Transcript PPT - Merced County

Merced County Mental Health
Alcohol and Drug Services
BEHAVIORAL HEALTH INTEGRATION
PHASE 1
Primary Care
• WE HAVE STAFF CO-LOCATED ON SITE AT
THE PRIMARY CARE FACILITY TO WORK
WITH PHYSICIANS, NURSES AND THEIR
PATIENTS
• STARTING WITH 2 FOUR HOUR DAYS PER
WEEK
• HAVE DONE PRESENTATIONS TO
PHYSICIANS ABOUT THE SCREENING TOOL
Behavioral Health Screening Form
DEPARTMENT OF MENTAL HEALTH
Alcohol and Drug Services
Manuel J. Jimenez, Jr., MA, MFT
Director of Mental Health
P.O. Box 2087 Merced, CA 95344
This form will allow us to gather additional information to better meet your overall health care needs.
Your doctor will review it with you during your appointment.
Patient Name: ________________________________________
Male
Female
Age: _____________
Example X
1. Over the past two weeks, how often have you had trouble falling
asleep, staying asleep or sleeping too much?
2. Over the past two weeks, how often have you felt little interest or
pleasure in doing things?
3. Over the past two weeks, how often have you felt down,
depressed or hopeless?
4. Over the past two weeks, how often have you felt anxious,
worried or on edge?
5. Over the past month, how often have you been bothered by
disturbing memories, thoughts or images of a stressful experience
in the past?
6. Over the past month, how often have you been bothered by
feeling very upset when something reminded you of a stressful
experience of the past?
7. Over the past month, how often were you more angry than you
wanted?
8. Over the past month, how often were you in pain?
Date: _________________
Phone Number:__________________
Never
Sometimes
9. Over the past year, have you ever used drugs or medications other
than those required for medical reasons?
10. Over the past year, have you had four or more drinks on any
occasion?
11. Over the past year, were you ever able to stop using drugs or
alcohol when you wanted to?
12. Over the past year, have you felt frightened by what your partner
says or does?
13. Over the past year, have you been hit, slapped, kicked, or
otherwise physically hurt by someone?
14. Over the past three months, how many times have you gone to the hospital emergency
room to care for yourself?
15. Over the past three months, how many nights have you spent in the hospital?
A lot *
Always *
Total:__________
Total:__________
16. Over the past the past three months, how many times have you not been unable to perform
your normal activities because of illness, pain, or nerves?
For Official Use Only: PCP Initial: _______________
Comments:
Date: _____________________
Total:__________
____ BH Referral ____ Referral Declined ____ Not Needed
Behavioral Health Screening Form-Spanish
DEPARTMENT OF MENTAL HEALTH
Alcohol and Drug Services
Manuel J. Jimenez, Jr., MA, MFT
Director of Mental Health
P.O. Box 2087 Merced, CA 95344
This form will allow us to gather additional information to better meet your overall health care needs.
Your doctor will review it with you during your appointment.
Nombre: _______________________________________
H
M
Edad: _____________
Ejemplo X
Nunca
Fecha: _________________
Telefono:_______________
Algunas
Muchas Siempre
veces
veces
1. Durante las ultimas dos semanas, que tan frecuente ha tenido
problemas para conciliar el sueno, despertar a menudo por las
noches, o de dormir mucho?
2. Durante las ultimas dos semanas, que tan frecuente ha sentido
menos interes o placer en hacer cosas?
3. Durante las ultimas dos semanas, que tan frecuente se ha sentido
triste, deprimido/a, o sin esperanza?
4. Durante las ultimas dos semanas, que tan frecuente se ha sentido
ansioso/a, preocupado/a, o muy tenso/a?
5. Durante el ultimo mes, que tan frecuente se ha sentido molesto/a
por recuerdos perturbadores o por pensamientos o imagenes de
una experiencia estresante del pasado?
6. Durante el ultimo mes, que tan frecuente se ha sentido molesto/a
o muy enojado/a cuando algo le recuerda una experiencia
impactante del pasado?
7. Durante el ultimo mes, que tan frecuente se ha sentido muy
molesto/a o enojado/a mas de lo que hubiera querido?
