VIEWS: 8 PAGES: 4 POSTED ON: 8/31/2012
MENTAL HEALTH SERVICES (Professional Mental Health Counseling) DEFINITION: Mental health services are psychological and psychiatric treatment and counseling services offered to individuals with a diagnosed mental illness, conducted in a group or individual setting, and provided by a mental health professional licensed or authorized within the State to render such services. This typically includes psychiatrists, psychologists, and licensed clinical social workers. This includes individual or group counseling services provided by a mental health professional, licensed by and practicing under the guidelines and standards established by the Ohio Counselor and Social Work Board and/or the Ohio Department of Mental Health at an agency certified by the Ohio Department of Mental Health or Medicaid. SERVICES: Services funded under this category require a mental health diagnosis. Group Counseling Services may be offered if the persons in the group meet the Ryan White eligibility criteria and participation in such a group meets the therapy protocols for the individual clients’ diagnosis. Provider agencies may only bill for services for which there is no other third party reimbursement in whole or in part. PERSONNEL: Staff Qualification Expected Practice All staff providing direct mental health services to clients must be licensed and Current License/Certification will be maintained on file. qualified within the laws of the State of Ohio to provide mental health services in one of the following professions: Personnel records/resumes/applications for employment reflect requisite a. Licensed Clinical Social Worker/Licensed Independent Social Worker experience/education. b. Licensed Master Social Worker (LMSW) who is employed by or volunteer for an agency not owned in total or part by the LMSW and Documentation of supervision during client interaction with Counselors In who is under a clinical supervision plan. Training (CIT) or Interns as required by the Ohio Department of Health (ODH) c. Cross reference eligible providers ODMH OAC 5122-29-30 to conduct Assessments and treatment d. Marriage and family therapist e. Licensed professional counselor f. Psychologist g. Psychiatrist h. Psychiatric nurse i. Psychotherapist j. Counselor in Training (CIT) supervised by an appropriate licensed/certified professional A mental health supervisor must be a licensed clinical mental health Current License/Certification will be maintained on file. practitioner. Staff participating in the direct provision of services to patients must Documentation on file. satisfactorily complete all appropriate CEUs based on individual licensure requirements at a minimum, as per the license requirement for each licensed mental health practitioner. Each mental health service provider must have and implement a written plan for Agency has written plan of supervision. regular supervision of all licensed staff. Supervisors’ files reflect notes of weekly supervisory conferences. Notes of supervisory conferences shall be maintained for such staff. Personnel files contain annual performance evaluations. Their supervisor according to must evaluate staff subject to formal supervision at least annually written provider policy on performance appraisals. QUALITY MANAGEMENT: Program outcome: 75% of clients with mental health concerns will show ongoing progress towards in mental health treatment plan goals. Functioning from baseline assessment at care entry. Indicators: Number of clients attending Mental Health Services who are engaged in treatment.* Number of clients who have addressed at least 2 treatment goals. *Engaged =individual invested in treatment and attends a minimum of 50% of mental health appointments. Service Unit(s): Face to face individual level Mental Health visit and/or face-to-face group level Mental Health visit in client charts and CareWare Standard of Care Outcome Measure Numerator Denominator Data Source Goal/Benchmark I. Process An appointment will be scheduled Documentation in patient’s file. Number of days Number of Client Files 75% of clients will have an appointment by a provider within two (2) documented between clients scheduled within two weeks of request weeks of a client’s request for client request and appt. CareWare for mental health services. mental health services. In emergency circumstances, an appointment will be scheduled within twenty-four (24) hours. If service cannot be provided within these time frames, the Agency will offer to refer the client to another organization that can provide the requested services in a timelier manner. A comprehensive assessment Documentation in client record, Number of new client Number of new Client Files 75% of new client charts have including the following will be which must include DSM-IV charts with assessment clients documented comprehensive assessments completed within 10 days of intake diagnosis or diagnoses, utilizing completed within 10 CareWare completed within 10 days of intake. or no later or by the third at least Axis I. days of intake counseling session. Minimum standards from ODMC must be adhered. The assessment must include the following: Presenting Problem Developmental/Social history Social support and family relationships Medical history Substance abuse history Psychiatric history Complete mental status evaluation (including appearance and behavior, talk, mood, self attitude, suicidal tendencies, perceptual disturbances, obsessions/compulsions, phobias, panic attacks) Cognitive assessment (level of consciousness, orientation, memory and language) Psychosocial history (Education and training, employment, Military service, Legal history, Family history and constellation, Physical, emotional and/or sexual abuse history, Sexual and relationship history and status, Leisure and recreational activities, General psychological functioning). A treatment plan shall be Documentation in client’s file. Number of client charts Number of Client Files 75% of client charts will have completed within 30 days that is Client signed the treatment or with treatment plans clients documentation of a treatment plan within specific to individual client needs. there is a corresponding case within 30 days of first CareWare 30 days of first visit. The treatment plan shall be note for the date the treatment visit prepared and documented for each plan was completed. client. Progress notes are completed for Legible, signed and dated Number of client charts Number of Client Files 75% of client charts will have every professional counseling documentation in client record. with progress notes clients documented legible, signed and dated session and must include: CareWare progress notes. Outcome/progress towards goals Psychiatric treatment plans. Discharge planning is done with Documentation in client’s Number of discharged Number of Client Files 75% of client charts have documentation each client after 90 days without record. clients clients of discharge planning within 90 days of client contact or when treatment CareWare treatment goals being met or no client goals are met: contact. Circumstances of discharge Summary of needs at admission Summary of services provided Goals completed during counseling Discharge plan Counselor authentication, in accordance with current JCAHO standards Clients accessing Psychiatric care Clients are assessed for Number of psychiatric Number of Client Files 75% of clients accessing psychiatric care are engaged in their psychiatric psychiatric care and when clients clients are medically adherent and are engaged treatment plans. engaged in psychiatric care., CareWare in their psychiatric treatment plans. Agency Policy and Procedure Manual II. Outcomes Access to and maintenance in Each client is assessed and Number of clients Number of Client Files 75% of clients are assessed and verified Medical Care: RW clients’ verified for engagement in HIV assessed/verified for clients for engagement in medical care. This is ongoing participation in primary medical care and assisted with medical care initially CareWare assessed initially, then re-assessed and HIV medical care establishing linkages to care if and every 3 months documented every 3 months. not currently receiving care. Assessed initially, then re- assessed and documented every 3 months.
Pages to are hidden for
"MENTAL HEALTH SERVICES"Please download to view full document