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Psychotherapy Assoc.&a. Total number of telephone contacts.Ta. Crisis stabilization with no referral for mental health/substance abuse follow-uph. Admission to Detox Unit Sec. IV Total 61 & OlderCounseling Services Inc.JanFebMarAprMayJuneJulyAugSeptOctNovDec)Number of face to face contacts seen in :8 b. Family/Relative/Other Residence)d. Admission to Crisis Stabilization Unit$e. Inpatient Hospitalization-Medical(f. Voluntary Psychiatric Hospitalization*g. Involuntary Psychiatric Hospitalization&Community Health & Counseling Services9 d. SNF, Nursing Home, Boarding Home` e. Residential Program (Congregate Community Residence, Apartment Program)- ) f. Homeless Shelter) g. Provider Office - i. Emergency Department1 j. Other Hospital Location 9 a. Primary Residence (Home) + 1[ c. Other Community Setting (Work, School, Police Dept., Public Place)1 5b. Total number of all INITIAL face to face contacts.ab. Crisis stabilization with referral to new provider for mental health/substance abuse follow-up 5jc. Crisis stabilization with referral back to current provider for mental health/substance abuse follow-up >& h. Crisis Officea. Total number of INITIAL face to face contacts in which wellness plan, crisis plan, ISP or advanced directive plan previously developed with the individual was used.~e. Number of INITIAL face to face contacts in Emergency Department with final disposition made within 8 hours of that contact. f. Number of INITIAL face to face contacts NOT in Emergency Department with final disposition made within 8 hours of that contact. +. d. SUM TOTAL time in minutes for all INITIAL face to face contacts in II.b. from determination of need for face to face contact or when individual was ready and able to be seen to initial face to face contact.  %,FKUIV. Site of Initial Face to Face Contacts `NOTE: Sum of Crisis Resolutions must equal II.b.= Total no. of all INITIAL face-to-face contacts Sec. V TotalYI AMHC-AtlanticAMHC-Aroostook5-910-1415-17^ k. Incarcerated (Local Jail, State Prison, Juvenile Correction Facility)& UninsuredLess than 1 hour 1 to 2 hours 2 to 4 hoursMore than 4 hoursLess than 3 hours 3 to 6 hours 6 to 8 hours 8 to 14 hoursADULTCHILDRENChildrenAdults`d. Number of face to face contacts that are ongoing support for crisis resolution/stabilization. Medicare Private Ins.No.ResultSTANDARDIV.35SNo more than 20-25% of face to face contacts result in Psychiatric Hospitalization.IV.3690% of Crisis Phone Calls Requiring Face to Face Assessments are responded to within an average of 30 minutes from the end of the phone call.Average MinutesIV. 3790% of all Face to Face Assessments Result in Resolution for the Consumer Within 8 Hours of Initiation of the Face to Face Assessment.IV.38z90% of all Face to Face Contacts in which the client has a Community Support Worker, the Worker is notified of the crisis.{c. Number of INITIAL face to face contacts who have a Community Support Worker and whose worker was notified of the crisis. YV. Initial Crisis Resolution (Mutually Exclusive & Exhaustive) ic. Number in II.b. who are children/youth with MENTAL RETARDATION/AUTISM/PERVASIVE DEVELOPMENTAL DISORDER#dI. Consumer Demographics (Unduplicated Counts - Face to Face) iIII. Initial Crisis Contact InformationG II.Summary of All Crisis ContactsMore than 14 hours<5y.o.gb. Number of INITIAL face to face contacts who have a Community Support Worker (CI, CRS, ICM, ACT,TCM). Inpatient MedicalVoluntary PsychiatricInvoluntary Psychiatric No Hospital Average Time )Emergency Room Disposition Within 8 HoursER Final Disposition > 8 Hrs.ER Final Disposition < 8 Hrs.#Dispositions Within 8 Hours By SiteER Final Disposition <8Hours Non-ER Final Disposition <8HoursAll Dispositions > 8HoursHad CSW & CSW NOT NotifiedHad CSW & CSW Notified" Home Home FamilyFamily& Other CommunityOther Community SNFSNF* Residential ProgramResidential Program' Homeless ShelterHomeless Shelter' Provider Office Provider Office$ Crisis Office Crisis Office+ Emergency DepartmentEmergency Department. Other Hospital Location Other Hospital Location# Incarcerated IncarceratedStabilization w/o MH Referral Stabilization w/new referral Stabilization w/ rereferralCrisis Stabilization Unit Inpt MedicalInpt Voluntary PsychiatricInpt Involuntary Psychiatric Detox UnitPrivateNone)Percentage of Adults Served By Age Cohort%Percentage of Adults Served By GenderMaleFemale Plan was Used Have a CSWdataADULTS/Percentage of Children Served By Payment Source+Percentage of Children Served By Age Cohort'Percentage of Children Served By GenderN/A< 5 y.o.#Adult Initial Contacts Hospitalized/Adult Emergency Room Disposition Within 8 Hours)Adult Dispositions Within 8 Hours By SitenAdult Initial Face to Face Contacts in Which the Client has a CI Worker & The Worker is Notified of the Crisis*Adult Site of Initial Face To Face ContactAdult Initial Crisis Resolution+Adult Face to Face Contacts Characteristics&Children Initial Contacts HospitalizedqChildren Initial Face to Face Contacts in Which the Client has a CI Worker & The Worker is Notified of the Crisis. Children Site of Initial Face To Face Contact"Children Initial Crisis Resolution.Children Face to Face Contacts Characteristics)Adult AMHI CONSENT DECREE FEEDBACK REPORT. Percentage of Adults Served By Payment Source ADULTS ONLY"Integrated Quarterly Crisis ReportSTATEWIDE with GRAPHS CHILDREN ONLY: Time from determination of need for face to face contact or when individual was ready and able to be seen to initial face to face contact  CHILDREN ONLY: Time between completion of initial face-to-face crisis assessment contact and final disposition/resolution of crisis :RJ Melville MSW MPA 3fb88 Department of Health and Human Services 3 STATE OF MAINE Monthly Crisis Report #AMHI CONSENT DECREE FEEDBACK REPORTSFY2012AgencyContact PersonMonth Address PO Box 1018Lorraine Chamberlain Fiscal YearCaribou, ME 04736Contact Phone Number 207-498-64317NOTE: IF STANDARD IS MET, THEN RESULT CELL WILL BE GREEN ON A TURQUOISE BACKGROUND.0IF STANDARD IS NOT MET, THEN RESULT CELL WILL BERED BOLD ON A GOLD BACKGROUND6<-<-<- Note: This cell should be no greater than IV.i.J<-<-<- NOTE: This cell should be no greater than Sec IV. Total minus IV.i.s <-<-<- Note: This cell should appear to be turqouise with a green font, a red strikethough font indicates an error Theresa Brown PO Box 425Tom LynnBangor, ME 04402</-042510 Caldwell RoadNicole AuclairAugusta, ME 04330207-626-3448 ext. 1155 PO Box 1010Jennifer GoodwinSaco, ME 04072 207-282-1500!131 Franklin Health Commons Ste ACrystal HartingFarmington ME 04938 Patti Isnardi 12 Union St., Rockland, ME 04841701-4476150 Congress StreetKaren HodgkinsRumford, fb88 04276 207 364-3549 Beth Delano294-453050 Moody St. Saco ME230 Bartlett St. Laurie Cyr MartelLewiston, ME, 04240 50 Lydia Lane Veronica RossSouth Portland, Me 04106 207-523-5068 Integrated Monthly Crisis Report STATEWIDE RJ Melville CHILDREN ONLY: Time from determination of need for face to face contact or when individual was ready and able to be seen to initial face to face contact break out : CHILDREN ONLY: Time between completion of initial face-to-face crisis assessment contact and final disposition/resolution of crisis break out: CHILDREN ONLY: Time from determination of need for face to face contact or when individual was ready and able to be seen to initial face to face contact CHILDREN ONLY: Time between completion of initial face-to-face crisis assessment contact and final disposition/resolution of crisis : 1 Stackpole Rd50 Moody St Saco ME 04072 207-783-4695Machias 207-255-0996 207-779-2843-Quarter 3 (January, February, March) SFY 2012 Annette Adams2550996947-0366 ext. 344 March 2012 3.23.2012207-213-4535 Direct Line February 2012 3.27.2012REGION I REGION II January 2012 2.16.2012 4.24.2012 \1Dwxs 5 9 W nD 7 =  Qr  r}Sv 0|'m\YccNB g2ɀ  m#M7)@@C  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   566666666674    DAMHC-Aroostook    5  D Jan5 67.8999999999:bbccccccd 8 !? !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP UUUUUU?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC 9@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ P@ O~ P@$ IIIIJabccccccd<  YP H~ GQ@ H~ G9@$ IIIIJabccccccd<  ZO Lh~ M? N@~ M KA~  @ KB~ L @ M \P ? :D D D AD D D B ] ~ <V@  YP Q~ R@ S~ R7@ S~ RL@ V~ N(@ M<  ]O O~ P$@ OS~ P@ OD~ P _R OMm< PP Q~ RE@ QS~ R1@ QD~ RB@ SR TMbccccccd< Ue FFF FfFFFV  WN  XM  m^C => h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! ?@ "$" #1## @ $*$ ~ $ @ %+%% ?@ &,&& '-' ~ ' (5(( @(@ ).)) @=@ */** :@ +C+ ~ + (@ ,;, ,U#, }(@ %!+ #, zX@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 @@ 131 2422 @M@ 3%33 @@ 4&44 @ 5'55 @.@ 6(6 ~ 6 @ 77 ~ 7 ? 8;8 8F<#8 |(@, %07 #8 {X@8 %07  8 |8 vwwwwwww9 D8F>,>8>>8>>>8 D,>,>>>>88]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&45 l88 w. 8 (  8~ 8 <kXPP? 5U]4@ V`_6IM$kf <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<RS~~ 8 <lXPP?-Q]4@ N<`IFf  D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<RSD~~ 8 <(lXPP? ]4@ 1t!fxElX+ : 1<2DHHS: Provide information for all crisis contacts<RS1~~ 8 <PlXPP? ]4@ "PK9}u h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<RSh~~ 8 <lXPP?/ C]4@ 4HD,,D67 M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <RSM~~ 8 <lXPP? BR]4@ ŨvD0Ej n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<RSn~~ 8 <lXPP?8} ]4@ ?I2VE̠+ ,<-DHHS: CSW should be notified within 24 hours<RS,~~ 8 <mXPP? ]4@ @lrÌJx4N  <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<RS~~  8 <(mXPP?"D ]4 @ 4. G$خS <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <RS~~  8 <XPP? h]4 @ ';ԀIKWc <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<RS~~  8 <XPP?! #]4 @ VMMMdp %<&DHHS: Count for INTIAL CONTACTS only.<RS%~~  8 <XPP?( *]4 @ pLc(: R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<RSR~~  8 <(XPP?) +]4 @ c:8G#a :<;DHHS: Crisis Office = Where walk-in crisis services occur.<RS:~~ 8 <PXPP?,1]4@ \O@q &<'DHHS: Count for INITIAL CONTACTS Only.<RS&~~ 8 <XPP?1 z3]4@  B& .</DHHS: Crisis Stabilization by the Crisis Team.<RS.~~ 8 <XPP?2 -4]4@ 0TV,F .</DHHS: Crisis Stabilization by the Crisis Team.<RS.~~ 8 <XPP?2 f6/]4@ ֐f)GzB) <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.<RS DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R   =             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  O Invalid entryEnter Whole numbers only'  Invalid entryEnter Whole numbers only j@07     ] Invalid entryEnter Whole numbers only eA  /  ry%_iU Invalid EntryEnter only whole numbers j@ O Invalid entryEnter Whole numbers only K ENTER A WHOLE NUMBER ONLY!er yj@!+ /  ER%`k Q ENTER A WHOLE NUMBER ONLY!erLL ,- ,, b(b(22gg g2ɀ  myȌt62  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   566666666674    D AMHC-Atlantic    5  D Jan5 67.8999999999:bbccccccd 8 !> !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP  YB?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC -d! YA@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ P @ O~ P @$ IIIIJabccccccd<  YP H~ GH@ H~ GE@$ IIIIJabccccccd<  ZO Lh~ M N@~ M KA~   @ KB~ L @ M \P zӛ? :D D D AD D D B ] ~ <V@  YP Q~ R@ S~ R;@ S~ RJ@ V~ N@ M<  ]O O~ P"@ OS~ P@ OD~ P@ _R OMm< PP Q~ RK@ QS~ R"@ QD~ R*@ SR~  T.@ Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C qq? -D D AD D B  _~ YV@  @@  gmn 2 0@W@ $ abccccccdnEEEEE b~     " nEEEEE Q ]@E@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 e@E@  g   Gdo i @"@  f   ggho ` @ @  ijkkkkkkknEEE 9l ~  4@ pssssssso 7l ~  G@   s 8l ~  F@   s ,no~mmmmmmms pE~ q@ rF~ q@ rG~ q@ rH stuv~mmmmmmms ,uo~mmmmmmms wI~ x"@ J~ x@ K~ x@ L~ x? g o~mmmmmmms E:FFFFFFFy  WN  XM pptttttqqDbl0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0! ~ ! $@ "$" #1## @@ $*$ ~ $ @ %+% &,& '-' (5(( @"@ ).)) "@G@ */* ~ * .@ +C+ ~ + @ ,;, ,U#, }0@ %!+ #, zW@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 00 ~ 0 ,@ 1311 @<@ 2422 @6@ 3%33 @@ 4&4 ~ 4 $@ 5'55 @$@ 6(66 ?@ 77 ~ 7 @ 8;8 8F<#8 |0@, %07 #8 {W@8 %07  8 |8 vwwwwwww9 D8dF8,>8,,,>>88 D,8>>>8>>8]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w. < (  <~ < <(eXPP? 5U]4@  >zE4OB <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<RS~~ < <PeXPP?-Q]4@ %dǪFI:Rۄ D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<RSD~~ < <eXPP? ]4@ NWGD@ 1<2DHHS: Provide information for all crisis contacts<RS1~~ < <eXPP? ]4@ ~lB B h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<RSh~~ < <eXPP?/ C]4@ "[ʼ>Il~ M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <RSM~~ < <fXPP? BR]4@ AIgGU!{n n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<RSn~~ < <(fXPP?8} ]4@ 6CBHkܾ ,<-DHHS: CSW should be notified within 24 hours<RS,~~ < <PfXPP? ]4@ w9Gh/X <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<RS~~  < <fXPP?"D ]4 @ \@zDWq <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <RS~~  < <fXPP? h]4 @  %ر)ZO' <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<RS~~  < <fXPP?! #]4 @ C@oo %<&DHHS: Count for INTIAL CONTACTS only.<RS%~~  < <gXPP?( *]4 @  9A! R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<RSR~~  < <(gXPP?) +]4 @ Ľ-`]5Lւ :<;DHHS: Crisis Office = Where walk-in crisis services occur.<RS:~~ < <PgXPP?,1]4@ ql] C &<'DHHS: Count for INITIAL CONTACTS Only.<RS&~~ < <gXPP?1 z3]4@ 3H >O21 .</DHHS: Crisis Stabilization by the Crisis Team.<RS.~~ < <gXPP?2 -4]4@ jlqLE׳ .</DHHS: Crisis Stabilization by the Crisis Team.<RS.~~ < <gXPP?2 f6/]4@ {N[JI" uNe <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.<RS DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R   =             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  O Invalid entryEnter Whole numbers only'  Invalid entryEnter Whole numbers only j@07     ] Invalid entryEnter Whole numbers only eA  /  ry%_iU Invalid EntryEnter only whole numbers j@ O Invalid entryEnter Whole numbers only K ENTER A WHOLE NUMBER ONLY!er yj@!+ /  ER%`k Q ENTER A WHOLE NUMBER ONLY!erLL ,- ,, b(b(22gg g2ɀ  miPn0,  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   =======>566666666674    D)&Community Health & Counseling Services  ???5  D Jan5 67.8999999999:bbccccccd 8 !) !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP h *3?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC h *3:@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ P*@ O~ P0@$ IIIIJabccccccd<  YP H~ GU@ H~ GR@$ IIIIJabccccccd<  ZO Lh~ M? N@~ M? KA~  *@ KB~ L(@ M \P ? :D D D AD D D B ] ~ <V@  YP Q~ R3@ S~ RE@ S~ RT@ V~ N,@ M<  ]O O~ P8@ OS~ P@ OD~ P? _R~ O Mm< PP Q~ R@Y@ QS~ RK@ QD~ R@ SR~  T Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C &^B? -D D AD D B  _~ YV@  s@X@  gmn 2 =@c@ $ abccccccdnEEEEE b~  @   " nEEEEE Q ]"@J@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 @9@  g   Gdo i 1@K@  f   ggho ` 0@G@  ijkkkkkkknEEE 9l ~  ,@ pssssssso 7l ~  Y@   <<<<<<<s 8l ~  L@   ;;;;;;;s ,no~yyyyyyys pE~ q8@ rF~ q@ rG~ q rH~ stuv~yyyyyyys ,uo~yyyyyyys wI~ x<@ J~ x? K~ x L~ x g~   o~yyyyyyys E:FFFFFFFy  WN  XM pptttttqqDl0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! @ @ "$"" @@ #1## @@ $*$$ %+%% ? &,&& '-'' ? (5(( @<@ ).)) $@Y@ */** ?"@ +C++ ,;, ,U#, }=@ %!+ #, zc@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 ?,@ 1311 ?1@ 2422 1@M@ 3%33 @9@ 4&44 ?5@ 5'55 @0@ 6(66 @ 777 @ 8;8 8F<#8 |=@, %07 #8 {c@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w. 0@ (  @~ @ <(XPP? 5U]4@ |>O/躃  <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<~~ @ <PXPP?-Q]4@ mjLflH D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<D~~ @ <XPP? ]4@ Rެ GNNZ#@|4 1<2DHHS: Provide information for all crisis contacts<1~~ @ <XPP? ]4@ f1^N$+u h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<h~~ @ <XPP?/ C]4@ }p[J FtҤ M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <M~~ @ <XPP? BR]4@ @KKS R   =             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  O Invalid entryEnter Whole numbers only'  Invalid entryEnter Whole numbers only j@07     ] Invalid entryEnter Whole numbers only eA  /  ry%_iU Invalid EntryEnter only whole numbers j@ O Invalid entryEnter Whole numbers only K ENTER A WHOLE NUMBER ONLY!er yj@!