State Children's Mental Health Policies and Procedures

CHAPTER 1: Services and Programs

• CMH Satisfaction Survey Policy
• Out Patient Services
• Treatment Homes
• Desert Willow Treatment Center

SP-1 DCFS Identification of Children for Residential Services Policy (March 2013) with attachments

• Identification of Children Policy March 2013
• ATTACHMENT A - Face Sheet Form Rev 07-13
• ATTACHMENT B - Incident Report Form

SP-2 DCFS Residential Programs Admission Policy (March 2013) with attachments

• DCFS Residential Programs Admission Policy 6-12-13 revision
• Attachment A - Educational Release of Information

SP-3 Incident Reporting and Management Policy (July 2013) with attachments

• SP-3 Incident Reporting Policy
• ATTACHMENT A - Incident Reporting Form
• ATTACHMENT B - Seclusion & Restraint Denial of Rights Form
• ATTACHMENT C - Report of Denial of Rights

SP-4 Documentation Policy

• SP- 4 Documentation Policy 01-20-15
• Acknowledgement SP-4 DocumentationPolicy 01-27-15

SP-5 Targeted Case Management Policy

• SP-5 DCFS CMH TCM Policy 01-20-15
• Attachment A - TCMA 01-20-15
• Attachment B - DCFS Informed Consent Form 01-20-15
• Attachment C - Freedom of Choice Form 01-20-15
• Attachment D - Authorization for Release of Confidential Information Form 01-20-15
• Acknowledgement SP-5 TCM Policy 01-27-15

SP- 6 Medication Administration and Management for DCFS Residential Programs Policy (March 2014) with attachments

• Medication Administration Management Policy Statewide FINAL 07-31-14
• ATTACHMENT A1 - Physician Approved OTC Medication Routine Order Form
• ATTACHMENT A2 - Medication Routine Order Form DWTC Acute
• ATTACHMENT A3 - Medication Routine Order Form DWTC Residential
• ATTACHMENT B - Medication Administration and Informed Consent
• ATTACHMENT C - Staff Acknowledgement of Medication Training and Policy
• ATTACHMENT D - Controlled Substances Medication Count Sheet
• ATTACHMENT E - Incident Report Form
• ATTACHMENT F-1 - Medication Admin Record (Oasis, ATC, FLH)
• ATTACHMENT F-2 - Medication Admin Record Desert Willow
• ATTACHMENT G - Therapeutic Pass Note
• ATTACHMENT H - Temporary Absence Release
• ATTACHMENT I - Medication Disposal Sheet
• ATTACHMENT J - Medication Variance Form

SP-7 Intake Policy

• SP-7 Intake Policy 01-20-15
• Attachment A - Mental Health Admission Form 8-05-16
• Attachment B - 1 - Authorization for Release of Confidential Information Form 01-20-15
• Attachment B - 2 - Authorization for Release of Psychotherapy Notes
• Attachment C - Freedom of Choice Form 01-20-15
• Attachment D - DCFS General Consent Form 01-20-15
• Attachment E - DCFS Informed Consent Form 01-20-15
• Attachment F - Medication Management Form 01-20-15
• Attachment G - Notice RE Destruction of Health Care Records Form 01-20-15
• Attachment H - Acknowledgment of Missed Appts No Show Form 01-20-15
• Attachment I - SED Determination Form 01-20-15
• Attachment J - Notice of Privacy Practices 02-2016
• Attachment K - Acknowledgement Noticie of Privacy Practices 01-20-15
• Acknowledgement SP-7 Intake Policy 01-27-15

SP-9 DCFS CMH Service Delivery Model

• SP-9 DCFS CMH Service Delivery Model Policy Commission Approved 03-16-2017
• Attachment-A SOC Values and Principles

SP-12 Adherence to System of Care

• SP - 12 Adherence to System of Care (SOC) Core Values and Guiding Principles
• Nevada's System of Care Core Values and Principles Acknowledgement Form