Programs must not be lengthy. The limit is 25 logical lines of code. Programs cannot call another program. Techniques such as compressing code into a data statement are not allowed as a way of getting around this limit.
Programs are allowed to change the value of system variables so that results may, for example, be graphed through the normal calculator graphing interface. Skip to content. Support Login Start Free Trial. You are responsible for adhering to all ACT policies on test day.
Are you serious about raising your ACT score? Then, GET. Show me. They are all less than 25 logical lines of code. Download the calculator program package here. The download will be in a. Preference should be given to persons with experience on a multi-disciplinary mobile team. Psychiatrist — Must be currently licensed as a physician by the NYS Education Department and certified by, or be eligible to be certified by, the American Board of Psychiatry and Neurology.
The psychiatrist, in conjunction with the team leader, has overall clinical responsibility for monitoring recipient treatment and staff delivery of clinical services. The psychiatrist provides psychiatric and medical assessment and treatment; clinical supervision, education, and training of the team; and development, maintenance, and supervision of medication administration and psychiatric and medical treatment and procedures. The Psychiatric Nurse Practitioner PNP , under the supervision of the psychiatrist and in conjunction with the team leader, has clinical responsibility for monitoring recipient treatment and staff delivery of clinical services.
The PNP when functioning to offset the psychiatrist hours provides psychiatric and medical assessment and treatment; education and training of the team; and development, maintenance, and supervision of medication administration and psychiatric and medical treatment and procedures. The PNP may also fulfill the duties of a registered nurse as described below when not fulfilling the requirement for psychiatry FTE.
Registered Nurse — The registered nurse is responsible for conducting psychiatric assessments; assessing physical health needs; making appropriate referrals to community physicians; providing management and administration of medication in conjunction with the psychiatrist; providing a range of treatment, rehabilitation, and support services.
Program Assistant — Typically, a non-clinical staff member who is responsible for managing medical records; operating and coordinating the management information system; maintaining accounting and budget records for recipient and program expenditures; and performing reception activities e.
Substance Abuse Specialist — A clinical staff member, who in addition to performing routine team duties, has lead responsibility for integrating dual-recovery treatment with the tasks of other team members. Employment Specialist — A clinical staff member who, in addition to performing routine team duties, has lead responsibility for integrating vocational goals and services with the tasks of all team members.
This staff member provides needed assistance through all phases of the vocational service. Family Specialist — A clinical staff member who, in addition to performing routine team duties, has lead responsibility for integrating family goals and services with the tasks of all team members and for providing family psycho-education individually and in groups.
Because of their experiences as service recipients, peer specialists are in a unique position to serve as role models, educate recipients about self-help techniques and self-help group processes, teach effective coping strategies based on personal experience, teach symptom management skills, assist in clarifying rehabilitation and recovery goals, and assist in the development of community support systems and networks.
The team meeting is critical to facilitate frequent communication among team members about recipient progress and to help teams make rapid adjustments to meet recipient needs. The organizational meetings should be short about one hour and include: Review of every recipient on the caseload.
Review of the status of each recipient to be seen on the day of the meeting. Updates on contacts that occurred the day before. Updates and revisions to the daily staff assignment schedule.
Service plan reviews and revisions, as needed. ACT teams maintain and utilize documentation processes to further communications among team members. Examples include: A weekly or monthly schedule of contacts and activities for each recipient, organized in a notebook or Cardex, and maintained in a central file.
A daily team schedule containing a list of recipients to be contacted and the interventions planned for each contact, scheduled paper work time, supervision meetings and other rehabilitation and service activities scheduled to occur that day, to be maintained on a log board.
A recipient goal board, on which is listed the name of each recipient in the program and the goals of that individual. A recipient monthly contact log, in which is individually listed all the contacts and attempted contacts, phone contacts, collateral contacts, location, duration, a brief description of the contact and plan for the next contact.
A hospitalization log, in which is listed hospitalization information for each recipient. A recipient monthly schedule board, on which is recorded future appointments and other important dates, that are not included on the current month scheduling board. A staff monthly schedule board, on which is recorded staff appointments, training dates that impact scheduling for recipient contacts. The team develops a person-centered plan in partnership with the recipient to address all recipient needs and preferences for services and supports.
The Comprehensive Assessment is updated at least every six 6 months at the Service Plan review; as well as whenever there are significant events or changes in life circumstances. If requires assessment information is not obtainable, evidence of efforts to secure the information required for the completion of the Comprehensive Assessment should be documented on the assessment form and in the progress notes.
The Comprehensive Assessment is approved and signed by the Team Leader or designated clinical supervisor. A comprehensive service plan is prepared within 30 days of admission, with specific objectives and planned services necessary to facilitate achievement of the recovery goals. Any plan for the provision of additional services to support the recipient outside of the ACT program; A crisis plan that targets both substance abuse and mental health concerns.