+ /  ER%`k Q ENTER A WHOLE NUMBER ONLY!erLL ,- ,, b(b(22gg g2ɀ  mc$?8]ABE  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   =======>566666666674    DCrisis & Counseling Centers  ???5  D Jan5 67.8999999999:bbccccccd 8 ! !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP "Qa?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC %%:)@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ P=@ O~ PB@$ IIIIJabccccccd<  YP H~ Gc@ H~ Gd@$ IIIIJabccccccd<  ZO Lh~ M N@~ M@ KA~  A@ KB~ L9@ M \P 0)P? :D D D AD D D B ] ~ <V@  YP Q~ R;@ S~ R[@ S~ R d@ V~ N5@ M<  ]O O~ PJ@ OS~ P(@ OD~ P@ _R~ O Mm< PP Q~ R@l@ QS~ RF@ QD~ RA@ SR~  T&@ Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C ߅? -D D AD D B  _~ YV@  @̪@  gmn 2 P@s@ $ abccccccdnEEEEE b~  @   " nEEEEE Q ]@T@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 @  g   Gdo i 9@@[@  f   ggho ` 8@Y@  ijkkkkkkknEEE 9l ~  @ pssssssso 7l ~  j@   <<<<<<<s 8l ~  Y@   ;;;;;;;s ,no~yyyyyyys pE~ q? rF~ q<@ rG~ qB@ rH~ stuv~yyyyyyys ,uo~yyyyyyys wI~ xP@ J~ x@ K~ x L~ x g~   o~yyyyyyys E:FFFFFFFy  WN  XM pptttttqqDl0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! 4@D@ "$"" @ #1## @@ $*$$ %+%% @@ &,&& @ '-'' @ (5(( @@@ ).)) >@j@ */** @ +C++ @ ,;, ,U#, }P@ %!+ #, zs@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 "@ 1311 $@@@ 2422 :@@`@ 3%33 3@H@ 4&44 5'55 &@T@ 6(66 ,@ 777 ? 8;8 8F<#8 |P@, %07 #8 {s@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w. @D (  D~ D <(yXPP? 5U]4@ _7nFHSP[ò <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<~~ D <PyXPP?-Q]4@ ƺ(3qGI+ D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<D~~ D <yXPP? ]4@ Ս\0A/ 1<2DHHS: Provide information for all crisis contacts<1~~ D <yXPP? ]4@ J-E0ok?2 h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<h~~ D <yXPP?/ C]4@  ҫ@Ŭ M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <M~~ D <zXPP? BR]4@ &mJ@C n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<n~~ D <(zXPP?8} ]4@ [BJw i  ,<-DHHS: CSW should be notified within 24 hours<,~~ D <PzXPP? ]4@ .CGM <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<~~  D <zXPP?"D ]4 @ ?J5CΩ <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <~~  D <zXPP? h]4 @ tXOATbDCY <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<~~  D <zXPP?! #]4 @ @(JHh'V %<&DHHS: Count for INTIAL CONTACTS only.<%~~  D <{XPP?( *]4 @ ԋ{rJ{u6]I R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<R~~  D <({XPP?) +]4 @ ;@e\n :<;DHHS: Crisis Office = Where walk-in crisis services occur.<:~~ D <P{XPP?,1]4@ ˼@N'>` 6 &<'DHHS: Count for INITIAL CONTACTS Only.<&~~ D <{XPP?1 z3]4@ r<^ BR}s .</DHHS: Crisis Stabilization by the Crisis Team.<.~~ D <{XPP?2 -4]4@ V{Ja| s .</DHHS: Crisis Stabilization by the Crisis Team.<.~~ D <{XPP?2 f6/]4@ >2_nGL˟ <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.< DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R   =             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  O Invalid entryEnter Whole numbers only'  Invalid entryEnter Whole numbers only j@07     ] Invalid entryEnter Whole numbers only eA  /  ry%_iU Invalid EntryEnter only whole numbers j@ O Invalid entryEnter Whole numbers only K ENTER A WHOLE NUMBER ONLY!er yj@!+ /  ER%`k Q ENTER A WHOLE NUMBER ONLY!erLL ,- ,, b(b(22gg g2ɀ  m_  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)M \\oit-isa1psdhhs1\DHHS-MHMR-AM,S o<XXLetterPRIV0''''` \KhC%SMTJHP Color LaserJet 4600 PSJRConstraints96HPPrinterModelNameHP_Color_LaserJet_4600_PSPageSizeLetterPageRegionHPColorasGrayFalseHPCollateFalseHPPaperPolicyPromptUserLeadingEdgeInputSlot*UseFormTrayTableDuplexNoneCMYKInksFASTColorOptionsAutomaticHPTextHalftoneDetailHPTextNeutralGraysBlackHPGraphicsHalftoneDetailHPGraphicsNeutralGraysBlackHPPhotoHalftoneDetailHPPhotoNeutralGraysProcessBlackRGBColorsRGBEdgeControlNormalHPBacksideHeavyFalseResolution600dpiHPwmTextNoneHPwmNUPNoneHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmLocationTrueTRJPHAAJEFF.EAGEN BAPHAAHP Color LaserJet 4600 PS"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   566666666674    DCounseling Services Inc.    5  D Jan5 67.8999999999:bbccccccd 8 ! !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP Fd?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC ;@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ PC@ O~ PC@$ IIIIJabccccccd<  YP H~ GS@ H~ G\@$ IIIIJabccccccd<  ZO Lh~ M N@~ M@ KA~  ?@ KB~ LC@ M \P Ct?? :D D D AD D D B ] ~ <V@  YP Q~ R<@ S~ RI@ S~ RX@ V~ N1@ M<  ]O O~ PI@ OS~ P8@ OD~ P@ _R OMm< PP Q~ RW@ QS~ RE@ QD~ RI@ SR~  T@ Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C ? -D D AD D B  _~ YV@   g@@  gmn 2 @T@l@ $ abccccccdnEEEEE b~     " nEEEEE Q ]@2@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 e@B@  g   Gdo i *@K@  f   ggho ` *@K@  ijkkkkkkknEEE 9l ~  ָ@ pssssssso 7l ~  a@   s 8l ~  M@   s ,BBBBBBBCno~mmmmmmms pE~ q rF~ q9@ rG~ qA@ rH~ s5@tuv~mmmmmmms ,DDDDDDDDuo~mmmmmmms wI~ xH@ J~ x7@ K~ x@ L~ x@ g~  @ o~mmmmmmms E:FFFFFFFy  WN  XM pptttttqqDl0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! @@ "$"@@@@@@@@ #1# $*$@@@@@@@@ ~ $ ? %+%@@@@@@@@ &,&@@@@@@@@ '-'@@@@@@@@' @@ (5(@@@@@@@@( 9@K@ ).)@@@@@@@@) H@d@ */*@@@@@@@@ +C+AAAAAAAA ,;, ,U#, }@T@ %!+ #, zl@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 ?@ 1311 7@M@ 2422 6@R@ 3%33 $@&@ 4&4 ~ 4 @ 5'55 8@J@ 6(6 ~ 6 5@ 777 ?@ 8;8 8F<#8 |@T@, %07 #8 {l@8 %07  8 |8 vwwwwwww9 D8XF>,,8,,>>>,, D,>>>>8>8>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w. PH (  H~ H <( XPP? 5U]4@ (79A% <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<RS/x~~ H <P XPP?-Q]4@ Ɣ^+ȁDyP} D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<RSD/x~~ H < XPP? ]4@ G5:B4@H, 1<2DHHS: Provide information for all crisis contacts<RS1/x~~ H < XPP? ]4@ .%uljCW%tW4 h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<RSh/x~~ H < XPP?/ C]4@ ݴ֞]F|4$ M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <RSM/x~~ H < XPP? BR]4@ M'(_`K^ n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<RSn/x~~ H <( XPP?8} ]4@ ! ,K*Cd-g ,<-DHHS: CSW should be notified within 24 hours<RS,/x~~ H <P XPP? ]4@ 6<3CN:8D# <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<RS/x~~  H < XPP?"D ]4 @ 3S.D2?Lq <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <RS-s~~  H < XPP? h]4 @ Ӈ$UAY <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<RS-s~~  H < XPP?! #]4 @ om2M %<&DHHS: Count for INTIAL CONTACTS only.<RS% ~~  H < XPP?( *]4 @ }w¿D"ۜ R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<RSR ~~  H <( XPP?) +]4 @ [b vX{M~X :<;DHHS: Crisis Office = Where walk-in crisis services occur.<RS: ~~ H <P XPP?,1]4@ E,J} &<'DHHS: Count for INITIAL CONTACTS Only.<RS& ~~ H < XPP?1 z3]4@ _eDI_k .</DHHS: Crisis Stabilization by the Crisis Team.<RS. ~~ H < XPP?2 -4]4@  lOtw* .</DHHS: Crisis Stabilization by the Crisis Team.<RS. ~~ H < XPP?2 p6/]4@  ~z,KF8Ob <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.<RS  DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KdS R   =             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  O Invalid entryEnter Whole numbers only'  Invalid entryEnter Whole numbers only j@     01 37 ] Invalid entryEnter Whole numbers only eA  /  ry%_iU Invalid EntryEnter only whole numbers j@ O Invalid entryEnter Whole numbers only K ENTER A WHOLE NUMBER ONLY!er yj@!+ /  ER%`k Q ENTER A WHOLE NUMBER ONLY!erLL ,- ,, b(b(22gg g2ɀ  m  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   =======>566666666674    D Evergreen Behavioral Services  ???5  D Jan5 67.8999999999:bbccccccd 8 ! !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP F]tE?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC 5@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ P @ O~ P@$ IIIIJabccccccd<  YP H~ G(@ H~ G2@$ IIIIJabccccccd<  ZO Lh~ M N@~ M KA~  @ KB~ L @ M \P |? :D D D AD D D B ] ~ <V@  YP Q~ R @ S~ R @ S~ R$@ V~ N@ M<  ]O O~ P @ OS~ P@ OD~ P _R~ O Mm< PP Q~ R5@ QS~ R@ QD~ R@ SR~  T Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C ? -D D AD D B  _~ YV@  I@^@  gmn 2 ,@@@ $ abccccccdnEEEEE b~  @   " nEEEEE Q ]@@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6  g   Gdo i @ @  f   ggho ` @ @  ijkkkkkkknEEE 9l ~  X@ pssssssso 7l ~  *@   <<<<<<<s 8l ~  0@   ;;;;;;;s ,no~yyyyyyys pE~ q*@ rF~ q? rG~ q rH~ stuv~yyyyyyys ,uo~yyyyyyys wI~ x"@ J~ x@ K~ x L~ x g~   o~yyyyyyys E:FFFFFFFy  WN  XM pptttttqqDl0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! ? "$"" ? #1## @ $*$$ %+%% &,&& '-'' (5(( @$@ ).)) @,@ */** @ +C++ ,;, ,U#, },@ %!+ #, z@@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 ?@ 1311 @ @ 2422 @(@ 3%33 ?? 4&44 ? 5'55 @@ 6(66 ? 77~ 7 7 8;8 8F<#8 |,@, %07 #8 {@@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>@]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w. `L (  L~ L <(=XPP? 5U]4@ ɠV|8BU_l <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<~~ L <P=XPP?-Q]4@ WMc@UTƬ D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<D~~ L <=XPP? ]4@ RjVXPP? BR]4@ 7"MX n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<n~~ L <(>XPP?8} ]4@ 8YџB>5*Z ,<-DHHS: CSW should be notified within 24 hours<,~~ L <P>XPP? ]4@ ]M+D3H <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<~~  L <>XPP?"D ]4 @ EԚC@c! <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <~~  L <>XPP? h]4 @ kٰ L's3N% <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<~~  L <>XPP?! #]4 @ &JK` %<&DHHS: Count for INTIAL CONTACTS only.<%~~  L <?XPP?( *]4 @ GuA*-x &e R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<R~~  L <(?XPP?) +]4 @ ]BHeZt :<;DHHS: Crisis Office = Where walk-in crisis services occur.<:~~ L <P?XPP?,1]4@ + o|qFr:k. &<'DHHS: Count for INITIAL CONTACTS Only.<&~~ L <?XPP?1 z3]4@ "ˁpzFʖ剙 .</DHHS: Crisis Stabilization by the Crisis Team.<.~~ L <?XPP?2 -4]4@ Ԩ}ȩJF .</DHHS: Crisis Stabilization by the Crisis Team.<.~~ L <?XPP?2 f6/]4@ Fa)K]%j <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.< DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R   =             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  O Invalid entryEnter Whole numbers only'  Invalid entryEnter Whole numbers only j@07     ] Invalid entryEnter Whole numbers only eA  /  ry%_iU Invalid EntryEnter only whole numbers j@ O Invalid entryEnter Whole numbers only K ENTER A WHOLE NUMBER ONLY!er yj@!+ /  ER%`k Q ENTER A WHOLE NUMBER ONLY!erLL ,- ,, b(b(22gg g2ɀ  m2FOPS  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   =======>566666666674    D!Mid-Coast Mental Health Center  ???5  D Jan5 67.8999999999:bbccccccd 8 ! !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?     =~  >p@ ;  gWP AIݗ?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC /7@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ P"@ O~ P*@$ IIIIJabccccccd<  YP H~ GL@ H~ GI@$ IIIIJabccccccd<  ZO Lh~ M N@~ M? KA~  (@ KB~ L"@ M \P ؊? :D D D AD D D B ] ~ <V@  YP Q~ R2@ S~ RC@ S~ RE@ V~ N@ M<  ]O O~ P0@ OS~ P@ OD~ P _R~ O Mm< PP Q~ RG@ QS~ R0@ QD~ R4@ SR~  T8@ Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C ? -D D AD D B  _~ YV@  D@j@  gmn 2 6@]@ $ abccccccdnEEEEE b~  @   " nEEEEE Q ]@0@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 @@  g   Gdo i "@0@  f   ggho ` "@0@  ijkkkkkkknEEE 9l ~  ԥ@ pssssssso 7l ~  U@   <<<<<<<s 8l ~  =@   ;;;;;;;s ,no~yyyyyyys pE~ q5@ rF~ q rG~ q rH~ stuv~yyyyyyys ,uo~yyyyyyys wI~ x(@ J~ x"@ K~ x L~ x g~   o~yyyyyyys E:FFFFFFFy  WN  XM pptttttqqDl0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! @@ "$"" #1## ?? $*$$ %+%% &,&& '-'' (5(( @1@ ).)) *@U@ */** @ +C++ @ ,;, ,U#, }6@ %!+ #, z]@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 @ 1311 @ 2422 &@E@ 3%33 @@ 4&44 @ 5'55 @C@ 6(66 @ 777 3@ 8;8 8F<#8 |6@, %07 #8 {]@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w. pP (  P~ P <(XPP? 5U]4@ quXDemo#\ <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<~~ P <PXPP?-Q]4@  u?̮AfU D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<D~~ P <XPP? ]4@ F 1<2DHHS: Provide information for all crisis contacts<1~~ P <XPP? ]4@ =GJzI h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<h~~ P <XPP?/ C]4@ PeQKH%&&]% M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <M~~ P <@XPP? BR]4@  F>A n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<n~~ P <(@XPP?8} ]4@ 6ݧd8gC+s ? ,<-DHHS: CSW should be notified within 24 hours<,~~ P <P@XPP? ]4@ 8KZ-pB$u| <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<~~  P <@XPP?"D ]4 @ J[=M =; <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <~~  P <@XPP? h]4 @ 2)$BUM%{IC <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<~~  P <@XPP?! #]4 @ 11.VM>W %<&DHHS: Count for INTIAL CONTACTS only.<%~~  P <AXPP?( *]4 @ RS&DIIPWfU R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<R~~  P <(AXPP?) +]4 @ ZĩJc :<;DHHS: Crisis Office = Where walk-in crisis services occur.<:~~ P <PAXPP?,1]4@ ~0A=u3 &<'DHHS: Count for INITIAL CONTACTS Only.<&~~ P <AXPP?1 z3]4@ m 7@c .</DHHS: Crisis Stabilization by the Crisis Team.<.~~ P <AXPP?2 -4]4@ d ,_j@"2ץ .</DHHS: Crisis Stabilization by the Crisis Team.<.~~ P <AXPP?2 f6/]4@ w(ΔKαOax <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.< DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R   =             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  O Invalid entryEnter Whole numbers only'  Invalid entryEnter Whole numbers only j@07     ] Invalid entryEnter Whole numbers only eA  /  ry%_iU Invalid EntryEnter only whole numbers j@ O Invalid entryEnter Whole numbers only K ENTER A WHOLE NUMBER ONLY!er yj@!+ /  ER%`k Q ENTER A WHOLE NUMBER ONLY!erLL ,- ,, b(b(22gg g2ɀ  mՈϥ  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   =======>566666666674    DOxford County Mental Health  ???5  D Jan5 67.8999999999:bbccccccd 8 ! !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP ى؉?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC ؉xD@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ P@ O~ P@$ IIIIJabccccccd<  YP H~ G6@ H~ G>@$ IIIIJabccccccd<  ZO Lh~ M N@~ M@ KA~  @ KB~ L@ M \P ؉؉? :D D D AD D D B ] ~ <V@  YP Q~ R"@ S~ R.@ S~ R8@ V~ N@ M<  ]O O~ P @ OS~ P@ OD~ P? _R~ O Mm< PP Q~ RB@ QS~ R$@ QD~ R@ SR~  T@ Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C ? -D D AD D B  _~ YV@  >@U@  gmn 2 *@J@ $ abccccccdnEEEEE b~  @   " nEEEEE Q ]@0@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 ??  g   Gdo i @(@  f   ggho ` @(@  ijkkkkkkknEEE 9l ~  @ pssssssso 7l ~  @@   <<<<<<<s 8l ~  0@   ;;;;;;;s ,no~yyyyyyys pE~ q&@ rF~ q@ rG~ q rH~ stuv~yyyyyyys ,uo~yyyyyyys wI~ x @ J~ x@ K~ x L~ x@ g~   o~yyyyyyys E:FFFFFFFy  WN  XM pptttttqqDl0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! ?@ "$"" #1## ?? $*$$ @ %+%% &,&& '-'' (5(( @ @ ).)) @A@ */** @ +C++ ,;, ,U#, }*@ %!+ #, zJ@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 ? 1311 @(@ 2422 @"@ 3%33 ?3@ 4&44 ? 5'55 @"@ 6(66 ? 777 8;8 8F<#8 |*@, %07 #8 {J@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w. T (  T~ T <(XPP? 5U]4@ W1-LIT X <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<~~ T <PXPP?-Q]4@  a;J$Ig D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<D~~ T <XPP? ]4@ =3ikFق7 1<2DHHS: Provide information for all crisis contacts<1~~ T <XPP? ]4@ xlI#I-Ti h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<h~~ T <XPP?/ C]4@ %`jyBpŤ M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <M~~ T <XPP? BR]4@ .Zk{I'  n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<n~~ T <(XPP?8} ]4@ ~ C>[ ,<-DHHS: CSW should be notified within 24 hours<,~~ T <PXPP? ]4@ ӏq}J*k` <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<~~  T <XPP?"D ]4 @ .B_Iñ(K <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <~~  T <XPP? h]4 @ h@KKS R   =             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  O Invalid entryEnter Whole numbers only'  Invalid entryEnter Whole numbers only j@07     ] Invalid entryEnter Whole numbers only eA  /  ry%_iU Invalid EntryEnter only whole numbers j@ O Invalid entryEnter Whole numbers only K ENTER A WHOLE NUMBER ONLY!er yj@!+ /  ER%`k Q ENTER A WHOLE NUMBER ONLY!erLL ,- ,, b(b(22gg g2ɀ  mMk-)  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   =======>566666666674    D Sweetser  ???5  D Jan5 67.8999999999:bbccccccd 8 ! !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP ;;?