Care Coordination Forms

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Care Coordinators Support Individuals With Severe Mental Illness, Leading to Improved Quality of Life and Lower Costs

Description

The New York Care Coordination Program is a collaborative partnership among State and county governments, peers and family members, and mental health provider agencies. The program offers person-centered, recovery-focused care coordination for individuals with severe mental illness (e.g., schizophrenia, bipolar disorder, clinical depression) who have had at least one psychiatric hospitalization.

This site provides downloadable versions of the forms used by the program's care coordinators. The forms include:

Quality of life assessment
Individual service plan
Enrollee satisfaction form
Periodic reporting form

Links to the Tool:
These tools are available at: http://www.carecoordination.org/care-coordination.aspx

Developer

New York Care Coordination Program

Funding Sources

New York Care Coordination Program

QualityTool Topic

Quality improvement strategies

History

Recent Summary: 01/2013
Original Summary: 09/2010

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QualityTool Classification

Disease/Clinical Category:

Patient Population:

Mentally ill

Stage of Care:

Rehabilitation care

Patient Care Process:

Behavioral or mental health therapy