Discharge

1.       Purpose

Behavioral Health Conditional Dismissal Program (BHCDP) participants require additional steps during the discharge process to ensure continuity of care, and coordination with the participant’s legal team (AOC Case Navigator, Commonwealth Attorney, and participant’s attorney). Participants may remain in the BHCDP even if they are administratively discharged from treatment. Providers should make every effort to coordinate with the AOC Case Navigator and other treatment providers and social service agencies to obtain continuing care for the participant, even when exiting their treatment facility, to ensure the participant’s success.

2.       Scope

The discharge planner, the participant’s treatment team, BHCDP designated staff member, or another qualified staff member will be responsible for performing discharge requirements.

3.       Prerequisites

AOC Case Navigator’s contact information is provided below.

  • Community resource checklist
  • Discharge/Aftercare Plan
  • Frontline staff must attend the Patient Retention Training within 60 days of BHCDP approval or hire.
  • Data Platform

4.       Procedure

  1. Notify AOC Case Navigator within 24 hours of discharge in DDOR by completing the Status Change Report and by entering the Case navigator’s email address in the “Send Copy To” field of the participant’s file.
  2. Notify the AOC Case Navigator if the patient is nonadherent and in jeopardy of discharge as early as possible to allow the AOC Case Navigator to provide extra support to the participant to help complete the program.
  3. If the participant is administratively discharged, staff contact the AOC Case Navigator for as soon as possible, preferably while the participant is still in the facility.
  4. Refer to an alternative treatment provider, where appropriate, for administratively discharged patients.
  5. Make a referral to a recovery housing/ shelter, where appropriate, for administratively discharged patients in need of housing.
  6. Arrange for or provide transportation, where safety permits, for discharged participants (administrative and graduates) to their destination.
  7. Complete a discharge plan for all participants who complete the program.
  8. Goals
  9. Continuing treatment recommendations
  10. Housing plan
  11. Self-help and mutual aid
  12. Case management appointments (medical, dental, psychiatric)
  13. Complete and submit Final Report within 30 days of discharge from the program.

5.       References

Provider Contract

Data Collection SOP

  • Letcher: Kristi Williams, kristiwilliams@kycourt.net
  • Madison: Caitlyn Deaton, caitlyndeaton@kycourts.net
  • Clark: Maria Napier, marianapier@kycourts.net
  • Pulaski: Bethany Fulton, bethanyfulton@kycourts.net
  • Christian: Dathan Cox, dathancox@kycourts.net
  • Oldham: Shana Merritt, shanamerritt@kycourts.net
  • Hopkins: Savannah Oates, savannahoates@kycourts.net
  • McCracken: Skyla Grief, skylagrief@kycourts.net
  • Daviess:
  • Greenup:
  • Kenton:

7.       Definitions

LOC: Level of Care

AOC: Administrative Office of the Courts

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