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC po6@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ XD@ O~ XA@$ IIIIJabccccccd<  YP H G H& GIIIIJabccccccd<  ZO Lh~ M N@~ M&@ KA~  >@ KB~ LA@ M \P [[? :D D D AD D D B ] ~ <V@  YP Q R S R S R V NM<  ]O O~ PG@ OS~ P2@ OD~ P$@ _R~ O Mm< PP Q\ QS\ QD\ SR Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C ? -D D AD D B  _~ YV@  @t@ @t@  gmn 2 S@S@ $ abccccccdnEEEEE b~  @   " nEEEEE Q &@&@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 7@7@  g   Gdo i E@E@  f   ggho ` E@E@  ijkkkkkkknEEE 9l ~  @ pssssssso 7l ~  7@   <<<<<<<s 8l ~  I@   ;;;;;;;s ,no~yyyyyyys pE~ q@S@ rF~ q? rG~ q rH~ stuv~yyyyyyys ,uo~yyyyyyys wI~ qG@ J~ q;@ K~ q L~ q@ g~  @ o~yyyyyyys E:FFFFFFFy  WN  XM pptttttqqDAl0H2^V|h*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! 4@4@ "$"" #1## 9@9@ $*$$ %+%% ?? &,&& '-'' ?? (5(( @@ ).)) ;@;@ */** +C++ ,;, ,U#, }S@ %!+ #, zS@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 @@ 1311 *@*@ 2422 C@C@ 3%33 $@$@ 4&44 5'55 &@&@ 6(66 ?? 777 8;8 8F<#8 |S@, %07 #8 {S@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w. X (  X~ X <(sXPP? 5U]4@ v5o4O?W[D <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<~~ X <PsXPP?-Q]4@ )*G~ΓY D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<D~~ X <sXPP? ]4@  F,JGV 1<2DHHS: Provide information for all crisis contacts<1~~ X <sXPP? ]4@ AH7TOI>H\W h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<h~~ X <sXPP?/ C]4@ ΕD@^_ M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <M~~ X <tXPP? BR]4@ yL@:9y n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<n~~ X <(tXPP?8}]4@ CLeu{F ,<-DHHS: CSW should be notified within 24 hours<,~~ X <PtXPP? ]4@ 22ՒK|s <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<~~  X <tXPP?"H ]4 @ C( SFhܲO <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <~~  X <tXPP? r]4 @ b=vfGk <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<~~  X <tXPP?! #]4 @ ؞L{_ %<&DHHS: Count for INTIAL CONTACTS only.<%~~  X <uXPP?( *]4 @ G;C R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<R~~  X <(uXPP?) +]4 @ P?k:Lzl :<;DHHS: Crisis Office = Where walk-in crisis services occur.<:~~ X <PuXPP?,1#]4@ q4@0J &<'DHHS: Count for INITIAL CONTACTS Only.<&~~ X <uXPP?1 3]4@ a!O:E .</DHHS: Crisis Stabilization by the Crisis Team.<.~~ X <uXPP?2 -4]4@ %j;u-C>3s .</DHHS: Crisis Stabilization by the Crisis Team.<.~~ X <uXPP?2 f6/]4@ DFNvFwB@Ov <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.< DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R   =             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  O Invalid entryEnter Whole numbers only'  Invalid entryEnter Whole numbers only j@07     ] Invalid entryEnter Whole numbers only eA  /  ry%_iU Invalid EntryEnter only whole numbers j@ O Invalid entryEnter Whole numbers only K ENTER A WHOLE NUMBER ONLY!er yj@!+ /  ER%`k Q ENTER A WHOLE NUMBER ONLY!erLL ,- ,, b(b(22gg g2ɀ  mAiU^I_Eb  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)M \\oit-isa1psdhhs1\DHHS-MHMR-AM,S o<XXLetterPRIV0''''` \KhC%SMTJHP Color LaserJet 4600 PSJRConstraints96HPPrinterModelNameHP_Color_LaserJet_4600_PSPageSizeLetterPageRegionHPColorasGrayFalseHPCollateFalseHPPaperPolicyPromptUserLeadingEdgeInputSlot*UseFormTrayTableDuplexNoneCMYKInksFASTColorOptionsAutomaticHPTextHalftoneDetailHPTextNeutralGraysBlackHPGraphicsHalftoneDetailHPGraphicsNeutralGraysBlackHPPhotoHalftoneDetailHPPhotoNeutralGraysProcessBlackRGBColorsRGBEdgeControlNormalHPBacksideHeavyFalseResolution600dpiHPwmTextNoneHPwmNUPNoneHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmLocationTrueTRJPHAAJEFF.EAGEN BAPHAAHP Color LaserJet 4600 PS"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   =======>566666666674    D Sweetser  ???5  D Jan5 67.8999999999:bbccccccd 8 ! !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP Q/~?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC \_;@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ X2@ O~ X6@$ IIIIJabccccccd<  YP H~ GF@ H~ GH@$ IIIIJabccccccd<  ZO Lh~ M N@~ M@ KA~  .@ KB~ L3@ M \P AG? :D D D AD D D B ] ~ <V@  YP Q~ R(@ S~ R7@ S~ RH@ V~ N$@ M<  ]O O~ P;@ OS~ P&@ OD~ P@ _R~ O Mm< PP Q~ \E@ QS~ \1@ QD~ \@@ SR~   Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C ؉؉? -D D AD D B  _~ YV@  S@q@  gmn 2 D@@X@ $ abccccccdnEEEEE b~  @   " nEEEEE Q 5@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 @2@  g   Gdo i 0@:@  f   ggho ` 1@8@  ijkkkkkkknEEE 9l ~  @ pssssssso 7l ~  F@   <<<<<<<s 8l ~  B@   ;;;;;;;s ,no~yyyyyyys pE~ qA@ rF~ q@ rG~ q? rH~ stuv~yyyyyyys ,uo~yyyyyyys wI~ q*@ J~ q6@ K~ q@ L~ q? g~  @ o~yyyyyyys E:FFFFFFFy  WN  XM pptttttqqDl0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! @@ "$"" #1## ?@ $*$$ %+%% &,&& ? '-'' @ (5(( $@.@ ).)) <@N@ */** ? +C++ @ ,;, ,U#, }D@ %!+ #, z@X@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 ? 1311 @5@ 2422 &@=@ 3%33 "@5@ 4&44 5'55 .@3@ 6(66 @ 777 8;8 8F<#8 |D@, %07 #8 {@X@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w. \ (  \~ \ <(EXPP? 5U]4@ TowH6PHpEk$gб <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<~~ \ <PEXPP?-Q]4@ ь>O\'IpT";y D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<D~~ \ <EXPP? ]4@  F N; 1<2DHHS: Provide information for all crisis contacts<1~~ \ <EXPP? ]4@ 5OZH%杠; h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<h~~ \ <EXPP?/ C]4@ ƳGyJڰ, M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <M~~ \ <FXPP? BR]4@ L)@Nћ@ n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<n~~ \ <(FXPP?8} ]4@ o[O3G{Œ0 ,<-DHHS: CSW should be notified within 24 hours<,~~ \ <PFXPP? ]4@ FFmIڄC <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<~~  \ <FXPP?"D ]4 @ Eb N6 0 <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <~~  \ <FXPP? h]4 @ ~bLUAL <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<~~  \ <FXPP?! #]4 @ 3[I0/ %<&DHHS: Count for INTIAL CONTACTS only.<%~~  \ <GXPP?( *]4 @ eo8J? R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<R~~  \ <(GXPP?) +]4 @ Bc :<;DHHS: Crisis Office = Where walk-in crisis services occur.<:~~ \ <PGXPP?,1]4@ 7 I8 &<'DHHS: Count for INITIAL CONTACTS Only.<&~~ \ <GXPP?1 z3]4@ 5)0C M^1 .</DHHS: Crisis Stabilization by the Crisis Team.<.~~ \ <GXPP?2 -4]4@ U+TOL&Ox,` .</DHHS: Crisis Stabilization by the Crisis Team.<.~~ \ <GXPP?2 f6/]4@ d֎UB4ad <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.< DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R   =             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  O Invalid entryEnter Whole numbers only'  Invalid entryEnter Whole numbers only j@07     ] Invalid entryEnter Whole numbers only eA  /  ry%_iU Invalid EntryEnter only whole numbers j@ O Invalid entryEnter Whole numbers only K ENTER A WHOLE NUMBER ONLY!er yj@!+ /  ER%`k Q ENTER A WHOLE NUMBER ONLY!erLL ,- ,, b(b(22gg g2ɀ  m|Ge'#  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   =======>566666666674    D Tri-County  ???5  D Jan5 67.8999999999:bbccccccd 8 ! !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP @?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC P9_ F@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ P(@ O~ P>@$ IIIIJabccccccd<  YP H~ GR@ H~ GN@$ IIIIJabccccccd<  ZO Lh~ M N@~ M @ KA~  0@ KB~ L2@ M \P @? :D D D AD D D B ] ~ <V@  YP Q~ R0@ S~ RG@ S~ RN@ V~ N$@ M<  ]O O~ P@@ OS~ P,@ OD~ P? _R~ O Mm< PP Q~ RZ@ QS~ R.@ QD~ R(@ SR~  T0@ Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C 88? -D D AD D B  _~ YV@  _@Px@  gmn 2 E@`@ $ abccccccdnEEEEE b~  @   " nEEEEE Q ]?$@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 ?@  g   Gdo i 0@K@  f   ggho ` 0@I@  ijkkkkkkknEEE 9l ~  @ pssssssso 7l ~  V@   <<<<<<<s 8l ~  C@   ;;;;;;;s ,no~yyyyyyys pE~ q?@ rF~ q$@ rG~ q? rH~ stuv~yyyyyyys ,uo~yyyyyyys wI~ xB@ J~ x@ K~ x L~ x g~   o~yyyyyyys E:FFFFFFFy  WN  XM pptttttqqDl0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! @@ "$"" ? #1## @@ $*$$ %+%% @ &,&& '-'' @ (5(( @4@ ).)) >@X@ */** @ +C++ ,;, ,U#, }E@ %!+ #, z`@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 @.@ 1311 "@0@ 2422 $@<@ 3%33 @:@ 4&44 5'55 0@H@ 6(66 777 ? 8;8 8F<#8 |E@, %07 #8 {`@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w. ` (  `~ ` <(XPP? 5U]4@ 2eGțI: <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<~~ ` <PXPP?-Q]4@ ]sTW[NB D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<D~~ ` <XPP? ]4@ `ug,SL\]8ش 1<2DHHS: Provide information for all crisis contacts<1~~ ` <XPP? ]4@ 1ۨN5ſ  h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<h~~ ` <зXPP?/ C]4@ EQ,cA! M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <M~~ ` <XPP? BR]4@ ~D)H  n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<n~~ ` <(XPP?8} ]4@ RμKHbO+LSJ ,<-DHHS: CSW should be notified within 24 hours<,~~ ` <PXPP? ]4@ rލo@Rd <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<~~  ` <XPP?"D ]4 @ $vݴuCcl^` <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <~~  ` <XPP? h]4 @ R@<0͠ <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<~~  ` <иXPP?! #]4 @ mg]AϘL %<&DHHS: Count for INTIAL CONTACTS only.<%~~  ` <XPP?( *]4 @ FT3=L#Ftد R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<R~~  ` <(XPP?) +]4 @ o!UHsF)KkW :<;DHHS: Crisis Office = Where walk-in crisis services occur.<:~~ ` <PXPP?,1]4@ _Cە) &<'DHHS: Count for INITIAL CONTACTS Only.<&~~ ` <XPP?1 z3]4@ [e BAVȦ .</DHHS: Crisis Stabilization by the Crisis Team.<.~~ ` <XPP?2 -4]4@ {I! .</DHHS: Crisis Stabilization by the Crisis Team.<.~~ ` <йXPP?2 f6/]4@ >*BTm't$ <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.< DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R   =             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  O Invalid entryEnter Whole numbers only'  Invalid entryEnter Whole numbers only j@07     ] Invalid entryEnter Whole numbers only eA  /  ry%_iU Invalid EntryEnter only whole numbers j@ O Invalid entryEnter Whole numbers only K ENTER A WHOLE NUMBER ONLY!er yj@!+ /  ER%`k Q ENTER A WHOLE NUMBER ONLY!erLL ,- ,, b(b(22gg g2ɀ  mZ     dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   566666666674    DYI    5  D Jan5 67.8999999999:bbccccccd 8 != !! 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XM / /~ 000 ?.@ 1311 @@ 2422 @\@ 3%33 9@ 4&44 ? 5'55 6(66 777 8;8 8F<#8 |@, %07 #8 { g@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w. d (  d~ d <(iXPP? 5U]4@ ["Z@V2ݯ/ <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<RS~~ d <PiXPP?-Q]4@ ;^EA"e D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<RSD~~ d <iXPP? ]4@ U}jG ٛ 1<2DHHS: Provide information for all crisis contacts<RS1~~ d <iXPP? ]4@  EX~ h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<RSh~~ d <iXPP?/ C]4@ (iKeq M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <RSM~~ d <jXPP? BR]4@ M*^K;I n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<RSn~~ d <(jXPP?8} ]4@ `8:wB;AB ,<-DHHS: CSW should be notified within 24 hours<RS,~~ d <PjXPP? ]4@ pr@MPG!Y <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<RS~~  d <jXPP?"D ]4 @ e4A[S <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <RS~~  d <jXPP? h]4 @ >$NzfpI <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<RS~~  d <jXPP?! #]4 @ `pLa _ %<&DHHS: Count for INTIAL CONTACTS only.<RS%~~  d <kXPP?( *]4 @ Ą !jJOڹ! 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R  ]4@ d/oJX&s,2 1<2DHHS: Provide information for all crisis contacts<1rgeC~~ h <XPP?  #]4@ r:\O1]8 h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<hrgeC~~ h <(XPP?  Y]4@ JyHKm5ږ M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <MrgeC~~ h <PXPP?  ]]4@ 1Y4G4/m n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<nrgeC~~ h <XPP? z te]4@ 2̷aF) ,<-DHHS: CSW should be notified within 24 hours<,rgeC~~ h <XPP?  |p]4@ :@->U<~~ h <XPP? , k-]4@ @2ܮ .</DHHS: Crisis Stabilization by the Crisis Team.<.la><~~ h <(XPP? + !/b]4@ 4/M۫j <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.<la>< .h AD??DContinuous%20Quality_72%20dip_rgbPicture 51Continuous%20Quality_72%20dip_rgb ]&.`DHHS DHHS DHHS DHHS DHHS DHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI% DHHS & DHHS , DHHS OQI.DHHS /DHHS 0DHHS >@KS R  +                     !! "" ## $$     )) **,, ,, %% && '' (( 11 22 33 44 -- .. // 00 55 66                    "7** ** ;** +    D 66 66 ;66 +      D ** ** ** ;** **     D  66 66 ;66 **       D     ; **      @D* D'  ;**       D  ; **       D ;**       D;**       D  ; **      @D'    ; **      @D* D' ** ** **;** **    Dw66 66 66;66 66      Dw;66      D;66   D;66   DD{+{** {+{66 {+{** {+{66 {+{ {+{{+{ {+{{+{  {+{   {+{   {+{**   {+{66   {+{{+{{+{O Invalid entryEnter Whole numbers only' ] Invalid entryEnter Whole numbers only eA  U Invalid EntryEnter only whole numbers j@ O Invalid entryEnter Whole numbers only   Invalid entryEnter Whole numbers only j@ .5       .5  c ENTER A WHOLE NUMBER ONLY!er yj@ ) ) I ENTER A WHOLE NUMBER ONLY!erL  L ** I ENTER A WHOLE NUMBER ONLY!erL  L *+ b(b(  gg g2ɀ  m-yA[JKN  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   566666666674    DAMHC-Aroostook    5  D Feb5 67.8999999999:bbccccccd 8 !? !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP W??:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC n'i=@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ P2@ O~ P"@$ IIIIJabccccccd<  YP H~ GK@ H~ GE@$ IIIIJabccccccd<  ZO Lh~ M? N@~ M@ KA~  ,@ KB~ L"@ M \P _\? :D D D AD D D B ] ~ <V@  YP Q~ R@ S~ RE@ S~ RD@ V~ N@ M<  ]O O~ P6@ OS~ P@ OD~ P? _R OMm< PP Q~ RO@ QS~ R(@ QD~ R6@ SR TMbccccccd< Ue FFF FfFFFV  WN  XM  m^C ӛ7? -D D AD D B  _~ YV@  @d@@  gmn 2 ;@@X@ $ abccccccdnEEEEE b~  ?   " nEEEEE Q ]A@U@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 e@"@  g   Gdo i (@7@  f   ggho ` $@5@  ijkkkkkkknEEE 9l ~  J@ pssssssso 7l ~  C@   s 8l ~  I@   s ,no~mmmmmmms pE~ q@ rF~ q*@ rG~ q@ rH~ s?tuv~mmmmmmms ,uo~mmmmmmms wI~ x6@ J~ x@ K x Lx g o~mmmmmmms E:FFFFFFFy  WN  XM pptttttqqD_l0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! @@ "$" #1## @ $*$ ~ $ @ %+%% ?? &,&& ? '-' ~ ' @ (5(( @0@ ).)) (@D@ */** @3@ +C++ ?"@ ,;, ,U#, };@ %!+ #, z@X@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 @ @ 131 2422 .@L@ 3%33 @ @ 4&44 @ 5'55 @.@ 6(6 ~ 6 @ 77 ~ 7 @ 8;8 8F<#8 |;@, %07 #8 {@X@8 %07  8 |8 vwwwwwww9 D8F>,>8>>8>>>> D,>,>>>>88]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&45' l88 w.  (  ~  <XPP? 5U]4@ }dc&EkEr;| <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<RS~~  <XPP?-Q]4@ LL#9E 9W5u D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<RSD~~  <(XPP? ]4@ j5_FHj 1<2DHHS: Provide information for all crisis contacts<RS1~~  <PXPP? ]4@ ᔈ8@nFjd h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<RSh~~  <XPP?/ C]4@  X J(!i̡ M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <RSM~~  <XPP? BR]4@ OuT n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<RSn~~  <XPP?8} ]4@ }I(w= ,<-DHHS: CSW should be notified within 24 hours<RS,~~  <XPP? ]4@ 0G)^A0&C <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<RS~~   <(XPP?"D ]4 @ 3*L1I/4 <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <RS~~   <PXPP? h]4 @ Q @wC>HU| <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<RS~~   <XPP?! #]4 @ x S_Jh %<&DHHS: Count for INTIAL CONTACTS only.<RS%~~   <XPP?( *]4 @ LyNr  R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<RSR~~   <XPP?) +]4 @ }@'Kq :<;DHHS: Crisis Office = Where walk-in crisis services occur.<RS:~~  <XPP?,1]4@ nKH>OO~ &<'DHHS: Count for INITIAL CONTACTS Only.<RS&~~  <(XPP?1 z3]4@  woCh 3vY .</DHHS: Crisis Stabilization by the Crisis Team.<RS.~~  <PXPP?2 -4]4@ y)iKz } .</DHHS: Crisis Stabilization by the Crisis Team.<RS.~~  <XPP?2 f6/]4@ |}ZL98n7 <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.<RS DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R =             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  Q ENTER A WHOLE NUMBER ONLY!LL ,- ,, /  ER%`k K ENTER A WHOLE NUMBER ONLY! j@!+ O Invalid entryEnter Whole numbers only@ U Invalid EntryEnter only whole numbers @j@ /  ry%_i] Invalid entryEnter Whole numbers only @eA   Invalid entryEnter Whole numbers only @j@07     O Invalid entryEnter Whole numbers only@' b(b(22gg g2ɀ  mP,  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   566666666674    D AMHC-Atlantic    5  D Feb5 67.8999999999:bbccccccd 8 !> !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP ZZZZZZ?