Outpatient Services - The Playbook

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THE PLAYBOOK Outpatient

Services

Empowering Our Team with Clear Goals and Collaborative Success

AMessageFromOurCEO

Alexander Youth

On behalf of the Senior Management Team, I am delighted to welcome you to the Alexander Youth Network! We are honored you have chosen to join us on this transformative journey.

Our mission is clear and powerful: to provide quality treatment to children with serious emotional and behavioral challenges, enabling them and their families to achieve their potential and contribute positively to society. Every day, you have the incredible opportunity to change lives and create lasting impact.

What sets us apart is not just our expertise but the compassion and dedication we bring to our work. As you become part of our vibrant community, remember to lean on your colleagues, ask questions, and share your insights. Every interaction and challenge you overcome brings us closer to fulfilling our mission.

Together, we can make a profound difference in the lives of countless children and their families. Here’s to a future filled with hope, resilience, and positive transformation.

Best regards,

Introduction:ThePlaybook

Purpose of the Playbook

Welcome to The Playbook! This eBook is a central resource for all employees, providing a clear overview of our program expectations and guidelines. Our goal is to ensure everyone in your department has consistent, accurate information, helping us maintain high standards and achieve our goals.

Why the Playbook?

Enhance Clarity: Ensure everyone understands their roles and aligns with department goals.

Improve Communication: Clearly communicate expectations, reducing misunderstandings.

Support Training: Serve as a resource for onboarding and ongoing training.

Facilitate Accountability: Establish clear benchmarks and performance indicators.

How the Playbook Can Help You

Program Overviews: Detailed descriptions of each program and key performance indicators.

Expectations: Clear outlines of your role and tasks.

Resources: Access to templates, forms, and contact information.

Procedures: Step-by-step guides to our processes.

Improvement: Best practices and tips for better performance.

Using The Playbook, you’ll have the tools to perform your job effectively and contribute to our department’s success. This eBook will be an invaluable resource in your professional journey.

Chief Operating Officer

Regional Executive Director

Regional Clinical Director

Contracted Outpatient Therapist Outpatient Therapist

Discover the vital players shaping Outpatient Services - Click to explore team roles and responsibilities. Click Here! Roles & Responsiblities

ProgramOverview

PopulationServed:

Childrenandyouthages4–18

ServicesOffered:

Comprehensiveevaluations

Individualandfamilytherapysessions

Medicationmanagement

Telehealth(virtual),office-based,andschool-based services

ClinicalFocus:

Specializedtherapeuticmodelsfortrauma-related symptoms

Evidence-basedapproachestoaddressarangeof mentalhealthchallenges

Accreditation:

AccreditedbyTheJointCommission,reflecting highstandardsofcare

ServiceAreas

CountiesServed:

GuilfordCounty:Office-basedtherapy (Greensboro)

ForsythCounty:Office-based&school-based therapy(Winston-Salem)

MecklenburgCounty:Office-based&schoolbasedtherapy(Charlotte)

ClevelandCounty:Office-basedtherapy (Cleveland)

School-BasedServices:

Charlotte/MecklenburgCountySchools

Winston-Salem/ForsythCountySchools

Treatment&Therapeutic Interventions

Everychild’streatmentatAlexanderYouthNetwork’sOut-PatientServicesbegins withacomprehensiveassessmentthatguidesapersonalizedTreatmentPlanwith specificgoals,interventions,andtimelines.

KeyFocusAreas:

Attention and ADHD Management

Opposition, Defiance, and Aggression

Grief and Loss

Depression and Mood Disorders

Social Withdrawal and Anxiety

Take daily moments for mindfulness, like meditation, to find inner calm.

Use behavior management techniques and encourage healthy communication patterns

Provide supportive counseling to help children process and cope with difficult emotions.

Utilize evidence-based interventions to promote emotional regulation and improved functioning

Implement approaches that encourage social engagement and reduce anxious symptoms.

