. Legislative Report
Drug Treatment and Education Fund Legislative Report Fiscal Year 1997-1998 Arizona Supreme Court Administrative Office of the Courts Adult Services Division March 1999 Drug Treatment and Education Fund
More informationCOLORADO RIVER indlj TJBES Thman Reshurcs Fn 1OHFE RD. ier,aplzoi3344
COLORADO RIVER indlj TJBES Thman Reshurcs Fn 1OHFE RD. ier,aplzoi3344 1 Fax c2 Eld:-eci Eras. Chairman #8412 VACANCY ANNOUNCEMENT DEPARTMENT: Behavioral Health Services POSITION: Independently Licensed
More informationPolicy Number 13.8. Date Filed. Subject
Total s 501 KAR 6:020 KENTUCKY CORRECTIONS Policies and Procedures Date Filed 10 References/Authority KRS 196.035, 197.020, 202A.400, 218A, 241.010, 319.005 908 KAR 1:370 ACA 4-4377, 4-4396, 4-4433, 4-4437,
More informationOUTPATIENT SERVICES. Components of Service
OUTPATIENT SERVICES Providers contracted for this level of care or service are expected to comply with all requirements of these service-specific performance specifications. Additionally, providers contracted
More informationAnnual Report on Substance Abuse Treatment Programs
Division of Behavioral Health Services Annual Report on Treatment Programs Fiscal Year 2014 Report Contents Program Names and Locations Client Demographics Program Funding Summary of Available Services
More informationDivision of Behavioral Health Services
Division of Behavioral Health Services Annual Report on Substance Abuse Treatment Programs Fiscal Year 2013 Submitted Pursuant to A.R.S. 36-2023 December 31, 2013 Report Contents Program Names and Locations
More information2015 FCCMH Bill Track 3/12/2015 Sorted by Bill Number Bill Title Sponsor Summary 0079 Relating to Crisis Stabilization Services
2015 FCCMH Bill Track 3/12/2015 Sorted by Bill Number Bill Title Sponsor Summary 0079 Relating to Crisis Stabilization Services Cummings Crisis Stabilization Services: Requires DCF to develop standards
More informationFILL THE GAP (FTG) APPLICATION
FILL THE GAP (FTG) APPLICATION A. APPLICANT INFORMATION 1. COURT NAME: SUPERIOR COURT IN YAVAPAI COUNTY 2. CONTACT PERSON: DEBORAH M. SCHAEFER 3. TITLE: COURT ADMINISTRATOR 4. ADDRESS (STREET, CITY, STATE,
More informationCPSA PM Attachment 10.7.3 Collaborative Protocol Rehabilitation Services Administration GSA 5
Introduction: CPSA PM Attachment 10.7.3 It is the mission of the Intergovernmental Agreement (IGA) between Arizona Department of Health Services/Department of Behavioral Health Services (ADHS/DBHS) and
More informationPerformance Standards
Performance Standards Co-Occurring Disorder Competency Performance Standards are intended to provide a foundation and serve as a tool to promote continuous quality improvement and progression toward best
More informationPerformance Standards
Performance Standards Targeted Case Management Performance Standards are intended to provide a foundation and serve as a tool to promote continuous quality improvement and progression toward best practice
More informationSharing Information and Due Process Arizona Problem Solving Courts Conference May 14, 2013
Sharing Information and Due Process Arizona Problem Solving Courts Conference May 14, 2013 Introductions Barbara Marshall, Division Chief, Juvenile Crimes Division, Maricopa County Attorney s Office Michelle
More informationReport on the Repurposing of the Woodside Juvenile Rehabilitation Center
Report to The Vermont Legislature Report on the Repurposing of the Woodside Juvenile Rehabilitation Center In Accordance with Act 146 Sec. C 10: Woodside Juvenile Rehabilitation Center Submitted to: Submitted
More informationQuality Management. Substance Abuse Outpatient Care Services Service Delivery Model. Broward County/Fort Lauderdale Eligible Metropolitan Area (EMA)
Quality Management Substance Abuse Outpatient Care Services Broward County/Fort Lauderdale Eligible Metropolitan Area (EMA) The creation of this public document is fully funded by a federal Ryan White
More informationACCESSIBILITY OF SERVICES
ACCESSIBILITY OF SERVICES ACCESSIBILITY TO CARE STANDARDS Molina Healthcare is committed to timely access to care for all members. The Access to Care Standards below are to be observed by all Providers/Practitioners.