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC cD@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ P@ O~ P0@$ IIIIJabccccccd<  YP H~ GA@ H~ GA@$ IIIIJabccccccd<  ZO Lh M N@~ M@ KA~  (@ KB~ L @ M \P ? :D D D AD D D B ] ~ <V@  YP Q~ R@ S~ R4@ S~ R@@ V~ N @ M<  ]O O~ P.@ OS~ P@ OD~ P@ _R OMm< PP Q~ RF@ QS~ R*@ QD~ R$@ SR~  T@ Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C ? -D D AD D B  _~ YV@  `@@  gmn 2 7@Q@ $ abccccccdnEEEEE b~     " nEEEEE Q ]@?@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 e@?@  g   Gdo i @@  f   ggho ` @@  ijkkkkkkknEEE 9l ~  @ pssssssso 7l ~  E@   s 8l ~  9@   s ,no~mmmmmmms pE~ q"@ rF~ q@ rG~ q@ rH~ s@tuv~mmmmmmms ,uo~mmmmmmms wI~ x.@ J~ x@ K~ x@ L~ x g~   o~mmmmmmms E:FFFFFFFy  WN  XM pptttttqqDvl0H2^V|x&\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! @@ "$"" ? #1## ?@ $*$$ %+%% &,&& '-'' ? (5(( @@ ).)) @E@ */** ?@ +C++ ?@ ,;, ,U#, }7@ %!+ #, zQ@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 ?$@ 1311 @.@ 2422 (@*@ 3%33 @@ 4&44 ?&@ 5'55 ?*@ 6(66 ? 777 @ 8;8 8F<#8 |7@, %07 #8 {Q@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w.  (  ~  <ЀXPP? 5U]4@  ?D]ZJZCpq <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<RS~~  <XPP?-Q]4@ Z`5N,!& D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<RSD~~  <(XPP? ]4@  )U GMf;OG 1<2DHHS: Provide information for all crisis contacts<RS1~~  <PXPP? ]4@ NۋNyb h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<RSh~~  <XPP?/ C]4@  bFkzRx M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <RSM~~  <XPP? BR]4@ 'U;J!a\)T n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<RSn~~  <ЁXPP?8} ]4@ +KvaOK%bA0 ,<-DHHS: CSW should be notified within 24 hours<RS,~~  <XPP? ]4@ ,pLKyDB <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<RS~~   <(XPP?"D ]4 @ ύzL)3, <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <RS~~   <PXPP? h]4 @ 3 wIc?WW <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<RS~~   <XPP?! #]4 @ 44J5kD %<&DHHS: Count for INTIAL CONTACTS only.<RS%~~   <XPP?( *]4 @ \raŽGULF R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<RSR~~   <ЂXPP?) +]4 @ L ,@6 :<;DHHS: Crisis Office = Where walk-in crisis services occur.<RS:~~  <XPP?,1]4@ '3&@@T &<'DHHS: Count for INITIAL CONTACTS Only.<RS&~~  <(XPP?1 z3]4@ [^ඊ@]@# .</DHHS: Crisis Stabilization by the Crisis Team.<RS.~~  <PXPP?2 -4]4@ frɀ'D $! .</DHHS: Crisis Stabilization by the Crisis Team.<RS.~~  <XPP?2 f6/]4@ ^3A[Y. <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.<RS DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R =             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  Q ENTER A WHOLE NUMBER ONLY!LL ,- ,, /  ER%`k K ENTER A WHOLE NUMBER ONLY! j@!+ O Invalid entryEnter Whole numbers only@ U Invalid EntryEnter only whole numbers @j@ /  ry%_i] Invalid entryEnter Whole numbers only @eA   Invalid entryEnter Whole numbers only @j@07     O Invalid entryEnter Whole numbers only@' b(b(22gg g2ɀ  m!&  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o2XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"2XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   =======>566666666674    D)&Community Health & Counseling Services  ???5  D Feb5 67.8999999999:bbccccccd 8 !) !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP ~jt?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC Q<@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ P"@ O~ P&@$ IIIIJabccccccd<  YP H~ GO@ H~ GO@$ IIIIJabccccccd<  ZO Lh~ M N@~ M KA~  @ KB~ L*@ M \P ? :D D D AD D D B ] ~ <V@  YP Q~ R(@ S~ RA@ S~ R V~ N M<  ]O O~ P0@ OS~ P@ OD~ P@ _R~ O Mm< PP Q~ RS@ QS~ RF@ QD~ R@ SR~  T Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C ? -D D AD D B  _~ YV@  `h@А@  gmn 2 4@@_@ $ abccccccdnEEEEE b~  @   " nEEEEE Q ]@E@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 @=@  g   Gdo i "@F@  f   ggho ` @E@  ijkkkkkkknEEE 9l ~  >@ pssssssso 7l ~  @P@   <<<<<<<s 8l ~  N@   ;;;;;;;s ,no~yyyyyyys pE~ q&@ rF~ q @ rG~ q? rH~ stuv~yyyyyyys ,uo~yyyyyyys wI~ x3@ J~ x K~ x L~ x? g~   o~yyyyyyys E:FFFFFFFy  WN  XM pptttttqqDl0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! @@ "$"" @@ #1## @@ $*$$ %+%% &,&& '-'' ?@ (5(( @@@ ).)) "@@P@ */** @ +C++ @ ,;, ,U#, }4@ %!+ #, z@_@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 "@ 1311 @*@ 2422 @F@ 3%33 @=@ 4&44 ?"@ 5'55 ?.@ 6(66 @ 777 @ 8;8 8F<#8 |4@, %07 #8 {@_@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w.   (   ~   <XPP? 5U]4@ ?#4Ev <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<0N ~~   <XPP?-Q]4@ )WJB LtM D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<D0N ~~   <(XPP? ]4@ ӇsF^ 1<2DHHS: Provide information for all crisis contacts<10N ~~   <PXPP? ]4@ j\mvF˲ڇ֬ h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<h0N ~~   <XPP?/ C]4@ =eN:z' M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <M0N ~~   <XPP? BR]4@ $G?2Lp3N n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<n0N ~~   <XPP?8} ]4@ DgJ+K*LM2 ,<-DHHS: CSW should be notified within 24 hours<,0N ~~   <XPP? ]4@ al^MR7]] <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<0N ~~   <(XPP?"D ]4 @ W 0qD;&D <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <~~   <PXPP? h]4 @ AcBt_?. <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<~~   <XPP?! #]4 @ Ejr9Bo" %<&DHHS: Count for INTIAL CONTACTS only.<%pt~~   <XPP?( *]4 @ 7Zo,J֑O~y R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<Rpt~~   <XPP?) +]4 @ d=>L\d>2 :<;DHHS: Crisis Office = Where walk-in crisis services occur.<:pt~~   <XPP?,1]4@ \!GvJ &<'DHHS: Count for INITIAL CONTACTS Only.<&pt~~   <(XPP?1 z3]4@ &G?OkU%m .</DHHS: Crisis Stabilization by the Crisis Team.<.pt~~   <PXPP?2 -4]4@ 1Lw, .</DHHS: Crisis Stabilization by the Crisis Team.<.pt~~   <XPP?2 f6/]4@ ["G)pE9a( U <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.<pt DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R =             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  Q ENTER A WHOLE NUMBER ONLY!LL ,- ,, /  ER%`k K ENTER A WHOLE NUMBER ONLY! j@!+ O Invalid entryEnter Whole numbers only@ U Invalid EntryEnter only whole numbers @j@ /  ry%_i] Invalid entryEnter Whole numbers only @eA   Invalid entryEnter Whole numbers only @j@07     O Invalid entryEnter Whole numbers only@' b(b(22gg g2ɀ  m/BLLO  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   =======>566666666674    DCrisis & Counseling Centers  ???5  D Feb5 67.8999999999:bbccccccd 8 ! !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP }{8?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC Υڐ%@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ PE@ O~ P@@$ IIIIJabccccccd<  YP H~ Ga@ H~ Ga@$ IIIIJabccccccd<  ZO Lh~ M N@~ M@ KA~  4@ KB~ LI@ M \P \? :D D D AD D D B ] ~ <V@  YP Q~ R?@ S~ R@S@ S~ R b@ V~ N<@ M<  ]O O~ PM@ OS~ P,@ OD~ P@ _R~ O Mm< PP Q~ Rh@ QS~ RG@ QD~ R8@ SR~  T(@ Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C d+? -D D AD D B  _~ YV@   @@  gmn 2 R@q@ $ abccccccdnEEEEE b~  ?   " nEEEEE Q ](@R@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 @  g   Gdo i 9@]@  f   ggho ` 8@@]@  ijkkkkkkknEEE 9l ~  @ pssssssso 7l ~  `g@   <<<<<<<s 8l ~  @W@   ;;;;;;;s ,no~yyyyyyys pE~ q@ rF~ qE@ rG~ q;@ rH~ stuv~yyyyyyys ,uo~yyyyyyys wI~ xR@ J~ x? K~ x L~ x g~   o~yyyyyyys E:FFFFFFFy  WN  XM pptttttqqDl0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! 5@C@ "$"" ?@ #1## @@ $*$$ @ %+%% @@ &,&& @ '-'' @ (5(( @8@ ).)) B@g@ */** @ +C++ @ ,;, ,U#, }R@ %!+ #, zq@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 *@ 1311 @E@ 2422 C@[@ 3%33 .@A@ 4&44 5'55 ,@R@ 6(66 @ 777 8;8 8F<#8 |R@, %07 #8 {q@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w.  (  ~  <ФXPP? 5U]4@ v窵OC<  <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<lu~~  <XPP?-Q]4@ ALORH1-K D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<Dlu~~  <(XPP? ]4@ y fFF7s}: 1<2DHHS: Provide information for all crisis contacts<1lu~~  <PXPP? ]4@ bO@  i g h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<hlu~~  <XPP?/ C]4@ T҄D3PFET M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <Mlu~~  <XPP? BR]4@ {H!NP@9¨  n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<nlu~~  <ХXPP?8} ]4@  )FqD ,<-DHHS: CSW should be notified within 24 hours<,lu~~  <XPP? ]4@ >~콍Oba0yc <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<lu~~   <(XPP?"D ]4 @ ` Hu"6"Z <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <se~~   <PXPP? h]4 @ t"mLB+JK <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<se~~   <XPP?! #]4 @ "00C՟O %<&DHHS: Count for INTIAL CONTACTS only.<%lc~~   <XPP?( *]4 @ + F Ha R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<Rlc~~   <ЦXPP?) +]4 @ OZP@}a :<;DHHS: Crisis Office = Where walk-in crisis services occur.<:lc~~  <XPP?,1]4@ mAC~A%' &<'DHHS: Count for INITIAL CONTACTS Only.<&lc~~  <(XPP?1 z3]4@ SI1ND83: .</DHHS: Crisis Stabilization by the Crisis Team.<.lc~~  <PXPP?2 -4]4@ ^M2 .</DHHS: Crisis Stabilization by the Crisis Team.<.lc~~  <XPP?2 f6/]4@ #@f%8 <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.<lc DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R =             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  Q ENTER A WHOLE NUMBER ONLY!LL ,- ,, /  ER%`k K ENTER A WHOLE NUMBER ONLY! j@!+ O Invalid entryEnter Whole numbers only@ U Invalid EntryEnter only whole numbers @j@ /  ry%_i] Invalid entryEnter Whole numbers only @eA   Invalid entryEnter Whole numbers only @j@07     O Invalid entryEnter Whole numbers only@' b(b(22gg g2ɀ :DŽ(ȡ  dMbP?_*+% &ffffff?'ffffff?(?)?MHP Business Inkjet 2800 (PS)S oAXXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"AXX333333?333333?&<3cnU} } } } :0J0h0h0w0h0YY I0 h0 Y  h0 Y  h0Y 0YJJY 0YY YJJY Yg Yg 0 /,0000000001DDDDDDDDD23333333334   566666666674    DCounseling Services Inc.    5  D Feb5 67.8999999999:bbccccccd 8 ! !! " ##$ 9  : ;  eT  fU  %V&&&&&'      =~  >p@ ;  gWP ?:D5 D6 D AD5 D6 D B  hXhhhhhi   ($))*?@Aabccccccd++, -...BCD  gYC k(<@@ -D D AD D B  Z c          G  l[   HO O~ PA@ O~ PH@" IIIIJabccccccd  YP H~ GR@ H~ GV@" IIIIJabccccccd  ZO Lh~ M N@~ M @ KA~  B@ KB~ LB@ M \P T8? :D D D AD D D B ]   YP Q~ R5@ S~ RF@ S~ R@S@ V~ N4@ M  ]O O~ PN@ OS~ P1@ OD~ P@ _R OMm PP Q~ RW@ QS~ R=@ QD~ R>@ SR~  T&@ Mbccccccd Ue FFF FfFFFV  WN  XM  m^C ? -D D AD D B  _  h@@  gm 2 V@g@  abccccccd b~  ?     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XM. uuDDDDDDD / ,/~uuDDDDDDD 00 ~ 0 @0 uuDDDDDDD 1311 @@C@ 1 uuDDDDDDD 2422 ?@K@ 2 uuDDDDDDD 3%33 (@,@ 3 uuDDDDDDD 4&44 ?@ 4 uuDDDDDDD 5'55 ,@N@ 5 uuDDDDDDD 6(6 ~ 6 0@6 uuDDDDDDD 77 ~ 7 @7 uuDDDDDDD 8;8 8F<#8 |V@, %07 #8 {g@8 %07  8 |8 vwwwwwww8X >Z>ZT>>>ZZ>>2`>TZZZZZTT8 w88 w.  (  ~  <&XPP? \]4@ .AmK'[ <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<RSx:~~  <'XPP? ]4@ .3E͔91 D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<RSDx:~~  <('XPP?]4@ bL$c 1<2DHHS: Provide information for all crisis contacts<RS1x:~~  <P'XPP? ]4@ ȜoLֶtij h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<RShx:~~  <'XPP? ]4@ DaUYT@* M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <RSMx:~~  <'XPP? ]4@  #B.  n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<RSnx:~~  <'XPP?]4@ ju:0LXQw ,<-DHHS: CSW should be notified within 24 hours<RS,x:~~  <(XPP? ]4@ ]q{X'HQ <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<RSx:~~   <((XPP? ]4 @ F rNCL <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <RS="~~   <P(XPP? ]4 @ MuQ`Is 3R <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<RS="~~   <(XPP? @]4 @ cEaO{ %<&DHHS: Count for INTIAL CONTACTS only.<RS%:s~~   <(XPP?& @(:]4 @ wt_B|CE p R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<RSR:s~~   <(XPP?' ,)Q]4 @ *h`yNWKh :<;DHHS: Crisis Office = Where walk-in crisis services occur.<RS::s~~  <)XPP?-1]]4@ q0 L%8 &<'DHHS: Count for INITIAL CONTACTS Only.<RS&:s~~  <()XPP?/ 1]4@ ԢK'9Alk> .</DHHS: Crisis Stabilization by the Crisis Team.<RS.:s~~  <P)XPP?0 2Q]4@ 4J+d!I .</DHHS: Crisis Stabilization by the Crisis Team.<RS.:s~~  <)XPP?1 5:]4@ m Kj <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.<RS:s DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@FKS R  =             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  Q ENTER A WHOLE NUMBER ONLY!LL ,- ,, /  ER%`k K ENTER A WHOLE NUMBER ONLY! j@!+ O Invalid entryEnter Whole numbers only@ U Invalid EntryEnter only whole numbers @j@ /  ry%_i] Invalid entryEnter Whole numbers only @eA   Invalid entryEnter Whole numbers only @j@     01 37 O Invalid entryEnter Whole numbers only@' b(b(2Pgg g2ɀ  m!  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   =======>566666666674    D Evergreen Behavioral Services  ???5  D Feb5 67.8999999999:bbccccccd 8 ! !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP ?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC xxxxxx3@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ P@ O~ P@$ IIIIJabccccccd<  YP H~ G*@ H~ G4@$ IIIIJabccccccd<  ZO Lh~ M N@~ M? KA~  @ KB~ L@ M \P ? :D D D AD D D B ] ~ <V@  YP Q~ R @ S~ R$@ S~ R"@ V~ N@ M<  ]O O~ P@ OS~ P@ OD~ P _R~ O Mm< PP Q~ R.@ QS~ R$@ QD~ R@ SR~  T@ Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C ? -D D AD D B  _~ YV@  K@h@  gmn 2 &@A@ $ abccccccdnEEEEE b~  ?   " nEEEEE Q ]@,@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6  g   Gdo i @$@  f   ggho ` @$@  ijkkkkkkknEEE 9l ~  @ pssssssso 7l ~  .@   <<<<<<<s 8l ~  1@   ;;;;;;;s ,no~yyyyyyys pE~ q"@ rF~ q@ rG~ q rH~ stuv~yyyyyyys ,uo~yyyyyyys wI~ x$@ J~ x? K~ x L~ x g~   o~yyyyyyys E:FFFFFFFy  WN  XM pptttttqqDl0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! @ "$"" #1## $*$$ %+%% &,&& '-'' @ (5(( @"@ ).)) @.@ */** ?@ +C++ ? ,;, ,U#, }&@ %!+ #, zA@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 @ 1311 @,@ 2422 @&@ 3%33 @ 4&44 5'55 @@ 6(66 ? 777 8;8 8F<#8 |&@, %07 #8 {A@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w. 0 (  ~  <XPP? 5U]4@ ЄzJ@.& <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<ut~~  <XPP?-Q]4@ 33@[V ؑ D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<Dut~~  <XPP? ]4@ $+:NGj!dQ 1<2DHHS: Provide information for all crisis contacts<1ut~~  <(XPP? ]4@ LKiC h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<hut~~  <PXPP?/ C]4@ 8t@KKS R =             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  Q ENTER A WHOLE NUMBER ONLY!LL ,- ,, /  ER%`k K ENTER A WHOLE NUMBER ONLY! j@!+ O Invalid entryEnter Whole numbers only@ U Invalid EntryEnter only whole numbers @j@ /  ry%_i] Invalid entryEnter Whole numbers only @eA   Invalid entryEnter Whole numbers only @j@07     O Invalid entryEnter Whole numbers only@' b(b(22gg g2ɀ  m- @ J J M  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   =======>566666666674    D!Mid-Coast Mental Health Center  ???5  D Feb5 67.8999999999:bbccccccd 8 ! !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?     =~  >p@ ;  gWP Zd;O?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC On/@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ P@ O~ P$@$ IIIIJabccccccd<  YP H~ GJ@ H~ GN@$ IIIIJabccccccd<  ZO Lh~ M N@~ M@ KA~  @ KB~ L @ M \P X9v? :D D D AD D D B ] ~ <V@  YP Q~ R"@ S~ RE@ S~ RD@ V~ N5@ M<  ]O O~ P(@ OS~ P@ OD~ P@ _R~ O Mm< PP Q~ RD@ QS~ R4@ QD~ R*@ SR~  TD@ Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C 88? -D D AD D B  _~ YV@  4@ i@  gmn 2 1@@_@ $ abccccccdnEEEEE b~  @   " nEEEEE Q ]@4@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 @&@  g   Gdo i @2@  f   ggho ` @1@  ijkkkkkkknEEE 9l ~  X@ pssssssso 7l ~  V@   <<<<<<<s 8l ~  @@   ;;;;;;;s ,no~yyyyyyys pE~ q1@ rF~ q rG~ q rH~ stuv~yyyyyyys ,uo~yyyyyyys wI~ x"@ J~ x@ K~ x L~ x g~  ? o~yyyyyyys E:FFFFFFFy  WN  XM pptttttqqDl0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! @@ "$"" #1## @ $*$$ %+%% &,&& '-'' ? (5(( @5@ ).)) @V@ */** @ +C++ @ ,;, ,U#, }1@ %!+ #, z@_@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 ? 1311 @@ 2422 @H@ 3%33 @"@ 4&44 ?? 5'55 @D@ 6(66 @ 777 *@ 8;8 8F<#8 |1@, %07 #8 {@_@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w. @ (  ~  <:XPP? 5U]4@ (gK,? <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<_x~~  <:XPP?-Q]4@ 3fU!AQp9c D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<D_x~~  <;XPP? ]4@ y (Ft9`4 1<2DHHS: Provide information for all crisis contacts<1_x~~  <(;XPP? ]4@ 3*$Ec,(! h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<h_x~~  <P;XPP?