Community Services Programs

Mental Health Agency Licensing Standards; Crisis Residential Service Standards - Assessment

An assessment of the client is completed within 24 hours of admission to the crisis residential program.

The assessment minimally addresses the following:

  • CRS.1.A.1
    the client's strengths and weaknesses;
  • CRS.1.A.2
    the client's perception of his or her needs;
  • CRS.1.A.3
    the family/guardian's input and perception of the client's needs when appropriate, and with the client's consent;
  • CRS.1.A.4
    a personal, family, and social history;
  • CRS.1.A.5
    the client's emotional, psychiatric and psychological strengths and needs;
  • CRS.1.A.6
    a physical health status and history, including current prescribed and over-the-counter medication use;
  • CRS.1.A.7
    past and current drug/alcohol use;
  • CRS.1.A.8
    a developmental history;
  • CRS.1.A.9
    possible sources of assistance and support in meeting the needs expressed by the client or legally responsible party, including state and federal entitlement programs;
  • CRS.1.A.10
    physical and environmental barriers that may impede the client and family's ability to obtain services;
  • CRS.1.A.11
    history of physical and/or sexual abuse;
  • CRS.1.A.12
    housing and financial needs; and
  • CRS.1.A.13
    the signature of the person who performed the assessment.

Interpretive Guideline for CRS.1.A through CRS.1.A.13

The Division of Licensing recognizes that in some cases not all of the information requested in these standards will be able to be obtained. The Division also recognizes that the level of detail required will vary given a variety of factors (the client's level of cooperation, the integrity of information sources, the length of services or treatment, the condition being addressed, the practitioner's training, etc.). Although the Division will attempt to be sensitive to these factors and flexible in surveying this area, the agency should assure that assessments that do not address all these standards have accompanying documentation that justifies abbreviated or absent information.

The agency will establish policies and procedures establishing criteria for the performance of the following assessments:

  • CRS.1.B.1
    a nutritional assessment;
  • CRS.1.B.2
    a cognitive functioning assessment;
  • Interpretive Guideline for CRS.1.B.2
    The client's cognitive functioning assessment should include assessment of the following functions: problem solving, decision making, organization, self-direction, system negotiation skills, concentration, and abstract reasoning. For individuals over 60 years of age, this assessment should also include memory, language, orientation, and visuo-spatial abilities.
  • CRS.1.B.3
    an assessment of the client's capacity;
  • CRS.1.B.4
    a neurological assessment.

The assessment shall be obtained from the client, legally responsible party, community service agencies, and to the extent possible, from other individuals in the community as authorized by the client or legally responsible party.

  • CRS.1.C.1.
    In instances in which the client receives community support services and/or has an Individualized Support Plan, the agency will, subject to the client's consent, shall coordinate the assessment and subsequent service planning with the community support provider.
  • CRS.1.C.1.a.
    Services provided to these clients will be consistent with the targets and objectives of the Individualized Support Plan.
  • CRS.1.C.1.b.
    Services provided to these clients will be delivered pursuant to a service agreement negotiated with the community support worker.
  • CRS.1.D.
    The client record contains a summary evaluation of the data collected in the assessment.

Interpretive Guideline for CRS.1.B through CRS.1.B.4
These assessments do not necessarily have to be performed in the agency or by agency staff. The intent of these standards are to assure that the agency has mechanisms by which to evaluate the need for these assessments and to perform or refer for assessment those clients whose symptomatology suggests such need.