Get Item By Item Instructions For Adult Interview - New Dhh Louisiana

This guide provides user-friendly, step-by-step instructions for completing the Item By Item Instructions For Adult Interview - New Dhh Louisiana online. Whether you are familiar with this process or approaching it for the first time, following these instructions will help ensure accuracy and completeness.

Follow the steps to fill out the form accurately and effectively.

1. Press the ‘Get Form’ button to obtain the form and open it in the appropriate editor.
2. On the first page, fill in the provider number, provider name, employee number, and employee name. Ensure you have the correct information for each field.
3. Enter the unique recipient number assigned by the provider agency for the individual you are assessing, as well as the name of the hurricane if applicable.
4. Fill in the date the assessment is administered using the month/day/year format.
5. Indicate the location of services by checking the appropriate box. If ‘Other’ is selected, please specify the site in the text field provided.
6. Select the service type by checking only one box that applies to the assessment.
7. Enter the visit number for this assessment, ensuring to start a new series of numbers with the first SCCS visit.
8. Provide the zip code of the location where the encounter took place.
9. In the risk categories section, select all relevant factors that apply to the individual being assessed.
10. Complete the demographic information section, including age, sex, ethnicity, race, preferred language, and language of contact based on your observations.
11. Proceed to page two and present the response card to the individual, then administer the assessment questions while reminding them to reflect on the past month.
12. Using the Assessment Rating Scale, identify the severity level for each question and circle the corresponding number based on the individual's responses.
13. Count the number of responses rated 4 or 5 at the end of the assessment, which will be recorded as the recipient's score.
14. Assess the individual's risk by asking if there is any possibility of self-harm or harm to others. If the answer is yes, refer them immediately for psychiatric intervention.
15. Discuss the results of the assessment based on the visit number and the assessment score, and indicate whether referrals for services were made.
16. Complete the form by indicating if the individual accepted the referral, and if applicable, enter the name of the provider agency for any outside referrals.
17. If the referral was not accepted, consult with a supervisor and indicate the actions taken.
18. Lastly, submit the completed form to the designated person in your agency for review and signature.

Start filling out the Item By Item Instructions For Adult Interview - New Dhh Louisiana online today!