Policy: 16-12 Psychiatric Medication Consent for Voluntary Adults and Youth
Attachment A: Consent to Take Medication Chinese I Spanish I Tagalog
Policy: 92-14 Tuberculin Skin Test (TST) and
Referrals
Attachments:
Attachment A: Diagnosis of Latent TB Infection (LTBI)
Attachment: B: Confidential Morbidity Report – State of
California CDPH 110b
Policy: 90-07 Abnormal Involuntary Movement
Screening
Attachment A: Abnormal Involuntary Movement Scale (AIMS)
Policy: 97-01 Mental Health Nurse Practitioner Protocols
Attachments A : Mental Health Nurse Practitioner Procedure
Attachment B : Mental Health Nurse Practitioner Drug Procedure
Policy: 99-03 Medication Room Management
Attachment A : Controlled Substance/Emergency Supply
Record
Attachment B: Record of Medication for Storage and
Removal
Attachment C: Report of Quarterly Medication Room
Inspection
Attachment D: Medical Waste Registration Application
Attachment E: Medical Waste Management Plan
Attachment F: Stock Medication Order Form
Attachment G : Long-Acting Injectable Medication
Administration
Policy: 04-08 Medication Monitoring
Attachment A: Medication Monitoring Checklist
Medication Authorization for Dependent Children: 99-02
Attachments: A. JV 220 | B. JV-220-A | C. JV-220-B | D. JV-221 | E. JV-222 | F. JV 223
Original policy date: 1/12/99
Last review: 1/27/20107
Education Leave/Training Guidelines: 96-06
Attachments:
Attachment: A. Request for Educational Leave with Pay
Attachment: B&C. Request for Tuition Reimbursement (County form & Guidelines)
Attachment: D. Request for Reimbursement for Professional Dues, Fees, CME or CEU Courses, or Clinical Training Materials
Attachment: E. Educational Leave/Training Guidelines
Policy: 13-01 Neurosurgery for Psychiatric Disorders
Policy: 96-13 Court Testimony by Psychiatrists
Attachment A: Psychiatrists Assigned to Testify in Court in the Absence of a Primary Psychiatrist
Policy: 95-07 Charting and Medication Guideline
Attachment A: Medication Monitoring Checklist
Policy: 95-06 Blood Withdrawal by Community Mental
Health Nurses
Attachment A: Documentation of Competency to Withdraw Blood
Policy: 93-10 Practice Standards (Scope of Practice)
Attachment A: Scope of Practice Matrix
Policy: 08-03 Practice Guidelines
Attachment A: BHRS Practice Guidelines Manual for SMHS and
DMC-ODS
Policy: 89 Reise Case – Patient Right to Refuse Medication
Policy: 04-07 Advance Health Care Directives
Attachment A: AHCD Acknowledgement Form & Fact
Sheet
Chinese | Russian I Tagalog I
Tongan
Attachment B: AHCD Acknowledgement Form & Fact
Sheet (Spanish)
Superseded by UTILIZATION MANAGEMENT OF INPATIENT PSYCHIATRIC SERVICES: 20-06
Superseded by UTILIZATION MANAGEMENT OF INPATIENT PSYCHIATRIC SERVICES: 20-06
Policy: 92-01 Discharge Procedures from Acute Inpatient Providers to Community Providers
Policy: 94-06 Determining Responsibility for Involuntary Treatment and Out-of-County Services
Attachment A: The Greater Bay Area Mental Health Directors’ Policy for Determining Responsibility for the Provision of Involuntary Treatment of Out-of- County Services
Policy: 02-01 Linkages between Outpatient Clinics and Psychiatric Emergency Services (PES) about Adult MH Clients Open to Region
Attachment A: Adult Regional Clinic/Specialty Team Unit Chief’s
Phone and Fax Numbers
Attachment B: Adult Regional Clinic/Specialty Team After Hours
Phone Numbers
Attachment C: Adult Outpatient Clinic/Specialty Team FAX of
Client Information
Policy: 93-08 Duty to Protect and Duty to Warn Potential Victims (Tarasoff vs. Regents of the University of California)
Policy: 05-08 Adverse Event Reporting
Attachment A: SMC Ordinance 04272
Policy: 00-05 Electroconvulsive Therapy (ECT) Consent
Policy: 97-05 72-Hour Holds – Authorization to Write
Policy: 93-07 BHRS Lanterman-Petris-Short (LPS) 72 Hour Hold/5150 Policy and Procedures
Attachment A: Application for 72 Hour Assessment, Evaluation, and Crisis Intervention or Placement for Evaluation and Treatment (DHCS 1801 last revised 6/2024) Spanish