UC Davis Student Health & Counseling Services

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CAPS/SHS Integration Workgroup Subcommittee

Meeting Notes - Draft

Date / 12/15/14
Facilitator / S. Santiago / Time / 11:00 a.m.
Location / SHWC, Main 1 / Scribe / K Faithorn
Attendees / Nardini, Andrews, Van Alstine, Ferguson, Vu, Davis, Santiago
Absent / Kravitz, Wiser, Grabow

Key Points Discussed

No.

Topic

/ Highlights /

1. Announcements

§ Meeting dates:

§ Notes Reviewed:

Meeting dates were reviewed;

- Next CSI meeting: 12/17/14 at Main 2, SHWC; Speaker confirmed.
- Next Behavioral Health Consult/ATOD: 1/5/15
- Next CAPS/SHS Integration Workgroup: 1/12/15
- CAPS/SHS Integration Quality Meeting 1/26/15
(4th Mondays/11am)
Notes of 11/17/14 reviewed/approved.

2. Phone workflow for crisis students and/or staff/faculty.

Phone workflow has been updated.

3. Triage Nurses/ADHD evaluations

/ Discussed ADHD evaluation process and what students are being told. There is an algorithm used by the triage nurses. Advise to review algorithm with staff and continue to educate providers on the process.

Documenting Medications / Counseling

Determination made that counselors are NOT expected to update medications at each visit. The counselors could HEM the PCP if they have a concern.

5. /

Psychiatry Transition

Referring to PCP/MOD/POD
/

Transition overall is going well.

Discussions have been occurring with Dr. Wiser. Further discussions planned with Sandy, Dr. Grabow, Dr Davis and Dr Wiser to work on guidelines to help staff. Continue discussions with Dr Andrews and Dr Grabow for the ADHD processes. Work continues on developing guidelines.

Specific medical examination/treatment issues are referred to Medical Staff Meetings.

6. /

PHQ9 Screenings

Discussion ensued regarding expanding the screenings as suggested from the Template Committee. Up to the present time, screenings have only been done with select visit types.

This committee supports expanding the screenings to include all students starting Winter Quarter. (At least one screening per year per student.) Dr. Ferguson suggests reviewing specific details at Template Committee on the process in PnC. Bring back the guidelines to this committee for review.

Problem List

Dr Davis reports that counselors have been reminded to use the problem list for the items that were agreed upon earlier. During chart reviews for peer review it was discovered many counselors were not updating the problem list. Sandy will send the list to Dr Davis; for problems, list anxiety, depression, bipolar, post traumatic issues and suicidal risk; under hospitalization, list 5150 or psychiatric hospitalization; under social history, list regular alcohol use and regular cannabis use. Dr. Davis will review with staff.

Pet Letters

/ Discussion ensued with the recommendation to formulate a consistent message for students surrounding emotional support animals. Sandy reviewed Dr Kravitz’s draft screening questionnaire. Guidelines need to include information that we do not provide assessments for emotional disabilities specifically for this purpose; and a student needs to be in current treatment to be considered.
Sandy will edit the draft and send to Dr. Davis. Once reviewed/approved by Senior Staff at Counseling Services, it will move forward to Executive Committee.

Action Plan

No.

Action Items

/ Owner / Target Date /

Development of guidelines for internal referrals from Counseling to Primary Care

Dr. Ferguson/ Dr. Grabow / Dr. Wiser & Dr Davis

1/12/15

For ADHD, streamline the diagram to assist staff with screening process.

Dr. Ferguson/ Dr. Grabow / Dr. Wiser & Dr Davis and Dr Andrews to work on updating process.

1/12/15

Sandy Santiago will change the meeting name in PnC to “Behavioral Health/ATOD” for meeting notes.

Dr. Ferguson to talk with S. Santiago

1/12/15

Initiate the PHQ9 screenings for all students starting Winter Quarter; bring back screening guidelines/process in PnC to this committee for review.

Sandy/Dr Ferguson

1/12/15

Sandy will edit the guidelines for emotional support animals; review with Dr Davis; Dr Davis will share with Senior Staff; and then it will present at Exec Committee.

Sandy/Dr Davis

1/12/15

PARKING LOT

Future plans regarding how to monitor providers’ access to the open record; Sandy & Cory to work on a policy.

Sandy and Cory

TBD

Alerts for patient characteristics; waiting on PnC development; provide detailed use for staff

Sandy Santiago & All

Summer 2015