Behavioral health screening to determine eligibility for admission to treatment program
HCPCS code
Name of the Procedure:
Behavioral Health Screening to Determine Eligibility for Admission to Treatment Program (H0002)
Summary
This behavioral health screening is a professional assessment to determine whether an individual is eligible for admission into a specialized mental health or substance abuse treatment program. It involves a structured evaluation using various psychometric tools and interviews.
Purpose
Medical Conditions or Problems Addressed:
- Mental health disorders such as depression, anxiety, bipolar disorder, etc.
- Substance abuse issues
- Behavioral issues that impair daily functioning
Goals or Expected Outcomes:
- To identify the presence and severity of mental health or substance use disorders
- To determine the need for and the type of treatment program suitable for the patient
- To facilitate the timely initiation of appropriate treatment
Indications
Symptoms or Conditions that Warrant the Procedure:
- Persistent sadness or depression
- Anxiety or panic attacks
- Suspicion of substance abuse
- Significant changes in mood or behavior
- Difficulty in day-to-day functioning due to mental health issues
Patient Criteria or Factors:
- Patients seeking help for mental health issues
- Individuals referred by general practitioners, family members, or other healthcare providers
- Patients previously diagnosed with a mental health disorder needing reassessment
Preparation
- No special preparation like fasting is required.
- Bring any previous medical records or diagnostic tests related to mental health.
- Be prepared to discuss personal, family, and medical history.
Procedure Description
Initial Interview:
- Conducted by a licensed mental health professional.
- Discussion of symptom history and current issues.
Standardized Assessments:
- Use of validated questionnaires and psychometric tools to assess symptoms.
Behavioral Observations:
- Assessment of the patient's behavior during the interview.
Collateral Information:
- Gathering additional information from family or caregivers, if pertinent.
Tools Used:
- Psychometric tools (e.g., Beck Depression Inventory, Generalized Anxiety Disorder 7-item scale)
- Structured or semi-structured interview guides
Anesthesia or Sedation:
- Not applicable.
Duration
The screening typically takes 1-2 hours, depending on the complexity of the case and the thoroughness required.
Setting
- Outpatient clinic
- Mental health outpatient facility
- Substance abuse treatment center
Personnel
- Licensed mental health professionals (psychologists, psychiatrists, social workers, or counselors)
Risks and Complications
- Minimal to no physical risks.
- Psychological distress may occur as patients discuss sensitive issues but can be managed by the professional conducting the assessment.
Benefits
- Accurate diagnosis and appropriate treatment planning.
- Timely initiation of treatment.
- Improved mental health outcomes and better quality of life. Benefits can often be noticed shortly after treatment begins, depending on the individual's adherence and response to the treatment.
Recovery
- No physical recovery needed.
- Advice on coping strategies or immediate relief measures if emotional distress occurs during the screening.
- Potential follow-up appointments to initiate treatment program enrolment.
Alternatives
- Self-assessment tools, though less accurate.
- Initial screening by a general practitioner's office may offer a preliminary assessment.
- Community mental health outreach programs might offer initial screenings.
Pros and Cons of Alternatives:
- Pros: Easily accessible and immediate; less formal settings may be less intimidating.
- Cons: Less comprehensive; may lack the precision and depth of professional screening.
Patient Experience
During the Procedure:
- Patients might feel a range of emotions, as they will be discussing personal and sensitive information.
- The screening is conducted in a confidential, supportive environment to minimize discomfort.
Pain Management and Comfort Measures:
- Emotional support is provided throughout the procedure.
- Patients are encouraged to take breaks if feeling overwhelmed.