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Name of HospitalSECLUSION / RESTRAINT For Emergency Safety Situations Nursing Evaluation & Physician Order SheetCONSUMER IDENTIFICATIONNURSING EVALUATION 1. Does the consumer have a history of trauma,
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To fill out Part I - DBHDD, follow the steps below:
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Start by entering the client's full name and date of birth in the provided fields.
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Next, provide the client's address and contact information.
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Fill in the referral source information, including the name and contact details of the person or agency referring the client.
05
Specify the language preference of the client, if applicable.
06
Indicate the client's primary diagnosis and any co-occurring disorders, if known.
07
Provide details about the client's mental health history, including any previous diagnoses or treatments.
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Fill in information about the client's current living arrangements and support system.
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Specify any legal or forensic involvement the client may have.
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Provide information about the client's physical health and any medical conditions or medications.
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Finally, review and verify all the information entered before submitting Part I - DBHDD.

Who needs part i - dbhdd?

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Part I - DBHDD is needed by individuals or agencies involved in the assessment and treatment of clients with mental health and developmental disabilities.
02
This form is typically filled out by clinicians, psychiatrists, psychologists, social workers, or other healthcare professionals.
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It helps to gather comprehensive information about the client's background, diagnosis, and current circumstances, which aids in determining appropriate treatment and support services.
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Part I - DBHDD refers to the first section of the form related to the Department of Behavioral Health and Developmental Disabilities.
Providers of behavioral health and developmental disability services are required to file Part I - DBHDD.
Part I - DBHDD should be filled out by providing accurate and complete information about the services provided.
The purpose of Part I - DBHDD is to gather data on behavioral health and developmental disability services for reporting and analysis.
Information such as service type, provider details, and service units must be reported on Part I - DBHDD.
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