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Form OMH482 (511)State of New York
Office of Mental HealthPersons Name (Last, First, M.I.)MOBILE CRISIS OUTREACH TEAM
AUTHORIZATION FOR TRANSPORT
(To a Hospital Approved to Receive Emergency
or C.P.E.P.
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How to fill out mobile crisis outreach team
How to fill out mobile crisis outreach team
01
Contact the mobile crisis outreach team hotline or designated phone number.
02
Provide information about the situation and the individual in crisis.
03
Provide your location and any other relevant details requested by the team.
04
Follow any instructions given by the team while waiting for their arrival.
05
Cooperate with the team to ensure the safety and well-being of the individual in crisis.
Who needs mobile crisis outreach team?
01
Individuals experiencing a mental health crisis
02
Individuals in emotional distress or suicidal ideation
03
Individuals in need of immediate mental health support
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What is mobile crisis outreach team?
The mobile crisis outreach team is a specialized team of mental health professionals who respond to crisis situations in the community.
Who is required to file mobile crisis outreach team?
Mobile crisis outreach teams are typically operated by mental health agencies or organizations that provide crisis intervention services.
How to fill out mobile crisis outreach team?
The mobile crisis outreach team is typically filled out by trained mental health professionals who respond to crisis situations. They document the details of the crisis and the interventions provided.
What is the purpose of mobile crisis outreach team?
The purpose of the mobile crisis outreach team is to provide immediate crisis intervention services to individuals experiencing mental health crises in the community, with the goal of stabilizing the situation and connecting them to appropriate resources.
What information must be reported on mobile crisis outreach team?
Information that must be reported on the mobile crisis outreach team includes details about the crisis situation, the individuals involved, the interventions provided, and any referrals made for ongoing care.
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