Referral processes. 5.1 The Provider must consult with the Prescriber if there is evidence that:
Referral processes. Referrals provide an opportunity for patients to receive SRH care from another physician. Psychiatrists reported using referrals for contraceptives, STI testing, STI treatment and other medical issues. Referring patients for SRH care occurs when the psychiatrist cannot or will not perform these services themselves. Time constraints, lack of knowledge, lack of comfort, liability, resources and ease of the process all play a role in referrals. For example, one psychiatrist described that she would use referrals when patients reported concerning symptoms, such as genital urinary symptoms. She reported referring when she does not feel she has the time or the knowledge. In some cases the referral process is simple and facilitates easy set-up of appointments for patients, while in other cases it can prove to be complicated, change the course of action, or even prevent specific appointments from occurring. Psychiatrists can use the “Physician Line” to call and schedule appointments for patients. This process can usually result in a next day appointment for the patient without putting the burden of scheduling on the patient, thus reducing the number of steps needing to be taken. However, the referral process does sometimes place an insurmountable barrier on the patient, (discussed further in the Patient-Related Factors section). Furthermore, there are problems in referring for different specialties at the Outpatient Center. One psychiatrist reported serious difficulties with making gynecological appointments for her patients. The following exchange demonstrates her work around:
Referral processes. Children’s Administration SW If the CA SW determines from the GAIN-SS that a SUD assessment is indicated, they shall refer the individual to an agency using the following procedure: Inform the individual of the referral and treatment process; Encourage the individual to make an appointment while present and have them identify themselves to the SUD agency as “CA”-referred. If the individual is unable to schedule at the present time, CA will provide them with the Individual Referral Form (Attachment A); Complete the Substance Use Disorder Referral Form (Attachment A, Appendix 2) and get the individual’s signature on the Consent to Release Confidential Information form to ensure that there can be information exchange between the Agency and CA; and Fax the completed referral and consent forms to the chosen Agency. A copy of the referral and the consent form will be retained in the individual’s file. The hard copy of these forms and any additional information (i.e. police reports, Child Protective Services (CPS) referral, medical and mental health evaluations) shall be mailed to the treatment agency the same day. The SUD Treatment Agency shall: Provide services consistent with state policy, federal block grant requirements, and the KCBHO P&P for persons in the following priority categories: Pregnant injecting drug users; Pregnant substance abusers; Injecting drug users; and KCBHO defined priority populations as defined in the KCBHO P&P. Receive and retains the referral and the consent form until the individual or the SW contacts the Agency. Provide appointments and completes a face-to-face initial contact within fourteen working days, 48 hours for pregnant women, from the day the appointment was requested by the referred individual or the SW. When the Agency must access interpreter services, the priority appointment will be scheduled as services are available. Complete the “Scheduled Appointment Contact Status” section of the Substance Use Disorder Referral Form (Attachment A, Appendix 2) and faxes it to the SW. If the Agency is unable to schedule an appointment within the required time, the Agency shall refer the individual to another SUD treatment agency. The Agency completes the “Unable to Schedule Appointment Contact Status” section of the Substance Use Disorder Referral Form (Attachment A, Appendix 2) and faxes it to the SW. If the individual does not keep the appointment, the Agency completes the “No Contact Status” section of the Substance Use Disorder R...
Referral processes
