Behavioral Health Staff: Forms & Policies

Overview June 6, 2016

Forms & Policies

BHRS Policies June 23, 2016 BHRS Doc Owner: Medical Director

Services to 180-Day Post-Certification Clients: 90-01
Admission Referral

Services to 180-Day Post-Certification Clients: 90-01

BHRS Policies June 24, 2016 BHRS Doc Owner: ODE

Services to Clients in Primary or Preferred Languages: 99-01
Clinical

99-01 Services to Clients in Primary or Preferred Languages: Policy

Attachments:
Attachment A: Health System Policy A-25, Client’s Right to Language Services Notification Policy
Attachment B: Health System Policy A-26, No Use of Minors & Careful Use of Family for Interpretation Policy
Attachment C: Language Access Services Instructions
Attachment D: BHRS Progress Note

BHRS Policies June 26, 2016 BHRS Doc Owner: Quality Management

Shredding of Client Material–Confidentiality: 01-09
HIPAA

Shredding of Client Material--Confidentiality: 01-09

BHRS Policies June 21, 2016 BHRS Doc Owner: Assistant Director

Social Media Policy: 12-01
Administration

Social Media Policy: 12-01

BHRS Policies June 23, 2016 BHRS Doc Owner: Deputy Director Adult BHRS Doc Owner: Deputy Director Youth

Standards of Care in an Integrated Behavioral Health System: 11-01
Clinical

Standards of Care in an Integrated Behavioral Health System: 11-01
Attachments:
Standards of Care in an Integrated Behavioral Health System: 11-01, Attachment B: Assessment and Integration of Spiritual Intere
Standards of Care in an Integrated Behavioral Health System: 11-01, Attachment A: Standards of Care for AOD Providers

BHRS Policies June 26, 2016 BHRS Doc Owner: Quality Management

Subpoenas to Release Records: 96-14
HIPAA

Policy: 96-14 Subpoenas to Release Records

Attachments:
Attachment A: Subpoena Review Checklist
Attachment B : Sample Cover Letter for Forwarding Records per Appropriate Subpoena and Release
Attachment C : Sample Letter When No Release Accompanies Subpoena and All Documents Are Being Returned
Attachment D: Sample Letter for Returning Subpoena Previously Responded To

Additional Reference Materials
How to print an Avatar Chart for records release

BHRS Policies June 27, 2016 BHRS Doc Owner: Medical Director

Abnormal Involuntary Movement Screening: 90-07
Medical Psychiatric

Policy: 90-07 Abnormal Involuntary Movement Screening
Attachment A: Abnormal Involuntary Movement Scale (AIMS)

BHRS Policies June 21, 2016 BHRS Doc Owner: Assistant Director

Telecommuting: 96-07
Administration

Retired 10.12.21

BHRS Policies June 24, 2016 BHRS Doc Owner: Medical Director

Trainee/Intern/Resident Case Assignments and Service Agreements: 01-04
Clinical

Trainee/Intern/Resident Case Assignments and Service Agreements: 01-04
Attachments:
Attachment A. Client Service Agreement for Trainees, Interns and Residents
Attachment B. Client Service Agreement for Trainees, Interns and Residents, Spanish

BHRS Policies June 22, 2016 BHRS Doc Owner: Deputy Director Adult

Transfer of Minor Patients to Adult Psychiatric Units: 91-17
Admission Referral

Referral Standards – County or County Contract 24-Hour Treatment Facilities: 91-17

BHRS Policies June 21, 2016 BHRS Doc Owner: ODE

Translation of Written Materials: 05-01
Administration

Translation of Written Materials: 05-01
Attachments: Translation of Written Materials: 05-01: Attachment A

BHRS Policies June 21, 2016 BHRS Doc Owner: Deputy Director Adult BHRS Doc Owner: Deputy Director Youth

Transportation of Clients: 05-04
5150/Safety/Risk Policies

Transportation of Clients: 05-04

BHRS Policies June 27, 2016 BHRS Doc Owner: Medical Director

Tuberculin Skin Test (TST) and Referrals: 92-14
Medical Psychiatric

Tuberculin Skin Test (TST) and Referrals: 92-14
Attachments:
Attachment: B. Diagnosis of Latent TB Infection (LTBI)
Attachment A. TB Test Record

BHRS Policies June 21, 2016 BHRS Doc Owner: Deputy Director Adult BHRS Doc Owner: Deputy Director Youth

Urgent Care Messages: 97-09
5150/Safety/Risk Policies

Urgent Care Messages: 97-09

BHRS Policies June 27, 2016 BHRS Doc Owner: Medical Director

Urine Toxicology Screening: 95-08
Medical Psychiatric

Urine Toxicology Screening: 95-08
Attachments: Attachment: Urine Toxicology Screening Agreement

BHRS Policies June 21, 2016 BHRS Doc Owner: Assistant Director

Use of Letterhead: 96-04
Administration

Use of Letterhead: 96-04

BHRS Policies June 21, 2016 BHRS Doc Owner: Assistant Director

Voluntary Time Off (VTO): 98-02
Administration

Voluntary Time Off (VTO): 98-02

BHRS Policies June 21, 2016 BHRS Doc Owner: Assistant Director

Volunteers, Students and Trainees: 96-01
Administration

Volunteers, Students and Trainees: 96-01

BHRS Policies June 21, 2016 BHRS Doc Owner: Quality Management

Waiver/Registration in Lieu of License: 99-04
Administration

Policy 99-04 Waiver/Registration in Lieu of License: Policy

Attachments
Attachment A: Request for Waiver of Licensure
Attachment B: Notice of Professional Responsibility to Maintain Current Clinical License
Attachment C: Procedures for Verification of Licensing and Registrations
Attachment D: CA HHSA DHCS Mental Health Professional Licensing Waiver Request

BHRS Policies June 21, 2016 BHRS Doc Owner: Deputy Director Adult BHRS Doc Owner: Deputy Director Youth

Weapons Management: 95-05
5150/Safety/Risk Policies

Weapons Management: 95-05
Attachments: Attachment, Voluntary Relinquishment of Firearm or Other Deadly Weapon

BHRS Policies June 23, 2016 BHRS Doc Owner: Assistant Director

Welcoming Framework: 25-05
Clinical

Policy: 25-05 Welcoming Framework

Attachments:
Attachment A: Companion Guide To Implementation of a Welcoming Environment

Behavioral Health Staff: Forms & Policies

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