More informationis to empower everyone whom we come into contact with to engage in a process of healing, their families, coworkers and UPLIFTING THE HUMAN SPIRIT
OUR MISSION WestCare s mission is to empower everyone whom we come into contact with to engage in a process of healing, growth and change, benefiting themselves, their families, coworkers and communities.
More informationLEE COUNTY SCHOOL SYSTEM STUDENT ATTENDANCE PROTOCOL
LEE COUNTY SCHOOL SYSTEM STUDENT ATTENDANCE PROTOCOL Lee County Student Attendance Protocol Table of Contents I. School System Procedures 2 II. Criminal Prosecution for Violation of School Attendance Law
More informationCommunity Residential Rehabilitation Host Home. VBH-PA Practice Standards
Community Residential Rehabilitation Host Home VBH-PA Practice Standards Community Residential Rehabilitation (CRR) Host Homes are child treatment programs that are licensed under Chapters 5310, 3860 and
More informationTaunton CCIT Case Conference Protocol
Taunton CCIT Case Conference Protocol The case conferencing process has been developed as a forum for problem solving through interagency collaboration, service coordination and service integration. It
More informationMERCY MARICOPA INTEGRATED CARE Job list*
MERCY MARICOPA INTEGRATED CARE Job list* Position Integrated Health Care Development Officer Chief Clinical Officer Arizona-licensed clinical practitioner Children's Medical Arizona-licensed physician,
More informationAnnual Report on Substance Abuse Treatment Programs
Division of Behavioral Health Annual Report on Substance Abuse Treatment Programs Fiscal Year 2015 Report Contents Program Names and Locations Client Demographics Program Funding Summary of Available Service
More informationBehavioral Healthcare. Arizona Council of Human Service Providers Emily Jenkins
Behavioral Healthcare Arizona Council of Human Service Providers Emily Jenkins Behavioral Health Mental Illness Substance Use Disorders AZ Council of Human Service Providers 2 Arizona's Publicly Funded
More informationJOINT NOTICE OF PRIVACY PRACTICES Cumberland County Hospital System d/b/a Cape Fear Valley Health System
JOINT NOTICE OF PRIVACY PRACTICES Cumberland County Hospital System d/b/a Cape Fear Valley Health System EFFECTIVE: September 23, 2013 THIS JOINT NOTICE DESCRIBES HOW PROTECTED HEALTH INFORMATION ABOUT
More informationPERFORMANCE STANDARDS DRUG AND ALCOHOL PARTIAL HOSPITALIZATION PROGRAM. Final Updated 04/17/03
PERFORMANCE STANDARDS DRUG AND ALCOHOL PARTIAL HOSPITALIZATION PROGRAM Final Updated 04/17/03 Community Care is committed to developing performance standards for specific levels of care in an effort to
More informationWHISTLEBLOWER LAW. Subtitle 3. Maryland Whistleblower Law in the Executive Branch of State Government.
WHISTLEBLOWER LAW Subtitle 3. Maryland Whistleblower Law in the Executive Branch of State Government. 5-301. Applicability. This subtitle applies to all employees and State employees who are applicants
More informationAdult Mental Health Court Certification Application
As required by O.C.G.A. 15-1-16, to receive state appropriated funds adult mental health courts must be certified by the Judicial Council of Georgia (Council). The certification process is part of an effort
More informationARIZONA ADULT PROBATION
ARIZONA ADULT PROBATION Fiscal Year 2006 Annual Report Arizona Supreme Court Adult Probation Services Division ARIZONA SUPREME COURT Administrative Office of the Courts This Report Published By ADULT PROBATION
More informationARIZONA DEPARTMENT OF REVENUE
ARIZONA DEPARTMENT OF REVENUE MEMORANDUM DATE: April 15, 2009 FROM: THE OFFICE OF ECONOMIC RESEARCH & ANALYSIS February 2009 TAX FACTS SUMMARY OF GENERAL FUND REVENUES February 2009 Fiscal Year Total Individual
More informationParsonage Vandenack Williams LLC Attorneys at Law
MEDICAL RECORDS ACCESS GUIDE NEBRASKA Parsonage Vandenack Williams LLC Attorneys at Law Parsonage Vandenack Williams LLC 2008 For more information, contact info@pvwlaw.com TABLE OF CONTENTS RESPONDING
More informationDIRECT CARE CLINIC DASHBOARD INDICATORS SPECIFICATIONS MANUAL Last Revised 11/20/10
DIRECT CARE CLINIC DASHBOARD INDICATORS SPECIFICATIONS MANUAL Last Revised 11/20/10 1. ACT Fidelity 2. ISP Current 3. ISP Quality 4. Recipient Satisfaction 5. Staffing Physician 6. Staffing Case Manager
More informationTHE NORFOLK COUNTY VETERANS TREATMENT COURT INFORMATION PACKET
THE NORFOLK COUNTY VETERANS TREATMENT COURT INFORMATION PACKET BRIEF INTRODUCTION Thank you for your interest in the Norfolk County Veterans Treatment Court. This packet of information is intended to provide
More informationFederal Purpose Area 5 Drug Treatment Programs
Federal Purpose Area 5 Drug Treatment Programs State Purpose Areas: 11F Mental Health Services 11F.01 Provide mental health services through various treatment modalities to a specified number of clients.
