Maintain a Record of the Client's Trauma History

NextGen® Adaptive Content Engine Help Enterprise 8

Record the Client's Legal Issues

Open the BH CA Social History template and expand the Legal panel. Under Status, select No or Yes for the following questions: Does individual served have a legal guardian, representative payee or conservatorship Is there a need for a legal guardian, representative payee, conservatorship or special needs trust - Use the If yes, explain field to enter more details. Select No or Yes for Does the individual have a history of, or current involvement with the legal system. To enter comments about the client's involvement in the legal system, click Comments. Parent topic: Social Hx of a Comprehensive Assessment

NextGen® Adaptive Content Engine Help Enterprise 8

Enter Social Supports

On the Social Supports panel of the BH CA Social History template, enter the client's Friendships/social/pets/peer support relationships. Include data about the client's community involvement, volunteer activities, leisure/recreation, and other interests in the Meaningful activities field. Click the Religion/spirituality field to open a list of religion choices. To document additional information, click Religion/spirituality comments. Enter one or more values to record the client's Race and if necessary, add Race comments. If this information was entered in the NextGen® Enterprise PM application, it populates here. Document the client's involvement in Community supports/self-help groups. Click the Ethnicity field to launch a new widget that enables you to select multiple ethnicities for the patient. If this information was entered in the NextGen® Enterprise PM application, it populates here. Note: You can only choose one of the following ethnicity values for a patient. Additional ethni

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Client's Living Situation

The Living Situation panel on the BH CA Social History template enables you to document specific details about the client's housing situation. Open the BH CA Social History template and expand the Living Situation panel. Record Where is the individual currently living. Note: The picklist for living situation may be edited by the practice. Enter the Residential care/treatment facility details. Indicate if the client is At risk of losing current housing and enter additional Comments. Answer No or Yes to the question: Satisfied with current living situation. Click Add next to the Residence field to enter who is living with the client. To enter additional information related to the living situation, click Comments. Notice the character counter at the bottom of the Comments field. This lets the user know how many of the 500 available characters are left to ensure that all of the information prints on the generated document. These character counters are available on memo fields throughout th

NextGen® Adaptive Content Engine Help Enterprise 8

Enter Education History for an Adult Client

In the Education - Adult panel, under Education History, select No or Yes for Special needs. To document additional information, click the If Yes, comment field. Education-Adult Enter the client's Education, Type of school and highest Grade in school. Record the client's Major and select a Degree obtained from the associated list. To document vocational training, click Vocational training and indicate if the training was Completed. To indicate current enrollment, select If not completed, are you currently enrolled and enter additional details in the field that follows. To enter additional educational information, click the Comments field. Parent topic: Social Hx of a Comprehensive Assessment

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

Add Trauma History on the Brief Assess

The data in this panel copies forward from previous encounters and shares with the same panel on the Comprehensive Assessment, Social History section tab. On the Trauma History panel, if there is no history of trauma, select the check box for None reported to set the options below for the different types of experiences to be unavailable. Select the Yes for each item that is reported by the client. If Other is selected, an explanation or description can be typed into the adjacent field. Enter other pertinent information into the Provide relevant details field. Parent topic: BH - Brief Assessment Template

Maintain a Record of the Client's Trauma History

Recommendations

Record the Client's Legal Issues

Enter Social Supports

Document the Client's Living Situation

Enter Education History for an Adult Client

Maintain Family Data for the Client

Add Trauma History on the Brief Assess

Record the Client's Legal Issues

Enter Social Supports

Document the Client's Living Situation

Enter Education History for an Adult Client

Maintain Family Data for the Client

Add Trauma History on the Brief Assess