Axis I diagnosis as reported by agency in the ROCS file. It is a view-only field. It is pre-populated from the ROCS system. This field cannot be edited.
Information obtained by Case Manager from the community mental health agencies' (CMHC) files. If multiple medications were taken, enter data on each medication. Separated by coma.
Do the same for Frequency and Dosage.
Name of the Jail employee with whom Case Manager discussed this detainee.
Date Case Manager and jail employee discussed this
detainee. (mm/dd/yyyy).
Date Case Manager first had contact with client after jail entry. This information is directly linked with "Init. CLIF Needed" (initial CLIF needed) on all reports. When a Case Manager enters data into this field, it will change the default value of “Y” (yes) into a “N” (No) in the “Init. CLIF Needed” column.
This field has a drop down choice of Yes/No. Based on the Case Manager’s own records and knowledge of this detainee, specify whether jail staff identified this client as MI when admitted to the jail.
This field has a drop down choice of Yes/No. Case Manager’s assessment of whether services were provided during confinement.
Specify each mental health service provided during confinement. Type in text and separate different services by commas, periods or semi-colons.
Whether a written Discharge Plan was prepared. This field has a drop down choice of Yes/No.
Select up to 3 individuals in the boxes provided.
Client
Jail Liaison
Criminal Justice Authority (Probation/Public Defender/Judge/State’sAttorney)
Other agency
If there were additional participants, enter them in “Additional Comments”. Names and/or positions of individuals who participated in development of the plan. This would include the client (if they participated) and the Case Manager, if appropriate.
This box automatically derived data from the system. It shows the date (mm/dd/yyyy) the client was discharged. If there is no date in this box it means that the client is still at the Jail.
Whether the Discharge Plan specified that additional community services were needed after discharge. Click on the Yes/No drop down menu.
Choose up to 3 boxes that are provided
Case management
Psychiatric Services
Outpatient individual/group therapy
ACT
Another agency i.e., DASA, HCD, etc. (Please indicate details below)
Residential Services
Other (Please indicate details below)
If 'no', please select 'one' from the available options.
Mark whether the discharge planning included medication for the client to take after they reach the community. This field has a drop down choice of Yes/No.