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intensive outpatient program

The Life-Changing Benefits of Outpatient Treatment for Teens: Is It Effective?

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Facebook-f X-twitter Instagram Linkedin Pinterest Teenage mental health issues are becoming a global issue for parents, teachers, and healthcare providers. […]

The Life-Changing Benefits of Outpatient Treatment for Teens: Is It Effective? Read More »

iop mental health programs - bright point md

How an IOP Mental Health Program Can Transform Your Recovery

Leave a Comment / intensive outpatient program / John Wick

Varied demands, severity levels, and particular circumstances require diverse mental health treatments. Each treatment has pros and cons, from outpatient

How an IOP Mental Health Program Can Transform Your Recovery Read More »

intensive outpatient mental health program in largo maryland

Intensive Outpatient Mental Health Programs: Components and Benefits

Leave a Comment / intensive outpatient program / John Wick

IOPs are one of the critical components of mental health treatment, which combines the freedom of outpatient services with the

Intensive Outpatient Mental Health Programs: Components and Benefits Read More »

Finding the Best Drug and Alcohol Outpatient Treatment Near Me

Leave a Comment / intensive outpatient program / John Wick

Imagine a recovery path where you can stay home, maintain your routine, and get the assistance you need to conquer

Finding the Best Drug and Alcohol Outpatient Treatment Near Me Read More »

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A Guide to Outpatient Bipolar Treatment for Lifelong Wellness

Leave a Comment / intensive outpatient program / John Wick

Bipolar disease is a complex mental illness that affects millions worldwide. Imagineexperiencing ecstatic highs and deep lows. It’s hard, but

A Guide to Outpatient Bipolar Treatment for Lifelong Wellness Read More »

Understanding Teen Intensive Outpatient Programs: A Guide to Dual Diagnosis Treatment

Leave a Comment / intensive outpatient program / admin

Teens face identity exploration, mental health issues, and substance usage as they navigate adolescence. Alarmingly, 20% of teens have mental

Understanding Teen Intensive Outpatient Programs: A Guide to Dual Diagnosis Treatment Read More »

Exploring Intensive Outpatient Program Maryland: A Comprehensive Guide to Treatment and Duration

Leave a Comment / intensive outpatient program / Dewayne_Smith

When it comes to seeking treatment for substance abuse, mental health conditions, or other behavioral health concerns, intensive outpatient programs

Exploring Intensive Outpatient Program Maryland: A Comprehensive Guide to Treatment and Duration Read More »

Unlocking the Benefits: Exploring Outpatient Services for Mental Health

Leave a Comment / intensive outpatient program / Dewayne_Smith

Outpatient mental health services are therapy and treatment choices that people can use without going to a hospital or a

Unlocking the Benefits: Exploring Outpatient Services for Mental Health Read More »

Welcome to BrightPoint Wellness, your trusted destination for professional mental health counseling services. Our team of experienced counselors is committed to giving you the help and direction you need to deal with life’s difficulties.

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YOUNG PRP (Age 5-17)

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Date Of Referral *

Date of Birth *

Sex at Birth *

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City *

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REFERRING THERAPIST INFORMATION

Name and Credentials of Therapist *

If LMSW or LPGC, Please Provide Name and Credentials of Supervisor

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CLINICAL INFORMATION

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Reason for Referrel *

Participant's Strength and Current Resources *

Goals of Requested Services *

Has a Mental Health Assessment and Treatment Plan been Completed? If yes, a Copy will need to be Provided if Accepted into the Program. *

ICD-10-INFORMATION

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Primary Diagnosis *

Has the Participant been Active in Treatment? *

Additional Diagnosis

Has Medication been Prescribed to Support Mental Health? *

RISK ASSESSMENT

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Is the Participant Coming out of In-Patient or at Risk of Going into In-Patient? *

Is the Participant Currently Enrolled in Targeted Case Management? *

PRP Services/Referral has been Explained to Participant or Parent/Guardian of Participant? *

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Adult PRP

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Participant Name *

Age *

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Zip Code *

Home Address *

Medicaid Number *

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Parent/Guardian Name (If Applicable)

Please Select Jurisdiction/County *

Date Of Referral *

Date of Birth *

Sex at Birth *

Please Select *

City *

Address 2

Contact Number *

Gender Identity and Preferred Pronouns, Please Select *

REFERRING THERAPIST INFORMATION

Name and Credentials of Therapist *

If LMSW or LPGC, Please Provide Name and Credentials of Supervisor

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Supervisor Name

Agency Name *

Fax Number

Supervisor Credentials

Phone Number *

CLINICAL INFORMATION

Reason for Referrel *

FUNCTIONAL IMPAIRMENTS

Please check all that apply and describe at least 3 Specific Mental Health Symptoms related to The Participant's Priority Population Diagnosis and describe how they Impact the Functional Impairments Below

Does the Participant Have a Marked Inability to Establish or Maintain Competitive Employment? *

Does the Participant Have a Marked Inability to Perform Instrumental Activities of Daily Living (e.g., Shopping, Meal Preparation, Laundry, Basic Housekeeping, Medication Management, Transportation, and Money Management)? *

Does the Participant Have a Marked Inability to Establish/Maintain a Personal Support System? *

Does the Participant Have Deficiencies of Concentration/Persistence/Pace Leading to Failure to Complete Tasks? *

Is the Participant Unable to Perform Self-Care (Hygiene, Grooming, Nutrition, Medical Care, Safety)? *

Does the Participant Have Marked Deficiencies in Self-Direction, Shown by Inability to Plan, Initiate, Organize, and Carry Out Goal-Directed Activities? *

Does the Participant Have a Marked Inability to Procure Financial Assistance to Support Community Living? *

OTHER

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Participant's Strength and Current Resources *

What is your Goals of Requested Services *

Has a Mental Health Assessment and Treatment Plan Been Completed? If Yes, a Copy Will Need to Be Provided If Accepted into the Program. *

ICD-10-INFORMATION

Please Select Primary Diagnosis *

Additional Diagnosis

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Is the Participant Receiving Fully Funded DDA Benefits? *

Has Medication Been Prescribed to Support Mental Health? *

Has the Participant been Active in Treatment? *

RISK ASSESSMENT

Are there any Risks for Aggressive Behavior, Suicide, or Homicide? *

Is the Participant Coming out of In-Patient or at Risk of Going into In-Patient? *

Is the Participant Currently Enrolled in Targeted Case Management? *

PRP Services/Referral has been Explained to Participant? *

Is the Participant Currently Enrolled/Authorized for Another PRP? *

By signing this I acknowledge that I am referring this participant for PRP Services and this is my electronic signature *

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Date

Credentials *

Supervisor

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Provide Supervisor's Name (If Applicable)

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