More informationCHAPTER 37H. YOUTH CASE MANAGEMENT SERVICES SUBCHAPTER 1. GENERAL PROVISIONS Expires December 2, 2013
CHAPTER 37H. YOUTH CASE MANAGEMENT SERVICES SUBCHAPTER 1. GENERAL PROVISIONS Expires December 2, 2013 10:37H-1.1 Purpose and scope The rules in this chapter govern the provision of case management services
More informationSOCIAL SERVICE SPECIALIST 1 6612
SOCIAL SERVICE SPECIALIST 1 6612 GENERAL DESCRIPTION OF CLASS The SOCIAL SERVICE SPECIALIST 1 provides counseling, consultation, therapy, and treatment planning or conducts group sessions in effective
More information(2) Minutes shall be maintained for advisory board meetings.
ACTION: Refiled DATE: 08/18/2015 9:45 AM 5122-29-12 Driver intervention program. (A) A driver intervention program is a program of screening, education, and referral for individuals who are arrested or
More informationAGENCY FOR HEALTH CARE ADMINISTRATION HEALTH QUALITY ASSURANCE BUREAU OF MANAGED HEALTH CARE 2727 Mahan Drive Tallahassee Florida 32308
AGENCY FOR HEALTH CARE ADMINISTRATION HEALTH QUALITY ASSURANCE BUREAU OF MANAGED HEALTH CARE 2727 Mahan Drive Tallahassee Florida 32308 WORKERS COMPENSATION MANAGED CARE ARRANGEMENT SURVEY REPORT NAME
More informationSTATE OF NEVADA Department of Administration Division of Human Resource Management CLASS SPECIFICATION
STATE OF NEVADA Department of Administration Division of Human Resource Management CLASS SPECIFICATION TITLE GRADE EEO-4 CODE YOUTH PAROLE COUNSELOR III 40* B 13.265 YOUTH PAROLE COUNSELOR II 39* B 13.266
More informationCHAPTER 59A-23 WORKERS COMPENSATION MANAGED CARE ARRANGEMENTS 59A-23.001 Scope. 59A-23.002 Definitions. 59A-23.003 Authorization Procedures.
CHAPTER 59A-23 WORKERS COMPENSATION MANAGED CARE ARRANGEMENTS 59A-23.001 Scope. 59A-23.002 Definitions. 59A-23.003 Authorization Procedures. 59A-23.004 Quality Assurance. 59A-23.005 Medical Records and
More informationNew Jersey Department of Children and Families Policy Manual. Date: Chapter: B Substance Abuse Subchapter: 1 Substance Abuse Services
New Jersey Department of Children and Families Policy Manual Manual: CP&P Child Protection and Permanency Effective Volume: V Health Date: Chapter: B Substance Abuse Subchapter: 1 Substance Abuse Services
More informationAnnual Report on Substance Abuse Treatment Programs Submitted Pursuant to ARS 36-2023
Annual Report on Substance Abuse Treatment Programs Submitted Pursuant to ARS 36-2023 Arizona Department of Health Services Division of Behavioral Health Services December 31, 2007 Table of Contents Executive
More informationARIZONA ARIZONA LICENSED NURSING CARE INSTITUTIONS CITY COUNTY REQUIRED TO REPORT FINANCIAL DATA TO ADHS ~ UPDATED November 2015 ~
ARIZONA DEPARTMENT OF HEALTH SERVICES PAGE 1 OF 5 LTC0214 ACACIA HEALTH CENTER PHOENIX MARICOPA LTC0045 ACUITY SPECIALTY HOSPITAL OF ARIZONA AT MESA MESA MARICOPA LTC0046 ACUITY SPECIALTY HOSPITAL OF ARIZONA
More informationMagellan Behavioral Care of Iowa, Inc. Provider Handbook Supplement for Iowa Autism Support Program (ASP)
Magellan Behavioral Care of Iowa, Inc. Provider Handbook Supplement for Iowa Autism Support Program (ASP) 2014 Magellan Health Services Table of Contents SECTION 1: INTRODUCTION... 3 Welcome... 3 Covered
