PRH Chapter 1 Part 2: Applicant File Review. New Information Health Care Needs Direct Threat. Your Role. Valerie R. Cherry, PhD Lead Mental Health Specialist Health Support Contract H umanitas, Inc. Objectives. Describe applicant outcomes due to the recent PRH Chapter 1 changes.
Part 2: Applicant File Review
Health Care Needs
Lead Mental Health Specialist
Health Support Contract
(only EARS impacting center recommendations listed)
How does the File Review Team (FRT) determine if JC is an appropriate setting?
Reasonable Accommodations Committee (RAC)
What should happen next?
ETA 6-53—Indicates this 17 year old applicant has a diagnosis of bipolar and is receiving weekly mental health and medication management. Applicant also checked “lost control of your anger, or feared losing control of your anger, to the point of hurting yourself or someone else?”
CCMP Provider Form (Does provider recommend applicant to enter Job Corps? X Yes □No) –The treating therapist indicated that applicant could likely participate in JC, as long as he was able to continue receiving weekly mental health treatment, medication management and additional support on center as needed. Because this recommendation appeared somewhat inconsistent with information in the applicant’s file and interview, a brief follow up call was made to the therapist on October 10th. During that call, the applicant’s therapist expressed concern that applicant would have difficulty living in the dormitory as he becomes highly stressed and has “meltdowns” in social situations. Therapist also indicated that applicant is non-compliant with medications and there has been an increase in mood swings.. Therapist was under the impression that Job Corps was a therapeutic environment that employed full time mental health staff. Therapist indicated applicant must receive on-going weekly treatment at a minimum.
Applicant Interview Summary—The file review team, including the CMHC interviewed the applicantby telephone (he lives in another state and was unable to travel to center). The applicant acknowledged ongoing difficulty with emotional dysregulation and outbursts, but felt that he would be much happier “away from home.” Applicant currently reports feeling depressed, social withdrawal, and a lack of motivation. According to applicant he was doing better when he was on meds, but discontinued because he doesn’t like taking medicines. He seemed anxious during the phone call and became easily irritated when asked questions about specific mental health symptoms (particularly related to the cycling behavior); however, he answered all questions.
Treating provider is not willing to change frequency of treatment recommendations and believes
applicant needs a more therapeutic training environment at this time.
After review of the factors considering the accommodations/modifications listed above, the threat can be eliminated or reduced to a level below DT
After a review of the factors considering the accommodations/modification listed above, the threat cannot be eliminated or reduced to a level below DT
Dave Kraft, MD
Maria Acevedo, PhD
Valerie Cherry, PhD
Suzanne Martin, PsyD, MPH
Andrew Berger, PhD
Vicki Boyd, PhD
Helena MacKenzie, PhD