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Behavioral Health Services Quality Report November 2009

BEHAVIORAL HEALTH INPATIENT. 55 ADULT PSYCHIATRIC BEDS 5 CHILD PSYCHIATRIC BEDS37 SUBSTANCE ABUSE BEDSCOMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM (CPEP)Emergency Room6 Extended Observation BedsMobile Crisis/Outreach Team. BEHAVIORAL HEALTH OUTPATIENT. Evaluation

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Behavioral Health Services Quality Report November 2009

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    1. Behavioral Health Services Quality Report November 2009

    3. BEHAVIORAL HEALTH OUTPATIENT Evaluation & Referral Services (system wide- at Bayley Seton) St. George Outpatient Clinic- Bayley Seton (n @ 1,500) OPD MICA CTC (developmentally disabled) West Brighton OPD (n @ 600) Gamblers Treatment Center SI/QNS (n @ 105) Silberstein Center- Rehab/Clinic (n @ 100) Chemical Dependency Crisis Center at Bayley (n @ 15 Beds) MICA CDT at Bayley Seton (n @ 30) Staten Island CDT at Sea View (n @ 100) Anna Erika CDT/ Clinic (n @ 100)

    4. Behavioral Health Services We are routinely audited by: NYS Office of Mental Health (OMH) NYS Office of Alcoholism & Substance Abuse Services (OASAS) NYC Department of Health & Mental Hygiene (DOHMH) Joint Commission (JC) NYS Department of Health (DOH) NYS Department of Health - Bureau of Narcotic Enforcement Substance Abuse & Mental Health Services Administration (SAMHSA)

    5. Regulatory Updates for ‘09

    6. Typical quality/ audit indicators (OMH) Client care Evaluation Care plan Ongoing care Attending to the Consumer and Family A Primary clinician Patient safety and security Environmental regulations Engagement and retention in care Attention to co-occurring disorders Communication with families Disengagement from treatment

    7. Clinical administration Caseloads Supervision Integration and information sharing Communication Guidelines for sequential screening of risk for violence Risk assessment framework Universal risk screening Targeted risk assessment of clients with histories of violence or suicidal ideation Reassessment Actuarial tools

    8.

    9. Tobacco Free Environment Ongoing Since July 2008

    10. S.M.A.R.T. Treatment Planning ongoing from 2008

    11.

    12.

    13. Press Ganey Inpatient 2009

    14. Press Ganey Outpatient 2009

    15. Falls Rate

    16. Adult Restraint Rate

    17. Adolescent Restraint Rate

    18. 2010 Topics for consideration…

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