Scribd
Upload
5 views1 page

Locus Score Sheet for Adult Assessment

The document is a Locus Score Sheet for Bayou Health - Adult, which assesses various criteria related to risk of harm, functional status, and co-morbidities. It includes sections for scoring and recommendations for the level of care needed. The document also requires the printed name and signature of a Licensed Mental Health Professional (LMHP).

Uploaded by

s.b17
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
5 views1 page

Locus Score Sheet for Adult Assessment

The document is a Locus Score Sheet for Bayou Health - Adult, which assesses various criteria related to risk of harm, functional status, and co-morbidities. It includes sections for scoring and recommendations for the level of care needed. The document also requires the printed name and signature of a Licensed Mental Health Professional (LMHP).

Uploaded by

s.b17
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

MEMBER NAME:

BAYOU HEALTH - ADULT


MEMBER NUMBER:

Locus Score Sheet:


CURRENT CRITERIA
I RISK OF HARM

II FUNCTIONAL STATUS

III MEDICAL, ADDICTIVE, PSYCHIATRIC CO-MORBIDITY

IV-A RECOVERY ENVIRONMENT (STRESS)

IV-B RECOVERY ENVIRONMENT (SUPPORT)

V RESILIENCY AND TREATMENT

VI ENGAGEMENT

COMPOSITE SCORE:

LEVEL OF CARE RECOMMENDED:

____________________________________________
LMHP PRINTED NAME

____________________________________________
LMHP SIGNATURE/DATE

BHLSS V.1 REVISED: 11/1/2015

You might also like