# AnswersCMRT

Answers:
Patient's medical status can best be described as…


Answers:
Generally stable. Medical conditions are monitored and under control.


Answers:
Minor to moderate. Need requires occasional assistance to access services. Some medical conditions are monitored and under control.
Has an acute, untreated medical condition


Answers:
Fragile and inconsistent. Need requires ongoing accessibility assistance to  intermittent care and coordination of health services.


Answers:
Severe or life threatening. Need requires complex health services coordination.


Answers:
Accesses healthcare providers independently and works cooperatively with providers.


Answers:
Requires minimal assistance or coordination to access healthcare providers. Requires advocacy.


Answers:
Requires moderate coordination for multiple healthcare providers. Health care barriers exist.


Answers:
Requires extensive coordination with multiple providers, changes providers frequently, cooperates poorly with providers, and requires advocacy.


Answers:
Requires no assistance managing personal hygiene, activities of daily living (ADLs), etc. Is self-sufficient.


Answers:
Requires minimal assistance with personal hygiene, activities of daily living (ADLs), home and household chores, etc.


Answers:
Requires frequent assistance with personal hygiene, activities of daily living (ADLs), home and household chores, etc.


Answers:
Requires full-time care or assistance for total care.


Answers:
Adequately meets basic needs.
High level social functioning
History of mental illness stabilized with medication(s) or past treatment


Answers:
Adequately meets basic needs, but may require referral for resources.


Answers:
Inadequately self-manages ADLs.
Limited access to mental health services
Inability to adhere to psychological medications


Answers:
Unable to manage ADLs without immediate, ongoing assistance.
Requires immediate psychiatric intervention


Answers:
No history / evidence of mental illness.
No current indication of substance use / abuse
May need referral or education


Answers:
Minimal difficulty with family and/or other relationships.
Functional difficulties due to own or family members substance abuse
Patient identifies need for treatment


Answers:
Moderate emotional stress, ongoing diagnosis and/or treatment of chronic or major mental illness.
Emergency medical detoxification indicated
Major impairment of function
Family crises and dangerous risk behaviors


Answers:
Danger to self or others.
No medication prescribed
Adherence >/= 95%
No barriers to adherence to medications


Answers:
The patient has…
Possible sporadic barriers to adherence
Requires occasional care management information and referral to maintain optimal adherence


Answers:
No evidence to suggest substance abuse or dependence.
Misses several scheduled medication doses per week
Experiencing ongoing barriers to adherence OR newly diagnoses disease/treatment plan 
Requires substantial support and adherence education


Answers:
History of substance use and/or abuse.
Medication crisis, stopped taking medications, AMA, etc.
Non-compliant due to substance abuse
Drug-seeking behavior


Answers:
Reports ability and willingness to adhere to medications.
Homeless
Shelter resident


Answers:
Requires support to adhere to a prescribed regimen.


Answers:
Reports inconsistent ability to adhere to a medication regimen.


Answers:
Portrays inability or unwillingness to adhere to medication regimen.


Answers:
The patient…
Needs immediate assistance with eligibility reviews, etc.


Answers:
Lives in stable, clean housing.
Positive health behaviors and self-care
Minimal education required


Answers:
Lives in housing which requires short-term assistance with rent and/or utilities.
Some education required


Answers:
Lives in housing at risk or barely habitable.
Positive health behaviors and self-care


Answers:
Evicted from housing.
Positive health behaviors and self-care


Answers:
The patient...
Literate in English
No difficulty accessing services
Capable within linguistic / cultural environment


Answers:
Has all applicable benefits in place or private resources.
May require occasional assistance from translators, sign interpreters, or understanding complicated forms


Answers:
Requires some assistance to obtain or to complete or compile documentation for some benefits.
Often needs translation or sign interpretation
May be functionally illiterate
Possible barriers due to lack of cultural sensitivity of providers


Answers:
Requires ongoing assistance to obtain and complete documentation for needed benefits.
Patient unable to understand or function within the healthcare system
In crisis situation requires immediate assistance with translation


Answers:
Does not qualify for benefits. No applicable benefits in place.