/ C]4@ \%;Kp{! M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <M_x~~  <;XPP? BR]4@ "|o_K[Z6 n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<n_x~~  <;XPP?8} ]4@ f.ʋGE&1 ,<-DHHS: CSW should be notified within 24 hours<,_x~~  <;XPP? ]4@  ~Fr <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<_x~~   <<XPP?"D ]4 @ ayDe4 U$ <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <~~   <(<XPP? h]4 @ tGnnL5\  <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<~~   <P<XPP?! #]4 @ k_`D( %<&DHHS: Count for INTIAL CONTACTS only.<%~~   <<XPP?( *]4 @ qlbMd< R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<R~~   <<XPP?) +]4 @ 8f1|eJ) PF :<;DHHS: Crisis Office = Where walk-in crisis services occur.<:~~  <<XPP?,1]4@ wFJBPr &<'DHHS: Count for INITIAL CONTACTS Only.<&~~  <=XPP?1 z3]4@ HU6M#" .</DHHS: Crisis Stabilization by the Crisis Team.<.~~  <(=XPP?2 -4]4@  =cuN1̨) .</DHHS: Crisis Stabilization by the Crisis Team.<.~~  <P=XPP?2 f6/]4@ ҒvMRo?S] <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.< DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R =             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  Q ENTER A WHOLE NUMBER ONLY!LL ,- ,, /  ER%`k K ENTER A WHOLE NUMBER ONLY! j@!+ O Invalid entryEnter Whole numbers only@ U Invalid EntryEnter only whole numbers @j@ /  ry%_i] Invalid entryEnter Whole numbers only @eA   Invalid entryEnter Whole numbers only @j@07     O Invalid entryEnter Whole numbers only@' b(b(22gg g2ɀ  m Ԗ  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   =======>566666666674    DOxford County Mental Health  ???5  D Feb5 67.8999999999:bbccccccd 8 ! !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP )A?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC  O 3@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ P"@ O~ P(@$ IIIIJabccccccd<  YP H~ G>@ H~ G9@$ IIIIJabccccccd<  ZO Lh~ M N@~ M@ KA~  &@ KB~ L@ M \P A)A? :D D D AD D D B ] ~ <V@  YP Q~ R@ S~ R(@ S~ R@@ V~ N@ M<  ]O O~ P1@ OS~ P@ OD~ P? _R~ O Mm< PP Q~ RB@ QS~ R @ QD~ R@ SR~  T@ Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C ffffff? -D D AD D B  _~ YV@  ;@@V@  gmn 2 5@K@ $ abccccccdnEEEEE b~  @   " nEEEEE Q ]"@2@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 ?  g   Gdo i &@4@  f   ggho ` &@3@  ijkkkkkkknEEE 9l ~  $@ pssssssso 7l ~  A@   <<<<<<<s 8l ~  2@   ;;;;;;;s ,no~yyyyyyys pE~ q2@ rF~ q@ rG~ q rH~ stuv~yyyyyyys ,uo~yyyyyyys wI~ x0@ J~ x@ K~ x L~ x g~   o~yyyyyyys E:FFFFFFFy  WN  XM pptttttqqDl0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! @@ "$"" #1## @ $*$$ ? %+%% &,&& '-'' ?? (5(( @*@ ).)) &@A@ */** ? +C++ ? ,;, ,U#, }5@ %!+ #, zK@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 ?? 1311 @,@ 2422 @.@ 3%33 @.@ 4&44 5'55 @@ 6(66 @ 777 @ 8;8 8F<#8 |5@, %07 #8 {K@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w. P  (   ~   <XPP? 5U]4@ dv GJZ <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<~~   <XPP?-Q]4@ C'/DC֏)̜ D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<D~~   <XPP? ]4@ \p.ftKVBge 1<2DHHS: Provide information for all crisis contacts<1~~   <(XPP? ]4@ ^5AlB.".  h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<h~~   <PXPP?/ C]4@ nfDeM~ M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <M~~   <XPP? BR]4@ t[яA͘:H n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<n~~   <XPP?8} ]4@ }iwSSHP'l ,<-DHHS: CSW should be notified within 24 hours<,~~   <XPP? ]4@ .IC`:ZB"@) <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<~~   <XPP?"D ]4 @ xE|DEJj7 f <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <~~   <(XPP? h]4 @ g|_gIU$^  <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<~~   <PXPP?! #]4 @ Ťnߏ*N=Bx %<&DHHS: Count for INTIAL CONTACTS only.<%~~   <XPP?( *]4 @ ] '2GXlv߲|^ R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<R~~   <XPP?) +]4 @ G=KI3 :<;DHHS: Crisis Office = Where walk-in crisis services occur.<:~~   <XPP?,1]4@ FdH'b4 &<'DHHS: Count for INITIAL CONTACTS Only.<&~~   <XPP?1 z3]4@ Q-@^m,E .</DHHS: Crisis Stabilization by the Crisis Team.<.~~   <(XPP?2 -4]4@ 0q@aL 笯j .</DHHS: Crisis Stabilization by the Crisis Team.<.~~   <PXPP?2 f6/]4@ ;RS?NͰ <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.< DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R =             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  Q ENTER A WHOLE NUMBER ONLY!LL ,- ,, /  ER%`k K ENTER A WHOLE NUMBER ONLY! j@!+ O Invalid entryEnter Whole numbers only@ U Invalid EntryEnter only whole numbers @j@ /  ry%_i] Invalid entryEnter Whole numbers only @eA   Invalid entryEnter Whole numbers only @j@07     O Invalid entryEnter Whole numbers only@' b(b(22gg g2ɀ  m d D @  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   =======>566666666674    D Sweetser  ???5  D Feb5 67.8999999999:bbccccccd 8 ! !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?     =~  >p@ ;  gWP UUUUUU?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC 2@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ XE@ O~ X;@$ IIIIJabccccccd<  YP H G H& GIIIIJabccccccd<  ZO Lh~ M N@~ M@ KA~  F@ KB~ L6@ M \P 88? :D D D AD D D B ] ~ <V@  YP Q R S R S R V NM<  ]O O~ PC@ OS~ P?@ OD~ P? _R~ O Mm< PP Q\ QS\ QD\ SR Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C ? -D D AD D B  _~ YV@  @t@ @t@  gmn 2 R@R@ $ abccccccdnEEEEE b~  @   " nEEEEE Q  @ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 1@1@  g   Gdo i @@@@  f   ggho ` @@@@  ijkkkkkkknEEE 9l ~  Д@ pssssssso 7l ~  5@   <<<<<<<s 8l ~  I@   ;;;;;;;s ,no~yyyyyyys pE~ qQ@ rF~ q@ rG~ q rH~ stuv~yyyyyyys ,uo~yyyyyyys wI~ qF@ J~ q:@ K~ q? L~ q g~  ? o~yyyyyyys E:FFFFFFFy  WN  XM pptttttqqD5l0H2^V|h*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! .@.@ "$"" @@ #1## 5@5@ $*$$ %+%% &,&& '-'' ?? (5(( &@&@ ).)) 6@6@ */** +C++ ,;, ,U#, }R@ %!+ #, zR@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 1311 1@1@ 2422 @@@@ 3%33 &@&@ 4&44 5'55 (@(@ 6(66 777 8;8 8F<#8 |R@, %07 #8 {R@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w. `$ (  $~ $ <.XPP? 5U]4@  %bݽJ h/X <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<~~ $ <.XPP?-Q]4@ VЛ D/X D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<D~~ $ </XPP? ]4@ ݞYM`'- 1<2DHHS: Provide information for all crisis contacts<1~~ $ <(/XPP? ]4@ D&5N<5Ϭy h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<h~~ $ <P/XPP?/ C]4@ Z8pJq`($p M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <M~~ $ </XPP? BR]4@ pst0?Jŷ* n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<n~~ $ </XPP?8}]4@ bo6vGvލ`} ,<-DHHS: CSW should be notified within 24 hours<,~~ $ </XPP? ]4@ zSI9y: <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<~~  $ <XPP?"H ]4 @ 47+HF% <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <~~  $ <(XPP? r]4 @ 94EXdE <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<~~  $ <PXPP?! #]4 @ GF°G %<&DHHS: Count for INTIAL CONTACTS only.<%~~  $ <XPP?( *]4 @ }}+?O1< R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<R~~  $ <XPP?) +]4 @ C^PO#+ :<;DHHS: Crisis Office = Where walk-in crisis services occur.<:~~ $ <XPP?,1#]4@ r=g>K}rFH" &<'DHHS: Count for INITIAL CONTACTS Only.<&~~ $ <XPP?1 3]4@ (q[D=[XS .</DHHS: Crisis Stabilization by the Crisis Team.<.~~ $ <(XPP?2 -4]4@ ׾ r*Dہ&_ .</DHHS: Crisis Stabilization by the Crisis Team.<.~~ $ <PXPP?2 f6/]4@ 挖,WA텀 <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.< DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R =             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  Q ENTER A WHOLE NUMBER ONLY!LL ,- ,, /  ER%`k K ENTER A WHOLE NUMBER ONLY! j@!+ O Invalid entryEnter Whole numbers only@ U Invalid EntryEnter only whole numbers @j@ /  ry%_i] Invalid entryEnter Whole numbers only @eA   Invalid entryEnter Whole numbers only @j@07     O Invalid entryEnter Whole numbers only@' b(b(22gg g2ɀ  mw. ,B JK L O  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   =======>566666666674    D Sweetser  ???5  D Feb5 67.8999999999:bbccccccd 8 ! !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP ,˲,?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@ (&))*?@Aabccccccd<++, -...BCD  gYC yy>@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ X4@ O~ X1@$ IIIIJabccccccd<  YP H~ GI@ H~ GP@$ IIIIJabccccccd<  ZO Lh~ M N@~ M@ KA~  4@ KB~ L,@ M \P u]u]? :D D D AD D D B ] ~ <V@  YP Q~ R@ S~ RD@ S~ RK@ V~ N,@ M<  ]O O~ P1@ OS~ P2@ OD~ P@ _R~ O Mm< PP Q~ \N@ QS~ \,@ QD~ \E@ SR~   Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C ? -D D AD D B  _~ YV@  @Q@pq@  gmn 2 C@_@ $ abccccccdnEEEEE b~  @   " nEEEEE Q @ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 @=@  g   Gdo i "@@@  f   ggho ` "@@@  ijkkkkkkknEEE 9l ~  $@ pssssssso 7l ~  N@   <<<<<<<s 8l ~  @@   ;;;;;;;s ,no~yyyyyyys pE~ q=@ rF~ q@ rG~ q@ rH~ stuv~yyyyyyys ,uo~yyyyyyys wI~ q8@ J~ q @ K~ q@ L~ q? g~  ? o~yyyyyyys E:FFFFFFFy  WN  XM pptttttqqDml0H2JV|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! @@ "$"" #1## @@ $*$$ @ %+%% &,&& '-'' @ (5(( "@1@ ).)) 6@@V@ */** +C++ @ ,;, ,U#, }C@ %!+ #, z_@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 ?@ 1311 0@7@ 2422 @H@ 3%33 @*@ 4&44 ? 5'55 (@>@ 6(66 @ 777 8;8 8F<#8 |C@, %07 #8 {_@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w. p( (  (~ ( <0XPP? 5U]4@ -$7Kp;d <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<~~ ( <0XPP?-Q]4@ rkΛH ~5G D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<D~~ ( <1XPP? ]4@  ']G bqO 1<2DHHS: Provide information for all crisis contacts<1~~ ( <(1XPP? ]4@ kF-B\C'tH h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<h~~ ( <P1XPP?/ C]4@ JH M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <M~~ ( <1XPP? BR]4@ ǤȦM8ި% s n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<n~~ ( <1XPP?8} ]4@ 1TJ. ,<-DHHS: CSW should be notified within 24 hours<,~~ ( <1XPP? ]4@ H*7NFe  <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<~~  ( <2XPP?"D ]4 @ -LoTdLa>[b' <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <~~  ( <(2XPP? h]4 @ < }uCAM <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<~~  ( <P2XPP?! #]4 @ AG>x, %<&DHHS: Count for INTIAL CONTACTS only.<%~~  ( <2XPP?( *]4 @ dDaEE7 R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<R~~  ( <2XPP?) +]4 @ Li}8O/!/ :<;DHHS: Crisis Office = Where walk-in crisis services occur.<:~~ ( <2XPP?,1]4@ yi҇G  RS &<'DHHS: Count for INITIAL CONTACTS Only.<&~~ ( <3XPP?1 z3]4@ ;dʃFB}j .</DHHS: Crisis Stabilization by the Crisis Team.<.~~ ( <(3XPP?2 -4]4@ v]C@%U .</DHHS: Crisis Stabilization by the Crisis Team.<.~~ ( <P3XPP?2 f6/]4@ BFI  <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.< DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R =             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  Q ENTER A WHOLE NUMBER ONLY!LL ,- ,, /  ER%`k K ENTER A WHOLE NUMBER ONLY! j@!+ O Invalid entryEnter Whole numbers only@ U Invalid EntryEnter only whole numbers @j@ /  ry%_i] Invalid entryEnter Whole numbers only @eA   Invalid entryEnter Whole numbers only @j@07     O Invalid entryEnter Whole numbers only@' b(b(22gg g2ɀ  m? (  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   =======>566666666674    D Tri-County  ???5  D Feb5 67.8999999999:bbccccccd 8 ! !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP ).?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC ).F@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ P:@ O~ P<@$ IIIIJabccccccd<  YP H~ GS@ H~ GG@$ IIIIJabccccccd<  ZO Lh~ M N@~ M"@ KA~  6@ KB~ L7@ M \P ~K`? :D D D AD D D B ] ~ <V@  YP Q~ R*@ S~ RC@ S~ RO@ V~ N"@ M<  ]O O~ PG@ OS~ P"@ OD~ P _R~ O Mm< PP Q~ R@X@ QS~ R"@ QD~ R$@ SR~  T7@ Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C \琚`? -D D AD D B  _~ YV@  b@v@  gmn 2 K@^@ $ abccccccdnEEEEE b~  @   " nEEEEE Q ]@$@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 @  g   Gdo i 0@J@  f   ggho ` ,@G@  ijkkkkkkknEEE 9l ~  @ pssssssso 7l ~  S@   <<<<<<<s 8l ~  @@   ;;;;;;;s ,no~yyyyyyys pE~ qE@ rF~ q"@ rG~ q@ rH~ stuv~yyyyyyys ,uo~yyyyyyys wI~ xI@ J~ x K~ x? L~ x g~  @ o~yyyyyyys E:FFFFFFFy  WN  XM pptttttqqDl0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! @ "$"" ? #1## @@ $*$$ %+%% ? &,&& ? '-'' ?? (5(( @1@ ).)) F@@V@ */** ?@ +C++ ,;, ,U#, }K@ %!+ #, z^@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 @5@ 1311 @1@ 2422 ,@:@ 3%33 "@0@ 4&44 ? 5'55 1@C@ 6(66 @ 777 8;8 8F<#8 |K@, %07 #8 {^@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w. , (  ,~ , <XPP? 5U]4@ 25-DN <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<~~ , <XPP?-Q]4@ W+$F4.`  D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<D~~ , <XPP? ]4@ ?n&EIN 1<2DHHS: Provide information for all crisis contacts<1~~ , <(XPP? ]4@ q3~/mE h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<h~~ , <PXPP?/ C]4@ `CKT@twW= M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <M~~ , <XPP? BR]4@ vC|cP n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<n~~ , <XPP?8} ]4@ )k|x .</DHHS: Crisis Stabilization by the Crisis Team.<.~~ , <PXPP?2 f6/]4@ EwBʥO}= <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.< DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R =             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  Q ENTER A WHOLE NUMBER ONLY!LL ,- ,, /  ER%`k K ENTER A WHOLE NUMBER ONLY! j@!+ O Invalid entryEnter Whole numbers only@ U Invalid EntryEnter only whole numbers @j@ /  ry%_i] Invalid entryEnter Whole numbers only @eA   Invalid entryEnter Whole numbers only @j@07     O Invalid entryEnter Whole numbers only@' b(b(22gg g2ɀ  m  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   566666666674    DYI    5  D Feb5 67.8999999999:bbccccccd 8 != !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP Cx?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC Q\7@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ P@ O~ P?$ IIIIJabccccccd<  YP H~ GX@ H~ GU@$ IIIIJabccccccd<  ZO Lh~ M N@~ M? KA~  @ KB~ L M \P ? :D D D AD D D B ] ~ <V@  YP Q~ R @ S~ RI@ S~ R@Y@ V~ N&@ M<  ]O O~ P@ OS~ P OD~ P? _R~ O Mm< PP Q~ RR@ QS~ R2@ QD~ RP@ SR~  TE@ Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C ? -D D AD D B  _~ YV@  @@  gmn 2 @ i@ $ abccccccdnEEEEE b~     " nEEEEE Q ] l@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 e"@  g   Gdo i @R@  f   ggho ` @@Q@  ijkkkkkkknEEE 9l ~  X@ pssssssso 7l ~  *@   s 8l ~  g@   s ,no~mmmmmmms pE~ q@ rF~ q rG~ q rH~ stuv~mmmmmmms ,uo~mmmmmmms wI~ x J~ x K~ x L~ x g~   o~mmmmmmms E:FFFFFFFy  WN  XM pptttttqqD{l0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! @@@ "$"" #1## ?(@ $*$$ %+%% &@ &,&& @ '-'' ,@ (5(( \@ ).)) *@ */** @ +C++ ,;, ,U#, }@ %!+ #, z i@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 &@ 1311 @F@ 2422 ?@\@ 3%33 :@ 4&44 5'55 @ 6(66 777 ? 8;8 8F<#8 |@, %07 #8 { i@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w. 0 (  0~ 0 <dXPP? 5U]4@ tJh\@`  <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<RS~~ 0 <dXPP?-Q]4@ JlNˬJ< D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<RSD~~ 0 <eXPP? ]4@ IqF3) 1<2DHHS: Provide information for all crisis contacts<RS1~~ 0 <(eXPP? ]4@ FhC^r7q% h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<RSh~~ 0 <PeXPP?/ C]4@  K\&KjuQa M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <RSM~~ 0 <eXPP? BR]4@ Eo n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<RSn~~ 0 <eXPP?8} ]4@ _{'C3_m ,<-DHHS: CSW should be notified within 24 hours<RS,~~ 0 <eXPP? ]4@ o+>O)N' <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<RS~~  0 <fXPP?"D ]4 @ MKc J3T <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <RS~~  0 <(fXPP? h]4 @ neA0mW <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<RS~~  0 <PfXPP?! #]4 @ yEU'MF: %<&DHHS: Count for INTIAL CONTACTS only.<RS%~~  0 <fXPP?( *]4 @ `@ K!XЌ R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<RSR~~  0 <fXPP?) +]4 @ Bs=g9 :<;DHHS: Crisis Office = Where walk-in crisis services occur.<RS:~~ 0 <fXPP?,1]4@ dOiA/_C &<'DHHS: Count for INITIAL CONTACTS Only.<RS&~~ 0 <gXPP?1 z3]4@ b.+G>v  .</DHHS: Crisis Stabilization by the Crisis Team.<RS.~~ 0 <(gXPP?2 -4]4@ a园Dp̑ .</DHHS: Crisis Stabilization by the Crisis Team.<RS.~~ 0 <PgXPP?2 f6/]4@ ^g&A#[ <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.