More information4350 E. Cotton Center Blvd. 150 N. 18th Ave., Ste. 220 Phoenix, AZ 85040 Phoenix, AZ 85007 602-453-8306 602-364-4622
Mercy Maricopa/RSA District I Collaborative Protocols for Individuals with SMI Contacts: Alicia Ruiz Statewide Behavioral Health Jon Ellerston Coordinator Region I Program Manager DES/Rehabilitation Services
More informationRyan White Part A. Quality Management
Quality Management Case Management (Non-Medical) Broward County/Fort Lauderdale Eligible Metropolitan Area (EMA) The creation of this public document is fully funded by a federal Ryan White CARE Act Part
More informationMedicaid Application for Intensive Outpatient Programs Application Checklist for Providers
Provider information Agency Name: Physical Address: If applying for multiple sites or applying to serve adolescents and/or adults please note and list specific physical locations: Mailing Address (if different
More informationSUPERIOR COURT OF NEW JERSEY CRIMINAL DIVISION APPLICATION TO THE DRUG COURT PROGRAM
SUPERIOR COURT OF NEW JERSEY CRIMINAL DIVISION APPLICATION TO THE DRUG COURT PROGRAM OCEAN VICINAGE DATE OF APPLICATION: NAME: ALIAS: ADDRESS: TELEPHONE #: CITY: STATE: ZIP: HOW LONG AT THIS ADDRESS: _
More informationMENTAL HEALTH CENTERS OF WESTERN ILLINOIS
MENTAL HEALTH CENTERS OF WESTERN ILLINOIS Brown Site 700 SE Cross Phone: 217-773-3325 Fax: 217-773-2425 Day Program Building 210 Country Lane Phone: 217-773-3958 Fax: 217-773-2339 Sterling Apartments 211
More informationARIZONA DEPARTMENT OF REVENUE
ARIZONA DEPARTMENT OF REVENUE MEMORANDUM DATE: August 24, 2007 FROM: THE OFFICE OF ECONOMIC RESEARCH & ANALYSIS June 2007 TAX FACTS SUMMARY OF GENERAL FUND REVENUES Fiscal Year June 2007 Total Individual
More informationWEST VIRGINIA DEPARTMENT OF EDUCATION INFORMATION FOR INDIVIDUALS FILING A DUE PROCESS COMPLAINT
WEST VIRGINIA DEPARTMENT OF EDUCATION INFORMATION FOR INDIVIDUALS FILING A DUE PROCESS COMPLAINT Attached please find the following information related to due process complaints and mediation: Introduction
More informationHOME-BASED INTENSIVE FAMILY PRESERVATION SERVICES
SERVICE STANDARDS HOME-BASED INTENSIVE FAMILY PRESERVATION SERVICES I. Service Definition Approved 1-18-07 Effective 7-1-06 The goal of this service is to remove the risk of harm to the child instead of
More informationSTATE OF NEVADA Department of Administration Division of Human Resource Management CLASS SPECIFICATION
STATE OF NEVADA Department of Administration Division of Human Resource Management CLASS SPECIFICATION TITLE GRADE EEO-4 CODE MENTAL HEALTH COUNSELOR V 43* B 10.135 MENTAL HEALTH COUNSELOR IV 41* B 10.137
More informationFlorida Medicaid. Mental Health Targeted Case Management Handbook. Agency for Health Care Administration
Florida Medicaid Mental Health Targeted Case Management Handbook Agency for Health Care Administration JEB BUSH, GOVERNOR ALAN LEVINE, SECRETARY June 7, 2006 Dear Medicaid Provider: Enclosed please find
More information3.1 TWELVE CORE FUNCTIONS OF THE CERTIFIED COUNSELLOR
3.1 TWELVE CORE FUNCTIONS OF THE CERTIFIED COUNSELLOR The Case Presentation Method is based on the Twelve Core Functions. Scores on the CPM are based on the for each core function. The counsellor must
