Associated Documents (CIM)
Sponge - What is a behavioral
health episode?
A behavioral health episode refers to a period of time when an individual experiences a significant change in their mental or emotional state, often involving symptoms of a mental health or substance use disorder, or a crisis related to these issues. It can include a range of experiences, from a single episode of psychosis to a more extended period of depression or substance abuse.
Results up Front
Associated with > Metadata
>
Assess_Sleep_Disorder_Self_Test_23092702_Notes
V2025
Scores
for Keith Torkelson MS (Self-scores)
Ending
the Episode (2023-2025) – 9 Items - Progress
(*)
Coping In-house Metadata >
HUSR_221_Depth_11100901_Coping V2025
HSF = High Scores are
Favorable | JB = John Baer | RT = Real Time | SW = Share (d) With
What ends a behavioral health
episode?
“A behavioral health episode typically ends when targeted treatment goals are met, when there's a failure to
meet these goals leading to a referral for direct psychiatric care, or when
there's a break in the episode, such as no CoCM (Coordinated Care Model) for 6
consecutive months.”
Coordinated Care Model
Care coordination models are structured, patient-centered approaches
designed to organize patient care activities
across providers to improve efficiency, safety, and health outcomes. These
models, such as Patient-Centered Medical Homes (PCMH) and community health
worker programs, streamline communication, reduce
hospitalizations, and manage chronic conditions.
Here's a more detailed
explanation:
Goal Achievement
“A primary factor in ending a behavioral health episode is when the
individual successfully achieves
the treatment goals outlined in their care plan.”
Failure to Meet Goals
“If, despite efforts, the individual does not make sufficient progress
towards their goals, the episode may end, and a referral for more specialized
or intensive care may be initiated.”
Break in Episode
“A break in the episode can occur if there's a cessation of care or services for a prolonged period, such
as 6 consecutive months without CoCM.”
Other Considerations
Medication Management
“The need for medication may also influence the duration of an episode,
with some individuals requiring long-term
medication management, while others may be able to gradually reduce or
discontinue medication as their symptoms improve.”
Psychological Therapies
“Therapies like cognitive behavioral therapy (CBT) and family interventions can play a crucial role in
managing symptoms and improving overall well-being, potentially leading to a
shorter episode.”
Social Support
“Access to social support
networks, including family, friends, and support groups, can
significantly impact recovery and the length of an episode.”
Crisis Intervention
“In cases of acute
mental health crises, inpatient or residential treatment may be necessary, followed
by a transition to less intensive levels of care like partial hospitalization programs.”
Working your own Program
Working your own program generally refers to taking personal
responsibility for achieving specific
life goals, such as recovery from addiction or building a business. It
involves self-direction, creating a customized plan, implementing
self-management techniques, and holding oneself accountable for outcomes.
Psychosis and Mental Illness -
Better Health Channel (Key Word Psychosis)
https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/psychosis.
How long does a mental health
episode last?
Some people only experience a few
episodes of psychosis, or a brief episode that lasts for a few days or
weeks. Others will experience symptoms more frequently, in association with a
longer-term illness such as schizophrenia. The first episode of psychosis
usually occurs in a person's late teens or early 20s.
Symptoms of Psychosis include
Approaches
Atypical Behaviors
Atypical behaviors are actions that deviate from what is considered typical or expected for a
child's age and developmental stage. These behaviors can manifest in various
ways, including difficulties with social interaction, communication, or
emotional regulation. While some atypical behaviors might be isolated incidents
or related to individual differences in development, persistent or severe atypical behaviors can
indicate developmental delays or challenges that may warrant further evaluation
and support.
Atypical Feelings
Atypical feelings, as they relate to atypical depression, refer to a
specific subtype of major depressive disorder characterized by mood reactivity to positive events
and other unique symptoms. While someone with atypical depression experiences
the core symptoms of depression (low mood, loss of interest, etc.), they also
exhibit the ability to temporarily feel
better when something good happens. This contrasts with other forms of
depression where mood doesn't lift in response to positive events.
Mood Reactivity to Positive
Events
Mood reactivity to positive events refers to a temporary improvement in mood or a "brightening"
effect when experiencing positive events, a hallmark symptom of atypical
depression. While often associated with depressive disorders, it can occur in
others, involving stronger emotional shifts, such as reduced negative affect,
compared to non-depressed individuals.