<RS DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R =             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  Q ENTER A WHOLE NUMBER ONLY!LL ,- ,, /  ER%`k K ENTER A WHOLE NUMBER ONLY! j@!+ O Invalid entryEnter Whole numbers only@ U Invalid EntryEnter only whole numbers @j@ /  ry%_i] Invalid entryEnter Whole numbers only @eA   Invalid entryEnter Whole numbers only @j@07     O Invalid entryEnter Whole numbers only@' b(b(22gg g2ɀ De= 9[ q x c ߟ   X  dMbP?_*+%J7B?&CSTATE OF MAINE Monthly Crisis Report February 2012 SFY 2012&R&P&'(?)M \\oit-isa1psdhhs1\DHHS-MHMR-AM,S o;XXLetterPRIV0''''` \KhC%SMTJHP Color LaserJet 4600 PSJRConstraints96HPPrinterModelNameHP_Color_LaserJet_4600_PSPageSizeLetterPageRegionHPColorasGrayFalseHPCollateFalseHPPaperPolicyPromptUserLeadingEdgeInputSlot*UseFormTrayTableDuplexNoneCMYKInksFASTColorOptionsAutomaticHPTextHalftoneDetailHPTextNeutralGraysBlackHPGraphicsHalftoneDetailHPGraphicsNeutralGraysBlackHPPhotoHalftoneDetailHPPhotoNeutralGraysProcessBlackRGBColorsRGBEdgeControlNormalHPBacksideHeavyFalseResolution600dpiHPwmTextNoneHPwmNUPNoneHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmLocationTrueTRJPHAAJEFF.EAGEN BAPHAAHP Color LaserJet 4600 PS"; XXHzG?&cnU} m D} I D}  D}  D} D}  D} $D}  D}  D} m#D} ID} D} $D} D}  D} mq} &q} u} I u} $ D} I D} $ D} D} m} '$ D} (( D} )A$ D} BB D} CC D} Dk$ D} llD} mx$ D} yy$D} z$ D} $ D} $ D,,@0,I@0,w,:@ ,0,h0,Y ,h0,w@  ,h0 ,Y  ,0 ,Y ,J,J,Y )J@0)@)J@)@)g@)@)@ )J@0)v@0)v@0)J@)@ )@0)I@0)@0)h@ p$qqqqqqqqqqqqr s:ttttttttuvvvvvvvvvvv+ w$xxxxxxxxxxxyz {|||||||}(q g6hhhhhhhhhhhijabccccccd(q k$llllllllllllm eT fU %V&&&&&'(q nc$oooooooooooo gWP͞X?:D3 D4 D AD3 D4 D B hXhhhhhi~ :@(q c ZO W!Xk@ :)  W!X k@ :) ,abccccccd~ 4@(q  YP H!GX@ :)  H!G @ :)  gYCb8@-D D AD D B Z(q   ZO Lh!M? :)  N@!MD@ :)  A! @i@ :)   KB! h@ :)  k l[~ >@(q YP Q!R@`@ :)  S!Ry@ :)  S!R@ :)   V! _@ :) & abccccccd(q  ]O O! 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R  ]4@ V QJXG# 1<2DHHS: Provide information for all crisis contacts<1~~ 4 <WXPP?  ,]4@ `zOFλ h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<h~~ 4 <WXPP?  Y]4@ =iEH} M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <M~~ 4 <WXPP?  ]]4@ SlϝL7c n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<n~~ 4 <XXPP? z te]4@ Z!D@{g: ,<-DHHS: CSW should be notified within 24 hours<  ,~~ 4 <(XXPP?  |p]4@ WQD1~ 9 }W <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<~~  4 <PXXPP?  t+]4 @ Ltm <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <~~  4 <XXPP?  ]4 @ fׇ K%  <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<~~  4 <XXPP?  )]4 @ ׫yCK #pa %<&DHHS: Count for INTIAL CONTACTS only.<%~~  4 <XXPP? !3#]4 @ kuN]u0 R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<R~~  4 <YXPP? "$]4 @ +$KsJj9 :<;DHHS: Crisis Office = Where walk-in crisis services occur.<:xx 4 6(YXPP? 5* -]4@ &SIGZUOZ &<'DHHS: Count for INITIAL CONTACTS Only.<&~~ 4 <PYXPP? +# S,]4@ /ʶE+:V .</DHHS: Crisis Stabilization by the Crisis Team.<.~~ 4 <YXPP? , k-]4@ <_HB f$ .</DHHS: Crisis Stabilization by the Crisis Team.<.~~ 4 <YXPP? + !/b]4@ Y[͞LbJ6H <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.< .4 AD??DContinuous%20Quality_72%20dip_rgbPicture 51Continuous%20Quality_72%20dip_rgb ]&.`DHHS DHHS DHHS DHHS DHHS DHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI% DHHS & DHHS , DHHS OQI.DHHS /DHHS 0DHHS >@KS R  +                     !! "" ## $$     )) **,, ,, %% && '' (( 11 22 33 44 -- .. // 00 55 66                    "7** ** ;** +    D 66 66 ;66 +      D ** ** ** ;** **     D  66 66 ;66 **       D     ; **      @D* D'  ;**       D  ; **       D ;**       D;**       D  ; **      @D'    ; **      @D* D' ** ** **;** **    Dw66 66 66;66 66      Dw;66      D;66   D;66   DD{+{** {+{66 {+{** {+{66 {+{ {+{{+{ {+{{+{  {+{   {+{   {+{**   {+{66   {+{{+{{+{O Invalid entryEnter Whole numbers only' ] Invalid entryEnter Whole numbers only eA  U Invalid EntryEnter only whole numbers j@ O Invalid entryEnter Whole numbers only   Invalid entryEnter Whole numbers only j@ .5       .5  c ENTER A WHOLE NUMBER ONLY!er yj@ ) ) I ENTER A WHOLE NUMBER ONLY!erL  L ** I ENTER A WHOLE NUMBER ONLY!erL  L *+ b(b(  gg g2ɀ  m . m7 /8 +;  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   566666666674    DAMHC-Aroostook    5  D Mar5 67.8999999999:bbccccccd 8 !? !! 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"$" #1## ? $*$ ~ $ @ %+%% @ &,&& '-' ~ ' (5(( @,@ ).)) @D@ */** 9@ +C++ (@ ,;, ,U#, }(@ %!+ #, z@Y@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 *@ 131 2422 $@F@ 3%33 (@ 4&44 @ 5'55 @1@ 6(6 ~ 6 @ 77 ~ 7 @ 8;8 8F<#8 |(@, %07 #8 {@Y@8 %07  8 |8 vwwwwwww9 D8F>,>8>>8>>>> D,>,>>>>88]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&4(  l88 w.  (  ~  <PXPP? UQ]4@ |S99K\̛ <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<RSB~~  <XPP? ]4@ ݆FvĒx D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<RSDB~~  <XPP? ]4@ 9I \\^ 1<2DHHS: Provide information for all crisis contacts<RS1B~~  <ЪXPP? >]4@ 7 Cp[9 h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<RShB~~  <XPP? C5]4@ ISa M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <RSMB~~  <(XPP? B]4@ !E/XO稃=[8 n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<RSnB~~  <PXPP?81]4@ 9@)7 ,<-DHHS: CSW should be notified within 24 hours<RS,B~~  <XPP? ]4@ @DuJC0S7D <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<RSB~~   <XPP?"H ]4 @ k礣J~ <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <RS~~   <ЫXPP? rO]4 @ zHu_F,{j <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<RS~~   <XPP? "]4 @ S)ذiOr6  %<&DHHS: Count for INTIAL CONTACTS only.<RS%~~   <(XPP?' )i]4 @ x0qDCL R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<RSR~~   <PXPP?( *]4 @ lHFG9 :<;DHHS: Crisis Office = Where walk-in crisis services occur.<RS:~~  <XPP?+0]4@ ~_@KKS R 333=             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  I ENTER A WHOLE NUMBER ONLY!LL ,- /  ER%`k K ENTER A WHOLE NUMBER ONLY! j@!+ O Invalid entryEnter Whole numbers only@ U Invalid EntryEnter only whole numbers @j@ /  ry%_iU Invalid entryEnter Whole numbers only @eA U Invalid entryEnter Whole numbers only @j@07 O Invalid entryEnter Whole numbers only@' b(b(22gg g2ɀ  m"p  č  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   566666666674    D AMHC-Atlantic    5  D Mar5 67.8999999999:bbccccccd 8 !> !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP Sr ?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC S8@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ P,@ O~ P(@$ IIIIJabccccccd<  YP H~ GJ@ H~ GF@$ IIIIJabccccccd<  ZO Lh~ M N@~ M KA~  3@ KB~ L@ M \P Cc}h? :D D D AD D D B ] ~ <V@  YP Q~ R@ S~ RD@ S~ RC@ V~ N(@ M<  ]O O~ P6@ OS~ P@ OD~ P? _R OMm< PP Q~ RF@ QS~ R0@ QD~ R5@ SR~  T0@ Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C ? -D D AD D B  _~ YV@  @ @  gmn 2 :@X@ $ abccccccdnEEEEE b~  @   " nEEEEE Q ]@D@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 e@D@  g   Gdo i @$@  f   ggho ` @"@  ijkkkkkkknEEE 9l ~  @ pssssssso 7l ~  H@   s 8l ~  H@   s ,no~mmmmmmms pE~ q@ rF~ q0@ rG~ q@ rH~ stuv~mmmmmmms ,uo~mmmmmmms wI~ x3@ J~ x@ K~ x? L~ x g~   o~mmmmmmms E:FFFFFFFy  WN  XM pptttttqqDzl0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! @@ "$"" ?? #1## ?@ $*$$ %+%% &,&& '-'' ? (5(( @.@ ).)) .@H@ */** *@ +C++ (@ ,;, ,U#, }:@ %!+ #, zX@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 ?0@ 1311 @:@ 2422 "@,@ 3%33 @@ 4&44 ,@ 5'55 @6@ 6(66 ? 777 8;8 8F<#8 |:@, %07 #8 {X@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w.  (  ~  <XPP? 5U]4@ xBĀM <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<RS~~  <(XPP?-Q]4@ >bX{N^f D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<RSD~~  <PXPP? ]4@ ^PQ\Lɳg 1<2DHHS: Provide information for all crisis contacts<RS1~~  <XPP? ]4@ 籢UKU]7d4} h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<RSh~~  <XPP?/ C]4@ 9I-wLtc]* M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <RSM~~  <ЌXPP? BR]4@ O@"bRM n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<RSn~~  <XPP?8} ]4@ ~]@K/N ,<-DHHS: CSW should be notified within 24 hours<RS,~~  <(XPP? ]4@ 5q] %+I!$ <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<RS~~   <PXPP?"D ]4 @ =2uAkҴ <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <RS~~   <XPP? h]4 @ EX~FL <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<RS~~   <XPP?! #]4 @ δ#KUkn %<&DHHS: Count for INTIAL CONTACTS only.<RS%~~   <ЍXPP?( *]4 @ 7cJݙ R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<RSR~~   <XPP?) +]4 @ 4qKMeG  :<;DHHS: Crisis Office = Where walk-in crisis services occur.<RS:~~  <(XPP?,1]4@ :&$N &<'DHHS: Count for INITIAL CONTACTS Only.<RS&~~  <PXPP?1 z3]4@ φB^# .</DHHS: Crisis Stabilization by the Crisis Team.<RS.~~  <XPP?2 -4]4@  SHL#,  .</DHHS: Crisis Stabilization by the Crisis Team.<RS.~~  <XPP?2 f6/]4@ ^IxMPD <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.<RS DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R 333=             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  I ENTER A WHOLE NUMBER ONLY!LL ,- /  ER%`k K ENTER A WHOLE NUMBER ONLY! j@!+ O Invalid entryEnter Whole numbers only@ U Invalid EntryEnter only whole numbers @j@ /  ry%_iU Invalid entryEnter Whole numbers only @eA U Invalid entryEnter Whole numbers only @j@07 O Invalid entryEnter Whole numbers only@' b(b(22gg g2ɀ  m  dMbP?_*+%J841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)M \\oit-isa1psdhhs1\DHHS-MHMR-AM,S o2XXLetterPRIV0''''` \KhC%SMTJHP Color LaserJet 4600 PSJRConstraints96HPPrinterModelNameHP_Color_LaserJet_4600_PSPageSizeLetterPageRegionHPColorasGrayFalseHPCollateFalseHPPaperPolicyPromptUserLeadingEdgeInputSlot*UseFormTrayTableDuplexNoneCMYKInksFASTColorOptionsAutomaticHPTextHalftoneDetailHPTextNeutralGraysBlackHPGraphicsHalftoneDetailHPGraphicsNeutralGraysBlackHPPhotoHalftoneDetailHPPhotoNeutralGraysProcessBlackRGBColorsRGBEdgeControlNormalHPBacksideHeavyFalseResolution600dpiHPwmTextNoneHPwmNUPNoneHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmLocationTrueTRJPHAAJEFF.EAGEN BAPHAAHP Color LaserJet 4600 PS"2XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   =======>566666666674    D)&Community Health & Counseling Services  ???5  D Mar5 67.8999999999:bbccccccd 8 !) !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP ݘV?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC ;8@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ P$@ O~ P9@$ IIIIJabccccccd<  YP H~ GQ@ H~ GQ@$ IIIIJabccccccd<  ZO Lh~ M? N@~ M@ KA~  *@ KB~ L1@ M \P ? :D D D AD D D B ] ~ <V@  YP Q~ R,@ S~ RA@ S~ R@S@ V~ N,@ M<  ]O O~ P6@ OS~ P"@ OD~ P@ _R~ O Mm< PP Q~ R@T@ QS~ RK@ QD~ R@ SR~  T Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C ? -D D AD D B  _~ YV@  t@@@  gmn 2 A@`a@ $ abccccccdnEEEEE b~  @   " nEEEEE Q ]@@R@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 @8@  g   Gdo i .@D@  f   ggho ` *@>@  ijkkkkkkknEEE 9l ~  @ pssssssso 7l ~  S@   <<<<<<<s 8l ~  O@   ;;;;;;;s ,no~yyyyyyys pE~ q=@ rF~ q@ rG~ q rH~ stuv~yyyyyyys ,uo~yyyyyyys wI~ x@@ J~ x? K~ x L~ x@ g~   o~yyyyyyys E:FFFFFFFy  WN  XM pptttttqqDl0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! @&@ "$"" ?? #1## @ @ $*$$ %+%% &,&& @ '-'' ?@ (5(( @@@ ).)) 0@S@ */** @ +C++ ?@ ,;, ,U#, }A@ %!+ #, z`a@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 $@ 1311 @1@ 2422 (@M@ 3%33 *@6@ 4&44 $@ 5'55 @1@ 6(66 ? 777 @ 8;8 8F<#8 |A@, %07 #8 {`a@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w.  (  ~  <XPP? UQ]4@ cBD1w.a <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<~~  <НXPP? ]4@ [:u0G_a; D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<D~~  <XPP? ]4@ tFךIWAm 1<2DHHS: Provide information for all crisis contacts<1~~  <(XPP? >]4@ ҽ5fG\- c h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<h~~  <PXPP? C5]4@ PvqOٿs` M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <M~~  <XPP? B]4@ [KIԈ w <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<~~   <XPP?"H ]4 @ Y;EoNI  <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <~~   <(XPP? rO]4 @ xڠCo~@ <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<~~   <PXPP? "]4 @ lMN\i&&b0 %<&DHHS: Count for INTIAL CONTACTS only.<%~~   <XPP?' )i]4 @ 8 $G>v{>  R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<R~~   <XPP?( *]4 @ x0 Mbez :<;DHHS: Crisis Office = Where walk-in crisis services occur.<:~~  <ПXPP?+0]4@ C };KL &<'DHHS: Count for INITIAL CONTACTS Only.<&~~  <PXPP?0 2]]4@ ?XNGcNB .</DHHS: Crisis Stabilization by the Crisis Team.<.~~  <(PXPP?1 -3]4@ GLVADnEe .</DHHS: Crisis Stabilization by the Crisis Team.<.~~  <PPXPP?1] f5 ]4@ \EG{'3 <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.< DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@}KS R 333=             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  I ENTER A WHOLE NUMBER ONLY!LL ,- /  ER%`k K ENTER A WHOLE NUMBER ONLY! j@!+ O Invalid entryEnter Whole numbers only@ U Invalid EntryEnter only whole numbers @j@ /  ry%_iU Invalid entryEnter Whole numbers only @eA U Invalid entryEnter Whole numbers only @j@07 O Invalid entryEnter Whole numbers only@' b(b(22gg g2ɀ  m( < E mF iI  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   =======>566666666674    DCrisis & Counseling Centers  ???5  D Mar5 67.8999999999:bbccccccd 8 ! !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP  'u_[?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC IJ~ (@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ PG@ O~ PG@$ IIIIJabccccccd<  YP H~ Gb@ H~ Gb@$ IIIIJabccccccd<  ZO Lh~ M N@~ M@ KA~  I@ KB~ LB@ M \P w;? :D D D AD D D B ] ~ <V@  YP Q~ R:@ S~ RY@ S~ R`a@ V~ N>@ M<  ]O O~ P@R@ OS~ P2@ OD~ P@ _R~ O Mm< PP Q~ Rj@ QS~ RC@ QD~ RA@ SR~  T&@ Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C ? -D D AD D B  _~ YV@  8@ĩ@  gmn 2 W@pr@ $ abccccccdnEEEEE b~     " nEEEEE Q ]@Q@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 @"@  g   Gdo i =@X@  f   ggho ` <@X@  ijkkkkkkknEEE 9l ~  @ pssssssso 7l ~  i@   <<<<<<<s 8l ~  W@   ;;;;;;;s ,no~yyyyyyys pE~ q@ rF~ qL@ rG~ qA@ rH~ stuv~yyyyyyys ,uo~yyyyyyys wI~ xV@ J~ x@ K~ x L~ x g~   o~yyyyyyys E:FFFFFFFy  WN  XM pptttttqqDl0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! D@G@ "$"" @ #1## @@ $*$$ %+%% @ &,&& '-'' @ (5(( "@3@ ).)) B@ i@ */** @ +C++ @ ,;, ,U#, }W@ %!+ #, zpr@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 @ 1311 5@D@ 2422 >@^@ 3%33 :@F@ 4&44 ? 5'55 1@@P@ 6(66 .@ 777 8;8 8F<#8 |W@, %07 #8 {pr@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w.  (  ~  <P_XPP? UQ]4@ ssIDvT <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<~~  <_XPP? ]4@ #S⥙fOɢR D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<D~~  <_XPP? ]4@ WaKO!xN 1<2DHHS: Provide information for all crisis contacts<1~~  <_XPP? >]4@ /XgF2&$ h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<h~~  <XPP? C5]4@ ?DA$/0 M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <M~~  <(XPP? B]4@ 0>քxEЌ  n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<n~~  <PXPP?81]4@ ]iMa@KKS R 333=             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  I ENTER A WHOLE NUMBER ONLY!LL ,- /  ER%`k K ENTER A WHOLE NUMBER ONLY! j@!+ O Invalid entryEnter Whole numbers only@ U Invalid EntryEnter only whole numbers @j@ /  ry%_iU Invalid entryEnter Whole numbers only @eA U Invalid entryEnter Whole numbers only @j@07 O Invalid entryEnter Whole numbers only@' b(b(22gg g2ɀ  m m  ר ӫ  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)M \\oit-isa1psdhhs1\DHHS-MHMR-AM,S o<XXLetterPRIV0''''` \KhC%SMTJHP Color LaserJet 4600 PSJRConstraints96HPPrinterModelNameHP_Color_LaserJet_4600_PSPageSizeLetterPageRegionHPColorasGrayFalseHPCollateFalseHPPaperPolicyPromptUserLeadingEdgeInputSlot*UseFormTrayTableDuplexNoneCMYKInksFASTColorOptionsAutomaticHPTextHalftoneDetailHPTextNeutralGraysBlackHPGraphicsHalftoneDetailHPGraphicsNeutralGraysBlackHPPhotoHalftoneDetailHPPhotoNeutralGraysProcessBlackRGBColorsRGBEdgeControlNormalHPBacksideHeavyFalseResolution600dpiHPwmTextNoneHPwmNUPNoneHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmLocationTrueTRJPHAAJEFF.EAGEN BAPHAAHP Color LaserJet 4600 PS"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   566666666674    DCounseling Services Inc.    5  D Mar5 67.8999999999:bbccccccd 8 ! !