SOP 508.23-att-3: Specialized Mental Health Treatment Unit Admission Form

Division:
Clinical Services
Effective Date:
April 27, 2018
Topic Area:
508 Policy - Mental Health Suicide Prevention/ACU/CSU/BTU
PowerDMS:
View on PowerDMS
Length:
290 words

Summary

This form is used to document the admission of offenders to Specialized Mental Health Treatment Units (SMHTU) and Behavioral Therapy Units (BTU) within Georgia correctional facilities. It requires staff to record the offender's clinical justification for admission, history of behavioral and clinical issues, past mental health history including self-injuries, current mental status, clinical assessments, and diagnostic impressions. The form must be completed and signed by SMHTU counselors and psychologists within 24 hours or the next business day, and is retained in the offender's mental health file for ten years.

Key Topics

  • mental health treatment unit
  • SMHTU admission
  • behavioral therapy unit
  • BTU admission
  • specialized treatment
  • mental health assessment
  • clinical behavior
  • diagnostic impressions
  • mental status evaluation
  • self-injury history
  • treatment team
  • offender mental health
  • admission documentation

Full Text

SOP 508.23
Attachment 3

4/27/18

|SPECIALIZED MENTAL HEALTH
TREATMENT UNIT
ADMISSION FORM|Offender Identification
Facility: ____________________________________
Name: ______________________________________
GDC ID#: ________________ DOB: ________________
Race: _______________ Sex: __________________|
|---|---|
|
Clinical Behavior Justification or Reason for Admission:





History of Present Clinical Behaviors or Resistance to Customary Treatment Services and
Disciplinary Sanctions:







Past Clinical Behaviors History:(Be sure to include a summary of your chart review, disciplinary history, and self-
injuries)







Mental Status:







|
Clinical Behavior Justification or Reason for Admission:





History of Present Clinical Behaviors or Resistance to Customary Treatment Services and
Disciplinary Sanctions:







Past Clinical Behaviors History:(Be sure to include a summary of your chart review, disciplinary history, and self-
injuries)







Mental Status:







|

Page 1 of 2

Retention Schedule: Completed forms shall be placed in the offender’s mental health file (section 8). 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 ten (10) years.

SOP 508.23
Attachment 3

4/27/18

|BEHAVIORAL THERAPY UNIT
ADMISSION FORM|Offender Identification
Facility: _______________________________________
Name: ________________________________________
ID#: ________________ DOB: ___________________
Race: _______________ Sex: ____________________|
|---|---|
|Assessment:

















Diagnostic Impressions:

Primary: __________________________________________________________________
Other: ____________________________________________________________________
Other: ____________________________________________________________________
Other: ____________________________________________________________________

(TO BE COMPLETED WITHIN 24 HOURS OR NEXT BUSINESS DAY)


_____________________________ _______________________________
SMHTU Counselor's Signature Printed/Typed Name Date



________________________________________ ___________________________________________
SMHTU Psychologist’s Signature Printed/Typed Name Date
|Assessment:

















Diagnostic Impressions:

Primary: __________________________________________________________________
Other: ____________________________________________________________________
Other: ____________________________________________________________________
Other: ____________________________________________________________________

(TO BE COMPLETED WITHIN 24 HOURS OR NEXT BUSINESS DAY)


_____________________________ _______________________________
SMHTU Counselor's Signature Printed/Typed Name Date



________________________________________ ___________________________________________
SMHTU Psychologist’s Signature Printed/Typed Name Date
|
|Other SMHTU Treatment Team members’ signatures:
|Other SMHTU Treatment Team members’ signatures:
|
|||

Page 2 of 2

Retention Schedule: Completed forms shall be placed in the offender’s mental health file (section 8). 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 ten (10) years.

Attachments (8)

  1. Specialized Mental Health Treatment Unit Recommendation Form (134 words)
  2. Consent to Receive Specialized Mental Health Treatment (300 words)
  3. Specialized Mental Health Treatment Unit Admission Form (290 words)
  4. Activity Therapy Assessment – for Specialized Mental Health Treatment Program (319 words)
  5. Specialized Mental Health Treatment Unit (SMHTU) – Orientation to the Program (1,900 words)
  6. Specialized Mental Health Treatment Unit Comprehensive Treatment Plan (158 words)
  7. Specialized Mental Health Treatment Unit (SMHTU) Discharge Summary (231 words)
  8. Specialized Mental Health Treatment Unit Monthly Report (Monthly Utilization Review) (447 words)
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