1. Referrals Packets
1.1. At the time of referral
1.1.1. DHS-3600
1.1.2. MiHeath Card or Recipient Idenification Number
1.1.3. Child's Behavioral History
1.1.4. Childrens Placement History
1.1.5. A copy of the commitment order or placement
1.2. With 10 Business Days
1.2.1. A phot
2. Residential Intake
2.1. Intake Call
2.1.1. Administrative Director
2.2. Preliminary Paperwork
2.2.1. Create Contact In Portal
2.2.1.1. Add Case Worker Information into Secondary Contact
2.2.1.1.1. Administative Director
2.3. Intake Packets Available
2.3.1. Burton
2.4. Initial Residental Intake Residential at Arrival
2.4.1. Gaskew
2.4.1.1. Burton
2.4.2. Upload Residential Initial Intake and All corresponding documents into portal and complete follow form
2.4.2.1. Gaskew or whoever did intake
2.4.2.1.1. This needs to be completed at intake
2.4.3. Follow Up Form Followup with Caseworker within 24hour
2.4.3.1. Gaskew
2.4.3.1.1. Warren can fill in with follow
2.5. Floor Book and Medication Log
2.5.1. Burton
2.5.1.1. A. Richardson
2.5.1.2. Ms. Moses
3. Initial Intake
3.1. Assessment
3.1.1. Within 7 days
3.1.1.1. A comprehensive assessment of the child's physical/mental health needs
3.1.1.2. Assessment of the child's immediate and specific needs diagnosis
3.1.1.3. Identify Long-term service needs for the youth and document them in treatment plan
3.1.1.4. The specfic services to be provided by the contractor and other resources to meet the identified needs
3.2. Evaluation Tools
3.2.1. CAFAS - 7 days
3.2.2. Depression Scale
3.2.3. Anxiety Scale
3.2.4. Life Skills Assessment - 7 days
4. Direct Care Worker Supervisor
5. Social Service Worker
5.1. Meeting With Me
5.2. Case Management
6. Chief Admin
6.1. (1) An agency shall assign the chief administrator responsibility for the on-site day-to-day operation of the institution and for ensuring compliance with these rules.
6.2. An institution’s chief administrator shall be administratively responsible annually for all of the following functions:
6.2.1. Conduct a written evaluation of trends and patterns of all unplanned discharges.
6.2.2. Develop and implement a written plan to correct, within six months, rule violations identified due to the assessment conducted pursuant to subdivision (a) of this subrule.
6.2.3. Not less than once annually, conduct a written assessment and verify the agency’s compliance with these rules.