133 lines
5.5 KiB
Markdown
133 lines
5.5 KiB
Markdown
# Mental Health Outpatient Services Quality Management System
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A comprehensive QMS template designed for outpatient mental health clinics, counseling centers, and behavioral health practices.
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## 🧠Designed For
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- **Community Mental Health Centers** - Publicly funded outpatient services
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- **Private Psychiatric Practices** - Outpatient psychiatry and medication management
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- **Counseling and Therapy Centers** - Individual, group, and family therapy
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- **Child/Adolescent Mental Health** - Pediatric outpatient behavioral health
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- **Substance Abuse Treatment** - Outpatient addiction services
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- **Intensive Outpatient Programs (IOP)** - Structured day treatment
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- **Partial Hospitalization Programs (PHP)** - Day hospital services
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## 📋 Regulatory Framework
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This template supports compliance with:
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- **The Joint Commission** - Behavioral Health Care accreditation
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- **CARF** - Commission on Accreditation of Rehabilitation Facilities
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- **State Mental Health Authority** - State licensing and certification
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- **HIPAA** - Mental health information privacy
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- **42 CFR Part 2** - Substance abuse treatment confidentiality
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- **State Licensing Boards** - Psychologist, social worker, counselor regulations
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- **Medicare/Medicaid** - Outpatient mental health billing requirements
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- **APA Practice Guidelines** - Evidence-based treatment standards
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- **SAMHSA** - Substance abuse treatment guidelines
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## Repository Structure
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```
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├── SOPs/
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│ ├── Intake-Assessment/ # Referral, intake, diagnostic evaluation
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│ ├── Treatment/ # Therapy protocols, medication management
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│ ├── Crisis-Management/ # Crisis response, safety planning, hospitalization
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│ ├── Documentation/ # Progress notes, treatment plans, outcomes
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│ ├── Compliance/ # Consent, confidentiality, records
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│ └── General/ # Document control, training, CAPA
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├── Forms/
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│ ├── Intake-Forms/ # Registration, consent, authorization, history
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│ ├── Assessment-Tools/ # PHQ-9, GAD-7, AUDIT, depression/anxiety scales
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│ ├── Treatment-Plans/ # Initial and updated treatment plan templates
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│ ├── Safety-Plans/ # Crisis plans, safety contracts
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│ ├── Progress-Notes/ # Session documentation templates
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│ └── Training/ # Competency assessments
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├── Policies/ # Practice policies
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├── Work-Instructions/ # Step-by-step procedures
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└── Templates/ # Document templates
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```
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## Document Numbering Convention
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- **POL-XXX**: Policies
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- **SOP-INT-XXX**: Intake/Assessment SOPs
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- **SOP-TX-XXX**: Treatment SOPs
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- **SOP-CRS-XXX**: Crisis Management SOPs
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- **SOP-DOC-XXX**: Documentation SOPs
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- **SOP-CMP-XXX**: Compliance SOPs
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- **WI-XXX**: Work Instructions
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- **FRM-XXX**: Forms and Records
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## 🤖 AI-Powered Assistance
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This repository includes **AtomicAI**, your outpatient mental health QMS assistant. Mention `@atomicai` in any issue or pull request to:
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- Draft intake and assessment procedures
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- Create treatment protocols for specific conditions
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- Generate crisis intervention and safety planning SOPs
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- Develop progress note documentation standards
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- Create consent and confidentiality procedures
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- Review documents for accreditation compliance
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### Example Prompts
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- "@atomicai create an SOP for psychiatric intake evaluation"
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- "@atomicai draft a crisis intervention and safety planning protocol"
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- "@atomicai write a progress note documentation standard per billing requirements"
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- "@atomicai create a treatment plan template for depression"
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- "@atomicai develop a no-show and missed appointment policy"
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- "@atomicai create a telehealth informed consent procedure"
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## Getting Started
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1. **Establish Consent Procedures** - Configure informed consent and authorization forms
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2. **Standardize Assessments** - Implement validated screening tools
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3. **Define Documentation Standards** - Set up progress note and treatment plan templates
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4. **Create Crisis Protocols** - Establish safety planning and escalation procedures
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5. **Train Clinicians** - Use competency assessment forms
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## Key Documents to Create First
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1. **Intake Assessment SOP** - Standardized evaluation process
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2. **Treatment Planning Policy** - Individualized treatment plan requirements
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3. **Crisis Response Procedure** - Suicidal/homicidal ideation management
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4. **Safety Plan Template** - Client crisis planning tool
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5. **Progress Note Standards** - Documentation requirements for sessions
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6. **Informed Consent Forms** - Treatment consent, HIPAA, 42 CFR Part 2
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7. **Telehealth Policy** - Virtual care protocols and consent
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## Special Considerations for Outpatient Mental Health
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### Intake and Assessment
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- Referral management and triage
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- Comprehensive diagnostic evaluation
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- Validated screening instruments
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- Treatment matching and level of care
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- Insurance authorization
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### Treatment Services
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- Evidence-based therapy protocols
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- Medication evaluation and management
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- Group therapy programming
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- Family and couples therapy
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- Care coordination with other providers
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### Crisis Management
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- Suicide risk assessment
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- Safety planning
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- Crisis hotline resources
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- Hospitalization criteria and procedures
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- Post-crisis follow-up
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### Documentation and Compliance
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- HIPAA and 42 CFR Part 2 requirements
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- Progress note medical necessity
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- Treatment plan updates
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- Outcome measurement
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- Supervision and peer review
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---
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*This template is maintained by AtomicQMS. For questions, open an issue in this repository.*
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