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(Permission statement: Permission for posting this assignment on the web granted by Jesleen Papneja)List of Fields Field Name Field Definition Data Type1. Patient ID2. Last Name3. Middle Initial4. First Name5. Street Address6. City7. State8. Zip code9. Contact No.10. Age11. Sex12. Education13. Occupation14. Salary15. Ethnicity16. Marital Status17. No. of children18. Legal Status19. Recognizing feature20. FAST no.21. Referred from22. Case Manager23. Case Manager contact no.24. Insurance Type25. Medicare/Medicaid26. Abuse Problem27. Hospitalization record28. Most recent offense29. H/o offences30. Familial mental history31. H/o assaultive behavior32. Admission date33. Discharge date34. Mental Health treatment35. Substance abuse treatment36. Residential requirement37. Incarceration38. Medications39. Jail40. Mental health providers41. Substance abuse treatment providers42. Shelters43. Hospitals44. Employment agencies45. Dissociative Personality Disorder46. Borderline Personality Disorder47. Psychotic disorder48. Pyromania49. Schizophrenia50. OthersKey ID of the patientLast name of the patientMiddle initial of the patientFirst name of the patientStreet address of the patientCity of the patientState of the patientZip code of the patientContact no. of the patientAge of the patientSex of the patientEducation record of the patientOccupation of the patientTotal salary of the patientEthnicity of the patientMarital status of the patientNo. of children of the patientLegal status of the patientRecognizing feature of the patientFAST program no. of the patientWho/Where is the patient referred fromPatient’s FAST case managerFAST case managers contact no.What kind of insurance does pat. haveIs pat. Medicare/Medicaid dependentAlcohol/drug abuseHospitalization record of the patientWhy was the pat. convicted?History of offensesDoes any family member have mental illness?Is patient assaultive?Admission date to FAST programDischarge date from FAST programTreatment for mental illnessTreatment for substance abuseCourt ordered residential requirementIncarceration verdict for the patientMedications for the patientJail as a provider for incarcerationMental health treatment providersSubstance abuse treatment providersShelters providing residence for patientHospitals providing treatment for patientEmployment agencies assisting in treatment Split personality casesBorderline split personality casesPatients suffering from psychotic illnessPatients setting firesSchizophrenic patientsAny other mental disordersNumericTextTextTextTextTextTextNumericNumericNumericTextTextTextNumericTextTextNumericTextTextNumericTextTextNumericTextTextTextTextTextNumericTextTextNumericNumericTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextPatient Patient DemographicsFAST Program ParticularsFAST Admissions/DischargeTreatment PlanProvidersDiagnosisPatient IDFirst NameMiddle InitialLast NameStreet AddressCityStateZip codeContact No.Patient IDMental Health TreatmentSubstance Abuse TreatmentResidential RequirementIncarcerationMedicationsPatient IDAgeSexRecognizing featureEducationOccupationSalaryEthnicityMarital StatusNo. of ChildrenLegal StatusHistory of offensesPatient IDFAST No.Referred fromCase managerCase manager Contact No.Patient IDJailMental Health ProvidersSubstance Abuse ProvidersSheltersHospitalsEmployment AgenciesPolice DepartmentPatient IDFAST No.Admission DateDischarge DateReferred fromInsurance TypeMedicare/MedicaidAbuse ProblemHospitalization RecordMost recent offenseHistory of offensesFamilial Mental HistoryHistory of Assaultive BehaviorDissociative Personality DisorderBorderline Personality DisorderPsychotic DisorderPyromaniaSchizophreniaOthers - SpecifyEntitiesTreatment PlanPatient IDMental Health TreatmentSubstance Abuse TreatmentResidential RequirementIncarcerationMedicationsDissociative Personality DisorderBorderline Personality DisorderPsychotic DisorderPyromaniaSchizophreniaOthers - SpecifyDiagnosisA patient diagnosed with a condition may be required to follow one or more treatment plansA treatment plan may be required for one or more diagnosisMANY - MANY RELATIONSHIPPatient IDFAST No.Referred fromCase managerCase manager Contact No.FAST Program ParticularsPatient IDFirst NameMiddle InitialLast NameStreet AddressCityStateZip codeContact No.PatientOne case manager may be dealing with a number of patientsONE – MANY


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MASON HSCI 709 - Study Guide

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