Mental Health Outpatient Commitment

 

Mental Health Outpatient Commitment Overview

Senate Bill, 646, 83rd Legislature, Regular Session, 2013, amended Texas Health and Safety Code, Chapter 574, relating to court-ordered outpatient mental health services. The legislation directed the Department of State Health Services (DSHS), not later than December 1, 2016, to submit a report to the legislature containing information about persons receiving court-ordered outpatient mental health (MH) services and the effectiveness of those services. This responsibility has been transferred to the Health and Human Services Commission (HHSC) as part of the Health and Human Services transformation.

By way of the Performance Contract Notebook (PCN), HHSC required the LMHAs/LBHAs to track the information for individuals on court-ordered outpatient mental health commitment using Form W. Unfortunately, the data was provided in a variety of formats and was prone to errors.

Effective January 2019, HHSC has provided the LMHAs/LBHAs an automated process for reporting Mental Health Outpatient Commitments in the CMBHS system. The data may be submitted to HHSC using CMBHS online or by batching. There has been no change to the expectations for the type of commitments to be reported.

CMBHS is now the HHSC system of record for Mental Health Outpatient Commitment data.

 

Before You Start

• The CMBHS user must have a role that allows access to document an MH Outpatient Commitment. Click here to see the roles that can access this function.
• A Client Profile must be completed for the client before MH Outpatient Commitment data can be entered.
• The Client Profile must include a Local Case Number.
• Do not enter the MH Outpatient Commitment information into CMBHS until you have the commitment documentation (paper or electronic) in hand.

 

Instructions for Documentation of a MH Commitment in CMBHS

To document a MH Outpatient Commitment in CMBHS:

1. Search for the person in CMBHS using the Find/Add Client function from the left hand-menu

2. If you locate a match for the client, select Client Profile. Be sure that there is a Local Case Number entered into the Client Profile. If not, enter one and use the Browser reload or refresh button.

3. If you do not find a match for your client, create a Client Profile. Be sure that there is a Local Case Number entered into the Client Profile. If not, enter one and use the Browser reload or refresh button.

4. From the Client Profile, navigate to the Client Workspace using the menu on the left.

5. Next, select Intake and then Commitment.

6. Enter information into all the required fields. If you have the information, complete the Optional fields as well.

7. If your data entry is complete, select Complete as the document status and then select Save.

8. If you can not complete the data entry, select Draft as the Document status and then Save.

a. To complete your documentation, go to the Client Workspace and select MH Commitment from the Document List and select view.

b. When the document is open, select Edit. Complete the document, select Complete as the document status and then select Save.

c. If your data entry is complete, select Complete as the document status and then select Save.

 

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Mental Health Outpatient Commitment Data Fields

 

CMBHS Commitment Number (System Generated)

• CMBHS will assign this number after the document is saved in Closed Complete.

 

Local Commitment Number (Required)

• This is a number assigned by your organization to track your commitments.

 

Local Case Number - (System Populated from the Client Profile)

• As determined by your organization and entered into the Client Profile. You can’t enter the LCN in this document directly.

 

Effective Date – (Required)

• Obtain this information from the MH Outpatient Commitment court documents.

 

Expiration Date - (Required)

• Obtain this information from the MH Outpatient Commitment court documents.

 

Commitment County- (Required)

• Obtain this information from the MH Outpatient Commitment court documents.

 

Court Type (Optional)

• Obtain this information from the MH Outpatient Commitment court documents.

 

Court Detail (Optional)

• This is a text box where you can enter court related information. information from the MH Outpatient Commitment court documents or another source.
• May be information about the client’s involvement with other court systems.

 

Cause Number (Required)

• Obtain this information from the MH Outpatient Commitment court documents.

 

Commitment Type (Required)

• Obtain this information from the MH Outpatient Commitment court documents.

 

Commitment Type Details (Optional)

• Include other information that you feel is important.

 

Commitment Offense List and Offense Type (Optional)

• This is an optional field as most MH Outpatient Commitments are not associated with criminal offenses. This filed gives the LMHA the option of documenting serious offenses that the client may have been involved in before or around the time of MH Outpatient Commitments.
• This information may be included in the MH Outpatient Commitment court documents or other sources of information may be used.

 

Comments (Optional)

• Include information about the offences from above or other information that you feel is important to document.

 

 

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HHSC CMBHS Data Exchange (Batching) for the Mental Health Outpatient Commitment Data

Those interested in batching MH Outpatient Commitment data to CMBHS should contact the HHSC CMBHS Data Exchange Team at 1-512-206-5825.

CMBHS will only support a XML batch transaction for Outpatient Commitment data.

CMBHS batch process will support:

Data Dumps ‒ MH data files from CMBHS provided to LMHAs for the areas they have batched to CMBHS.

Daily Batch Reports ‒ Summary of MH Outpatient Commitment batch transactions.

The CMBHS batch process has the following batch error types as below:

• Dependency: Batched record will be in the dependency processing queue until pre-conditions for Outpatient MH Commitment record are met.
• Reject: Record is rejected. Must be corrected and resubmitted.
• Severe: Record is pended and sent to Batch Error Correction List screen.
• Warning: Invalid value is cleared and record is saved.

 

CARE and MBOW

• CARE has blocked the entry of MH Outpatient Commitments from be entered in the 3270 screen.
• MBOW will pull the MH Outpatient Commitment data from CMBHS into MBOW.

Note: State Hospitals, SSLCs, and LMHAs that enter data for hospital inpatient facilities will continue to use CARE 3270 screen.

 

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Technical Documentations for Data Exchange

• The Technical Documents (Use Case and the XML Layout) for the Outpatient MH Commitment are posted within CMBHS under Administrative Toolbar > Provider Tools > Development Documentation and Supporting Materials.

 

Mental Health Outpatient Commitment Reports

One CMBHS Business Objects report has been created for the Mental Health Outpatient Commitments.

It is available to LMHAs/LBHAs users with the CMBHS MH Report Role. HHSC users with the same role may also access the report.

 

The following data is included in the the report.

Column Header

• Organization
• Location
• CMBHS Client Number
• Client Name
• Date of Birth
• Gender
• Race
• CMBHS Commitment Number
• Local Commitment Number
• Local Case Number
• Effective Date
• Expiration Date
• Commitment County
• Court Type
• Court Detail
• Cause Number
• Commitment Type
• Commitment Type Details
• Offense Type
• Comments