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ADULT LOCUS SCORING SHEET Adult Level of Care Utilization SystemConsumer Name: Assessment Date: Client ID Number: DOB: LOCUS Administration: Baseline or Entry into Service Annual Exit from Service.

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How to fill out the Locus Score Sheet online

The Locus Score Sheet is an essential tool used to assess the level of care required for individuals based on various criteria. This guide provides step-by-step instructions to help you fill out the form accurately and efficiently online.

Follow the steps to complete the Locus Score Sheet online.

  1. Click ‘Get Form’ button to access the Locus Score Sheet and open it in your preferred online editor.
  2. Begin by entering the consumer's name in the designated field at the top of the form.
  3. Provide the assessment date in the space provided. Format it as MM/DD/YYYY.
  4. Input the client ID number in the corresponding area to uniquely identify the individual.
  5. Fill in the date of birth (DOB) in the provided field, again following the MM/DD/YYYY format.
  6. Indicate the LOCUS administration type by checking the appropriate box: Baseline, Annual, Exit from Service, or Other. If you select 'Other,' specify the type in the space provided.
  7. In the calculation section, assess and circle the scores for each dimension: Risk of Harm, Functional Status, Medical, Addictive and Psychiatric Co-Morbidity, Recovery Environment, Treatment and Recovery History, and Attitude and Engagement.
  8. Calculate the composite LOCUS score by adding the numbers in the right column of the dimension ratings. This score is crucial for determining the level of care.
  9. Refer to the LOCUS-derived level of care recommendation based on the Determination Grid to finalize care recommendations.
  10. Lastly, ensure to sign the document in the designated area for rater signature and credentials, and enter the rater ID number.
  11. Once all fields are filled, save your changes, and consider downloading, printing, or sharing the completed form as needed.

Start filling out your Locus Score Sheet online today to ensure a comprehensive assessment.

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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.

The LOCUS is an assessment tool that helps clinicians, insurers, and those in need of behavioral health services, to make treatment decisions in a way that is consistent, fair, and effective. The tool provides a common language and way of understanding what care is needed, when and for how long.

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.

5 - Extreme Risk of Harm a- Current suicidal or homicidal behavior or such intentions with a plan and available means to carry out this behavior…

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

Risk of Harm: If the score is 5 or higher – the client is automatically Level 6. Functional Status: If the score is 5 or higher – the client is automatically Level 6. Co-morbidity: If the score is 5 or higher the client is automatically Level 6. Level of Stress: 4 or more. Level of Support: 4 or more.

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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