Suggest practical routines and coping skills to enhance sleep quality. Sleep Difficulties

School-Related Challenges

Coordinate with educational staff and caregivers to improve academic performance and classroom behaviors

Apply trauma-informed techniques to help children understand and heal from adverse experiences. Trauma Recovery

Attachment and Adoption Issue

Family Relationship Dynamics

Self-Esteem and Bullying

Truancy and Attendance Problems

Family Involvement

Foster the development of healthy bonds and supportive family relationships

Work with families to strengthen communication, consistency, and positive parenting practices.

Equip children with resilience-building skills, confidence, and conflict-resolution techniques

Identify contributing factors and collaborate with caregivers to improve attendance.

Therapists and caregivers collaborate, sharing strategies and resources to reinforce therapeutic goals at home.

ProgramExpectations

Additional Services

Program Structure & Service Delivery

Service Delivery Standards

Direct Service Hours: Therapists must provide client-facing services at least 65% of their total work time

Scheduling: Maintain 90-day advance schedule in our Electronic Health Record (EchoVantage)

Staff-Initiated Cancellations: Limited to no more than 5 per year

No-Show Rate: Target of less than 10% no-show rate after the first assessment

Session Frequency & Availability

Therapy sessions typically occur weekly or biweekly 24/7 On-Call Support for crises outside regular office hours

Documentation Requirements

Timeliness: All session notes completed same day (100% compliance goal)

Accuracy: Maintain at least 99% accuracy in Electronic Health Records Plan Alignment: All billed services must align with the active Treatment Plan

Audits: Regular documentation audits uphold compliance

Clinical Outcomes & Measurement-Based Care

1

Required Assessments

CPSS-5-SR Child PTSD Symptom Scale

SCARED Screen for Child Anxiety Related Disorders

2 CES-DC Center for Epidemiological Studies Depression Scale

4

3 C-SSRS Columbia-Suicide Severity Rating Scale

5

Safe-T Suicide Assessment Five-Step Evaluation and Triage

Ongoing Monitoring & Performance Metrics

Measurement-Based Care: Routine administration of standardized assessments and systematic client/family feedback

Key Performance Indicators:

Direct service delivery compliance

Documentation timeliness and accuracy

Client engagement (no-show rates)

Consistent adherence to treatment plans

Program Staff & Training

QualifiedProfessionals:LicensedClinicalSocialWorkers,LicensedClinical

MentalHealthCounselors,andNursePractitioners

Training&Supervision:

Comprehensive orientation for new staff

Ongoing clinical supervision and mentoring

Regular updates on evidence-based practices

Cultural competency and compliance training

Services Access & Referral Process

Access Department

Primary point of contact for new referrals Email Intake@aynkids.org

Access staff will guide families to appropriate services or higher levels of care if needed.

Final Note:

Alexander Youth Network’s Outpatient Services are designed to deliver highquality, accessible mental health care for children and families. By offering evidence-based therapy, medication management, family engagement, and consistent performance monitoring, we strive to help children achieve lasting emotional and behavioral wellness.

AYNConnect

Introducing Alexander's One Stop Shop: AYN Connect Disco d to str

Key F In

Centralized Resource Folder: Access our collaborative document library, where interdepartmental file sharing becomes effortless.

Policies and Procedures: Never wonder where to find critical information again. Access all agency policies and procedures in one centralized, easy-tonavigate location.

Dedicated Team Sites: Each department enjoys a tailored digital space for file storage and teamwork, enhancing productivity and organization.

AYN Stream: Unlock the full potential of AYN Connect with live streams and video tutorials, ensuring you're always up-to-speed with our latest features.

Viva Engage: Your Communication Powerhouse Stay connected with colleagues through this dynamic platform for announcements, discussions, and timely updates.

AYN Connect isn't just a tool; it's your gateway to a more efficient, collaborative, and informed work experience. Embrace the future of workplace connectivity with AYN Connect – where information meets innovation.

PoliciesandProcedures: AgencyWide

Agency Policies

Agency Policies Click Here

Agency Procedures

Agency Procedures Click Here

AYN Connect

At Alexander Youth Network, we provide top-quality care through comprehensive policies ensuring safety and consistency. Visit our Policies & Procedures page on AYN Connect for more information.

Access Our Policies Instantly!

Get to know our agency policies in no time. Simply click the folder to your left and find all the important guidelines at your fingertips.

