Marc Center BHS Standard Operating Procedures
Compliance, Ethics, and Cultural Diversity
CEC.01.00 Code of Ethics Policy CEC.01.01 ACA Code of Ethics
CEC.01.02 Personnel Code of Business Conduct CEC.02.00 Policy on Ethical Violations
CEC.02.01 Investigation of Ethical Violations CEC.03.00 Corporate Compliance Policy
CEC.03.02 Instructions for Program State Licensing CEC.03.04 Policy Development
CEC.03.05 Procedure Development CEC.03.06 Forms Development and Maintenance
CEC.04.01 Cultural Competency Procedures  
 
Human Resources
HRD.01.00 Training Plan 2007 HRD.01.01 Inst for Creating or Amending Training Curriculum
HRD.03.00 Staff Member Qualifications Policy HRD.03.02 Licensing Compliance Monitoring Procedure
HRD.04 Volunteer Intern Policy HRD.04.01 Requirements for Interns and Volunteers
HRD.05.01 Receiving Clinical Supervison Supervised Work Experience HRD.05.03 Plan for Clinical Supervision of Practitioners
HRD.06.00 Staff Member Orientation and Training HRD.06.02 Staff Member Training
HRD.07.01 Customer Service Procedure HRD.08.00 Credentials Verification
HRD.08.01 Credentialing Recredentialing Privileging of Staff Members HRD.08.02 Registration and Use of Locum Tenens Practitioners
HRD.11.00 Employee Job Shadowing HRD.11.01 Employee Job Shadowing Procedure
Program
PRG.01.00 Accessibility Policy PRG.01.01 Plan for Accessibility 2007
PRG.10.00 Policy & Procedure Manual PRG.11.00 Program Description Policy
PRG.11.01 Program Description PRG.11.02 Admission Discharge Criteria
PRG.12.00 Delegation of Authority Policy PRG.12.01 Absence of Program Coordinator
PRG.12.02 Treatment Team Assignments & Program Coordin PRG.13.00 Policy on Clinical Medical Coverage
PRG.13.01 Shift Coverage Absenteeism PRG.13.02 Shift Coverage
PRG.13.03 Medical Pratitioner Coverage PRG.14.00 Policy on Caseload Managemen
PRG.14.01 Caseload Assignment and Management PRG.14.02 Staffing Requirements
PRG.15.00 Case Management Services PRG.16.00 Covered Services
PRG.16.01 Covered Services PRG.16.02 Service Delivery Guide Procedure
PRG.17.00 Community Outings PRG.21.00 Intake Assessment Policy
PRG.21.01 Admissions Procedure PRG.21.02 Prioritizing Admissions
PRG.21.03 Assessment and Intervention with Suicidal Person PRG.21.04 Homicidal Assessment
PRG.21.05 Persons Experiencing Acute Psychosis PRG.21.06 Intoxication Assessment
PRG.21.07 Suicide Risk PRG.21.08 Axis III Documentation HIV
PRG.21.09 Intake Screening and Eligibility Determination PRG.21.10 Completion of Clinical Assessment
PRG.21.12 Authorization for Services Guidelines PRG.21.13 Determination of Serious Mental Illness
PRG.22.00 Orientation of Persons Served PRG.22.01 Orientation of Persons Served to BHS Services
PRG.24.00 Utilization Review Policy PRG.25.00 Policy on Waiting Lists
PRG.26.00 Fees for Services PRG.26.01 Setting Fees
PRG.26.02 Refunding Fees for Services PRG.27.00 Eligibility Determination and Enrollment
PRG.27.01 Eligibility Screening and Referral Process PRG.27.02 Outreach and Early Intervention
PRG.28.00 Evaluation and Service Level Determination PRG.28.01 Telephonic Authorization for Continuing Service
PRG.31.00 Service (Treatment) Plan Development Update Poli PRG.31.01 Individual Treatment Service Plans
PRG.31.02 Coordination of Treatment Plan & Care PRG.32.00 Special Needs of Persons Served Policy
