SOP_NUMBER: 508.23-att-7
TITLE: Specialized Mental Health Treatment Unit (SMHTU) Discharge Summary
DIVISION: Unknown
TOPIC_AREA: 508 Policy - Mental Health Suicide Prevention/ACU/CSU/BTU
EFFECTIVE_DATE: 2018-04-27
WORD_COUNT: 231
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/339275
URL: https://gps.press/sop-data/508.23-att-7/

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

ATTACHMENTS:
  1. Specialized Mental Health Treatment Unit Recommendation Form
     URL: https://gps.press/sop-data/508.23-att-1/
  2. Consent to Receive Specialized Mental Health Treatment
     URL: https://gps.press/sop-data/508.23-att-2/
  3. Specialized Mental Health Treatment Unit Admission Form
     URL: https://gps.press/sop-data/508.23-att-3/
  4. Activity Therapy Assessment – for Specialized Mental Health Treatment Program
     URL: https://gps.press/sop-data/508.23-att-4/
  5. Specialized Mental Health Treatment Unit (SMHTU) – Orientation to the Program
     URL: https://gps.press/sop-data/508.23-att-5/
  6. Specialized Mental Health Treatment Unit Comprehensive Treatment Plan
     URL: https://gps.press/sop-data/508.23-att-6/
  7. Specialized Mental Health Treatment Unit (SMHTU) Discharge Summary
     URL: https://gps.press/sop-data/508.23-att-7/
  8. Specialized Mental Health Treatment Unit Monthly Report (Monthly Utilization Review)
     URL: https://gps.press/sop-data/508.23-att-8/

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FULL TEXT:
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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.