Phantosmia
Phantosmia is a condition where you perceive smells that aren't actually present in your
environment, also known as olfactory hallucinations. These phantom smells can
be unpleasant, like burning rubber,
garbage, or rotting food, or they can be more neutral or even pleasant smells.
Phantosmia can be a temporary issue or a persistent one, and it can affect one
or both nostrils, according to the Cleveland Clinic.
Volunteering
Volunteering is the act of donating
one's time and effort to a cause, often for community service or to
support a particular organization. It can involve a wide range of activities,
from helping with food distributions and mentoring youth to supporting disaster
relief efforts and providing administrative assistance. Volunteering can be a
great way to connect with others, develop new skills, and contribute to the well-being of your community.
Global Assessment of Functioning
(GAF)
The Global Assessment of Functioning (GAF) scale, formerly used in the
DSM-IV, rates1-100 to measure mental health, with higher scores indicating
better functioning. For individuals working or attending school, scores typically fall between 51 and 80:
71-80 (slight impairment), 61-70 (mild difficulty), or 51-60 (moderate difficulty).
Seventy-eight
>On 20251015 Dr. RB Bera
scored us with a 78. Without going to
school full time or working full time successfully we will not be able to
improve our GAF score. We are satisfied with a score of
78. Our lowest reported GAF was 30.
Function without medication
Living well without medication is possible for some conditions, and
often involves a combination of lifestyle
adjustments and therapeutic approaches. Focusing on a healthy diet,
regular exercise, stress reduction techniques, and potentially exploring
therapies like psychotherapy or neurofeedback can be effective strategies.
Importance of Sleep to Behavioral
Health
Sleep is a fundamental pillar
of behavioral health, acting as a crucial restorative process for emotional
regulation, cognitive function, and mental resilience. It repairs neural
pathways, consolidates memories, and processes emotions, with poor sleep directly linked to
increased irritability, stress, anxiety, and risk for depression.
Pass Mental Status Exam (MSE)
To "pass" a mental status exam (MSE), focus on being honest,
providing clear and accurate information about your symptoms and how they
impact your daily life, and cooperating
with the examiner. There isn't a specific score to "pass,"
but rather the goal is to present a realistic and comprehensive picture of your
mental health to the examiner.
Complete Treatment Plan
A comprehensive treatment plan is a detailed, personalized roadmap for
a patient's care, outlining specific goals, interventions, and expected outcomes. It serves as a guide
for healthcare providers, patients, and sometimes their families, ensuring a
structured approach to addressing identified
needs and achieving desired results.
Completing Treatment Plan
Completing a treatment plan involves outlining specific, measurable,
achievable, relevant, and time-bound (SMART) goals, along with corresponding
objectives and interventions, to guide a client's therapeutic journey. The plan should be collaboratively
developed, regularly reviewed, and adapted to the client's progress and
changing needs.
Maintain Treatment Plan
Maintaining a treatment plan involves regularly reviewing, updating, and adhering to a personalized plan
developed between a healthcare provider and a client. This includes setting goals,
identifying interventions, and tracking
progress to ensure the plan remains relevant and effective. It's a
collaborative process that requires ongoing communication and adjustments based
on the client's needs and progress.
How is it we would call 911?
- Avoid Danger
- Avoid Suffering
- Contain Risks associated with lack of sleep
- Need a new bed
- Need a new facility
- Need a new roommate
- Open up an opportunity
Hospitalization
An inpatient may
undergo the same treatment as an outpatient,
but the outpatient is at the hospital for treatment and then leaves; the
inpatient is hospitalized. Does hospitalized mean overnight? A hospitalized
person has been admitted to a hospital as an inpatient—usually (but not always)
with an overnight stay.
Psych Ward
A psych ward, also known as a psychiatric ward or unit, is a
specialized part of a hospital providing short-term,
inpatient care for individuals experiencing acute mental health crises. It offers a secure environment
with 24/7 care from trained professionals like psychiatrists, nurses, and
social workers. Psych wards are designed to stabilize patients and begin the
process of developing a longer-term treatment plan.
Acute Behavioral Health Crisis
An acute behavioral health crisis is a sudden, severe episode of emotional, mental, or substance-use
distress requiring immediate intervention to prevent harm to self or others.
Key signs include suicide threats, extreme agitation, paranoia, or psychosis.
Immediate help is available via 988 in the US,, along with mobile crisis teams
and emergency stabilization units.
Crisis Mechanisms
Episodes – Keith “Buster”
Torkelson, MS
An episode includes at least one hospitalization
Is seven a lot of behavioral
health episodes?
