Enter Family Information

NextGen® Adaptive Content Engine Help Enterprise 8

Enter Assessment and Diagnosis Details

Expand the Assessment/Diagnosis panel. If enabled, click the DSM IV link in the upper, right corner to launch the BH – DSM IV template. Note: The display of the link is set up on the Behavioral Health section of the Practice Configuration system template. In the Behavioral Health Diagnoses section, select any of the available links. In the Diagnostic description required field, click to launch the diagnosis search window. Selecting a description value automatically populates the ICD Code field or vice versa. Add Status, Severity, Differential DX, and Impression. The out-of-the-box Severity picklist does not include Extreme or Persistent. These values can be added to the list in File Maintenance. Enter any required Specifiers by doing one of the following actions: Click the field to type a value. Click the My Phrases link to create a new sentence or part of a sentence. For more information about My Phrases, go to NextGen Healthcare Success Community and download the latest Getting Start

NextGen® Adaptive Content Engine Help Enterprise 8

Document Individuals Present

In the Individuals Present panel, select from one of the Contact type values. In the Individuals Present section, do on of the following: Select Individual not present and a Reason. Select Individual present. Select Others present and document their names. Enter the client's closest friends and relatives in the Support Resources section and click Add. Note: The First name and the Effective date are required To set the filter, click Active to view just the current resources or click All to see every resource ever associated with this client. Parent topic: BH - Psychiatric Evaluation

NextGen Behavioral Health Suite Help 5.5

Enter Family Information

On the Family Information panel, select No or Yes for Does the patient have children? If Yes, enter demographic information about the client’s children: First and Last name - required fields Relationship - to the client; required field Date of birth Age - automatically displays when the Date of birth is entered; this value updates based on the birth and encounter dates Living with Identify custody issues To remove the information entered in the fields before it has been saved in the grid, select Clear. Select Add. The information displays in the grid. To modify any information in the grid, do one of the following: To modify an entry, select a row, make the changes, and select Update. To remove an entry from today's encounter record, select a row in the grid and select Remove. In the Family history of mental illness and/or substance abuse (who and what relationship to client) section, select Add to access the Family Health History template. For information on the Family Health History t

NextGen® Adaptive Content Engine Help Enterprise 8

Maintain Family Data for the Client

On the Family Information panel of the BH CA Social History template, select No or Yes for Does the patient have children. If Yes, enter demographic information about the client’s children. To delete data from the related fields before it is saved to the grid, click Clear. Click Add to enter the information into the grid. Document Family history and relationships. The Family health history section is available for medical history documentation. Click Add to enter new data on the Family Health History template. Click the History Review link to launch the template on which you can determine what prints in the generated documentation: Record the Pertinent family medical, mental health and substance use history including Adult Child of Alcoholic (ACOA)/Child of Substance Abuser (COSA) status. To enter additional information, click the Comments field. Parent topic: Social Hx of a Comprehensive Assessment

NextGen® Adaptive Content Engine Help Enterprise 8

BH - Psychiatric Evaluation

The Psychiatry Eval tab is designed to be a stand-alone template for a psychiatrist, nurse practitioner (NPP), or other Behavioral Health professional who is qualified to conduct and document an initial psychiatric assessment of the client. The information on the Psychiatry Eval tab overlaps with the data recorded on the Comp Assess tab. Of the 17 panels on the tab, only two (Physical Health History and Issues for Children/Adolescents) are not identical to the corresponding panels on the Comprehensive Assessment. If a Comprehensive Assessment was completed for this client prior to the Psychiatric Evaluation, much of the information is filled. It is important to note that medications can be prescribed during the psychiatric evaluation. The Behavioral health billing section is available at the bottom of the Psychiatry Eval and Progress Note tabs to submit billing codes. Some providers may want to use the SOAP tab to document additional elements of the physical exam. For more information

NextGen® Adaptive Content Engine Help Enterprise 8

Document Alcohol or Drug Use History

On the Confidential - Alcohol/Drug template, go to the Alcohol Use section. Enter the age on the Age Alcohol Use Began numeric keypad in the Age Started field. Select the No or Yes option for the following queries: Sought treatment for alcohol abuse Involved in a 12-step program Have you had withdrawal problems, seizures or blackouts from alcohol or drugs Emergency medical attention required due to intoxication Family Hx of alcoholism To document treatment, enter the date of the last drug treatment, and the number of times the patient received drug treatment. Under Drug Use/Abuse, select an option to indicate if the patient uses drugs. If the selected option is No, no other documentation is required in this section. If the selected option is Yes or Formerly, document the age at which patient started using drugs, drug type, frequency of drug use and route. Select the Quit check box to indicate that the patient used the associated drug formerly and has quit. Select either Yes or No for t

Enter Family Information

Recommendations

Enter Assessment and Diagnosis Details

Document Individuals Present

Enter Family Information

Maintain Family Data for the Client

BH - Psychiatric Evaluation

Document Alcohol or Drug Use History

Enter Assessment and Diagnosis Details

Document Individuals Present

Enter Family Information

Maintain Family Data for the Client

BH - Psychiatric Evaluation

Document Alcohol or Drug Use History