SOP 508.21-att-1: Initial Treatment Plan

Division:
Mental Health Services
Effective Date:
September 23, 2020
Topic Area:
508 Policy-MH Evaluations/Screenings/Treatment
PowerDMS:
View on PowerDMS
Length:
262 words

Summary

This form is used to document the initial mental health treatment plan for incarcerated individuals upon entry into the Georgia Department of Corrections mental health system. It captures clinical impressions, safety precautions, housing level, and identifies problems, goals, and treatment strategies for each offender. The form requires a primary care provider signature and establishes a due date for the comprehensive treatment plan per SOP 508.21.

Key Topics

  • mental health treatment plan
  • initial assessment
  • clinical impressions
  • treatment goals
  • treatment strategies
  • psychotropic medications
  • mental health symptoms
  • functional impairment
  • behavioral health
  • ACU
  • crisis stabilization
  • segregation
  • protective custody
  • mental health services
  • inmate mental health
  • offender treatment

Full Text

SOP 508.21
Attachment 1

9/23/20

GEORGIA DEPARTMENT OF CORRECTIONS INSTITUTION: _____________________________

MENTAL HEALTH SERVICES NAME: ____________________________________

INITIAL TREATMENT PLAN GDC ID#: __________________________________

DOB: __________________

DATE: ________________ SEX: __________________

RACE: _________________

Clinical Impressions: __________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

Precautions: [ ] General Precautions [ ] History of assaultive behavior [ ] History of SIB

[ ] Other: ___________________________________________________

Level of Impairment : [ ] Level II - GP [ ] Level III - SLU [ ] Level IV - SLU [ ] Level V - (ACU/CSU)

Current Housing: [ ] Diagnostics [ ] General Population

[ ] Acute Care Unit [ ] Crisis Stabilization Unit

[ ] Segregation/Isolation [ ] TIER circle: I II III

[ ] Protective Custody

|Problems|Goals|Treatment Strategies|
|---|---|---|
|[ ] Offender arrived on
psychotropic medications.

[ ] Offender recently treated for
MH symptoms but denied
current distress and does not
want MH services.

[ ] Offender reported the following
symptoms: _______________
________________________
________________________
________________________

[ ] The following functional
impairments are reported or
observed: _________________
_________________________
_________________________
_________________________

[ ] Other:____________________
_________________________
_________________________|[ ] Determine need for MH
treatment.

[ ] Reduce/eliminate frequency,
duration and severity of
distressing symptoms.

[ ] Stable adjustment to
incarceration.

[ ] Behavioral improvement in the
following areas: ___________
_________________________
_________________________
_________________________

[ ] Other: ____________________
_________________________
_________________________|[ ] Refer to psychologist for
evaluation.

[ ] Refer to psychiatrist/APRN for
evaluation/medication follow-
up.

[ ] Assigned primary service
provider will meet with
offender per SOP or as needed,
with treatment interventions to
include the following: _______
_________________________
_________________________
_________________________

[ ] Refer to ACU/CSU for
stabilization.

[ ] Consider D/C to Level I status
in ____ days per SOP.

[ ] Other: ____________________
_________________________
_________________________
|

Comprehensive Treatment Plan Due Date (based on SOP 508.21): ______________________
`___________________________` ____________________________________

Primary Care Provider Signature/Title Printed/Typed Name

Form no. M50-01-01 Page 1 of 1

Retention Schedule: Completed forms shall be placed in the offender’s mental health file (section 2). 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.

Attachments (3)

  1. Initial Treatment Plan (262 words)
  2. Comprehensive Treatment Plan (M50-01-02) (340 words)
  3. Attachment 3 - Comprehensive Treatment Plan Review Form (M50-01-03) (138 words)
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