Answers:
Adequate knowledge of health conditions.


Answers:
Minimal knowledge deficit of health conditions.


Answers:
Moderate knowledge deficit of health conditions.


Answers:
Significant knowledge deficit of health conditions.


Answers:
No cultural, language, hearing, or literacy barriers.


Answers:
Minimal cultural, language, hearing, or literacy barriers. Literate in native language and may require translator/interpreter assistance.


Answers:
Some cultural, language, hearing, or literacy barriers. Functional and English illiteracy frequently requires translator/interpreter assistance.


Answers:
Multiple cultural, language, hearing, or literacy barriers. Total illiteracy requires immediate translator/interpreter assistance in crisis situation.


Answers:
Referred to LIMDU/IDES and/or CAT 1 (mild injury/illness, expected to return to duty within time, receive short-term medical treatment/rehab)


Answers:
Undergoing a MED and/or LOD and/or CAT 2 (serious injury/illness, unlikely to return to duty within time, may be medically separated)


Answers:
Undergoing PEB and/or diagnosis that hints a possible TDRL/PDRL discharge to the VA and/or CAT 3 (severe/catastrophic injury/illness, highly unlikely to return to duty, most likely be separated)


# QuestionsCMRT

QuestionID:
Mental Health / Psycho-Social Conditions


# TrackerCMRT

Recommendation:
Recommend CM referral. Assessed on [MM/DD/YYYY] at [MTF LOCATION/ID].


Recommendation:
Recommend inital face to face case management assessment and at least monthly reassessment. ...


Recommendation:
Did not recommend case management referral.


Recommendation:
Recommend inital face to face case management assessment and at least bi-weekly reassessment. ...


HeavyLoad:
Access, Life skills, Benefits, Language/culture,


HeavyLoad:
Access, Self-care, Life skills, Substance/alcohol use,


HeavyLoad:
Substance/alcohol use, Knowledge, Housing, Language/culture, Med adherence,


HeavyLoad:
Knowledge, Life skills, Housing, Benefits,


HeavyLoad:
General medical, Psycho-social, Med adherence, Knowledge, Language/culture, General medical, Life skills, Psycho-social, Housing,


HeavyLoad:
General medical, Access, Self-care, Benefits, Life skills, Psycho-social, Substance/alcohol use, Med adherence, Housing, Knowledge, Language/culture,


HeavyLoad:
General medical, Access, Self-care, Life skills, Psycho-social, Psycho-social, Psycho-social, Med adherence,


HeavyLoad:
Access, Life skills, Psycho-social, Substance/alcohol use, Housing, Benefits, Knowledge, Language/culture,


HeavyLoad2:
Self-care, Life skills, Med adherence, Benefits,

HeavyLoad4:
General medical, Substance/alcohol use, Language/culture,


HeavyLoad3:
Life skills, Psycho-social, Substance/alcohol use, Med adherence, Benefits, Knowledge, Access,


HeavyLoad3:
General medical, Access, Life skills, Psycho-social, Substance/alcohol use, Med adherence, Housing, Benefits, Knowledge, Language/culture,


HeavyLoad2:
General medical, Self-care, Psycho-social, Substance/alcohol use, Med adherence, Housing, Benefits, Knowledge,


HeavyLoad2:
General medical, Self-care, Psycho-social, Med adherence, Housing,

HeavyLoad3:
Life skills, Substance/alcohol use, Benefits, Language/culture,


HeavyLoad3:
General medical, Access, Psycho-social, Substance/alcohol use, Benefits, Knowledge,


HeavyLoad:
General medical, Access, Life skills, Substance/alcohol use, Med adherence, Benefits, Knowledge,

HeavyLoad4:
General medical, Access, Life skills, Substance/alcohol use, Med adherence, Benefits, Knowledge,


