Peer Review Step 1 of 4 25% Review Date:(Required) MM slash DD slash YYYY Program:(Required)Mental HealthMedication ManagementPsychiatric RehabilitationReviewer Name:(Required) First Last Email:(Required) Credentials:(Required)Consumer Name:(Required) First Last Status:(Required)ActiveDischargedUnable to tellAdmission Date:(Required) MM slash DD slash YYYY Discharge Date:(Required) MM slash DD slash YYYY Review each section below. For each item that has a"No" response, provide a comment.1. ORIENTATION/ASSESSMENTa. Has a comprehensive orientation been completed?(Required)YesNoReviewers Comments:(Required)b. Was the assessment process thorough, complete, and within the guidelines for timely completion?(Required)YesNoReviewers Comments:(Required)c. Were the individual’s strengths, abilities, needs and preferences, desired outcomes and expectations assessed during the assessment?(Required)YesNoReviewers Comments:(Required)2. INDIVIDUAL PLANNINGa. Has an individual plan been completed?(Required)YesNoReviewers Comments:(Required)b. Are goals & objectives comprehensive and based on the assessment?(Required)YesNoReviewers Comments:(Required)c. Are the goals and objectives based on the input of the person served?(Required)YesNoReviewers Comments:(Required)d. Are the anticipated time frames for the goal/objectives specified?(Required)YesNoReviewers Comments:(Required)e. Are objectives written in terms of specific, measurable behaviors?(Required)YesNoReviewers Comments:(Required)f. Do the noted external programming needs address all areas identified in the assessment that were not covered by internal goals and programming?(Required)YesNoReviewers Comments:(Required)3. PROGRESS NOTES: Review progress notes and answer the following questions by circling “Yes” or “No.” Explain any “no” responses in the “Reviewer Comments” section. a. Do the progress notes clearly describe progress toward goals and objectives on the individual plan?(Required)YesNoReviewers Comments:(Required)b. Were services provided consistent with the intervention areas identified on the individual plan?(Required)YesNoReviewers Comments:(Required)c. Do the notes indicate an ongoing assessment of the individual’s needs in important life areas?(Required)YesNoReviewers Comments:(Required)d. Do the notes explain the reasons why continued services are necessary?(Required)YesNoReviewers Comments:(Required)e. If there has been a reformulation or change in services, are the changes reflected on the Individual Plan according to guidelines regarding review and treatment plan updates?(Required)YesNoReviewers Comments:(Required) 4. FOLLOW UPa. With regard to individuals who have dropped out of programming, not shown up for services, or left against advice of staff, have appropriate attempts been made to re-engage them in services?(Required)YesNoReviewers Comments:(Required)5. ADDITIONAL SERVICE RECOMMENDATIONS: What additional services which are currently not assigned might this individual benefit from? Provide an explanation for any additional services you would recommend.Additional Service(s) Recommended:Reviewer's Reason for Recommendations:Additional Service(s) Recommended:Reviewer's Reason for Recommendations:6. QUALITY OF TRANSITION/DISCHARGE PLANNINGa. Did the discharge planning process begin at the onset of services and continue throughout services?(Required)YesNoReviewers Comments:(Required)b. Were the person served and family members actively involved in the discharge planning process?(Required)YesNoReviewers Comments:(Required)c. Based on the progress notes and other documentation, was the decision to discharge the person appropriate with regard to the program’s discharge criteria?(Required)YesNoReviewers Comments:(Required)d. Does the discharge plan contain referrals and/or specific recommendations to assist the person to maintain and/or improve functioning and increase independence?(Required)YesNoReviewers Comments:(Required) 7. OVERALL DOCUMENTATION/RECORD ORGANIZATION:a. Is the record organized in a manner that is easy to follow the course of treatment, and all necessary documents are available in the record?(Required)YesNoReviewers Comments:(Required)b. Are all services that were provided documented in accordance with agency policy and procedures?(Required)YesNoReviewers Comments:(Required)Reviewer Signature:(Required)