SOP_NUMBER: 508.15-att-2
TITLE: Mental Status Evaluation (Attachment 2)
DIVISION: MH/MR Services
TOPIC_AREA: Mental Health Evaluations/Screenings/Treatment
EFFECTIVE_DATE: 2022-08-15
WORD_COUNT: 79
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/350771
URL: https://gps.press/sop-data/508.15-att-2/

SUMMARY:
This is a form used by the Georgia Department of Corrections to document mental status evaluations of incarcerated individuals. The form captures basic identifying information, evaluation dates, and evaluator credentials. Completed forms are filed in the offender's mental health record and retained for 10 years after the individual no longer requires mental health services or completes their sentence.

KEY_TOPICS: mental status evaluation, mental health assessment, MH screening, psychological evaluation, mental health documentation, offender mental health, mental health file, inmate evaluation, MR services, psychiatric assessment

ATTACHMENTS:
  1. Mental Health Evaluation for Services (Form M31-01-01)
     URL: https://gps.press/sop-data/508.15-att-1/
  2. Mental Status Evaluation (Attachment 2)
     URL: https://gps.press/sop-data/508.15-att-2/
  3. Authorization for Release of Information (Mental Health Services)
     URL: https://gps.press/sop-data/508.15-att-3/
  4. Parole Evaluation Log (Form M31-01-04)
     URL: https://gps.press/sop-data/508.15-att-4/
  5. Requested Records Log
     URL: https://gps.press/sop-data/508.15-att-5/

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FULL TEXT:
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SOP 508.15
Attachment 2

8/15/22

**GEORGIA DEPARTMENT OF CORRECTIONS** INSTITUTION:                                _
**MH/MR SERVICES** NAME:                                       _
**MENTAL STATUS EVALUATION** ID #:                                         _
DOB:                                        _





__________________________________
Date
__________________________________
Date



















_________________________________________________________

Evaluator/Title
_________________________________________________________
Reviewer/Title


Form no. M31-01-02



Retention Schedule: Completed form shall be attached to other forms, then placed in the offender’s mental health file (section 4). At
the end of the offender’s need for mental health services and/or sentence, the mental health file shall be placed within the offender’s
health record and retained for 10 years.