Employee Handbook

Behavior Healthcare Policies IT Policy

Need to find our Agency Procedures?

Click the folder to your left and access all our Agency Procedures instantly!

CCA and Reassessment Procedure

Emergency and Inpatient Notifications

IHAP Procedure

Handle with Care Physical Intervention

Emergency and Inpatient Notifications

AYN Connect

Program Procedures

Program Procedures is designed to assist our staff in efficiently accessing and implementing essential protocols within your Outpatient Services program. By following these procedures, we collectively contribute to delivering the best possible care and services to the youth under our care.

Here are some of the most frequently used procedures:

Outpatient Services Process Manual

EV PCP Signature Page process

Informs Intake Packet Instructions

OPS Admission and Discharge Checklist

OPS Measurement Based Care Tools Procedure Missed Psychiatric Letter

Outpatient Services Procedures

Discover Outpatient Services Program Procedures Streamlined!

Simply click the folder to your right to access the streamlined Outpatient Services Procedures!

Procedures Streamlined Click Here

AYNConnect: ResourceFolder

Resource Folder

Welcome to AYN Connect's Resource Folder, designed to support all staff with comprehensive departmental information, standardized templates, checklists, forms, best practices, and training materials. This centralized hub ensures you have the tools and resources needed for success. Our goal is to equip you for excellence and enhance our mission.

AYN Connect

AYN Connect - Resource Folder Click Here

Check out some of the top resources you’ll find inside!

Welcome to the Outpatient Services Document Library! Here, you'll find essential tools, guidelines, templates, checklists, workflows, forms, and training materials tailored for the Outpatient Services program. Access and contribute valuable resources to empower your team and support our mission effectively.

OPS Document Library Click Here

Explore the Top Outpatient Services Resources Available Inside!

School Based Therapy

CBT and other Clinical Resources

LIP Matrix - Credentialing Status

CBT Worksheets

Self-care action plan for depression

EnvironmentofCare (EOC)

The EOC is a comprehensive approach to safety and well-being within our organization.

Key Points Include:

Safety Philosophy

Highest safety standards in all operations

Safety is everyone's responsibility

Prevention of injury and illness is a primary goal

EOC Committee

Assists in implementing campus safety plans, policies, and procedures

Develops, implements, and evaluates the safety program

Aims to create and maintain a safetyconscious environment

Principles:

All injuries and accidents are preventable

Safety is the first consideration in all workplace actions

Written safety plans are essential

Off-job safety awareness is encouraged

Employee Expectations

Follow all safety program aspects

Contribute to a safe, organized, and efficient workplace

Know and follow written safety plans

Suggest improvements to the safety program

Enviroment of Care Resources

Explore the top resources!

Safety Checklist

Medication Resources

Safety Plan

Logs Checklist

Discharge Resources

Field Trip Permission Form

MAR EOC Plan

Program Sinage Power Outage Flowchart

EchoVantage

At Alexander Youth Network, we use EchoVantage to streamline our operations and ensure we provide the best care possible. EchoVantage is an advanced electronic health record (EHR) system designed specifically for behavioral health organizations, and it's a key tool in our daily work.

WhatisEchoVantage?

Knowledge Base

EchoVantageisacomprehensiveEHRsystemthatintegratesvariousaspectsof clientmanagement,documentation,billing,andreporting.Ithelpsusmaintain accurateandup-to-dateclientrecords,manageappointments,andensure compliancewithindustrystandardsandregulations.

KeyUses

ClientManagement:Maintaindetailedclientprofilesandtreatmentplans.

Scheduling:Manageandcoordinateappointments.

Documentation:RecordSessions,ProgressNotes,andIncidentReport.

Billing:Automatebillingandclaimssubmission.

Reporting:Generatereportsforperformancetrackingandcompliance.

Visit our playlist on AYN Stream, you'll find a collection of recordings that offer: Guidance and Support: Step-by-step video guides on logging in, troubleshooting, and using new updates.

New Feature Explanations: Detailed breakdowns of the latest EchoVantage features. Assessment and Note Guides: Comprehensive tutorials on conducting assessments and managing notes effectively.

