Get Cspi Summary Form

Filling out the Cspi Summary Form online is an important step in documenting specific client cases effectively. This guide is designed to help users complete the form accurately and efficiently, ensuring all necessary information is included while navigating the digital environment smoothly.

Follow the steps to fill out the Cspi Summary Form online.

1. Press the ‘Get Form’ button to obtain the Cspi Summary Form and open it in your preferred online document editor.
2. Begin by filling in the 'SASS Agency' and the 'Date of CSPI' at the top of the form. Be sure to use the correct format for the date.
3. Identify the relevant circumstance by checking the appropriate box for 'Screening,' 'Hospitalization,' 'Hospital to hospital transfer,' 'Discharge from hospitalization,' or 'Transfer IN/OUT.' Fill out the corresponding sections as indicated.
4. In section 1, input the client information, including the client’s name, gender, date of birth, race/ethnicity, and RIN#. If applicable, indicate whether the child is a ward of the state.
5. Section 2 requires you to detail the screening information, including the date and time of the call as well as the date and time of the screen.
6. For section 3, select whether the services were active or if it was a hand-off for community stabilization. Provide the necessary dates.
7. In section 4, provide details about crisis/outpatient services, including the service provider, start date, discharge date, and description of services.
8. Section 5 is for hospitalization details. Fill in the hospital name, city, admission date, and discharge date.
9. If a hospital transfer occurred, complete section 6 with the relevant information, including the hospital name, city, and admission/discharge dates.
10. In the CSPI section, evaluate risk behaviors, behavioral/emotional symptoms, functioning problems, and juvenile justice risk by marking the appropriate scales.
11. For section 7, indicate if post-hospitalization services were initiated and the corresponding dates.
12. Finally, review your entries for accuracy, and provide your signature and the date at the bottom. Save your changes, download, or print the completed form.

Complete your Cspi Summary Form online today to ensure accurate documentation.