
FLORIDA DEPARTMENT OF JUVENILE JUSTICE SAMPLE INDIVIDUALIZED MENTAL HEALTH/SUBSTANCE ABUSE TREATMENT PLAN REVIEW Youths Name JJSS Facility Name Date of Review 1. SMITH Diagnoses and Symptoms: INCLUDE.
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How to fill out the FL MHSA 017 online
The FL MHSA 017 is an essential document used for reviewing individualized mental health and substance abuse treatment plans. This guide will walk you through the steps to effectively complete this form online, ensuring that all necessary information is accurately recorded.
Follow the steps to successfully complete your form.
- Click ‘Get Form’ button to obtain the document and open it for editing.
- In the first section, enter the youth's name and the facility name, along with the date of the review. This information identifies the individual associated with the treatment plan.
- For the DSM-IV-TR diagnoses and symptoms section, list any updated diagnoses, providing reasons for any changes. Use separate rows for Axis I, II, III, IV, and V, ensuring you detail the necessary updates.
- In the treatment goals section, record mental health and substance abuse treatment goals. For each goal, input the prior goal and revise it if applicable, noting progress made towards achieving these goals.
- Next, fill in the objectives and methods/interventions. Specify objectives that are measurable and achievable, along with their associated target dates. Update any changes in the approach used to meet these objectives.
- Document any psychiatric services received by the youth, including changes in prescribed psychotropic medications and the frequency of monitoring by a psychiatrist.
- Provide a summary of the treatment plan review. This section should encapsulate the insights gained from the review.
- Finally, gather signatures from the youth, parent/guardian, mental health clinical staff, treatment team members, and licensed professionals where required. Ensure all dates are recorded next to the signatures.
- Once all sections are filled, review the document for accuracy. You can now save changes, download a copy, print it, or share the form as needed.
Complete your FL MHSA 017 form online today and ensure proper documentation for mental health and substance abuse treatment.
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