More informationCollaborative Protocol Rehabilitation Services Administration (GSA5)
Introduction: It is the mission of the Intergovernmental Agreement (IGA) between Arizona Department of Health Services/Department of Behavioral Health Services (ADHS/DBHS) and Arizona Department of Economic
More informationPatient Bill of Rights and Responsibilities
Patient Bill of Rights and Responsibilities The patient or the patient s legal representative has the right to be informed of the patient s rights and responsibilities as a patient through effective means
More informationMEDICAL RECORDS ACCESS GUIDE IOWA
MEDICAL RECORDS ACCESS GUIDE IOWA Parsonage Vandenack Williams LLC Attorneys at Law Parsonage Vandenack Williams LLC 2008 For more information, contact info@pvwlaw.com TABLE OF CONTENTS Iowa...1 Patient
More informationAddiction Treatment Strategies
Patient Registration Legal Name First Middle Last Birth Date Address Street City State Zip Phone(s) Home Cell Work Is it ok to contact your cell? Yes No SSN Email (Used for appointment reminder) Known
More informationBEACON HEALTH STRATEGIES, LLC TELEHEALTH PROGRAM SPECIFICATION
BEACON HEALTH STRATEGIES, LLC TELEHEALTH PROGRAM SPECIFICATION Providers contracted for the telehealth service will be expected to comply with all requirements of the performance specifications. Additionally,
More informationChild Abuse, Child Neglect:
Child Abuse, Child Neglect: What Out of Home Caregivers Should Know if They Are Investigated Written by South Carolina Appleseed Legal Justice Center With editing and assistance from the Children s Law
More information[Provider or Facility Name]
[Provider or Facility Name] SECTION: [Facility Name] Residential Treatment Facility (RTF) SUBJECT: Psychiatric Security Review Board (PSRB) In compliance with OAR 309-032-0450 Purpose and Statutory Authority
More informationBridget A. Engel, PsyD Licensed Psychologist
Bridget A., PsyD Licensed Psychologist Front Range Psychological Associates, LLC 526 Briggs Street Erie, CO 80516 (303) 828-3080 Drengel@frontrangepsychology.com Education Doctor of Psychology in Clinical
More informationNew Perspective Counseling Services Child/Teen Intake Form
Child/Teen Intake Form Welcome to New Perspective Counseling Services. We look forward to providing you with excellent and efficient counseling services. Please take a few minutes to fill out this form.
More informationDEPARTMENT OF CORRECTIONS PROBATION AND PAROLE DIVISION OPERATIONAL PROCEDURE. Subject: PROGRAM STRUCTURES
DEPARTMENT OF CORRECTIONS PROBATION AND PAROLE DIVISION OPERATIONAL PROCEDURE Procedure No.: PPD 5.1.100 Reference: DOC 5.4.1; 53-1-203, MCA Page 1 of 6 Effective Date: 06/23/15 Revision Dates: Signature
More informationJUVENILE DRUG TREATMENT COURT STANDARDS
JUVENILE DRUG TREATMENT COURT STANDARDS SUPREME COURT OF VIRGINIA Adopted December 15, 2005 (REVISED 10/07) PREFACE * As most juvenile justice practitioners know only too well, the populations and caseloads
More information12 Core Functions. Contact: IBADCC PO Box 1548 Meridian, ID 83680 Ph: 208.468.8802 Fax: 208.466.7693 e-mail: ibadcc@ibadcc.org www.ibadcc.
