Name of the Procedure:

Federally Qualified Health Center (FQHC) Visit, Mental Health, Established Patient (G0470)

Summary

This procedure involves a face-to-face, one-on-one mental health encounter between an established patient and a Federally Qualified Health Center (FQHC) practitioner. The visit is deemed medically necessary for the mental well-being of the patient.

Purpose

The procedure aims to address various mental health conditions such as depression, anxiety, bipolar disorder, PTSD, and other psychological issues. The goal is to provide diagnosis, treatment, and ongoing management of these conditions to improve the patient's mental health and quality of life.

Indications

This procedure is appropriate for patients who exhibit symptoms such as persistent sadness, excessive worry, mood swings, traumatic stress, or other psychological issues. It is indicated for those who have an established healthcare relationship with the practitioner and require ongoing mental health support.

Preparation

• No special preparation is generally required.
• Patients may need to provide a list of current medications and relevant medical history.
• It is advisable to come prepared to discuss mental health concerns openly.

Procedure Description

1. Initial Assessment: The practitioner reviews the patient's medical history and current mental health status.
2. Discussion: The patient and practitioner engage in a conversation about symptoms, triggers, lifestyle, and other relevant factors.
3. Diagnosis: If necessary, a diagnosis is made based on the patient's symptoms and history.
4. Treatment Plan: The practitioner may offer therapy, medication, or other interventions tailored to the patient's needs.
5. Follow-Up: Plans for regular follow-up visits to monitor progress and adjust treatment as needed.

Tools and Technology:

• Notebooks or electronic health records to document the visit.
• Diagnostic tools such as questionnaires or screening instruments.
• Prescription pads for medication if required.

Anesthesia/Sedation:

• None required.

Duration

Typically, this procedure takes 30 to 60 minutes per session.

Setting

The procedure is performed in an outpatient setting within a Federally Qualified Health Center (FQHC).

Personnel

• Licensed mental health practitioners such as psychiatrists, psychologists, clinical social workers, or licensed professional counselors.

Risks and Complications

• Minimal risks involved, as this is a non-invasive procedure.
• Rarely, discussions could potentially trigger emotional distress, which can be managed by the practitioner.

Benefits

• Improvement in mental health and overall quality of life.
• Better management and reduction of symptoms associated with mental health conditions.
• Development of coping strategies and support systems.

Recovery

• No physical recovery period is necessary.
• Patients may experience mental and emotional relief after sessions and should follow any aftercare instructions provided by the practitioner.

Alternatives

• Group therapy sessions
• Online therapy or telehealth services
• Medication management alone without face-to-face therapy
• Community support groups

Each alternative has its own set of pros and cons, depending on the patient’s specific needs, preferences, and the severity of their mental health condition.

Patient Experience

During the session, the patient may talk about personal and emotional matters and might find some discussions difficult but ultimately beneficial. Post-procedure, patients might feel more hopeful, relieved, or more aware of their mental health challenges. Any discomfort is typically short-lived and can be managed with effective follow-up care.

Pain Management and Comfort Measures:

• No physical pain expected.
• Psychological comfort is supported through a warm, empathetic, and professional demeanor by the practitioner.