HeavyLoad:
Med adherence, Benefits, Knowledge, Med adherence, Psycho-social, General medical, Access,

HeavyLoad3:
General medical, Self-care, Life skills, Substance/alcohol use, Med adherence, Housing, Knowledge, Language/culture,

HeavyLoad4:
Med adherence, Benefits, Knowledge, Med adherence, Psycho-social, General medical, Access,


HeavyLoad:
Life skills, Psycho-social, Med adherence, Substance/alcohol use, Language/culture,

HeavyLoad3:
General medical, Self-care, Access, Housing,

HeavyLoad4:
Life skills, Psycho-social, Med adherence, Substance/alcohol use, Language/culture,


HeavyLoad:
General medical, Access, Self-care, Med adherence, Benefits, Knowledge, Language/culture,

HeavyLoad3:
General medical, Access, Self-care, Med adherence, Benefits, Knowledge, Language/culture,


HeavyLoad3:
General Medical, Self-care, Life Skills, Adherence, Housing, Health Knowledge, Language/culture,


HeavyLoad2:
Life Skills, MH/Psycho-Social, Benefits, Health Knowledge, Language/Culture,


Recommendation:
Recommend inital face to face CM assessment. Minimum contact and reassessment every 30 days. Initial service plan and reevaluation every 60 days. Areas of concern are:

HeavyLoad2:
Self-care, Life Skills, Housing, Life Skills, Adherence, Housing, Health Knowledge, Language/Culture,

HeavyLoad3:
Access, MH/Psycho-Social, Substance/Alcohol, Adherence, Benefits, Language/culture, General Medical, Access, Self-care, MH/Psycho-Social, Benefits, General Medical,


HeavyLoad2:
General Medical, Life Skills, Adherence, Housing, Health Knowledge, Language/Culture,


Recommendation:
Recommend inital face to face CM assessment. Minimum contact and reassessment bi-weekly. Initial service plan and reevaluation every 30 days.

HeavyLoad:
General Medical, Language/culture, Health Knowledge, Benefits, Housing, Adherence, Substance/Alcohol, MH/Psycho-Social, Life Skills, Self-care,

HeavyLoad2:
Access, Self-care, Life Skills, Benefits, Health Knowledge, Self-care, MH/Psycho-Social,

HeavyLoad3:
MH/Psycho-Social, Substance/Alcohol, Adherence, Housing, Language/culture, General Medical, Access, Life Skills, MH/Psycho-Social, Housing, MH/Psycho-Social, Adherence,

HeavyLoad4:
General Medical, Language/culture, Health Knowledge, Benefits, Housing, Adherence, Substance/Alcohol, MH/Psycho-Social, Life Skills, Self-care,


Recommendation:
Recommend inital face to face CM assessment.

HeavyLoad:
General Medical, Access, Self-care, MH/Psycho-Social, Substance/Alcohol, Housing, Benefits,

HeavyLoad3:
General Medical, Access, Self-care, MH/Psycho-Social, Substance/Alcohol, Housing, Benefits,


HeavyLoad:
General Medical, Housing, Housing, Adherence, Health Knowledge, Housing,

HeavyLoad2:
Self-care, MH/Psycho-Social, Adherence, Language/Culture, Housing,

HeavyLoad4:
General Medical, Housing, Housing, Adherence, Health Knowledge, Housing,


HeavyLoad2:
General Medical, Access, Self-care, Life Skills, MH/Psycho-Social, Substance/Alcohol, Adherence, Housing,


HeavyLoad:
Life Skills, MH/Psycho-Social, Substance/Alcohol, Adherence, Access, Self-care, Substance/Alcohol, Adherence, Language/culture,

HeavyLoad2:
MH/Psycho-Social, Substance/Alcohol, Housing, Benefits, Life Skills,

HeavyLoad3:
General Medical, Access, Self-care, Life Skills, Adherence, Health Knowledge, Language/culture, General Medical, MH/Psycho-Social, Housing, Benefits, Language/culture,

