SOP 508.31-att-2: Crisis Stabilization Unit Psychiatric Admission Form (M70-02-02)

Division:
Health Services
Effective Date:
December 9, 2019
Topic Area:
508 Policy - Mental Health, Suicide Prevention, ACU, CSU, BTU
PowerDMS:
View on PowerDMS
Length:
218 words

Summary

This form is used to document psychiatric admissions to the Crisis Stabilization Unit (CSU) in Georgia Department of Corrections facilities. It requires medical staff to record the patient's identification information, chief complaint, history of present illness, past psychiatric history including prior hospitalizations and self-injuries, mental status examination, assessment, and diagnostic impressions. The psychiatrist must complete and sign the form within 24 hours or the next business day, and the completed form is retained in the offender's medical file for ten years.

Key Topics

  • Crisis Stabilization Unit
  • psychiatric admission
  • mental health evaluation
  • CSU intake
  • psychiatric assessment
  • mental status examination
  • diagnostic impressions
  • past psychiatric history
  • self-injury
  • crisis intervention
  • offender mental health
  • GDC medical forms

Full Text

SOP 508.31
Attachment 2

12/9/19

|CRISIS STABILIZATION UNIT
PSYCHIATRIC ADMISSION FORM|PATIENT IDENTIFICATION
Facility: __________________________________________
Offender: _________________________________________
GDC ID#: _____________________ DOB: _____________
Race: __________________ Sex: _____________________|
|---|---|
|Chief Compliant or Reason for Admission:





History of Present Illness:







PAST PSYCHIATRIC HISTORY (Be sure to include a summary of your chart review, a history of Psychiatric
Hospital admissions, Crisis Stabilization Unit admissions and self-injuries):










Mental Status:









|Chief Compliant or Reason for Admission:





History of Present Illness:







PAST PSYCHIATRIC HISTORY (Be sure to include a summary of your chart review, a history of Psychiatric
Hospital admissions, Crisis Stabilization Unit admissions and self-injuries):










Mental Status:









|

Form no. M70-02-02 Page 1 of 2

Retention Schedule: Upon completion, this form shall be placed in the offender’s medical file (Infirmary Section with CSU/ACU packets) and retained for ten (10)
years.

SOP 508.31
Attachment 2

12/9/19

|CRISIS STABILIZATION UNIT
PSYCHIATRIC ADMISSION FORM|PATIENT IDENTIFICATION
Facility: _________________________________________
Offender: _______________________________________
GDC ID#: _____________________ DOB: ____________
Race: __________________ Sex: ____________________|
|---|---|
|Assessment:






















Diagnostic Impressions:

Principal Diagnosis:___________________________________________________________________________ __

Other:|Assessment:






















Diagnostic Impressions:

Principal Diagnosis:___________________________________________________________________________ __

Other:|
|

Other: ___________________________________________________________________________|

Other: ___________________________________________________________________________|
|
Other:|
Other:|
|||
|(To Be Completed within 24 hours or next Business Day).

__________________________________________________________________________
Psychiatrist's Signature Printed/Typed Name Date
|(To Be Completed within 24 hours or next Business Day).

__________________________________________________________________________
Psychiatrist's Signature Printed/Typed Name Date
|

Form no. M70-02-02 Page 2 of 2

Retention Schedule: Upon completion, this form shall be placed in the offender’s medical file (Infirmary Section with CSU/ACU packets) and retained for ten (10)
years.

Attachments (9)

  1. CSU_ACU Daily Nursing Clinical Assessment (299 words)
  2. Crisis Stabilization Unit Psychiatric Admission Form (M70-02-02) (218 words)
  3. Abbreviated Psychiatric Admission for CSU (M70-02-03) (105 words)
  4. Crisis Stabilization Unit Treatment Plan (124 words)
  5. Crisis Stabilization Unit Discharge Summary (290 words)
  6. Crisis Stabilization Unit Admission Log (61 words)
  7. CSU Referral Report (M70-02-08) (732 words)
  8. CSU Discharge Summary Note (Form M70-02-09) (130 words)
  9. Crisis Stabilization Unit (CSU) Admission Cover Page (93 words)
Machine-readable: JSON Plain Text