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Minnesota Department of Human Services Mental Health Information System (MHIS) Manual
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Page Posted: 06/02/2014

Page Reviewed and Updated: 6/5/2015

Link to 5.1.5 LOCUS PDF

5.1.5. LOCUS

VARIABLE NAME: LOCUS COMPOSITE SCORE

  • DESCRIPTION: Add the scores from each dimension to determine the composite score.
  • VALID ENTRIES:
  • • 7-35 when all dimensions are added up 7 is the lowest score possible and 35 is the highest score possible.
  • GUIDELINES:
  • • Program Types to complete LOCUS fields are: IRTS, ACT, ARMHS, Partial Hospitalization, Day Treatment, ICRS, and Rule 79 Case Management.
  • • At the time of admission into the program, a LOCUS assessment recently (within 30 days prior to admission) completed by another provider, agency or county may be used.
  • • All dimensional scores are added together to determine the composite score.
  • FIELD NUMBER: L1
  • FIELD LENGTH: 2
  • FIELD TYPE: Numeric
  • FORMAT: XX
  • VARIABLE NAME: LOCUS ASSESSMENT DATE

  • DESCRIPTION: This is the date the LOCUS Assessment was completed and signed by the mental health professional.
  • VALID ENTRIES:
  • • 2- digit month and day followed by the 4-digit year. The numeric format for months and days 1-9 must have a zero as the leading digit.
  • GUIDELINES:
  • • A LOCUS assessment is not considered complete until the Mental Health Professional has signed the assessment. The date of his/her signature is the date the assessment is complete.
  • • At the time of admission into the program, a LOCUS assessment recently (within 30 days prior to admission) completed by another provider, agency or county may be used.
  • • A LOCUS is valid for a maximum of 180 days (6 months) from the date it is signed by the Mental Health Professional.
  • • Note: A completed LOCUS is one part of a three tiered assessment process that is used to determine eligibility for specific services at the time of admission, and as services are ongoing. If a LOCUS is not ‘current’ the provider who is preparing to start services is responsible for making sure an updated LOCUS is completed. Policy regarding the completion and use of the LOCUS is found within the MHCP Provider Manual. This policy includes the definition of when a LOCUS is ‘current’. There is also policy information regarding the LOCUS in the Mental Health Policy Manual section “Common Practice Elements”.
  • FIELD NUMBER: L2
  • FIELD LENGTH: 10
  • FIELD TYPE: Text
  • FORMAT: MM/DD/YYYY
  • VARIABLE NAME: LEVEL OF CARE / SERVICE MATCH LOCUS SCORE

  • DESCRIPTION: Identifies the reason for the difference between the level of care /service and LOCUS score.
  • VALID ENTRIES
  • • [01] YES – LOCUS SCORE MATCHES SERVICE -If the service falls into the level of care the LOCUS score indicates.
  • • [02] NO – NUMEROUS SUPPORT SERVICES IN THE COMMUNITY – There are other services and supports in the community outside of the services required to use the LOCUS.
  • • [03] NO – RECEIVING 24 HOUR SUPERVISION IN ANOTHER PROGRAM / SERVICE - There are services outside of the services required to use the LOCUS. These other services may be meeting the individuals treatment needs.
  • • [04] NO – ABLE TO USE OTHER HOUSING SUBSIDIES – There are other services and supports in the community outside of the services required to use the LOCUS. Support service will meet the clinical needs of the individuals, rather than service indicated for the level of care.
  • • [05] NO – CLIENT UNWILLING TO ACCEPT A HIGHER LEVEL OF SERVICE –If the LOCUS score falls into a higher level of care, but the client does not want that service.
  • • [06] NO – CLIENT WISHES TO RECEIVE A HIGHER LEVEL OF SERVICE – Although a lower level of care is indicated by the LOCUS score, the client wishes to receive a higher level of service and the clinical judgment is that the client can benefit.
  • • [07] NO – NEEDS SERVICE LEVEL FOR STABILIZATION – If clinical judgment determines that a different level of care is recommended for stabilization of symptoms prior to moving to the recommended LOCUS score.
  • • [08] NO – STRONG SUPPORT NETWORK IN THE COMMUNITY - There are other services and strong supports in the community (family, friends, work, etc.) outside of the services required to use the LOCUS.
  • • [09] NO – CYCLE OF MENTAL HEALTH SYMPTOMS ALLOWS FOR VARIANCE – Especially for longer-term services, someone’s cycle of symptoms may bring them in and out of recommended levels of care. Someone is in a cycle that lends to a higher or lower recommended level of care.
  • • [10] NO – COMPLETING ANOTHER TREATMENT PROGRAM IN LIEU OF THIS LEVEL OF CARE (IN-PATIENT) - There are services outside of the services required to use the LOCUS. These other services may be meeting the individual’s treatment needs.
  • • [11] NO – HIGHER LEVEL OF CARE NOT AVAILABLE - If the LOCUS score indicates a higher level of care but that is not available in the community.
  • • [12] NO – LOWER LEVEL OF CARE NOT AVAILABLE - If the LOCUS score indicates a lower level of care, but that is not available in the community.
  • • [13] NO – LEGAL COMMITMENT REQUIRES SERVICE – If the LOCUS score indicates a lower level of care but a civil commitment order requires a higher level of care, a legal commitment can be a deciding factor in which service an individual receives.
  • • [14] NO – TRANSITIONING BETWEEN SERVICES - If the LOCUS score indicates a different service level, but the client is in a transition period.
  • GUIDELINES:
  • • Actual Services provided/recommended may actually be outside of the LOCUS score recommendation. If the level of care/service being provided is a different chose the best code value as to why the variance was made.
  • FIELD NUMBER: L3
  • FIELD LENGTH: 2
  • FIELD TYPE: Text
  • FORMAT: XX
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