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MEMBER NAME: LBHP IA ADULT MEDICAID NUMBER: LOCUS SCORE SHEET: I DIMENSIONS RISK OF HARM II FUNCTIONAL STATUS III MEDICAL, ADDICTIVE, PSYCHIATRIC COMORBIDITY IVA RECOVERY ENVIRONMENT (STRESS) IVB.

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How to fill out the Locus Score Sheet online

The Locus Score Sheet is a vital document used to assess and determine the appropriate level of care for individuals. This guide will provide you with clear instructions on how to accurately complete the form online, ensuring that all necessary information is captured effectively.

Follow the steps to successfully complete the Locus Score Sheet.

  1. Click ‘Get Form’ button to obtain the Locus Score Sheet and open it in the editing interface.
  2. Begin filling out the 'Member Name' section by entering the individual's full name as the primary identifier.
  3. Next, locate the 'Medicaid Number' field and input the appropriate Medicaid identification number to ensure valid processing.
  4. Proceed to the 'Dimensions' section where you will evaluate risk factors under categories such as 'Risk of Harm' and 'Functional Status.' Provide the relevant responses for each dimension.
  5. In the 'Medical, Addictive, Psychiatric Co-Morbidity' section, indicate any co-existing medical conditions that the individual may have, checking 'Yes' or 'No' as appropriate.
  6. Fill in the recovery environment sections (IV-A and IV-B) by assessing the individual's stress levels and the degree of support available to them in their recovery journey.
  7. Evaluate 'Resiliency and Treatment' and 'Engagement' dimensions by answering the respective questions accurately based on the individual's circumstances.
  8. Once all sections are completed, calculate the composite score, and check the independent criteria, selecting the one that best fits the individual's situation.
  9. Finally, after reviewing all entries for accuracy, you can save the changes, download, print, or share the completed Locus Score Sheet as needed.

Start completing your Locus Score Sheet online today for an accurate assessment.

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A composite score of at least 14 but no more than 16 is required for treatment at this level. Definition: This level of care provides treatment to clients who need intensive support and treatment, but who are living either independently or with minimal support in the community.

Once generated, the LOCUS score is used to recommend a person for a Level of Care. There are 7 different Levels of Care described in the LOCUS that differ ing to: • The types of services and supports available. • The type and amount of staff support available.

These expectations and principles resulted in the identification of six defined dimensions: 1) Risk of Harm, 2) Functional Status, 3) Medical, Addictive and Psychiatric Co-Morbidity, 4) Recovery Environment, 5) Treatment and Recovery History, and 6) Engagement.

3 - Moderate Risk of Harm a- Significant current suicidal or homicidal ideation without intent or conscious plan and without past history.

Deerfield Behavioral Health, Inc. Page 1. The Level of Care Utilization System. (LOCUS)

The LOCUS assessment tool is completed by answering questions divided into six categories, called 'dimensions,' that describe different aspects of a person and their illness. Questions in each of the 6 dimensions can have a score from 1 to 5.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232