PRG.32.01 Clinical Service Coordination PRG.32.02 Arranging Transportation for Persons Served
PRG.41.00 Transition and Discharge from Service PRG.41.01 Follow up to Non-Contact with People in Services
PRG.41.02 Discharge Case Closure PRG.41.03 Discharge Planning
PRG.42.00 Policy on Intra and Interagency Coordination PRG.42.01 Clinical Service Coordination Clinical Liaison
PRG.42.02 Transfer and Referral PRG.42.03 Psychiatric Emotional Care of HIV Positive,ARC,~1
PRG.43.00 Medical Emergency Response Policy PRG.43.01 Medical and Psychiatric Emergencies
PRG.43.02 Combative Individuals PRG.43.03 Emergency Petition, Court-Ordered Evaluation and Treatment
PRG.43.04 Police Contact at BHS Facilities PRG.43.05 Crisis Response
PRG.43.06 Therapeutic Management of the Agitated Aggressive Individua PRG.44.00 External Referral for Services Policy
PRG.44.01 Referral for Services PRG.44.02 External Referrals
PRG.44.03 After Hours Referrals Services PRG.45.00 Oversight of Multiple Service Providers
PRG.46.00 Policy on Inter RBHA Services Coordination PRG.47.00 Transition of Children to Adult Services
PRG.47.01 Transition of Child to Adult Services PRG.48.00 Internal Referral for Services
PRG.49.00 Restraint-Free Policy PRG.51.00 Policy on Medication
PRG.51.01 Storage of Medication of Persons Served PRG.51.02 Medication Orders for Persons in Services
PRG.51.03 Medication Refusal PRG.51.06 Disposal of Discontinued or Expired Medication
PRG.51.07 Off Site Self Administration of Medication PRG.51.08 Sample Medications
PRG.51.09 Self Administration of Medication Guidelines and PRG.52.00 Medication Use in Treatment Policy
PRG.52.01 Use of Medications PRG.52.02 Self Administration of Medication
PRG.52.03 Qualifications to Assist with Self-Administered PRG.52.04 Use of Medications by Women of Childbearing Age
Program Specific
PRG.60.02 Initial Appt, Svcs Auth, Screening, Eligiligity, & Referral PRG.60.10 Outpatient Clinical Staff Coverage
PRG.60.01 Orientation of Persons Served PRG.61.00 Outpatient Site Medication Procedures
PRG.62.00 Discharge Planning PRG.62.01 Discharge Case Closure
PRG.64.00 Clinical Assessment Forms PRG.71.01 Accepting Residential Referrals
PRG.71.02 Readmission To Residential Programs PRG.71.03 Resident Program Orientation
PRG.71.04 Daily Schedule of Activities PRG.71.05 Residential Program Guests Procedures
PRG.71.06 Treatment Team Coordination PRG.72.00 Residential Office Procedures
PRG.73.00 Decorative Display & Personal Items Procedure PRG.73.01 Resident Pass
PRG.74.00 Food Preparation PRG.74.01 Food Selection Procedure
PRG.74.02 Food Service PRG.75.01 Nutritionist Services
PRG.76.00 Handling Resident's Personal Funds PRG.76.01 Storage of Resident Restricted Items
PRG.79.01 Residential Self-Administration of Medication Guidelies PRG.79.02 Shared Responsibilities for Self-Administration of Meds
PRG.79.03 24 Hr Res. Self Administration of Meds Procedures PRG.79.04 Documentation of Self Administration of Medication
PRG.79.05 Storage of Resident Medication PRG.79.06 Medication Procedures
PRG.80.00 Daily Schedule of Activities PRG.82.00 Care of Case Managed Adults
PRG.84.00 Crisis And Pre-Crisis Planning PRG.90.00 Community Housing Referrals
PRG.91.00 Admission Decision PRG.92.00 Readmission To Housing Programs
PRG.93.00 Decorative Display & Personal Items Procedure PRG.94.00 General Office Procedures
