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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: 5/27/2016

Link to 5.1.7 Crisis PDF

5.1.7. Crisis

Variable name: Primary Reason for Intervention (required)

  • Description: Specifies the client’s primary reason for intervention.
  • Valid Entries (select one):
  • [1] Suicidal attempt: client has attempted to end his/her own life
  • [9] Suicidal ideation: client is thinking of ending his/her own life
  • [2]Self-Injurious behavior (non-suicidal): client is thinking of or has committed self-injurious behavior that will likely not result in client’s death
  • [3] Psychotic or delusional: client is experiencing delusions, hallucinations, or other thought disorder distorting the ability to know whether an event or situation perceived is real
  • [4] Depression: clinical depression without suicide ideation and/or attempt
  • [5] Anxiety/Panic: an acute or severe episode of one or more of the traditional anxiety and panic disorders, but also includes post-traumatic stress disorder
  • [7] Mania: client is experiencing a manic episode
  • [8] Dysregulated behavior: child is exhibiting behaviors that are disrupting the normal functioning of the child and/or family, but is not threatening to harm another person
  • [6] Other Primary Reason For Intervention
  • Field Number:X1
  • Field Length: 1
  • Field Type: Text
  • Format: x
  • Variable name: Secondary Reason for Intervention (optional)

  • Description: Specifies the client’s secondary reason for intervention.
  • Valid Entries (select one):
  • [1] Suicidal attempt: client is thinking of ending his/her own life
  • [9]Suicidal ideation: client has attempted to end his/her own life
  • [2]Self-Injurious behavior (non-suicidal): client is thinking of or has committed self-injurious behavior that will likely not result in client’s death
  • [3] Psychotic or delusional: client is experiencing delusions, hallucinations, or other thought disorder distorting the ability to know whether an event or situation perceived is real
  • [4] Depression: clinical depression without suicide ideation and/or attempt
  • [5] Anxiety/Panic: an acute or severe episode of one or more of the traditional anxiety and panic disorders, but also includes post-traumatic stress disorder
  • [7] Mania: client is experiencing a manic episode
  • [8] Dysregulated behavior: child is exhibiting behaviors that are disrupting the normal functioning of the child and/or family, but is not threatening to harm another person
  • [6] Other Primary Reason For Intervention
  • Field Number:X2
  • Field Length: 1
  • Field Type: Text
  • Format: x
  • Variable Name: Initial Crisis Referral Source

  • Description: specifies the source from which the client was initially referred to crisis services.
  • Valid Entries (select one):
  • • [01] Case manager
  • • [02] Child protection
  • • [03] Health Plan
  • • [04] Hospital
  • • [05] Law enforcement
  • • [06] Primary care physician
  • • [07] Probation officer/Juvenile Justice
  • • [08] Residential treatment or foster care provider
  • • [09] School
  • • [10] Self, family, friend
  • • [11] Other mental health agency or individual
  • • [12] Other
  • • [13] Unknown
  • Field Number:X3
  • Field Length: 2
  • Field Type: Text
  • Format: xx
  • Variable name: Location of initial face-to-face assessment

  • Description: Specifies the client’s location of initial face-to-face assessment
  • Valid Entries (select one):
  • [01] Client’s residence: where the client lives
  • [02] Private residence-not client’s: a private residence- but not where the client lives
  • [03] Crisis team office: location of the crisis team’s office or center of operation
  • [04] Homeless shelter: includes transitional or supportive housing for persons who, immediately prior the crisis, lived in a place not meant for human habitation. Also included are emergency shelters for homeless persons
  • [05] Other mental health provider: a professional, mental health care provider’s location (primary location of doing business)
  • [06] Emergency department: including urgent care locations
  • [07]Public location: included are retail locations, restaurants, shopping malls, parks, the street, or other space accessible by the general public not specified elsewhere
  • [09] School: assessment conducted in an educational institution (e.g. elementary, secondary, post-secondary, or other type).
  • • Enter the school district number, if applicable. Online entry records cans select a school district from the drop down menu. For batch entry, a list of school district numbers is available from the Minnesota Department of Education’s website.
  • Field Number:X5
  • Field Length:10
  • Field Type: Text
  • Format: xxxxxxxxxx
  • [10] Jail: assessment conducted in a correctional facility
  • [08] Other location of initial face-to-face assessment: assessment conducted in a location outside of the above list.
  • GUIDELINES:
  • • Select “Other Mental Health Provider” for outpatient, Rule 36’s and Intensive Residential Treatment Services (IRTS) facilities.
  • Field Number:X4
  • Field Length:2
  • Field Type: Text
  • Format: xx
  • Variable Name: Crisis Referral to Assessment Time