AYN Stream - EchoVantage

NeedSupport? AskAlexAI

Create a Ticket

Access Teams: O Microsoft Teams. 1.

Open AlexAI: Fin con and click 2.

Restart Session: Click restart" or type it. 3. Open Ticket: Click "Open a New Ticket". 4. Select Support Team: Click the right team. 5. Enter Request: Provide lots of details. 6. Submit Ticket & Attach files if needed. 7.

Restart & Quit Commands

Starting a Conversation: Type "restart" to clear previous chats and start fresh

Ending a Conversation: Type "quit" to properly end the conversation.

Switching Topics: Type "quit" to end the current topic, then "restart" to begin a new one This keeps the chatbot on track

EXAI DEMO

Paycom

Paycom is a comprehensive and user-friendly HRIS solution where we complete HR processes (submitting timesheets / time off requests, viewing benefits, etc.)

Learn more: AYN Connect: Paycom

Need Help? Visit Paycom’s Help Center Paycom offers a comprehensive Knowledge Base with 125 articles and guides on features and troubleshooting. Additionally, there are 123 step-by-step instructional videos and FAQs addressing common questions on various topics.

Examples of tutorials in Paycom’s Help Center:

Benefits: Show Me How: to Enroll in Benefits

Paycom Basics: Payroll: Show Me How: to Approve My Check (Mobile)

Payroll: Show Me How: to Set Up My Direct Deposit

Time Management: Show Me How: to Approve My Timecard

Time Management: Show Me How: to Submit a Punch Change Request

Time-Off Requests: Show Me How: to Request Time Off (Video)

Scheduling: Show Me How: to Review My Schedule

Scheduling: Show Me How: to Offer and Pick Up Shifts

Click Here: Show Me How to Download the iOS App

Click Here: Show Me How to Download the Android App

Click Here: Paycom Help Center

Relias Training Platform

RELIAS

Access all training and development courses through Relias, our central platform at Alexander Youth Network. It’s your go-to resource for required compliance training and optional courses to build your skills.

Login Link: alexanderyouthnetwork.training.reliaslearning.com

Username: First Name Last Name (example: Marshand Hager)

Key Features:

1.

Extensive Course Library: Relias offers a wide range of courses, covering mandatory compliance topics as well as optional professional development resources to support your growth.

2.

Accredited Training: Courses on Relias are accredited, meaning they meet industry standards and may count toward licensing or certification requirements.

3.

User-Friendly Access: Relias is designed for ease of use access courses from anywhere, track your progress, and stay up-to-date with reminders.

KeyPoints:

Excited to see the training opportunities waiting for you?

Click Here

MandatoryTraining:Somecoursesarerequiredforcompliance.You’ll getreminders,butit’syourresponsibilitytocompletetheseontimeto maintainourhighstandards.

ProfessionalDevelopment:ExploreoptionalcoursesinReliasto expandyourskillsandenhanceyourrole.

MakeitahabittocheckReliasregularly,andreachouttoLearningand Developmentifyouhavequestions.

NextSteps

Thank you for taking the time to read through our Outpatient Services Program Playbook. We hope this resource has provided you with clear expectations, useful guidelines, and valuable insights to help you thrive in your role. If you have any questions please contact your manager, search the Outpatient Services SharePoint site, or ask AlexAI for assistance.

Recap of Key Points

Program Expectations: Understand the standards and responsibilities for Outpatient Services staff.

Streamlined Procedures: Follow the outlined processes for efficient and effective operations.

Resources and Tools: Access the tools and information you need to succeed.

Your Role in Our Mission

Each member of our team plays a vital role in achieving our mission to provide exceptional care and support to those we serve. Your dedication, professionalism, and compassion make a significant impact.

Stay Connected

For ongoing support and updates, stay connected through:

Microsoft Teams: Join discussions, ask questions, and share insights SharePoint: Access the latest documents, updates, and resources

Stream Videos: Watch quick demos and tutorials for visual guidance

Looking Forward

We are excited to have you as part of our team and look forward to your contributions. Together, we can achieve excellence and make a difference in the lives of those we serve.

Thankyou, AlexanderYouthNetwork

THE PLAYBOOK Empowering Our Team with Clear Goals and Collaborative Success

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