The comprehensive service plan is reviewed and updated at least every 6 months, including: Assessment of the progress of the recipient in regard to the mutually agreed upon goals in the service plan; Changes in recipient status; Adjustment of goals, time periods for achievement, intervention strategies or initiation of discharge planning, as appropriate. The service plan review is approved and signed by the psychiatrist and team leader or designated clinical supervisor.
Reasons for non-participation shall also be documented in the case record. Service contacts and attempted contacts are documented in the progress notes. Such notes shall identify the particular services provided and specify their relationship to a particular goal or objective documented in the service plan. Gaps in services should be documented.
The progress note shall contain the date and location of contact and be signed by the person who provided the service. Service dollars spent and their related treatment objectives are documented in progress notes. Case records shall be periodically reviewed for quality and completeness by the agency quality assurance program; and All entries in case records shall be dated and signed by appropriate staff.
A plan developed in conjunction with the recipient for treatment after discharge and for follow-up. The signature of the team leader or designated clinical supervisor and the psychiatrist. Discharge summary: A discharge summary is transmitted to the receiving program prior to the arrival of the recipient. When circumstances interfere with a timely transmittal of the discharge summary, notation shall be made in the record of the reason for delay.
In such circumstances, a copy of all clinical documentation is forwarded to the receiving program, as appropriate, prior to the arrival of the recipient.
The Agency will develop a process to systematically monitor, analyze and improve the performance of the ACT team in assisting recipients to achieve their treatment outcomes. This will include the development of a quality improvement plan consistent with the mission and values of the ACT program. The plan will include: A data collection process that provides information relevant to specific treatment outcomes As part of the data collection process, the team will complete forms provided by NYSOMH on the CAIRS System for a baseline assessment BASF , to be begun within 30 days of admission and completed in a timely manner, and updated assessments FUAF at 6-month intervals, to assess recipient outcomes.
An analysis of recipient progress to identify outcome trends, Data analysis will be conducted by the team and the agency to identify trends, verify goal achievement and service quality, and identify areas of improvements and the impact of corrective actions: Programs will analyze core outcomes at 6-month intervals consistent with the required assessment and service planning process. The analysis will be used as a bench measure for teams to review their progress in achieving core outcomes and to make decisions regarding the improvement of organizational performance.
The need for continued stay shall be documented by the agency: Documentation should reference back to the reason for admission and goal achievement. Documentation should occur for each client a minimum of every twelve months. The agency will participate in the development of any state or LGU utilization management process. Persons recipients, staff, and visitors with various disabilities shall have access to appropriate program areas.
Programs shall adjust service environments, as needed, for recipients who are blind, deaf, or otherwise impaired. Programs shall have sufficient furnishings, adequate program space and appropriate program-related equipment for the population served. Medications and case records shall be stored according to applicable laws to ensure only authorized access.
Provide the recipient with support and hope during the hospitalization period. Advocate with landlords and other collaterals in the community to maintain current living arrangement and other appropriate service commitments. A provider of ACT services shall be responsible for ensuring the protection of these rights. Recipients have the right to a person-centered, individualized service plan which they form in partnership with the provider.
Recipients have the right to all information about services so they can make choices that fit their recovery. Participation in treatment in an outpatient program is voluntary and recipients are presumed to have the capacity to consent to such treatment.
The right to participate voluntarily in and to consent to treatment shall be limited only to the extent that: Section The central goal of an individual, person-centered service plan is to formulate goals and services that the recipient chooses. The recipient will not be penalized or terminated from the program for choices with which the provider does not agree. Recipients shall be assured access to their clinical records consistent with Section Recipients have the right to receive services in such a manner as to assure non-discrimination.
Recipients have the right to be treated in a way that acknowledges and respects their cultural environment. Recipients have the right to a maximum amount of privacy consistent with the effective delivery of services. Recipients have the right to freedom from abuse and mistreatment by employees.
Grievances and complaints will be addressed fully without reprisal from the provider. Such notice shall be provided in writing and posted in a conspicuous location easily accessible to the public.
To address these potential variances, there are two sizes of ACT programs — a capacity team and a capacity team. Localities can choose to implement either model. In general the State will not approve proposals for multiple capacity teams within a County unless there is a specific justification based on capacity need and primary service area population For maximum cost-effectiveness, it is recommended that an existing capacity team first be expanded to a capacity team, before a second capacity team is initiated.
The ACT programs have been funded to support experienced fulltime clinical and administrative staff that can commit to remaining with the program for a reasonable period of time. Therefore, ACT providers are prohibited from billing the Mental Health Medicaid Program for any costs over and above the ACT case payment and other providers are excluded from billing for certain services for individuals enrolled in ACT.
ACT programs are permitted to bill Medicaid for any month in which a recipient is receiving only pre-admission or crisis services from a clinic or CDT. It is expected that ACT programs will provide integrated mental health and substance abuse treatment, but ACT recipients may need access to other substance abuse services not rendered in ACT programs e.
