SOP 508.23-att-7: Specialized Mental Health Treatment Unit (SMHTU) Discharge Summary

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

Summary

This is a standardized form used to document the discharge of inmates from the Specialized Mental Health Treatment Unit (SMHTU), including the Behavioral Therapy Unit. The form captures the inmate's admission and discharge information, diagnoses, course of treatment, medication and treatment changes, classification level changes, and follow-up care recommendations. It requires approval signatures from the treatment team including counselors, activity therapists, correctional officers, clinical directors, and psychiatrists, and must be retained in the inmate's mental health file for ten years.

Key Topics

  • SMHTU discharge
  • Behavioral Therapy Unit
  • mental health treatment unit
  • discharge summary
  • treatment team
  • inmate mental health
  • psychiatric discharge
  • follow-up care
  • mental health documentation
  • treatment disposition

Full Text

SOP 508.23
Attachment 7

04/27/18

# Georgia Department of Correction Institution: _______________________ Name: _________________________ GDC ID#: ______________________ Date: __________________________ Date of Birth: ___________________ Race: _____________ Sex: ________ SPECIAL MENTAL HEALTH TREATMENT UNIT(SMHTU)

DISCHARGE SUMMARY

Behavioral Therapy Unit Counselor ____________________________ Printed/Typed Name

Admit Date: ____________________ / Discharge Date: ____________________________

Admitting Diagnosis: ____________________________________

Reason for Admission: _______________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Final Diagnosis (if different from above): ________________________________________

Summary of Stay (SMHTU Course and Outcome): ________________________________

___________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Disposition Changes (Including medications, treatments and justification for level of
classification at discharge.): ____________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

____________________________________________________________________________

Level Changed: [ ] Yes [ ] No Why? _____________________________________________
Plan: Recommended Follow-Up Appointments:
____________________________________________________________________________

____________________________________________________________________________

Page 1 of 2

Retention Schedule: Completed forms shall be placed in the offender’s mental health file (section 1). 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 7

04/27/18

Approved by the Treatment Team:

Attending SMHTU Counselor ____________________________ (Signature)
Activity Therapist

____________________________________ ___________________________
Signature Printed/Typed Name

Multifunctional Correctional Officer:

____________________________________ __________________________

Signature Printed/Typed Name

Clinical Director: _________________________________ __________________________

Signature Printed/Typed Name

Psychiatrist: ____________________________________ __________________________

Signature Printed/Typed Name

Others:

Title: ______________________

____________________________________ __________________________
Signature Printed/Typed Name

Title: ______________________

____________________________________ __________________________
Signature Printed/Typed Name

Title: ______________________

____________________________________ __________________________
Signature Printed/Typed Name

Title: ______________________

____________________________________ __________________________
Signature Printed/Typed Name

Page 2 of 2

Retention Schedule: Completed forms shall be placed in the offender’s mental health file (section 1). 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)
Machine-readable: JSON Plain Text