HeavyLoad4:
Life Skills, MH/Psycho-Social, Substance/Alcohol, Adherence, Access, Self-care, Substance/Alcohol, Adherence, Language/culture,


HeavyLoad2:
Access, Life Skills, Benefits, Health Knowledge, Housing, Language/Culture, General Medical,


HeavyLoad3:
General Medical, Access, Self-care, MH/Psycho-Social, Substance/Alcohol, Adherence, Housing, Benefits, Language/culture,


Recommendation:
Did not recommend CM referral. Assessed on [MM/DD/YYYY] at [MTF LOCATION/ID].


HeavyLoad:
General Medical, Access, Self-care, Life Skills, MH/Psycho-Social,

HeavyLoad2:
General Medical, Access, Self-care, Life Skills, MH/Psycho-Social, Life Skills, MH/Psycho-Social, Substance/Alcohol, Adherence, Housing, Benefits, Health Knowledge, Language/Culture,


HeavyLoad:
General Medical, Access, Self-care, Substance/Alcohol, Adherence, Housing, Benefits,

HeavyLoad4:
General Medical, Access, Self-care, Substance/Alcohol, Adherence, Housing, Benefits,


HeavyLoad:
Language/Culture, Health Knowledge, General Medical, Life Skills, MH/Psycho-Social, Adherence, Benefits,

HeavyLoad2:
Language/Culture, Health Knowledge, General Medical, Life Skills, MH/Psycho-Social, Adherence, Benefits,


HeavyLoad2:
General Medical, Self-care, Life Skills, MH/Psycho-Social, Adherence,


Recommendation:
Do not recommend CM referral.  Assessed on [MM/DD/YYYY] at [MTF LOCATION/ID].

HeavyLoad:
Military Concerns, Self-care, MH/Psycho-Social, Substance/Alcohol, Military Concerns,

HeavyLoad2:
General Medical, Military Concerns, Military Concerns, Military Concerns,

HeavyLoad3:
Military Concerns, Self-care, MH/Psycho-Social, Housing, Benefits, MH/Psycho-Social, Military Concerns,

HeavyLoad4:
Military Concerns, Self-care, MH/Psycho-Social, Substance/Alcohol, Military Concerns,


HeavyLoad:
Self-care, Life Skills, MH/Psycho-Social, Substance/Alcohol,

HeavyLoad2:
General Medical, Adherence, Housing, Benefits, Health Knowledge, Language/Culture,

HeavyLoad3:
Self-care, Life Skills, MH/Psycho-Social, Substance/Alcohol,


HeavyLoad:
Military Concerns, MH/Psycho-Social, Substance/Alcohol, Benefits,

HeavyLoad4:
Military Concerns, MH/Psycho-Social, Substance/Alcohol, Benefits,


HeavyLoad2:
Life Skills, Substance/Alcohol, Adherence, Housing, Health Knowledge, Language/Culture, Military Concerns, Self-care, MH/Psycho-Social,


Recommendation:
Recommend CM referral due to Military related concerns.  Assessed on [MM/DD/YYYY] at [MTF LOCATION/ID].

HeavyLoad:
Substance/Alcohol, General Medical, Military Concerns,

HeavyLoad2:
General Medical, Self-care, Health Knowledge, Housing, General Medical, Health Knowledge, Military Concerns,

HeavyLoad3:
Substance/Alcohol, Life Skills, Military Concerns, Military Concerns,

HeavyLoad4:
Substance/Alcohol, General Medical, Military Concerns,


HeavyLoad:
General Medical, MH/Psycho-Social, Substance/Alcohol, Health Knowledge,

HeavyLoad2:
Access, Self-care, General Medical, Adherence, Housing, Benefits, Language/Culture,

HeavyLoad3:
General Medical, MH/Psycho-Social, Substance/Alcohol, Health Knowledge,


