Get Adolescent (ages 12-17) Episode Completion Interview - Ncdhhs

Completing the Adolescent (Ages 12-17) Episode Completion Interview is essential for documenting the progress of adolescents receiving mental health and substance abuse services. This guide provides a comprehensive walkthrough of each section of the form to ensure accurate and effective completion.

Follow the steps to successfully fill out the form online.

1. Click ‘Get Form’ button to access the form and open it in your preferred document editor.
2. In the first section, fill in your initials and last name, certifying that you conducted the interview. Record the date of completion.
3. Enter the LME assigned consumer record number and the first three letters of the consumer's last name, along with the first letter of the consumer's first name.
4. Provide essential consumer information, including date of birth and gender. For female adolescents, answer the relevant question regarding enrollment in maternal programs.
5. Indicate how often the consumer has attended scheduled treatment sessions since the last interview by selecting from the provided options.
6. If applicable, fill in the number of drug tests conducted and the number of positive results in the last three months.
7. Select the appropriate age or disability categories for which the individual is receiving services and supports from the options provided.
8. Indicate the reason for the Episode Completion by marking only one of the options given.
9. In the assessments of functioning section, note whether the Global Assessment of Functioning score has been updated since the last interview.
10. List any areas where the individual received help during the treatment episode.
11. Gather responses for items 13-32, ideally through an in-person interview or consumer record as indicated.
12. Conclude the interview by answering the final questions regarding the consumer's situation and experiences since the last interview.
13. Upon completion, save changes, and ensure the form is ready for submission. Download or print a copy for your records if necessary.

Complete the Adolescent (Ages 12-17) Episode Completion Interview online to support adolescents in their mental health and substance abuse recovery.