In Ohio, the Behavioral Discharge form is a comprehensive document used by behavioral health providers to encapsulate a client's journey through treatment, including their progress and the outcome at discharge. This form captures a wide array of information, including the provider's unique number, episode number, client's personal details (such as name, date of birth, and unique client ID), and financial details like the paying board. It marks the last date of service alongside the discharge date, providing clear reasons for discharge that range from successful completion to involuntary discharge due to non-participation or violation of rules. Various outcomes, including referral to another program or incarceration due to offenses committed while in treatment, can be noted with distinctions made based on the client's progress. This form further collects data on education, primary income, living arrangements, drug of choice, health conditions, and diagnoses, offering a multifaceted view of the client’s situation. Importantly, it includes the client's self-reported physical health conditions, such as diabetes or cardiovascular disease, which can have significant implications for treatment and aftercare. Also of note are sections detailing the client's engagement with evidence-based practices, self-help program attendance towards discharge, and whether the client uses tobacco products, providing a holistic overview of the client’s treatment episode and readiness for discharge. This form serves as a critical tool for ensuring continuity of care and supporting the ongoing recovery of individuals transitioning out of behavioral health services.
| Question | Answer |
|---|---|
| Form Name | Ohio Behavioral Discharge Form |
| Form Length | 3 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 45 sec |
| Other names | discharge form ohio behavioral health discharge form |