Common use of Mental Health Screening and Assessment Clause in Contracts

Mental Health Screening and Assessment. ‌ a. In addition to screening for a disability as part of the application or disability determination process, does the district administer a screening tool for TA participants to help determine whether a referral for a mental health evaluation is warranted? Yes No b. Describe the district’s policy for determining when a program participant is offered a mental health screen: We are offering screening to participants during the Timing Out Interview and Safety Net application process. c. What screening tools does the district use? (Select all that apply) LDSS 5009 - Mental Health Screening Tool The computer assisted version of the Modified Mini Screening tool (MMS) Other Screening tool (describe below) d. If using the MMS, indicate below the district’s cutoff score (7, 8 or 9) for referral to a mental health evaluation. MCDSS will refer for a mental health evaluation as well as a Health Home Care Management referral for any individual scoring 9 or above. e. Describe below the procedure the district uses if the screening tool warrants a mental health evaluation referral If an individual scores 9 or above the LDSS, working with the local Office of Mental Health, will refer the individual for a mental health evaluation at an available community provider. Compliance and treatment recommendations will be reviewed by Self Sufficiency staff and appropriate referrals will be made.

Mental Health Screening and Assessment. ‌ a. In addition to screening for a disability as part of the application or disability determination process, does the district administer a screening tool for TA participants to help determine whether a referral for a mental health evaluation is warranted? Yes No b. Describe the district’s policy for determining when a program participant is offered a mental health screen: We are offering screening to participants during the Timing Out Interview and Safety Net application process. c. What screening tools does the district use? (Select all that apply) LDSS 5009 - Mental Health Screening Tool The computer assisted version of the Modified Mini Screening tool (MMS) Other Screening tool (describe below) d. If using the MMS, indicate below the district’s cutoff score (7, 8 or 9) for referral to a mental health evaluation. MCDSS will refer for a mental health evaluation as well as a Health Home Care Management referral for any individual scoring 9 or above. e. Describe below the procedure the district uses if the screening tool warrants a mental health evaluation referral If an individual scores 9 or above the LDSS, working with the local Office of Mental Health, will refer the individual for a mental health evaluation at an available community provider. Compliance and treatment recommendations will be reviewed by Self Sufficiency staff and appropriate referrals will be made.

Mental Health Screening and Assessment. ‌ a. In addition to screening for a disability as part of the application or disability determination process, does the ‌ The district administer is administering a screening tool for TA participants to help determine whether a referral for a mental health evaluation is warranted? , in addition to screening for a disability that occurs as part of the application or disability determination process Yes No (If No b. , section 6.2 is complete) If yes: Describe the district’s policy for determining when a program participant is offered a mental health screen: . We are offering screening to participants during the Timing Out Interview and Safety Net application process. c. What screening tools does . If yes: Does the district use? (Select all that apply) use the LDSS 5009 - Mental Health Screening Tool The and/or the computer assisted version of the Modified Mini Screening tool (MMS) Other Screening tool (describe below) d. ? Yes No If using the MMS, indicate below the district’s cutoff score (7, 8 or 9) for referral to a mental health evaluation. : MCDSS will refer for a mental health evaluation as well as a Health Home Care Management referral for any individual scoring 9 or above. e. Describe below . If using a screening tool other than the procedure the district uses if MMS, indicate the screening tool warrants used: n/a Describe the district procedure for referring a participant for a mental health evaluation referral evaluation, when warranted by the screening result: If an individual scores 9 or above the LDSS, working with the local Office of Mental Health, will refer the individual for a mental health evaluation at an available community provider. Compliance and treatment recommendations will be reviewed by Self Sufficiency staff and appropriate referrals will be made.

Mental Health Screening and Assessment. ‌ a. In addition to screening for a disability as part of the application or disability determination process, does the The district administer is administering a screening tool for TA Temporary Assistance participants to help determine whether a referral for a mental health evaluation is warranted? , in addition to screening for a disability that occurs as part of the application or disability determination process Yes No (If No b. , section 6.2 is complete) If yes: Describe the district’s policy for determining when a program participant is offered a mental health screen: . We are offering screening to participants during the Timing Out Interview and Safety Net application process. c. What screening tools does . If yes: Does the district use? (Select all that apply) use the LDSS 5009 - Mental Health Screening Tool The and/or the computer assisted version of the Modified Mini Screening tool (MMS) Other Screening tool (describe below) d. ? Yes No If using the MMS, indicate below the district’s cutoff score (7, 8 or 9) for referral to a mental health evaluation. : MCDSS will refer for a mental health evaluation as well as a Health Home Care Management referral for any individual scoring 9 or above. e. Describe below . If using a screening tool other than the procedure the district uses if MMS, indicate the screening tool warrants used: n/a Describe the district procedure for referring a participant for a mental health evaluation referral evaluation, when warranted by the screening result: If an individual scores 9 or above the LDSS, working with the local Office of Mental Health, will refer the individual for a mental health evaluation at an available community provider. Compliance and treatment recommendations will be reviewed by Self Sufficiency staff and appropriate referrals will be made.