Contact: IBADCC PO Box 1548 Meridian, ID 83680 Ph: 208.468.8802 Fax: 208.466.7693 e-mail: ibadcc@ibadcc.org www.ibadcc.org Page 1 of 9 Twelve Core Functions The Twelve Core Functions of an alcohol/drug
More informationArizona State Senate Issue Paper September 26, 2007 ARIZONA BEHAVIORAL HEALTH SERVICES INTRODUCTION
Arizona State Senate Issue Paper September 26, 2007 Note to Reader: The Senate Research Staff provides nonpartisan, objective legislative research, policy analysis and related assistance to the members
More informationATTACHMENT D BLENDED CASE MANAGEMENT GUIDELINES
ATTACHMENT D BLENDED CASE MANAGEMENT GUIDELINES These guidelines establish the standards for the provision of mental health Blended Case Management (BCM) under provisions of the approved Medicaid State
More informationProgram Plan for the Delivery of Treatment Services
Standardized Model for Delivery of Substance Use Services Attachment 5: Nebraska Registered Service Provider s Program Plan for the Delivery of Treatment Services Nebraska Registered Service Provider s
More informationPerformance Standards
Performance Standards Outpatient Performance Standards are intended to provide a foundation and serve as a tool to promote continuous quality improvement and progression toward best practice performances,
More informationSubstance Abuse Family Intervention Specialist Services
Substance Abuse Family Intervention Specialist Services Authority KH 225 Exhibit V 1. PURPOSE: Family Intervention Specialists () are intended to reduce the incidence of child abuse and neglect resulting
More informationMental Health Court 101
Mental Health Court 101 2007 Georgia Drug & DUI Court Conference Peachtree City, GA Honorable Kathlene Gosselin, Hall County Superior Court & H.E.L.P. Program Team While the number of patients in psychiatric
More informationINTRODUCTION. QM Program Reporting Structure and Accountability
QUALITY MANAGEMENT PROGRAM INTRODUCTION To assure services are appropriately monitored and continuously improved, ValueOptions has developed and implemented a comprehensive (QMP). The QMP includes strategies
More informationCOMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF CORRECTION 103 DOC 445 SUBSTANCE ABUSE PROGRAMS TABLE OF CONTENTS. 445.01 Definitions...
COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF CORRECTION 103 DOC 445 SUBSTANCE ABUSE PROGRAMS TABLE OF CONTENTS 445.01 Definitions...2 445.02 Overall Principles for Substance Abuse Programs in Correctional
More informationCHAPTER 5. Rules and Regulations for Substance Abuse Standards. Special Populations for Substance Abuse Services
CHAPTER 5 Rules and Regulations for Substance Abuse Standards Special Populations for Substance Abuse Services Section 1. Authority. These rules are promulgated by the Wyoming Department of Health pursuant
More informationJuvenile Delinquency Proceedings and Your Child. A Guide for Parents and Guardians
Juvenile Delinquency Proceedings and Your Child A Guide for Parents and Guardians NOTICE TO READER This brochure provides basic information about family court procedures relating to juvenile delinquency
More informationPROBATION SERVICES WOMAN ABUSE PROTOCOL DEPARTMENT OF JUSTICE AND PUBLIC SAFETY
Community and Correctional Services Policy and Procedures February 2001 Cover PROBATION SERVICES WOMAN ABUSE PROTOCOL DEPARTMENT OF JUSTICE AND PUBLIC SAFETY Reformatted March 31, 2010 February 2001 Table
More information104 CMR: DEPARTMENT OF MENTAL HEALTH 104 CMR 33.00: DESIGNATION AND APPOINTMENT OF QUALIFIED MENTAL HEALTH PROFESSIONALS
104 CMR 33.00: DESIGNATION AND APPOINTMENT OF QUALIFIED MENTAL HEALTH PROFESSIONALS Section 33.01: Legal Authority to Issue 33.02: Authorization to Apply for Hospitalization Pursuant to M.G.L. c. 123,
More informationWe are so happy you booked your first appointment. Enclosed you will find your new client paperwork and some important information about our office.
Welcome to our practice! We are so happy you booked your first appointment. Enclosed you will find your new client paperwork and some important information about our office. You have two main things to
More informationSECTION ONE: OVERVIEW
SECTION ONE: OVERVIEW A. Program Goals And Objectives The Nova Scotia Restorative Justice Program has four goals. The Program aims to: 1. Reduce recidivism 2. Increase victim satisfaction 3. Strengthen
More informationSUPERIOR COURT KENT COUNTY CRIMINAL CASE MANAGEMENT PLAN
SUPERIOR COURT KENT COUNTY CRIMINAL CASE MANAGEMENT PLAN The following Plan is adopted by the Superior Court of the State of Delaware in order to ensure the orderly and prompt disposition of criminal cases
More informationSuperior Court of California County of Los Angeles
ROBERT LEVENTER COURT COMMISSIONER NORTHEAST DISTRICT- PASADENA 300 EAST WALNUT STREET, DEPARTMENT 271 PASADENA, CA 91101 TELEPHONE: (626) 356-5671 RLEVENTE@LASUPERIORCOURT.ORG Superior Court of California
More informationNAVIGATING THE CRISIS SYSTEM. For Individuals Experiencing Homelessness
NAVIGATING THE CRISIS SYSTEM For Individuals Experiencing Homelessness Agenda Introductions National data Description of crisis services and how individuals experiencing homelessness or providers can access
More information