SOP_NUMBER: 508.44-att-2 TITLE: Integrated Treatment Programs 4 Quadrant Assignment (Attachment 2) DIVISION: Unknown TOPIC_AREA: 508 Policy - MH Evaluations/Screenings/Treatment EFFECTIVE_DATE: 2023-10-19 WORD_COUNT: 299 POWERDMS_URL: https://public.powerdms.com/GADOC/documents/738976 URL: https://gps.press/sop-data/508.44-att-2/ SUMMARY: This is an assignment tool used to match incarcerated individuals to counselors based on the severity of their mental health disorders and substance use disorders. Using a four-quadrant matrix, clinical staff determine the appropriate level and type of mental health treatment services needed. The assignment is based on clinical judgment of the intake counselor and psychologist/psychiatrist and helps guide offenders to counselors with relevant credentials and experience. KEY_TOPICS: mental health assessment, substance use disorder, treatment assignment, quadrant assignment, integrated treatment, mental health screening, counselor assignment, clinical intake, mental health disorders, criminogenic risk, treatment planning, mental health services ATTACHMENTS: 1. Addiction Severity Index Summary Assessment URL: https://gps.press/sop-data/508.44-att-1/ 2. Integrated Treatment Programs 4 Quadrant Assignment (Attachment 2) URL: https://gps.press/sop-data/508.44-att-2/ 3. Summary of Monthly Progress in the ITF (Attachment 3) URL: https://gps.press/sop-data/508.44-att-3/ ======================================================================== FULL TEXT: ======================================================================== 508.44 Attachment 2 10/19/2023 Facility:____________________________ Date of Assignment:_____________ Name:_____________________________ GDC#:________________________ DOB:______________________________ Race:_________________________ **Integrated Treatment Programs 4 Quadrant Assignment** _In addition to all of the assessment information collected, this tool is a guideline for assigning offenders to the counselor with the most appropriate_ _credentials and experience. It is not intended to be a diagnostic tool. The assignment is based on the clinical judgment of the intake counselor and the_ _psychologist/psychiatrist_ . |I II III IV
Quadrant Assigned:|IV
Counselor Assigned:| |---|---| |**Reason for Quadrant:**
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**______________________________________________________________________________________________________________________________________________________**|**Reason for Quadrant:**
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**______________________________________________________________________________________________________________________________________________________**| ||| |**Comments (Please list mental health diagnosis in this section and suggested activity therapy and therapy groups ):**|**Comments (Please list mental health diagnosis in this section and suggested activity therapy and therapy groups ):**| |
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| |Substance Use Disorder Severity|Col2|Quadrant III|Quadrant IV| |---|---|---|---| |**Substance Use Disorder **
Severity|**HIGH**|_High severity substance use disorder / Low or moderate_
_severity mental health disorder_

**Mental Health Disorders**:

**Substance Use Disorders:**

**Criminogenic Risk:**

|_Highsubstance use disorder / High severity mental health disorder_


**Mental Health Disorders:**

**Substance Use Disorders:**

**Criminogenic Risk:**

| |**Substance Use Disorder **
Severity||**Quadrant I**|**Quadrant II**| |**Substance Use Disorder **
Severity|**LOW**|_Lowseverity substance use disorder / Low severity mental_
_health disorder_

**Mental Health Disorders**:

**Substance Use Disorders:**

**Criminogenic Risk:**

|_Lowseverity substance use disorder / Moderate to high severity_
_mental health disorder_

**Mental Health Disorders**:

**Substance Use Disorders:**

**Criminogenic Risk: **
| |**Substance Use Disorder **
Severity||**LOW**
**HIGH**|**LOW**
**HIGH**| |**Substance Use Disorder **
Severity||**Mental Health Disorder**

Severity|**Mental Health Disorder**

Severity| Intake Counselor Name: __________________________________________ Intake Counselor Signature:_____________________________________ (print) (signature) Title: ___________________________________________ Clinical Director Name: __________________________________________ Clinical Director: ________________________________________ (print) (signature) Revised 06/2020 Retention: Attachment 2 will be placed in the offender’s mental health record, section one (1). At the end of the offender’s need for mental health services and/or sentence, the mental health record will be placed within the offender’s health record and retained for 10 years.