8. Durante el ultimo mes, que tan frecuente ha tenido dolor?
9. Durante el ultimo ano, ha usado drogas o medicamentos mas que
los requeridos por razones medicas?
10. Durante el ultimo ano, ha bebido cuatro o mas tragos en cualquier
ocasion?
11. Durante el ultimo ano, le ha sido posible detenerse/parar de usar
drogas o alcohol cuando usted ha querido?
12. Durante el ultimo ano, se ha sentido temeroso/a por lo que su
pareja le dice o hace?
13. Durante el ultimo ano, ha sido golpeado/a, cacheteado/a,
pateado/a, o de cualquier manera lastimado/a fisicamente por
alguien?
14. Durante los ultimos tres meses, cuantas veces ha tenido que ir a un hospital de emergencia
para ser atendido/a?
15. Durante los ultimos tres meses, cuantas noches ha pasado en el hospital para su atencion?
Total:__________
Total:__________
16. Durante los ultimos tres meses, cuantas veces no le ha sido posible realizar sus actividades
normalmente por causa de enfermedad, dolor, o nervios?
For Official Use Only: PCP Initial: _______________
Comments:
Date: _____________________
Total:__________
____ BH Referral ____ Referral Declined ____ Not Needed
Behavioral Health Screening
Form Cont.
•T H E F O R M W I L L B E G I V E N A T T H E F R O N T
DESK AT PRIMARY CARE
•P A T I E N T S W I L L F I L L O U T T H E F O R M W H I L E
THEY ARE WAITING FOR THEIR
APPOINTMENT
• FRONT DESK STAFF WILL GIVE IT TO THE
TREATING PHYSICIAN, WHO WILL REVIEW
WITH THE PATIENT
Behavioral Health Screening
Form Cont.
•I F T H E P H Y S I C I A N F E E L S T H A T T H E R E I S
ANY ONE AREA THAT IS NEEDED FOR
FURTHER FOLLOW UP AND THE PATIENT IS
AGREEABLE TO MEET WITH AN AOD
COUNSELOR, THEN THE AOD COUNSELOR
WILL BE CALLED IN TO HAVE THE WARM
HAND OFF FROM THE PHYSICIAN
•A O D C O U N S E L O R W I L L T H E N O B T A I N A
RELEASE OF INFORMATION AND CONTINUE
WITH FURTHER SCREENING UTILIZING THE
SIMPLE SCREENING AND/OR THE ASAM
Merced County Mental Health
Alcohol and Drug Services
•S C R E E N I N G F O R M S W I L L N O T B E A P A R T O F
THE PATIENTS MEDICAL RECORD, AT THIS
TIME
•A L L A O D A S S E S S M E N T S A N D P A P E R W O R K
WILL BE KEPT IN SEPARATE CHARTS
Integration of Mental Health
Clinicians at AOD sites
•M E N T A L H E A L T H C L I N I C I A N W I L L B E O N S I T E 2 0
HOURS PER WEEK TO SERVE AOD CLIENTS THAT DO
NOT MEET MEDICAL NECESSITY
•W I L L C O N D U C T A S S E S S M E N T S F O R C O - O C C U R I N G
DISORDERS
•P R O V I D E G R O U P T H E R A P Y A N D P S Y C H - E D U C A T I O N
GROUPS
Integration of Probation,
Mental Health and AOD sites
•W E C U R R E N T L Y H A V E P R O B A T I O N C O - L O C A T E D W I T H O U R
CHILDREN'S TEAM AS WELL AS OUR ADULT AOD JUDICIAL TEAM
•T H I S P R O V I D E S A O N E S T O P F O R C L I E N T S T O S E E T H E I R
PROBATION OFFICERS BEFORE OR AFTER THEIR TREATMENT
APPOINTMENTS
•I T I S A N O N - A D V E R S A R I A L A P P R O A C H ( D R U G C O U R T M O D E L )
IN HANDLING THE CLIENTS CASES AND TREATMENT PROGRESS
• MENTAL HEALTH AND AOD STAFF ARE CO-LOCATED AT
JUVENILE HALL TO PROVIDE AOD AND MH SERVICES AND
FACILITATE A WARM HAND OFF WHEN CLIENTS ARE RELEASED
TO COMMUNITY