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP Lh/?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC  %A@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ PC@ O~ PJ@$ IIIIJabccccccd<  YP H~ GV@ H~ GZ@$ IIIIJabccccccd<  ZO Lh~ M N@~ M"@ KA~  F@ KB~ LC@ M \P _B{ %? :D D D AD D D B ] ~ <V@  YP Q~ R:@ S~ RK@ S~ RW@ V~ N4@ M<  ]O O~ PG@ OS~ PC@ OD~ P@ _R OMm< PP Q~ RW@ QS~ RE@ QD~ RI@ SR~  T"@ Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C ? -D D AD D B  _~ YV@  e@@  gmn 2 Y@k@ $ abccccccdnEEEEE b~  @   " nEEEEE Q ] @$@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 e"@3@  g   Gdo i 2@C@  f   ggho ` 2@C@  ijkkkkkkknEEE 9l ~  @ pssssssso 7l ~  @a@   s 8l ~  J@   s ,BBBBBBBCno~mmmmmmms pE~ q? rF~ qE@ rG~ q=@ rH~ s>@tuv~mmmmmmms ,DDDDDDDDuo~mmmmmmms wI~ x@P@ J~ x4@ K~ x @ L~ x@ g~  @ o~mmmmmmms E:FFFFFFFy  WN  XM pptttttqqDl0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! @@ "$"@@@@@@@@ #1## @ @ $*$@@@@@@@@ %+%@@@@@@@@ &,&@@@@@@@@ '-'@@@@@@@@~ ' ?' (5(@@@@@@@@( D@E@ ).)@@@@@@@@) K@ d@ */*@@@@@@@@ ~ * ? +C+AAAAAAAA ,;, ,U#, }Y@ %!+ #, zk@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 00 ~ 0 @ 1311 <@R@ 2422 C@J@ 3%33 0@@ 4&4 ~ 4 @ 5'55 5@P@ 6(6 ~ 6 "@ 77 ~ 7 @ 8;8 8F<#8 |Y@, %07 #8 {k@8 %07  8 |8 vwwwwwww9 D8`F>,>,,,@>>8, D,8>>>8>88]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w.  (  ~  <AXPP? 5U]4@ ejv#Nx]m( <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<RS~~  <(AXPP?-Q]4@ K#!4EEå D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<RSD~~  <PAXPP? ]4@  3qCr$0t 1<2DHHS: Provide information for all crisis contacts<RS1~~  <AXPP? ]4@ |(^j @VVg- h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<RSh~~  <AXPP?/ C]4@ ,sGKh /J M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <RSM~~  <AXPP? BR]4@ sɔΩOJٛW n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<RSn~~  <BXPP?8} ]4@ I%XAt[S( ,<-DHHS: CSW should be notified within 24 hours<RS,~~  <(BXPP? ]4@ "DH%X a <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<RS~~   <PBXPP?"D ]4 @ [叹BY}O <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <RS~~   <BXPP? h]4 @ B5A(hHU* <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<RS~~   <BXPP?! #]4 @ ċ7ڪ Mh2W %<&DHHS: Count for INTIAL CONTACTS only.<RS%~~   <BXPP?( *]4 @ +P@ 8fv}] R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<RSR~~   <CXPP?) +]4 @ FtG8_{O :<;DHHS: Crisis Office = Where walk-in crisis services occur.<RS:~~  <(CXPP?,1]4@ 3R EG. &<'DHHS: Count for INITIAL CONTACTS Only.<RS&~~  <PCXPP?1 z3]4@ T+'sKP"Z .</DHHS: Crisis Stabilization by the Crisis Team.<RS.~~  <CXPP?2 -4]4@ 7Ài5NJf; .</DHHS: Crisis Stabilization by the Crisis Team.<RS.~~  <CXPP?2 p6/]4@ 1@cQp <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.<RS DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KJS R %2333=             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  Q ENTER A WHOLE NUMBER ONLY!LL ,- ,, /  ER%`k K ENTER A WHOLE NUMBER ONLY! j@!+ O Invalid entryEnter Whole numbers only@ U Invalid EntryEnter only whole numbers @j@ /  ry%_i] Invalid entryEnter Whole numbers only @eA   Invalid entryEnter Whole numbers only @j@     01 37 O Invalid entryEnter Whole numbers only@' b(b(22gg g2ɀ  mR 00    dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)M \\oit-isa1psdhhs1\DHHS-MHMR-AM,S o<XXLetterPRIV0''''` \KhC%SMTJHP Color LaserJet 4600 PSJRConstraints96HPPrinterModelNameHP_Color_LaserJet_4600_PSPageSizeLetterPageRegionHPColorasGrayFalseHPCollateFalseHPPaperPolicyPromptUserLeadingEdgeInputSlot*UseFormTrayTableDuplexNoneCMYKInksFASTColorOptionsAutomaticHPTextHalftoneDetailHPTextNeutralGraysBlackHPGraphicsHalftoneDetailHPGraphicsNeutralGraysBlackHPPhotoHalftoneDetailHPPhotoNeutralGraysProcessBlackRGBColorsRGBEdgeControlNormalHPBacksideHeavyFalseResolution600dpiHPwmTextNoneHPwmNUPNoneHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmLocationTrueTRJPHAAJEFF.EAGEN BAPHAAHP Color LaserJet 4600 PS"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   =======>566666666674    D Evergreen Behavioral Services  ???5  D Mar5 67.8999999999:bbccccccd 8 ! !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP 333333?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC  0@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ P@ O~ P@$ IIIIJabccccccd<  YP H~ G6@ H~ G*@$ IIIIJabccccccd<  ZO Lh~ M N@~ M KA~  @ KB~ L@ M \P 333333? :D D D AD D D B ] ~ <V@  YP Q~ R @ S~ R*@ S~ R(@ V~ N@ M<  ]O O~ P@ OS~ P@ OD~ P _R~ O Mm< PP Q~ R6@ QS~ R@ QD~ R@ SR~  T@ Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C ? -D D AD D B  _~ YV@  N@f@  gmn 2 $@D@ $ abccccccdnEEEEE b~     " nEEEEE Q ]@(@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 ?@  g   Gdo i @ @  f   ggho ` @ @  ijkkkkkkknEEE 9l ~  @ pssssssso 7l ~  2@   <<<<<<<s 8l ~  5@   ;;;;;;;s ,no~yyyyyyys pE~ q @ rF~ q@ rG~ q rH~ stuv~yyyyyyys ,uo~yyyyyyys wI~ x$@ J~ x K~ x L~ x g~   o~yyyyyyys E:FFFFFFFy  WN  XM pptttttqqDl0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! ?@ "$"" #1## ? $*$$ %+%% &,&& '-'' (5(( @*@ ).)) @2@ */** ?@ +C++ ? ,;, ,U#, }$@ %!+ #, zD@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 ?? 1311 @$@ 2422 @5@ 3%3 ~ 3 4&4 ~ 4 5'5 ~ 5 @ 6(6 ~ 6 @ 77 ~ 7 @ 8;8 8F<#8 |$@, %07 #8 {D@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>88888]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88 w.  (  ~  <XPP? U]4@ #nmѕM}f <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<~~  <(XPP? ]4@ **Nb?C D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<D~~  <PXPP? /]4@  )OjB 1<2DHHS: Provide information for all crisis contacts<1~~  <XPP?F a]4@ yOO @ h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<h~~  <XPP? Cu]4@ RNMƲϭ/ M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <M~~  <XPP? B&]4@ u\d~Avd) n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<n~~  <XPP?8R]4@ MX5EB ,<-DHHS: CSW should be notified within 24 hours<,~~  <(XPP? 5]4@ H(MIJ,# <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<~~   <PXPP?"H `]4 @ s%HJHc:w <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <~~   <XPP? r]4 @ Bv UC ۽@ <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<~~   <XPP? "]4 @ )%BAĝYd %<&DHHS: Count for INTIAL CONTACTS only.<%~~   <XPP?(F )]4 @  <* OV R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<R~~   <XPP?)F + ]4 @ @KKS KR 333=             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  Q ENTER A WHOLE NUMBER ONLY!LL ,- ,, /  ER%`k K ENTER A WHOLE NUMBER ONLY! j@!+ O Invalid entryEnter Whole numbers only@ U Invalid EntryEnter only whole numbers @j@ /  ry%_i] Invalid entryEnter Whole numbers only @eA   Invalid entryEnter Whole numbers only @j@07     O Invalid entryEnter Whole numbers only@' b(b(22gg g2ɀ  m%DWaad  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   =======>566666666674    D!Mid-Coast Mental Health Center  ???5  D Mar5 67.8999999999:bbccccccd 8 ! !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?     =~  >p@ ;  gWP  t%?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC Ug2@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ P.@ O~ P*@$ IIIIJabccccccd<  YP H~ GP@ H~ GL@$ IIIIJabccccccd<  ZO Lh~ M N@~ M@ KA~  &@ KB~ L.@ M \P ַC5? :D D D AD D D B ] ~ <V@  YP Q~ R0@ S~ RF@ S~ RF@ V~ N1@ M<  ]O O~ P2@ OS~ P @ OD~ P@ _R~ O Mm< PP Q~ RC@ QS~ R7@ QD~ R.@ SR~  TF@ Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C yy? -D D AD D B  _~ YV@  5@ d@  gmn 2 <@b@ $ abccccccdnEEEEE b~  ?   " nEEEEE Q ]@@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 @@  g   Gdo i "@5@  f   ggho ` "@4@  ijkkkkkkknEEE 9l ~  ƥ@ pssssssso 7l ~  X@   <<<<<<<s 8l ~  C@   ;;;;;;;s ,no~yyyyyyys pE~ q8@ rF~ q@ rG~ q? rH~ stuv~yyyyyyys ,uo~yyyyyyys wI~ x3@ J~ x@ K~ x L~ x? g~   o~yyyyyyys E:FFFFFFFy  WN  XM pptttttqqDl0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! @@ "$"" #1## @ $*$$ %+%% &,&& '-'' @ (5(( @6@ ).)) ,@Z@ */** $@ +C++ @ ,;, ,U#, }<@ %!+ #, zb@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 @? 1311 @,@ 2422 .@I@ 3%33 ?&@ 4&44 @ 5'55 @E@ 6(66 @ 777 4@ 8;8 8F<#8 |<@, %07 #8 {b@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48 l88! w.  (  ~  <eXPP? UQ]4@ n%lCcQ0 <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<~~  <(eXPP? ]4@ |J,F) D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<D~~  <PeXPP? ]4@ 1o$IDCs 1<2DHHS: Provide information for all crisis contacts<1~~  <eXPP? >]4@ :Y hBAT1 h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<h~~  <eXPP? C5]4@ =H E9d@ M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <M~~  <eXPP? B]4@ 9d{@5 n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<n~~  <fXPP?81]4@ )D: ,<-DHHS: CSW should be notified within 24 hours<,~~  <(fXPP? ]4@ d0XL0  <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<~~   <PfXPP?"H ]4 @ ޜ(5Iv2h <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <~~   <fXPP? rO]4 @ X^#3"K:p( <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<~~   <fXPP? "]4 @ w :F6.z %<&DHHS: Count for INTIAL CONTACTS only.<%~~   <fXPP?' )i]4 @ +&AMUh| R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<R~~   <gXPP?( *]4 @ ޥ]AQ)S  :<;DHHS: Crisis Office = Where walk-in crisis services occur.<:~~  <(gXPP?+0]4@ "wj~Aw &<'DHHS: Count for INITIAL CONTACTS Only.<&~~  <PgXPP?0 2]]4@ t[kI`< .</DHHS: Crisis Stabilization by the Crisis Team.<.~~  <gXPP?1 -3]4@ -ƍF+Շ1 .</DHHS: Crisis Stabilization by the Crisis Team.<.~~  <gXPP?1] f5 ]4@ ȆJTOHDpj <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.< DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R 333=             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  I ENTER A WHOLE NUMBER ONLY!LL ,- /  ER%`k K ENTER A WHOLE NUMBER ONLY! j@!+ O Invalid entryEnter Whole numbers only@ U Invalid EntryEnter only whole numbers @j@ /  ry%_iU Invalid entryEnter Whole numbers only @eA U Invalid entryEnter Whole numbers only @j@07 O Invalid entryEnter Whole numbers only@' b(b(22gg g2ɀ  m˙Ŷ  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   =======>566666666674    DOxford County Mental Health  ???5  D Mar5 67.8999999999:bbccccccd 8 ! !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP ;;?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC 'vb'v:@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ P"@ O~ P @$ IIIIJabccccccd<  YP H~ G@@ H~ G4@$ IIIIJabccccccd<  ZO Lh~ M N@~ M@ KA~  "@ KB~ L@ M \P vb'vb'? :D D D AD D D B ] ~ <V@  YP Q~ R@ S~ R5@ S~ R8@ V~ N@ M<  ]O O~ P,@ OS~ P@ OD~ P _R~ O Mm< PP Q~ RC@ QS~ R@ QD~ R@ SR~  T@ Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C ? -D D AD D B  _~ YV@  @@@[@  gmn 2 1@J@ $ abccccccdnEEEEE b~  @   " nEEEEE Q ] @6@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6  g   Gdo i @1@  f   ggho ` @1@  ijkkkkkkknEEE 9l ~  @ pssssssso 7l ~  <@   <<<<<<<s 8l ~  5@   ;;;;;;;s ,no~yyyyyyys pE~ q.@ rF~ q@ rG~ q rH~ stuv~yyyyyyys ,uo~yyyyyyys wI~ x(@ J~ x@ K~ x L~ x g~   o~yyyyyyys E:FFFFFFFy  WN  XM pptttttqqDl0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! @@ "$"" #1## $*$$ ? %+%% &,&& '-'' (5(( @&@ ).)) &@>@ */** @ +C++ ? ,;, ,U#, }1@ %!+ #, zJ@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 ?@ 1311 @5@ 2422 ?@ 3%33 @"@ 4&44 5'55 @$@ 6(66 ? 777 @ 8;8 8F<#8 |1@, %07 #8 {J@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48! l88" w.  (  ~  <XPP? Uc]4@ Y[HE#!dB <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<~~  <XPP?Nt]4@ Kl#EIflQTk D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<D~~  <XPP? ]4@ c_jP0F.>| 1<2DHHS: Provide information for all crisis contacts<1~~  <(XPP? ]4@ =t91Ak h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<h~~  <PXPP?Q C]4@ _&ѱH/ʆYF M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <M~~  <XPP?% 2]]4@ cw-C*V/U n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<n~~  <XPP?8]4@ "AA @ ,<-DHHS: CSW should be notified within 24 hours<,~~  <XPP?! ]4@ ,ζTM_<(` <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<~~   <XPP?"!D!]4 @ %"O.ExͰ <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <~~   <(XPP? h]4 @ -HE>` <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<~~   <PXPP?! #]4 @ ݋B9ߗ %<&DHHS: Count for INTIAL CONTACTS only.<%~~   <XPP?( *]4 @ ZA8~" R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<R~~   <XPP?) +]4 @ =Q̓@0δ :<;DHHS: Crisis Office = Where walk-in crisis services occur.<:~~  <XPP?,1#]4@ PڥD{Y &<'DHHS: Count for INITIAL CONTACTS Only.<&~~  <XPP?1 z3]4@ 3f)*'Ar9^ .</DHHS: Crisis Stabilization by the Crisis Team.<.~~  <(XPP?2 -4]4@  $}@W .</DHHS: Crisis Stabilization by the Crisis Team.<.~~  <PXPP?2 f6:]4@ 姣2DTuc4 <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.< DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R 333=             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  I ENTER A WHOLE NUMBER ONLY!LL ,- /  ER%`k K ENTER A WHOLE NUMBER ONLY! j@!+ O Invalid entryEnter Whole numbers only@ U Invalid EntryEnter only whole numbers @j@ /  ry%_iU Invalid entryEnter Whole numbers only @eA U Invalid entryEnter Whole numbers only @j@07 O Invalid entryEnter Whole numbers only@' b(b(22gg g2ɀ  mz    dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   =======>566666666674    D Sweetser  ???5  D Mar5 67.8999999999:bbccccccd 8 ! !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?     =~  >p@ ;  gWP fy?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC ˓4l75@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ XI@ O~ XF@$ IIIIJabccccccd<  YP H G H& GIIIIJabccccccd<  ZO Lh~ M N@~ M(@ KA~  D@ KB~ LE@ M \P  tT? :D D D AD D D B ] ~ <V@  YP Q R S R S R V NM<  ]O O~ PK@ OS~ PA@ OD~ P@ _R~ O Mm< PP Q\ QS\ QD\ SR Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C ? -D D AD D B  _~ YV@  @ @  gmn 2 @X@@X@ $ abccccccdnEEEEE b~  @   " nEEEEE Q :@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 (@(@  g   Gdo i A@A@  f   ggho ` A@A@  ijkkkkkkknEEE 9l ~  @ pssssssso 7l ~  E@   <<<<<<<s 8l ~  K@   ;;;;;;;s ,no~yyyyyyys pE~ qW@ rF~ q@ rG~ q rH~ stuv~yyyyyyys ,uo~yyyyyyys wI~ qJ@ J~ qC@ K~ q@ L~ q g~  ? o~yyyyyyys E:FFFFFFFy  WN  XM pptttttqqD5l0H2^V|h*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! 9@9@ "$"" @@ #1## 2@2@ $*$$ %+%% &,&& '-'' ?? (5(( @@ ).)) E@E@ */** +C++ ,;, ,U#, }@X@ %!+ #, z@X@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 ?? 1311 7@7@ 2422 F@F@ 3%33 ,@,@ 4&44 5'55 ,@,@ 6(66 777 8;8 8F<#8 |@X@, %07 #8 {@X@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48" l88# w. 0 (  ~  <PxXPP? UQ]4@ @+;ؘBXf <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<~~  <xXPP? ]4@ ]oMIp D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<D~~  <xXPP? ]4@ J\:JT{D 1<2DHHS: Provide information for all crisis contacts<1~~  <xXPP? >]4@ 0pG }Vh h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<h~~  <yXPP? C5]4@ %:bMNGpy M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <M~~  <(yXPP? B]4@ 2/Ju1- n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<n~~  <PyXPP?81]4@ UON+WO ,<-DHHS: CSW should be notified within 24 hours<,~~  <yXPP? ]4@  1Jsu <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<~~   <yXPP?"H ]4 @ tDNf <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <~~   <yXPP? rO]4 @ 8 f\J8ps <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<~~   <zXPP? "]4 @ S C-W C %<&DHHS: Count for INTIAL CONTACTS only.<%~~   <(zXPP?' )i]4 @ ֜>H_0 R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<R~~   <PzXPP?( *]4 @ %YFWOz :<;DHHS: Crisis Office = Where walk-in crisis services occur.<:~~  <zXPP?+0]4@ 'S|D lb5 &<'DHHS: Count for INITIAL CONTACTS Only.<&~~  <zXPP?0 2]]4@ !eXǝK W< t .</DHHS: Crisis Stabilization by the Crisis Team.<.~~  <zXPP?1 -3]4@ એ{FiMZt .</DHHS: Crisis Stabilization by the Crisis Team.<.~~  <{XPP?1] f5 ]4@ 1kLK3N:E- <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.< DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R 333=             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  I ENTER A WHOLE NUMBER ONLY!LL ,- /  ER%`k K ENTER A WHOLE NUMBER ONLY! j@!+ O Invalid entryEnter Whole numbers only@ U Invalid EntryEnter only whole numbers @j@ /  ry%_iU Invalid entryEnter Whole numbers only @eA U Invalid entryEnter Whole numbers only @j@07 O Invalid entryEnter Whole numbers only@' b(b(22gg g2ɀ  mDXa_b[e  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   =======>566666666674    D Sweetser  ???5  D Mar5 67.8999999999:bbccccccd 8 ! !