  • Description: specifies the time interval between when the Initial Crisis Referral Source referred client to crisis services and the time the Location of initial face-to-face assessment occurred.
  • Valid Entries (select one):
  • • [1] Less than 2 hours
  • • [2] Greater than 2 to 4 hours
  • • [3] Greater than 4 hours to 6 hours
  • • [4] Greater than 6 hours to 8 hours
  • • [5] Greater than 8 hours to 16 hours
  • • [6] Greater than 16 hours to 24 hours
  • • [7] More than 24 hours
  • Field Number: X6
  • Field Length: 1
  • Field Type: Text
  • Format: x
  • Variable Name: Disposition at the End of Crisis Episode

  • Description: specifies client’s disposition at the end of the current crisis episode (excluding referrals).
  • Valid Entries (select one):
  • • [01] Chemical health residential treatment
  • • [02] Children’s shelter placement
  • • [03] Domestic abuse shelter
  • • [04] Emergency department
  • • [05] Emergency foster care
  • • [06] Homeless shelter
  • • [07] Inpatient psychiatric unit
  • • [08] Jail
  • • [09] Remained in current residence (foster care)
  • • [10] Remained in current residence (self or family)
  • • [11] Remained in school
  • • [12] Residential crisis stabilization
  • • [13] Residential treatment (IRTS or Children’s Residential Treatment “Rule 5”)
  • • [14] Temporary residence with relatives/friends
  • • [15] Other
  • Field Number: X7
  • Field Length: 2
  • Field Type: Text
  • Format: xx
  • Variable name: Psychiatric Advance Directive

  • Description: Did the client have a psychiatric advance directive prior to receiving services?
  • Valid entries (select one):
  • • [1] Yes
  • • [2] No
  • • [3] Unknown
  • Field Number: X8
  • Field Length: 1
  • Field Type: Text
  • Format: x
  • If “No”, was the client offered assistance to develop a psychiatric advance directive? Valid entries (select one):
  • • [1] Yes, client referred
  • • [2] Yes, client declined
  • • [3] No
  • Field Number: X9
  • Field Length: 1
  • Field Type: Text
  • Format: x
  • Variable name: Client Referral

    Description: Does client need a referral to other services? Valid entries (select one):
  • • [1] Yes
  • • [2] No
  • Field Number: X10
  • Field Length: 1
  • Field Type: Text
  • Format: x
  • Variable name: What services was the client referred to?

    Description: specify the services for which client received an assisted referral. Valid Entries (select up to five):
  • • [01] Adult Day Treatment
  • • [02] Adult Rehabilitative Mental Health Services (ARMHS)
  • • [03] Assertive Community Treatment (ACT)
  • • [04] Chemical Health Services
  • • [05] Children’s Therapeutic Services and Supports (CTSS)
  • • [06] Crisis Residential
  • • [07] Crisis Stabilization
  • • [08] Homeless services
  • • [09] Housing services
  • • [10] Inpatient psychiatric hospital services
  • • [11] Medication management
  • • [12] Partial hospitalization
  • • [13] Psychotherapy
  • • [14] Rapid Access Psychiatry (RAP)
  • • [15] Residential treatment (IRTS or Children’s Residential Treatment “Rule 5”)
  • • [16] Mental Health Targeted case management (MH-TCM)
  • • [17] Youth ACT
  • • [18] Other (e.g. employment services)
  • • [19 None
  • Field Number: X11-X15
  • Field Length: 2
  • Field Type: Text
  • Format: xx
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