Mental Health Process
Incoming referrals: Referrals will be accepted
by phone, letter or mail, an attempt will be made to contact the individual
within 3-5 days from receiving the referral. If there is availability the client
will be provided with an admission date as soon as possible. Otherwise, the
individual will be placed on a waiting list and/or will be referred to other
agencies. Individuals will be prioritized according to the highest level of
During the intake process the therapist will
evaluate the client for appropriateness of level of care required to meet the
individuals needs on an out patient basis. This process shall be based on the
- An intake will be completed prior to the
development of the Comprehensive Plan which shall include the following:
- The client psychosocial history consisting of:
- Medical history which includes the client's personal
medical history, the client's current symptoms and prior illnesses, family
medical history, and tuberculosis screening by the Department of Health
will be offered.
- Drug and alcohol history, which includes the substances
and quantities used, the pattern, length and progression of use, prior
drug and alcohol treatment, the client's perception of the impact of use,
and family drug and alcohol history.
- Personal history, which includes the family of origin
and current relationships with family members and significant others,
abuse, legal, employment, education, military, sexual and recreation
- Mental health history, which includes a current and
past assessment of suicidal and homicidal risk, a mental status
assessment, and prior mental health treatment history.
- A client psychosocial evaluation shall be
completed at or before the conclusion of the intake process and shall include
- An evaluation of how the client's psychosocial history,
beliefs, and behaviors have contributed to the client's current problems.
- The client's attitudes, motivation, denial systems,
beliefs and coping mechanisms and how they may impact treatment.
- Positive and negative factors identified through the
psychosocial history that will effect treatment.
- Client strengths and weaknesses as identified by the
counselor and the client.
- Counselor's impressions including a description of the
client's appearance, behavior, and mental state during the intake process
and the implication for treatment.
- Client needs and behaviors that are to be addressed in
treatment and the recommended strategies to deal with these issues.
of the Treatment Plan.
- A Treatment plan shall be developed for each client
receiving Mental Health outpatient treatment within four attendance days of
the client's admission. The Treatment Plan shall be based on issues identified
in the psychosocial evaluation and the client's treatment needs.
- The Treatment shall be developed by the counselor with
input from the client.
- The counselor and client shall sign and date the Treatment.
A Treatment Plan shall
- Individualized treatment goals and measurable
- Services that meet the client's needs.
- Type and frequency of services.
- Referrals for outside services and the frequency of
A review of the
Comprehensive Plan update is available to the client upon request.
- The center shall notify the client, in writing, of a
decision to involuntarily terminate the client's treatment. The notice shall
include the specific reason(s) for the termination.
- The center may immediately discharge a client who poses a
threat to others and when the client's needs can no longer be safely met by
the services provided by the center.
- If client no-shows three times or a combination of 5
no-shows and cancellations.
- The client shall have an opportunity to request
reconsideration of any decision to involuntarily terminate treatment.
Spaw Counseling Services will conduct
follow-up services on the following intervals of 3, 6, and 12 months. Follow-up
documentation will be completed on the continuing care follow-up form.