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP ------?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@ (&))*?@Aabccccccd<++, -...BCD  gYC KKKKKB@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ X:@ O~ X<@$ IIIIJabccccccd<  YP H~ GO@ H~ GP@$ IIIIJabccccccd<  ZO Lh~ M N@~ M@ KA~  ?@ KB~ L4@ M \P ? :D D D AD D D B ] ~ <V@  YP Q~ R2@ S~ RC@ S~ RM@ V~ N.@ M<  ]O O~ P8@ OS~ P9@ OD~ P@ _R~ O Mm< PP Q~ \O@ QS~ \=@ QD~ \B@ SR~   Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C ? -D D AD D B  _~ YV@  T@n@  gmn 2 K@a@ $ abccccccdnEEEEE b~  @   " nEEEEE Q *@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 "@5@  g   Gdo i 2@6@  f   ggho ` 2@6@  ijkkkkkkknEEE 9l ~  =@ pssssssso 7l ~  @R@   <<<<<<<s 8l ~  C@   ;;;;;;;s ,no~yyyyyyys pE~ qH@ rF~ q@ rG~ q@ rH~ s?tuv~yyyyyyys ,uo~yyyyyyys wI~ qC@ J~ q@ K~ q? L~ q? g~  @ o~yyyyyyys E:FFFFFFFy  WN  XM pptttttqqDml0H2JV|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! @"@ "$"" #1## @? $*$$ ? %+%% &,&& '-'' ?@ (5(( 0@.@ ).)) @@X@ */** @ +C++ @ ,;, ,U#, }K@ %!+ #, za@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 @ 1311 .@8@ 2422 :@H@ 3%33 @$@ 4&44 @ 5'55 @B@ 6(66 "@ 777 ? 8;8 8F<#8 |K@, %07 #8 {a@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48# l88$ w. @ (  ~  <XPP? UQ]4@ 5yOu_^ <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<~~  <(XPP? ]4@ $㸞Dz3 D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<D~~  <PXPP? ]4@ wG O쭸: 1<2DHHS: Provide information for all crisis contacts<1~~  <XPP? >]4@ $OkfvI=M h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<h~~  <XPP? C5]4@ *VL A  M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <M~~  <XPP? B]4@ uM״&x n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<n~~  <XPP?81]4@ 1>+IrA| ,<-DHHS: CSW should be notified within 24 hours<,~~  <(XPP? ]4@ q@IeovC <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<~~   <PXPP?"H ]4 @ ?\K}c; <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <~~   <XPP? rO]4 @ >)A[Z <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<~~   <XPP? "]4 @ #@({GnnΝc %<&DHHS: Count for INTIAL CONTACTS only.<%~~   <XPP?' )i]4 @ [C1 R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<R~~   <XPP?( *]4 @ 3-O?7;  :<;DHHS: Crisis Office = Where walk-in crisis services occur.<:~~  <(XPP?+0]4@ i |oC &<'DHHS: Count for INITIAL CONTACTS Only.<&~~  <PXPP?0 2]]4@ HjN@;'Y .</DHHS: Crisis Stabilization by the Crisis Team.<.~~  <XPP?1 -3]4@ lGNKJe .P .</DHHS: Crisis Stabilization by the Crisis Team.<.~~  <XPP?1] f5 ]4@  Ҧ%N:A'N <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.< DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R 333=             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  I ENTER A WHOLE NUMBER ONLY!LL ,- /  ER%`k K ENTER A WHOLE NUMBER ONLY! j@!+ O Invalid entryEnter Whole numbers only@ U Invalid EntryEnter only whole numbers @j@ /  ry%_iU Invalid entryEnter Whole numbers only @eA U Invalid entryEnter Whole numbers only @j@07 O Invalid entryEnter Whole numbers only@' b(b(22gg g2ɀ  mR;  dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   =======>566666666674    D Tri-County  ???5  D Mar5 67.8999999999:bbccccccd 8 ! !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP oo?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC iiF@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ P>@ O~ P9@$ IIIIJabccccccd<  YP H~ GN@ H~ GL@$ IIIIJabccccccd<  ZO Lh~ M@ N@~ M @ KA~  =@ KB~ L,@ M \P \[? :D D D AD D D B ] ~ <V@  YP Q~ R(@ S~ R@@ S~ RO@ V~ N&@ M<  ]O O~ PH@ OS~ P@ OD~ P? _R~ O Mm< PP Q~ R@X@ QS~ R&@ QD~ R@ SR~  T4@ Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C {? -D D AD D B  _~ YV@  a@w@  gmn 2 K@@]@ $ abccccccdnEEEEE b~  &@   " nEEEEE Q ]@(@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 @$@  g   Gdo i 3@O@  f   ggho ` 2@N@  ijkkkkkkknEEE 9l ~  @ pssssssso 7l ~  Q@   <<<<<<<s 8l ~  ?@   ;;;;;;;s ,no~yyyyyyys pE~ qF@ rF~ q@ rG~ q@ rH~ s?tuv~yyyyyyys ,uo~yyyyyyys wI~ xI@ J~ x@ K~ x L~ x g~   o~yyyyyyys E:FFFFFFFy  WN  XM pptttttqqDl0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! @@ "$"" #1## @? $*$$ %+%% @ &,&& '-'' @ (5(( @1@ ).)) E@@U@ */** @ +C++ ,;, ,U#, }K@ %!+ #, z@]@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 &@ @ 1311 (@6@ 2422 2@<@ 3%33 @.@ 4&44 @ 5'55 (@@@ 6(66 "@ 777 8;8 8F<#8 |K@, %07 #8 {@]@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48$ l88% w. P (  ~  <XPP? UQ]4@ W.EIE <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<~~  <XPP? ]4@ 6ӎ3Ha D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<D~~  <XPP? ]4@ >va^Hzﭛ] 1<2DHHS: Provide information for all crisis contacts<1~~  <(XPP? >]4@ RM`u h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<h~~  <PXPP? C5]4@ @ce…| M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <M~~  <XPP? B]4@ .1(Js|  n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<n~~  <XPP?81]4@ VҡRB> ,<-DHHS: CSW should be notified within 24 hours<,~~  <XPP? ]4@ ʅ7F] <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<~~   <XPP?"H ]4 @ =HtC~OR( <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <~~   <(XPP? rO]4 @ .NEOK <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<~~   <PXPP? "]4 @ yNGI: %<&DHHS: Count for INTIAL CONTACTS only.<%~~   <XPP?' )i]4 @ 'I@yH@$eI%W R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<R~~   <XPP?( *]4 @ QA^3 :<;DHHS: Crisis Office = Where walk-in crisis services occur.<:~~  <XPP?+0]4@ ln,L(8 Q_ &<'DHHS: Count for INITIAL CONTACTS Only.<&~~  <XPP?0 2]]4@ pUt>K  .</DHHS: Crisis Stabilization by the Crisis Team.<.~~  <(XPP?1 -3]4@ 1WNB@n\Υ .</DHHS: Crisis Stabilization by the Crisis Team.<.~~  <PXPP?1] f5 ]4@ -NJROoC <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.< DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R 333=             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  I ENTER A WHOLE NUMBER ONLY!LL ,- /  ER%`k K ENTER A WHOLE NUMBER ONLY! j@!+ O Invalid entryEnter Whole numbers only@ U Invalid EntryEnter only whole numbers @j@ /  ry%_iU Invalid entryEnter Whole numbers only @eA U Invalid entryEnter Whole numbers only @j@07 O Invalid entryEnter Whole numbers only@' b(b(22gg g2ɀ  m    dMbP?_*+%J 841&CSTATE OF MAINE Monthly Crisis Report SFY 2011&R&P&{Gz?'(333333?)MHP Business Inkjet 2800 (PS)S o<XXLetterPRIV0''''\K\K0cOSMTJHP Business Inkjet 2250 (PS)PageSizeLetterPageRegionHPColorasGrayFalseMediaTypePlainInputSlotUpperColorSmartAutomaticCSTextMatchScreenCSGraphicsMatchScreenCSImageMatchScreenOutputModeNormalCMYKInksFASTResolution300dpiHPwmSwitchOffHPwmPagesAllPagesHPwmTextDraftHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmTextColorBlackHPwmBrightnessMedium"<XXHzG?&cnU} I D}  D}  D} D}  D} $D}  D}  D} &D} D} mD} u} I u} $ D} I D} $ D} D} %J} $ Dm0@0h@0@0w0h0YY w@0 h0 Y  h0 Y  h0Y 0J@J@J@J@ @0v@h@ @@@@ I@X@ I@X@ 0 /0000000001DD 23333333334   566666666674    DYI    5  D Mar5 67.8999999999:bbccccccd 8 != !! " ##$ 9  : ;  eT  fU  %V&&&&&'~ <?      =~  >p@ ;  gWP pC?:D5 D6 D AD5 D6 D B  hXhhhhhi~ <4@   (&))*?@Aabccccccd<++, -...BCD  gYC ad4@ -D D AD D B  Z~ <>@ c          G  l[ <  HO O~ P@ O~ P@$ IIIIJabccccccd<  YP H~ GW@ H~ GX@$ IIIIJabccccccd<  ZO Lh~ M N@~ M KA~  @ KB~ L@ M \P ? :D D D AD D D B ] ~ <V@  YP Q~ R @ S~ RN@ S~ RX@ V~ N.@ M<  ]O O~ P@ OS~ P? OD~ P@ _R~ O Mm< PP Q~ RQ@ QS~ R4@ QD~ RK@ SR~  TG@ Mbccccccd< Ue FFF FfFFFV  WN  XM  m^C &X%? -D D AD D B  _~ YV@  @  gmn 2 @`j@ $ abccccccdnEEEEE b~     " nEEEEE Q ]?Pq@ $ Z[[[[[[[\nEEEEE ^d_______`  WN  XM m  a bbbcGGdn 6 e @  g   Gdo i @R@  f   ggho ` @@R@  ijkkkkkkknEEE 9l ~  @ pssssssso 7l ~  @   s 8l ~  i@   s ,no~mmmmmmms pE~ q@ rF~ q rG~ q rH~ stuv~mmmmmmms ,uo~mmmmmmms wI~ x J~ x K~ x L~ x g~   o~mmmmmmms E:FFFFFFFy  WN  XM pptttttqqD{l0H2^V|x*\ftfvppbV``>> h@0!J@"J@#J@$J@%J@&J@'J@(J@)J@*J@+J@,Y@ -@0.0/J@00J@1J@2J@3J@4J@5J@6J@7J@8h 9Y # z{p  qqqqqqq !0!! @E@ "$"" #1## @5@ $*$$ %+%% "@ &,&& @ '-'' 1@ (5(( [@ ).)) ?@ */** @ +C++ ,;, ,U#, }@ %!+ #, z`j@, %!+  , |, vwwwwwww-I} .Ea.FFFFFFFF . WN . XM / /~ 000 ?2@ 1311 @K@ 2422 ?[@ 3%33 8@ 4&44 5'55 @ 6(66 777 ? 8;8 8F<#8 |@, %07 #8 {`j@8 %07  8 |8 vwwwwwww9 D8F>>>>>>>>>>> D,>>>>>>>>]J^J_J]J]J^J^J_J _J>_J (`JaJbJcJdJeJfJgJhJiJjJkJlJ`J `? `aJ a) abJ b bcJ c cdJ d deJ e= efJ f f fEEgJ g ghJ h hiJ i i jJ j j! jEEkJ k"lJlJ&&&&&&4&&&48% l88& w. ` (  ~  <PXPP? UQ]4@ Ӱ'LFb  <DHHS: For the purposes of crisis reporting, age 18 and older is considered an adult, whether or not the client is receiving children's services.<RS~~  <XPP? ]4@ r;eMߡ( D<EDHHS: Primary Source of Payment , i.e.- who will be paying the bill.<RSD~~  <XPP? ]4@ BJFC  1<2DHHS: Provide information for all crisis contacts<RS1~~  <XPP? >]4@ i 8l3Cn; h<iDHHS: Count inbound and outbound calls that are crisis related; clinically related calls to/from clients, families, others involved in the crisis. This includes referral calls. DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<RSh~~  <XPP? C5]4@ 8GJ 4ZM`x M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. <RSM~~  <(XPP? B]4@ X+]B4 < n<oDHHS: Provide Information only for INITIAL Crisis Contacts, i.e.- the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evalution is needed to assess for a higher level of care as this transforms the crisis stabilization appointment into a new,initial crisis contact that is counted here, not in II.d.<RSn~~  <PXPP?81]4@ AjPvH|v ,<-DHHS: CSW should be notified within 24 hours<RS,~~  <XPP? ]4@ ze Eѐ: <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<RS~~   <XPP?"H ]4 @ w97Io <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <RS~~   <XPP? rO]4 @ FJT^z <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<RS~~   <XPP? "]4 @ 8#Bu-}. %<&DHHS: Count for INTIAL CONTACTS only.<RS%~~   <(XPP?' )i]4 @ V%Ck!ӽ| R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<RSR~~   <PXPP?( *]4 @ ŴKl m :<;DHHS: Crisis Office = Where walk-in crisis services occur.<RS:~~  <XPP?+0]4@ Ш|Orz(% &<'DHHS: Count for INITIAL CONTACTS Only.<RS&~~  <XPP?0 2]]4@  $[F#"r .</DHHS: Crisis Stabilization by the Crisis Team.<RS.~~  <XPP?1 -3]4@  F@F.! .</DHHS: Crisis Stabilization by the Crisis Team.<RS.~~  <XPP?1] f5 ]4@ BDAfm <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.<RS DHHS DHHSDHHSDHHSDHHSDHHSDHHSDHHS DHHS OQI DHHS  DHHS OQI' DHHS ( DHHS .DHHS 0DHHS 1DHHS 2DHHS >@KKS R 333=             !!""## $$%%33&&''(())**++88,,//00112244556677"7,, ,, ;,,    D 88 88 ;88      D   ;      D  ;      D    ;      D;   D;   DD   ;      D  ;      D  ;     @D)    ;     @D, D)    ;     @D, D) ,, ,, ;,,    D 88 88 ;88      D {+{,, {+{88 {+{ {+{ {+{ {+{ {+{ {+{ {+{  {+{  {+{  {+{  {+{,,  {+{88  I ENTER A WHOLE NUMBER ONLY!LL ,- /  ER%`k K ENTER A WHOLE NUMBER ONLY! j@!+ O Invalid entryEnter Whole numbers only@ U Invalid EntryEnter only whole numbers @j@ /  ry%_iU Invalid entryEnter Whole numbers only @eA U Invalid entryEnter Whole numbers only @j@07 O Invalid entryEnter Whole numbers only@' b(b(22gg g2ɀ DRpE8oX0  dMbP?_*+%J7?<&CSTATE OF MAINE Monthly Crisis Report March 2012 SFY 2012&R&P&'(?)M \\oit-isa1psdhhs1\DHHS-MHMR-AM,S o;XXLetterPRIV0''''` \KhC%SMTJHP Color LaserJet 4600 PSJRConstraints96HPPrinterModelNameHP_Color_LaserJet_4600_PSPageSizeLetterPageRegionHPColorasGrayFalseHPCollateFalseHPPaperPolicyPromptUserLeadingEdgeInputSlot*UseFormTrayTableDuplexNoneCMYKInksFASTColorOptionsAutomaticHPTextHalftoneDetailHPTextNeutralGraysBlackHPGraphicsHalftoneDetailHPGraphicsNeutralGraysBlackHPPhotoHalftoneDetailHPPhotoNeutralGraysProcessBlackRGBColorsRGBEdgeControlNormalHPBacksideHeavyFalseResolution600dpiHPwmTextNoneHPwmNUPNoneHPwmFontHelveticaBHPwmFontSizept48HPwmTextAngleDeg45HPwmTextStyleMediumHPwmLocationTrueTRJPHAAJEFF.EAGEN BAPHAAHP Color LaserJet 4600 PS"; XXHzG?&cnU} m D} I D}  D}  D} D}  D} $D}  D}  D} m#D} ID} D} $D} D}  D} mq} &q} u} I u} $ D} I D} $ D} D} m} '$ D} (( D} )A$ D} BB D} CC D} Dk$ D} llD} mx$ D} yy$D} z$ D} $ D} $ D,,@0,I@0,w,:@ ,0,h0,Y ,h0,w@  ,h0 ,Y  ,0 ,Y ,J,J,Y )J@0)@)J@)@)g@)@)@ )J@0)v@0)v@0)J@)@ )@0)I@0)@0)h@ p$qqqqqqqqqqqqr s:ttttttttuvvvvvvvvvvv+ w$xxxxxxxxxxxyz {|||||||}(q g6hhhhhhhhhhhijabccccccd(q k$llllllllllllm eT fU %V&&&&&'(q nc$oooooooooooo gWP;;(?:D3 D4 D AD3 D4 D B hXhhhhhi~ :@(q c ZO W!Xp@ :  W!Xp@ : ,abccccccd~ 4@(q  YP H!G@ :  H!G@ :  gYC.ܼJ8@-D D AD D B Z(q   ZO Lh!M@ :  N@!MG@ :  A!  p@ :   KB! `j@ :  k l[~ >@(q YP Q!R@b@ :  S!R|@ :  S!R@@ :   V! b@ : & abccccccd(q  ]O O! P`u@ :  OS! Pb@  :  OD! P>@  :  _R!  : & abccccccd (q d ^P [! \@@ : [S! \p@ : [D! \p@ : `R! b@ :   \P &غɩ#?:D D D AD D D B ]  (q e  f  WN e WM f~ V@ (q   ! 2@ :  ! @ :  m (q 2  ! Ȁ@' :  ! ̙@ :  bccccccd (q b ! A@ :   g^CH?-D D AD D B _(q Q ! Y@ :   ! @ : gm~ V@(q d  WN  X  UM V(q 6 ! J@ : ! +D? D D  ! @d@ :  !܋? D D (ppqqqqqqqEEEEE(q i ! d@ :  ! rg??2 D D  ! @|@ :  !)? D D (psssssssEEEEE(q ` ! d@ :  ! {e@ ? D D  ! @{@ :  !H? D D (psssssssEEEEE(q 9 ! @ :  !.ܼJ8@ D D _```````s(q 7 ! (@ :  !5P^? D D' abbbbbbbs(q 8 ! p@ :  ( ޵5? D D D' ~yyyyyyys(q Y>ZZZZZZZ[~yyyyyyysEEE(q pE!q@ : rF! b@ : rG!S@ : rH!@@ :* ~yyyyyyys(q!\Ų? DD !/G? DD !R&? DD !l|3v? DD * ~yyyyyyys(q \6]]]]]]]]^~yyyyyyys(q TI!y@ : J!W@ : K!.@ : L!$@ :  g! (@ : $ pptttttqq(q!oe ? DD !uq? DD !Fu? DD !&Y ? DD  ! 7Ck? D D $ pptttttqq(q :  UN  X  WM X(q R#$SSSSSSST(q 0 ! X@ :!  ! )\?! D D  ! c@ :!  !POv? 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R  ]4@ Az>H+Bq$ s 1<2DHHS: Provide information for all crisis contacts<1~~  <пXPP?  ,]4@ Wh+l ,<-DHHS: CSW should be notified within 24 hours< } ,~~  <0XPP?  |p]4@ -C1|A!d <DHHS: Provide the total number of minutes for all initial contacts from 12 midnight of first day of the month to 12 midnight of the last day of the month.<~~   <0XPP?  t+]4 @ f*J(Tt <DHHS: TIME STARTS when crisis worker gets to ED and the client is medically cleared and ready to be seen and assessed. FINAL DISPOSTION is when disposition is set (outcome determined & implementation in process) and the crisis worker is able to leave the ED <~~   <0XPP?  ]4 @ ӲvB(AK\ <DHHS: TIME STARTS when crisis worker makes contact with the client in person. FINAL DISPOSTION is when disposition is set (outcome determined & implementation or resolution is in process) and the crisis worker terminates initial contact.<~~   <1XPP?  )]4 @ xH L}| 0 %<&DHHS: Count for INTIAL CONTACTS only.<%~~   <(1XPP? !3#]4 @ gV@`E]K)X R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<R~~   <P1XPP? "$]4 @ +0NR :<;DHHS: Crisis Office = Where walk-in crisis services occur.<:xx  61XPP? 5* -]4@ 7֧G> &<'DHHS: Count for INITIAL CONTACTS Only.<&~~  <1XPP? +# S,]4@ hC}@ԣ .</DHHS: Crisis Stabilization by the Crisis Team.<.~~  <1XPP? , k-]4@ VJS'Cg8 .</DHHS: Crisis Stabilization by the Crisis Team.<.~~  <2XPP? + !/b]4@ <<ζB\ <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.< . 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DO NOT INCLUDE: 'business/non-clinical calls', information/referral calls, calls that do not relate to a specific crisis, contacting mobile crisis for response, MR contact calls, etc.<  h& $ BP XPP?Lz[]4@ '?\yzCV7xE ,<-DHHS: CSW should be notified within 24 hours<  , $ B XPP?+# ,]4@ ۡ]3MDɴ .</DHHS: Crisis Stabilization by the Crisis Team.<  . $ B XPP?, -]4@ QoBPF .</DHHS: Crisis Stabilization by the Crisis Team.<  .sbl $ B XPP?! #]4@ _nsKɀ R<SDHHS: Provider Office = Other non-crisis mental health / substance abuse providers<  R  $ B XPP?" N$]4@ K;DyM :<;DHHS: Crisis Office = Where walk-in crisis services occur.<  :T   $ B( XPP? Y `]4 @ BۿT*BEPOz M<NDHHS: Initial Contact is defined as the first time that an individual is seen (unscheduled) or, when seen for a scheduled crisis stabilization contact, an evaluation is needed to assess for a higher level of care - this turns the crisis stabilization appointment into a new, initial crisis contact that is counted here, not in II.d. < B M   $ BP XPP?+ /b]4 @ E"hdMC'6 <DHHS: Crisis Stabilization by the Crisis Team; include scheduled crisis team follow-up visits here as well as referrals back to current providers.<     $ B XPP? ]4 @ M:NYst <DHHS: TIME STARTS when crisis worker makes contact with the client in person. 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