APS-09-01
CM-09-01
November 14, 2008
Page 2 of 2
APS-09-01
CM-09-01
November 14, 2008
MEMORANDUM FOR HOME AND COMMUNITY SERVICES FIELD STAFF
From: Rita Summers, Assistant Section Administrator
Adult Protective and Community Services
Subject: St. Louis University Mental Status Exam
The Mini-Mental Status Exam (MMSE) is a tool that the Division of Senior and Disability Services (DSDS) has advocated to be used when measuring decisional capacity. Due to recent MMSE copyright enforcement, the division will no longer be able to utilize this tool. Both the MMSE and Clock Test (CT) will be replaced with the St. Louis University Mental Status (SLUMS) exam effective immediately.
As with the MMSE, the SLUMS indicates the possibility of cognitive impairment and should lead the Worker to consider professional evaluation. For further information on assessing decisional capacity, see policy 1703.60.
For hotlines closed after the MMSE and CT fields are removed from the NRP2 screens, the Worker shall enter any completed MMSE and CT evaluation scores on the comments screen (F8) of the NRP2. In addition, the Worker shall enter the MMSE and CT scores in the Mental Abilities section of the Protective Services Recording (DA-7a).
MMSE and CT scores entered on previous reports will still be visible on the NRPI victim screen.
Adult Protective Services (APS) Manual
1700.10 The Subject Index has been revised to add the SLUMS.
1700.20 The Index of Exhibits has been revised to remove the MMSE and Clock Test.
1703.60 This policy has been revised to remove the MMSE and Clock Test and add the SLUMS exam.
1707.40 The Protective Services Recording form and policy have been revised to: remove the MMSE and Clock Test and add the SLUMS exam; add a risk assessment category of Current Medical Condition and Medical History; expand the exhibit number field to allow for page numbers; and require alleged perpetrator pedigree information to be obtained regardless of status.
1707.80 This policy has been revised to remove the MMSE and Clock Test and add the SLUMS exam.
1707.92 This policy has been created to provide instructions for the SLUMS exam.
This information will be posted on the DHSS Intranet at the following link: http://dhssnet/PSManual/index.html. Staff shall use this memorandum as a guide to view and print the manual revisions.
Case Management (CM) Manual
1604.15 This policy has been revised to remove the MMSE and Clock Test and add the SLUMS exam and remove reference to the DA-2.
101.00 This policy has been revised to remove the MMSE and Clock Test and add the Appendix A SLUMS exam.
This information will be posted on the DHSS Intranet at the following link: http://dhssnet/CMIndex/CMIndex.htm. Staff shall use this memorandum as a guide to view and print the manual revisions.
Questions should be directed to the Bureau of Program Integrity at 573/526-8557 or by e-mail at .
The revisions are effective upon receipt.
RS/CA
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