1. Behavioral Health ServicesQuality ReportNovember 2009

3. BEHAVIORAL HEALTH OUTPATIENT Evaluation & Referral Services (system wide- at Bayley Seton) St. George Outpatient Clinic- Bayley Seton (n @ 1,500) OPD MICA CTC (developmentally disabled) West Brighton OPD (n @ 600) Gamblers Treatment Center SI/QNS (n @ 105) Silberstein Center- Rehab/Clinic (n @ 100) Chemical Dependency Crisis Center at Bayley (n @ 15 Beds) MICA CDT at Bayley Seton (n @ 30) Staten Island CDT at Sea View (n @ 100) Anna Erika CDT/ Clinic (n @ 100)

4. Behavioral Health ServicesWe are routinely audited by:NYS Office of Mental Health (OMH)NYS Office of Alcoholism & Substance Abuse Services (OASAS)NYC Department of Health & Mental Hygiene (DOHMH)Joint Commission (JC)NYS Department of Health (DOH)NYS Department of Health - Bureau of Narcotic Enforcement Substance Abuse & Mental Health Services Administration (SAMHSA)

5. Regulatory Updates for ‘09

6. Typical quality/ audit indicators (OMH) Client care EvaluationCare plan Ongoing care Attending to the Consumer and Family A Primary clinician Patient safety and security Environmental regulations Engagement and retention in care Attention to co-occurring disorders Communication with families Disengagement from treatment

7. Clinical administration Caseloads Supervision Integration and information sharing Communication Guidelines for sequential screening of risk for violence Risk assessment framework Universal risk screening Targeted risk assessment of clients with histories of violence or suicidal ideation Reassessment Actuarial tools 

8. 

9. Tobacco Free EnvironmentOngoing Since July 2008

10. S.M.A.R.T. Treatment Planningongoing from 2008

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12. 

13. Press Ganey Inpatient 2009

14. Press Ganey Outpatient 2009

15. Falls Rate

16. Adult Restraint Rate

17. Adolescent Restraint Rate

18. 2010 Topics for consideration…