As the health care industry’s most comprehensive library of customizable policy and procedure templates, MCN Healthcare’s Behavioral Health Partial Hospitalization Program Policy and Procedure Manual includes this customizable template, Psychosocial Assessment Form. MCN’s policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more.

MCN provides more than 80 health care specific policy and procedure manuals for Acute Care Hospitals, Ambulatory Care, Behavioral Health, Home Health, Physician Practice, and Long Term Care. MCN’s policy and procedure manuals focus on the latest healthcare "hot topic" issues related to patient safety and prevention of medical healthcare errors.

Here is some sample content from Psychosocial Assessment Form:

	PSYCHOSOCIAL ASSESSMENT Patient Name: MR#: Legal Status: Presenting Problem: History of Violence: Suicide Potential: Potential for Suicide: place on close observation, notify physician Current Suicidal Ideation/Plan: notify physician, refer to Social Service Past Psychiatric Treatment: Living Situation: Insurance: Source of Income: Recent Changes/Stressors: Relevant Medical Consultations/History: SOCIAL HISTORY Place of Birth: Came to Siblings/Family Structure: Family History of Mental Illness: Family History of Drug and/or Alcohol Abuse: Current Relationships w/Family: Other...
Second excerpt:
	... Ethnic/Cultural Background: Physical Abuse: Sexual Abuse as Perpetrator: Sexual Abuse as Victim: If victim, is perpetrator known to patient? Have charges been brought? Spiritual Orientation: Religion of Family: Sexual Orientation: Awareness of HIV Protection: Accepts HIV Education: Ever Married: Children: Education Level: Special Education History? Employment History: Military Service: Criminal History: Parole/Probation Officer: Substance Abuse History/Current Status:...