Questions 30 Day Follow up

Box 11.

Is client still engaged in services?

Whether on the date the CLIF is completed the client is engaged. “Engaged” means there was at least one in-person, phone or other type of contact between the client and the CMHC since discharge, and at least one more such contact is anticipated in the next month. Click on the Yes/No dropdown menu

Box 11.a.

If yes, what types of services?

Check out all services that were provided by the CMHC.

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 other the next box can be used to type in the explanation.

Box 11.b.

Please enter date of appointments for the above services in chronological order (up to 5 appts):

5 boxes are provided to enter the date(s).

Box 11.c.

If 'no', please select 'one' from the available options.

Box 12.

Date of most recent service to client:

Date of most recent contact between CMHC and client (mm/dd/yyyy). This field must be completed by the Case Manager in order to “clear” the default value of “Y” on "30days CLIF Needed" field on reports and change its value to “N”.