Whether seven behavioral health episodes are considered "a
lot" depends heavily on the context, such as the timeframe, the severity
of the episodes, and whether they involve acute crises (like hospitalizations)
or ongoing outpatient treatment. Based on the provided search results, 7 is not
a standard, recognized benchmark for "high
utilization" in literature, but it suggests a significant, ongoing
need for care
Promotion - Centralized
Assessment Team (CAT) in Orange County
The Mobile Crisis Assessment Team
(CAT)
Located in: Orange County Health
Care Agency
Address: 2035 E Ball Rd #200,
Anaheim, CA 92806
Phone: (714) 517-6353
Call OC Links 24/7 at (855)
625-4657
This multi-disciplinary program provides prompt response in the county
when an individual is experiencing a behavioral
health crisis. Clinicians respond to calls from anyone in the community
24 hours a day, 7 days a week year-round and dispatch to locations throughout Orange County. Clinicians
receive specialized training and are designed to conduct evaluations and risk
assessment that are geared to the individual's
age and developmental level. The evaluations include interviews with
the individual, as well as parents, guardians, family members, law enforcement,
emergency department staff and/or school personnel, if available. Clinicians
link individuals to an appropriate level
of care to ensure their safety, which may involve initiation a
hospitalization. CAT clinicians also follow-up with individuals and/or their
parents/guardians to provide information, referrals and linkage to ongoing
behavioral health services that may help
reduce the need for future crisis interventions. (Source =
MHSA...p,107) The CAT also includes the
Psychiatric Emergency Response Teams (PERTs), which consist of CAT clinicians
who are stationed or ride along with assigned law enforcement officers to address behavioral
health-related calls in their assigned city. PERT provides all the same
services as CAT and also initiates involuntary hospitalizations as necessary.
(Source = MHSA...p.106)
Avoiding a Behavioral Health
Crisis
Avoiding a behavioral health crisis involves proactive self-care, building a strong support system,
recognizing early warning signs,
and establishing a crisis plan
(e.g., Wellness Recovery Action Plan) that includes therapist contacts,
triggers, and coping strategies. Key preventative steps include maintaining a
routine, engaging in enjoyable activities, and utilizing resources like 988,
the 988 Suicide & Crisis Lifeline, for immediate support.
Crisis Intervention Management
Crisis intervention management is immediate, short-term psychological care designed to stabilize
individuals in acute distress, restore equilibrium, and minimize long-term
trauma. It utilizes techniques like active listening,
safety planning, and
de-escalation to address crises involving trauma, mental health, or violence.
Effective management involves trained professionals and structured,
action-oriented strategies.
Ending a Behavioral Health
Episode involving hospitalization
Ending a behavioral health episode involving hospitalization involves a
structured, multi-step process focused on stabilization, safe discharge
planning, and continuity of care to prevent
relapse or rehospitalization. The process shifts from acute, 24-hour
care to outpatient treatment, typically involving a "step-down"
approach to lower-intensity care.
Treatment in the hospital versus
treatment in the community
Hospital treatment provides intensive, 24/7 care for acute crises and
severe, complex conditions requiring immediate intervention and specialized
technology. Conversely, community-based treatment offers a patient-preferred, cost-effective alternative that
improves quality of life, aids long-term recovery, and fosters independence,
though it requires robust support structures to be effective.
2026 - Costs without assistance
(Magnitude per year)
Approximations for Keith “Buster”
Torkelson, MS
Assisted Living Waiver
The Assisted Living Waiver (ALW) program is a Medicaid-funded initiative (e.g., in California, Ohio, and
Mississippi) designed to help low-income seniors and individuals with
disabilities, who require a nursing facility level of care, transition into or
remain in a residential, assisted living setting. The program covers care services but generally requires
residents to pay for their own room and board.
How much is a bed at Harvest
Retirement in Buena Park?
Costs for a bed at Harvest Retirement in Buena Park vary by care type
and room, typically ranging from $2,500
to over $7,900 per month. Assisted
living options generally start around $3,413–$6,077 for shared/studio
units, while memory care can start at $2,500 for shared rooms up to $4,400 for
private, with prices subject to change.
If I call 911 again I want to…See
End of Life Related – Work Done
https://healthman2059.blogspot.com/2025/08/eolcca-centered-medical-aid-in-dying-by.html
https://the-torkel-saga-2059.blogspot.com/2025/08/eolcca-centered-medical-aid-in-dying-by.html
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