Mental Health Information System (MHIS) Manual

Page Posted: 06/02/14

Page Reviewed: 8/22/2022

Page Updated: 8/12/2019

5.1.9. Mobile Crisis

VARIABLE NAME: Primary Reason for Intervention (required)

DESCRIPTION: Specifies the client’s primary reason for intervention.

VALID ENTRIES (select one):

[01] Suicidal attempt: client has attempted to end his/her own life

[09] Suicidal ideation: client is thinking of ending his/her own life

[02]Self-Injurious behavior (non-suicidal): client is thinking of or has engaged-in self-injurious behavior that will likely not result in client’s death

[03] 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

[04] Depression: clinical depression without suicide ideation and/or attempt

[05] 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

[07] Mania: client is experiencing a manic episode

[08] 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

[10] Trauma: as defined by the Substance Abuse and Mental Health Services administration (SAMHSA), resulting from an event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or life threatening and that has lasting adverse effects on the individual’s functioning and mental, physical, social, emotional, or spiritual well-being.

[06] Other Primary Reason for Intervention

GUIDELINES:

FIELD NUMBER:X2

FIELD LENGTH: 2

FIELD TYPE: Text

FORMAT: XX

VARIABLE NAME: Secondary Reason for Intervention (optional)

DESCRIPTION: Specifies the client’s secondary reason for intervention.

VALID ENTRIES (select one):

[01] Suicidal attempt: client has attempted to end his/her own life

[09] Suicidal ideation: client is thinking of ending his/her own life

[02]Self-Injurious behavior (non-suicidal): client is thinking of or has engaged-in self-injurious behavior that will likely not result in client’s death

[03] 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

[04] Depression: clinical depression without suicide ideation and/or attempt

[05] 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

[07] Mania: client is experiencing a manic episode

[08] 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

[10] Trauma: as defined by the Substance Abuse and Mental Health Services administration (SAMHSA), resulting from an event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or life threatening and that has lasting adverse effects on the individual’s functioning and mental, physical, social, emotional, or spiritual well-being.

[06] Other Primary Reason for Intervention

GUIDELINES:

FIELD NUMBER:X3

FIELD LENGTH: 2

FIELD TYPE: Text

FORMAT: XX

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 behavioral health agency or individual

[12] Other

[13] Unknown

GUIDELINES:

FIELD NUMBER:X9

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 behavioral health provider: a professional, behavioral 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). See School District variable below.

[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 [05] Other Behavioral Health Provider for outpatient, Rule 36’s and Intensive Residential Treatment Services (IRTS) facilities.

FIELD NUMBER:X1

FIELD LENGTH:2

FIELD TYPE: Text

FORMAT: XX

VARIABLE NAME: School District

DESCRIPTION: Specifies the client’s location by school district for initial face-to-face assessment if applicable

VALID ENTRIES:

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.

GUIDELINES

· Complete field when Location of Initial Face-to-Face Assessment = [09] School

FIELD NUMBER:X10

FIELD LENGTH:7

FIELD TYPE: Text

FORMAT: XXXX-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

GUIDELINES:

· For MHIS records that report on mobile crisis stabilization only (assessment and intervention are not included), select a response based on referral to stabilization time

FIELD NUMBER: X8

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

GUIDELINES:

· Report disposition at the conclusion of mobile crisis intervention episode (conclusion of face-to-face services). If a client receives assessment, intervention and/or community stabilization during an intervention episode – report disposition at the conclusion of the last face-to-face service.

· For interventions that occur at a Crisis Team Office, it is appropriate to report Disposition = client’s current residence in the event no other selection applies: [06] Homeless shelter, [09] Remained in current residence (foster care), or [10] Remained in current residence (self or family)

FIELD NUMBER: X4

FIELD LENGTH: 2

FIELD TYPE: Text

FORMAT: XX

VARIABLE NAME: Did the client have a psychiatric advance directive prior to receiving services?

DESCRIPTION: Did the client have a psychiatric advance directive prior to receiving services?

VALID ENTRIES (select one):

[1] Yes

[2] No

[3] Unknown

GUIDELINES:

· This field includes advance directives which give instruction about the specific mental health treatment a person wants should he or she experience a psychiatric crisis; or a proxy advance directive which names a health care proxy or agent to make treatment decisions when a person is unable to do so.

FIELD NUMBER: X5

FIELD LENGTH: 1

FIELD TYPE: Text

FORMAT: X

VARIABLE NAME: 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

GUIDELINES:

· Required if “Did the client have a psychiatric advance directive prior to receiving services?” = [2] No

FIELD NUMBER: X6

FIELD LENGTH: 1

FIELD TYPE: Text

FORMAT: X

VARIABLE NAME: Client Referral

DESCRIPTION: Was the client referred to other services?

VALID ENTRIES (select one):

[1] Yes

[2] No

GUIDELINES:

· Selection should reflect services where the client was provided a referral. This field does not capture existing services that an agency is already providing to a client. For information on referrals provided by mobile crisis services, please see https://www.revisor.mn.gov/statutes/cite/256B.0624#stat.256B.0624.6

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)

GUIDELINES:

· Collected if field Client Referral = [1] Yes

· Selections should reflect services where the client was provided a referral. This field does not capture existing services that an agency is already providing to a client. For information on referrals provided by mobile crisis services, please see https://www.revisor.mn.gov/statutes/cite/256B.0624#stat.256B.0624.6

FIELD NUMBER: X11-X15

FIELD LENGTH: 2

FIELD TYPE: Text

FORMAT: XX