Describe the Unique Data Collection Issues in Behavioral Health Care

Question

Examlex · Accepted Answer

The Answer is Much of the data collection in behavioral health is free text. Psychology notes tend to be voluminous and detailed and do not lend themselves to menu-driven data collection. Of particular concern are psychology notes and documentation of restraints. Psychology notes may include testing instruments and extensive interview notes. Many of these notes are retained in the psychology department and do not become part of the patient's legal health record. The facility must have a policy specifically dealing with the storage, retention, and access to these notes. The use of restraints requires a physician order. Restraints include not only physical restraints but also confinement in protective enclosures. Documentation of the order, the application of restraints, the monitoring of a restrained patient, and the timely release from restraints are all required.

Describe the Unique Data Collection Issues in Behavioral Health Care

Definitions: