Adult Outpatient


Assessment

All AOP referrals are initially interviewed by a central intake clinician. The intake clinician will secure a release to obtain any relevant records both within LCMHS and those held by other providers to make an initial clinical assessment. If it is clear the program is best suited for the consumer’s need and eligibility they are given an appointment time with an AOP therapist. The intake clinician will refer the consumer to an AOP therapist for an appointment within 5 days. Additionally, if it is deemed useful, there may also be a recommendation for psychiatric evaluation for possible medication services, and for non-categorical case management.

When the consumer meets with the AOP clinician further review will take place to clarify the expressed needs and concerns of the consumer, and to clarify what the role of the clinician and the consumer will be. In this meeting the clinician will gather further information to formulate the clinical assessment—e.g. presenting issues, psychosocial history, use of substances, support system, etc.—as well as a medical and treatment history. From this information, and any other provided by the consumer or by the record review an Individual Plan of Care or IPC is formed.

Plan of Care

Also known as an Individual Plan of Care or IPC. An IPC is formulated with the consumer to define what the goals and objectives of treatment will be via the regular sessions. (Note: Sessions are often weekly, but the clinician and consumer may decide to meet every other week, or more often than weekly depending on the stated consumer need.) The care plan will include the consumer’s long term goal, and specific objectives that will be the focus of care, which should help to lessen the state of distress of the consumer. The plan will be reviewed regularly and changed as needed. In the event that the time of service is greater than 6 months a new/revised IPC will be formulated, and this will occur every 6 months as needed.

Case Management

The ACM is adjunct to both the intake and AOP therapist and is referred to when a non-CRT adult consumer is in need of short term case management. It is our target to work with consumers in collaboration with their LCMHS or community provider with clinical supports to help address specific challenges. The primary focus is on mental health related needs and may also include housing, financial management, obtaining insurance or other benefits which the consumer may be eligible for. These are pursued to help stabilize need areas for the consumer, but are tied into helping to address specific symptoms that may obstructing the consumer in making progress toward their life goal(s). For example, a consumer in the midst of a relationship break-up may have an onset of depression and begin to have problems with sleep, hygiene, or other functions. This may lead to loss of a job, which is made worse if the break-up also causes a loss of residence, and increase the symptoms of depression. Case management services may help stabilize day to day concerns and deflect the consumer from a deterioration that could lead to inpatient care, or other more costly outcome.

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