PRG.95.01 Shared Responsibilities for Self-Administration of Meds PRG.96.00 Housing Services Orientation
 
RECORDS
REC.01.00 Clinical Documentation REC.01.01 Content of Clinical Records
REC.01.02 Progress Notes REC.01.05 Order of Forms in the Clinical Record
REC.01.06 Procedure for Handling Psychotherapy Notes REC.01.09 Discharge Process Documentation
REC.02.00 Confidentiality of Clinical Records Policy REC.02.01 Confidentiality of Clinical Records
REC.02.02 Clinical Records Handling REC.02.03 Subpoena
REC.02.04 Disclosure of Positive HIV Test Results REC.02.05 Inspect and Copy PHI Procedure
REC.02.06 Procedure for Handling Clinical Info by home-based REC.02.08 Re-Disclosure of PHI
REC.02.09 Request for Original Clinical Record REC.03.00 Creation of Clinical Records Policy
REC.06.00 Approved Abbreviations List Policy REC.06.01 Approved Abbreviations List
REC.06.02 List of Abbreviations not Allowed  
 
Rights
RI.01 RIGHTS OF PERSON SERVED Policy RI.01.01 Consumer Complaints
RI.02 Consumer Human Rights Policy RI.02.01 HUMAN RIGHTS
RI.02.02 Posting Consumer Rights and Regulatory Agency Telephone Numbers RI.02.03 Releasing Child to Non-Custodial Adult
RI.02.04 DRESS CODE RI.03 Abuse Prevention Policy
RI.03.01 ABUSE, NEGLECT AND FRAUD RI.05 FEDERAL FAIR HOUSING ACT Policy
RI.06 GRIEVANCE Policy RI.06.01 GRIEVANCE, APPEAL, NOTICE PROCEDURE
RI.06.02 TERMINATION OF CONSUMER - AGAINST CONSUMER'S WISHES RI.07 COMPLIANCE WITH COURT ORDERED EVALUATION AND TREATMENT Policy
RI.08 COURT ORDERED TREATMENT PRE-PETITIN SCREENING RI.08.01 PROCEDURE FOR EMERGENCY PETITION, COURT ORDERED EVALUATION AND TREATMENT
RI.09 DUTY TO WARN Policy RI.09.01 DUTY TO WARN
RI.09.02 DUTY TO WARN - HIV RI.10 CONFIDENTIALITY AND PRIVACY Policy
RI.10.02 Confidential HIV Info RI.11 ADVANCE DIRECTIVES-WRAP
RI.12 INFORMED CONSENT Policy RI.12.01 GENERAL AND INFORMED CONSENT PROCEDURE
RI.12.02 GENERAL & INFORMED CONSENT - CHILDREN RI.14 IDENTIFICATION AND INVOLVEMENT OF GUARDIAN PROCEDURE
   
Safety
SAF.01 SAFETY & HEALTH POLICY SAF.01.02 SEIZURE PROCEDURE
SAF.01.03 SEVERE HEAT INJURY FIRST AID SAF.01.04 ASSESSMENT & RESPONSE TO EMERGENCY SITUATIONS
SAF.01.06 CPR-FIRST AID TRAINING & CERTIFICATION SAF.01.07 FACILITY TRAFFIC FLOW & CLEANLINESS
SAF.02 Smoking Policy SAF.03 Consumer Possession of Drugs
SAF.04 Infection Control Policy SAF.04.01 SCABIES TREATMENT
SAF.04.02 BODY FLUID PRECAUTIONS SAF.05 Weapons Possession Policy
SAF.05.01 CONSUMER & STAFF PROTECTION DANGEROUS WEAPONS SAF.07 EMERGENCY EVACUATION PLAN POLICY
SAF.07.01 Emergency Evacuation Procedure SAF.07.02 Emergency Disater Plan Drill & Training
SAF.07.05 EMERGENCY PROCEDURES FOR LOCAL DISASTERS SAF.07.06 EMERGENC-ALTERNATIVE HOUSING PLAN
SAF.07.07 STAFF MEMBER EMERGENCY PROCEDURE SAF.08 PET PROCEDURE
SAF.09 TB TEST REQUIREMENTS SAF.10 FIRST AID KITS POLICY
SAF.11 FACILITY INSPECTONS POLICY SAF.11.01 FACILITY INSPECTION REQS LEVEL II RESIDENTIAL2
SAF.11.03 MONTHLY FACILITY INSPECTION REQUIREMENTS SAF.11.04 EQUIPMENT REPAIR PROCEDURE
SAF.11.05 MAINTENANCE REQUESTS SAF.12 INCIDENT REPORTING POLICY
SAF.12.01 INCIDENT-ACCIDENT REPORT PROCEDURE SAF.13.00 VISITORS TO BHS SITES
SAF.13.01 ENTRY-EXIT TO BHS FACILITIES  
Marc Center | 924 N. COUNTRY CLUB DRIVE | MESA, AZ |85201 | (480) 969-3800 PHONE | (480) 644-1557 FAX