Therefore, ACT recipients can receive services rendered by substance abuse providers and ACT teams simultaneously and, as appropriate, these providers can bill Medicaid for such services. The assessment shall be the basis for establishing a diagnosis and service plan. Case Management Is an active process that connects persons to resources and supports to help them live in the community, manage their mental illness and meet their personal goals.
A collateral contact does not include contacts with other mental health service providers or individuals who are providing a paid service that would ordinarily be provided by the ACT team e. A group composed of collaterals of more than one recipient may be gathered together for purposes of goal-oriented problem solving, assessment of treatment strategies and provision of practical skills for assisting the recipient in the management of his or her illness.
Contact Is a face-to-face interaction duration of at least 15 minutes between a member of an ACT team and a recipient or collateral during which at least one ACT service is provided. Family Psychoeducation Is a service that is provided by professionals, that is long-term over 6 months , and that focuses on education, stress reduction, coping skills and other supports. The service is provided to relatives and families who are in regular contact with the recipient of services. The data may be provided by the recipient or obtained with his or her participation.
Also included is training on topics such as AIDS awareness. Integrated Treatment for Co-Occurring Substance Abuse and Mental Health Disorders Is a service characterized by assertive outreach and stagewise treatment models that emphasize a harm reduction approach. The service is provided to recipients with co-occurring substance abuse disorders. The planning includes; developing goals related to life roles, identifying choices and options, determining action steps, and identifying and securing the services needed to achieve the goals Post-Traumatic Stress Disorder PTSD Treatment Is a service provided to recipients who have been exposed to catastrophic events, have had past exposure to trauma, or are trauma victims.
Treatment of co-morbid disorders targets symptoms of each disorder simultaneously by providing combination therapy e. The primary rationale for the service is that people exposed to similar catastrophic events react differently; some will develop severe psychological distress e. PTSD while others will not. People treated for PTSD can make a full recovery. The service is provided to recipients with limited social networks who are interested in developing a "helper" role, who wish to share and learn about personal coping strategies, and who desire to participate in self-generated structured activities that they find personally meaningful.
The primary rationale for the service is that self-help is a complement to treatment and becomes a life-long support that has proven to be beneficial in sustaining management of many disabling health conditions including mental illness. The benefits of this form of mutual aid are empowerment, an increased sense of self-identity, and increased self-esteem. Socialization Means activities that are intended to diminish tendencies toward isolation and withdrawal by assisting recipients in the acquisition or development of social and interpersonal skills.
This occurs through the interaction of the recipient and the ACT team staff in the program and through exposure to opportunities in the community. Modalities used in socialization include individual and group counseling and behavior intervention. Supported Employment Supported employment is a service characterized by rapid job search and placement with a de-emphasis on pre-vocational training and assessment based on recipient preferences and that provides follow along support.
The service is provided to recipients interested in competitive work. The primary rationale for the service is that the rates for competitive work are low although most recipients want competitive work. Supportive Skills Training Is the development of physical, emotional and intellectual skills needed to cope with mental illness and the performance demands of personal care and community living activities. Such training is provided through direct instruction techniques including explanation, modeling, role playing and social reinforcement interventions.
Symptom Management Means activities which are intended to achieve a maximum reduction of psychiatric symptoms and increased functioning. Services range from providing guidance in everyday life situations to addressing acute emotional distress through crisis management and behavior intervention techniques.
Utilization Review Authority Means a person or persons designated by an outpatient program to perform the function of Utilization Review. Wellness Self- Management Is a set of services designed to improve community functioning and prevent relapse, including: Psychoeducation counseling and coaching on early warning signs and avoidance of stressors to minimize the incidence of relapse by enhancing medication adherence through behavioral tailoring, motivational interviewing, and skills training for recipient-doctor interactions; Skills training through multiple education and skills training sessions over time between 3 months and 1 year , individual and group formats, and "in vivo" training to facilitate generalization of skills; and Cognitive behavioral therapy for psychosis including education about stress-vulnerability.
Students and trainees may qualify if they are participating in a program leading to a degree or certificate appropriate to the goals, objectives and services of the outpatient program and are supervised in accordance with the policies governing the training program and are approved as part of the staffing plan by the Office of Mental Health. Professional Staff Are individuals who are qualified by credentials, training and experience to provide supervision and direct service related to the treatment of mental illness and shall include the following: Credentialed Alcohol and Substance Abuse Counselor CASAC is an individual who is credentialed by the New York State Office of Alcoholism and Substance Abuse Services.
Individual referrals for ACT services may be made by anyone with the information to complete the ACT referral packet, and can include the following:. The process and paperwork needed for an ACT referral can vary by county.
There is one SPOA that serves the five boroughs. Contact the county mental health services office in the county where the individual resides for detailed referral information. Assisted Outpatient Treatment Reports AOT - New York State's AOT program was developed to ensure that individuals with mental illness, and a history of hospitalizations or violence participate in community-based services appropriate to their needs.
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