BH - Individualized Action Plan (IAP) Template

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BH - Brief Assessment Template

The BH- Brief Assessment template enables providers, case workers and social workers, to document on an abridged version of the Comprehensive Assessment template set. Because a comprehensive exam takes a significant amount of time (more than a single client visit), the BH - Brief Assessment template can be used to complete the evaluation during one encounter. Start a New Intake for a Brief Assessment Record the Client's Presenting Concerns Brief Assess Histories Panel Record Substance Use and Addictive Behavior Histories Enter Tobacco Usage Add Trauma History on the Brief Assess Record Mental Status Exam Information Record a Risk Assessment Enter Assessment and Diagnosis Details Enter Treatment Plan Information Enter Document Signatures Finalize Behavioral Health Billing Parent topic: Intake Visits for Behavioral Health

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The BH - IAP Review/Revision Template

The BH - IAP Revision/Review template is used to document progress or lack thereof and demonstrates evidence and/or rationale for the amendment of treatment goals and objectives in the Individual Action Plan (IAP). The system automatically pulls forward data from the last IAP or IAP review to the current encounter. Use this template to update or modify the IAP in any of the following ways: Revisions – work with the client to add a new goal; change goals, objectives, or interventions; or to change the frequency or duration of services Reviews – record the progress of the client, therefore facilitating the identification and tracking of treatment goals and objectives Visit Types for the BH - IAP Review/Revision Template Start an IAP Revision/Review Document Assessed Needs, Goals, Objectives and Interventions Add a New Goal for IAP Reviews Document Interventions for IAP Reviews Enter Methadone & Assertive Community Treatment Program Information Record Transition/Discharge Criteria Enter D

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Document Interventions, Methods, and Actions

Expand the Intervention(s)/Method(s)/Action(s) panel. In the Linked to goal field, click to select from the list of previously entered goals. Note: Linked to goal, Linked to Objective, and Intervention are required fields in this panel. In the Linked to objective field, select a previously selected objective. Enter the Intervention. In the Service description/modality field, select a type of therapy/group from the list or click on the top, blank line to type a value in the field. Set the Frequency of how often therapy and/or group sessions take place. In the Responsible field, select a type of provider from the Intervention Staff list or choose the top, blank line to free text a value. Select Active or Inactive. Click Add. Once the information has been added to the grid, additional interventions may be recorded as needed. When the IAP or BH Master document is generated, the intervention, method and/or action information appears under the status selections made on the BH - Individualize

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Intake Visits for Behavioral Health

Intake visits are where the Comprehensive Assessment exam, including a substance use assessment and mental status exam are documented. Users can also choose to document an Individualized Action Plan (IAP), screening or admission note, or a psychiatric evaluation from an intake-based encounter. There are two types of Intake visits: with or without medical services. Intake No Medical Services can be used by anyone at the practice. Intake with Medical Services is designed to be used by providers who may be performing a physical exam and/or prescribing pharmaceuticals. Home Page - Behavioral Health Template Document a Generalized Anxiety Disorder - 7 Screening Comprehensive Assessment Template Set BH - Brief Assessment Template BH - Individualized Action Plan (IAP) Template BH - Psychiatric Evaluation Parent topic: Behavioral Health

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Individual Visit Workflows for Behavioral Health

Individual visit workflows for Behavioral Health enable the documentation of assessment and treatment plans for the individual client and are associated with the following Visit Types: Home Visit Psychiatric Diagnostic Evaluation Psychiatric Diagnostic Evaluation with Medical Services Psychotherapy - Individual Psychotherapy - Individual with E&M Virtual Visit Telephone Virtual Visit Video You can record new issues for the client on the Individualized Action Plan (IAP) template. The Comp Assess tab can be used to access the Treatment Recommendations/Assessed Needs panel. The IAP tab is used for the initial documentation of the client's goals, objectives and interventions for the assessed needs. The BH - IAP Review/Revision template is for updating any previously entered action plan elements. The BH - Relapse Prevention Plan template (Relapse Prev tab) is available from all of the individual psychotherapy visits. BH - Contact Note Template The BH - IAP Review/Revision Template BH - Indi

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Visit Types for Individualized Action Plan

The IAP tab is available from the following Visit Types: Case Consultation Chart Abstraction Chart Update Family Consultation Group Home Visit Home Visit Hospital Consult Intake no Medical Services Intake with Medical Services Psychotherapy - Family without client Psychotherapy - Family & Client Psychotherapy - Family Group Psychotherapy - Group Psychotherapy - Individual Psychotherapy - Individual with E&M Virtual Visit Telephone Virtual Visit Video Parent topic: BH - Individualized Action Plan (IAP) Template