Psychiatry
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approximately 185 views since handloom weavers became disillusioned.
[textarea name="variable_1" default="Social Hx (Free Text)\nBorn Raised In \n & Grad Hs In"]

Tobacco Use [select name="variable_1" value="Non-Smoker|Ex-Smoker|Ex-User Of Moist Powdered Tobacco|Current Non Smoker But Past Smoking Hx Unknown|Light Cigarette Smoker (1-9 Cigs/Day)|Moderate Cigarette Smoker (10-19 Cigs/Day)|Heavy Cigarette Smoker (20-39 Cigs/Day)|Very Heavy Cigarette Smoker (40+ Cigs/Day)|Cigar Smoker|Pipe Smoker|Chews Tobacco|Chews Products Containing Tobacco|Snuff User"]Alcohol Use [select name="variable_1" value="Never|Less Than Monthly|Monthly Or Less|Weekly|Daily Or Almost Daily"]

Financial Resources
Financial Concerns:
Source Of Income:
Military:
Lives:
Works:
Housing Concerns:
Socioeconomic Status
Has Been [select name="variable_1" value="Unemployed |Employed"][text name="variable_1" default="#yrs"]
[textarea name="variable_1" default="Has Been Living \n Prior To That Was Living \n & Prior To That Was Living"]
Educational Level [select name="variable_1" value="Never Attended/No formal schooling|Kindergarten Only|1St Grade|2Nd Grade|3Rd Grade|4Th Grade|5Th Grade|6Th Grade|7Th Grade|8Th Grade|9Th Grade|10Th Grade|11Th Grade|12Th Grade, No Diploma|High School Graduate|Ged Or Equivalent|Some College, No Degree|Associate Degree Occupational, Technical, Or Vocational Program|Associate Degree Academic Program|Bachelor Degree (EG, Ba, Ab, Bs)|Master Degree (EG, Ma, Ms, Meng, Med, Msw, Mba)|Professional School Degree (Example Md, Dds, Dvm, Jd)|Doctoral Degree (Example Phd, Edd)–|Refused|Don't Know| Declined To Specify"]
Physical Activity
[select name="variable_1" value="Does Exercise Regularly|Does Not Exercise Regularly|unknown"]
sleep[select name="variable_1" value="Does Not Sleep Well|Does Sleep Well"]
Daytime Energy Is [select name="variable_1" value="Good|Average|Bad"]
Stress Level Is Rated [select name="variable_1" value="Not At All|Only Little|To Some Extent|Rather Much|Very Much|Declined To Specify|Mild|Moderate|Severe"]
Social Isolation & Connection
Exposure To Violence[select name="variable_1" value="Not Currently In Relationship w/ Someone Who Physically Hurts Or Threatens Them |Is Currently In Relationship w/ Someone Who Physically Hurts Or Threatens them"]
[textarea name="variable_1" default="describe"]
Relationship status
[checklist name="relationship status" value="Single Never Married |option B|option C"]
Children[text name="variable_1" default="#"]
Ages [text name="variable_1" default="#"]
Gender Identity | Sexual Orientation[select name="Gender Identity | Sexual Orientation" value="choice A|choice B|choice C"]

[textarea name="variable_1" default="Nutrition Hx"]
Past Medical Hx
Major Events
[text name="variable_1" default="x"]
Ongoing Medical Problems
[text name="variable_1" default="x"]
Preventive Care
PCP/ Clinic[checklist name="variable_1" value="No Preventive Care Recorded|San Francisco Health Plan|Sfhealthnetwork Primary Care|Castro-Mission Health Center|Potrero Hill Health Center|Beacon Health Options |Southeast Health Center|Chinatown Public Health Center|San Francisco Community Behavioral Health Services (Sfcbhs)"]
Medical Tx Needs(See
[link url="https://www.soapnote.org" memo="Pcp Med List "]Above)
Last Physical Exam Date [date name="variable_1" default="12/30/2019"]
Date Of Last Physical [date name="variable_1" default="12/30/2019"](If Not In Last 12 Months, Note If Referred To Pcp) [text name="variable_1" default="Referred To Pcp on:"]
Current Tx Team
[textarea name="variable_1" default="Primary Care Physician (Name, Address, Phone)\nMedical Doctor\nMedical Physician(S) \nMed Management Provider\nOther Providers"]
[checkbox name="variable_1" value="Does Not Have Pcp"]
Has Coordination Of Care w/ Other Providers Been Requested [select name="variable_1" value="yes|no|unknown|n/a"]
[text name="variable_1" default="describe"]
Drug Allergies/Adverse Reactions[select name="variable_1" value="yes|no|unknown|n/a"]
Major Medical Hospitalizations/Surgeries/Inpatient Procedures
[select name="variable_1" value="yes|no|unknown|n/a"][text name="variable_1" default="x"]
Surgical Hx
[textarea name="variable_1" default="No Surgical Hx Reported"]
Pyschotropic Meds[select name="variable_1" value="Past Medications Yes|Past Medications No"] Current Physical Condition/Illness
[textarea name="variable_1" default="Current Medical Dx \nNo Ongoing Medical Problems Recorded"]
[select name="variable_1" value="Accesses Medical Care As Needed (0)|Requires Education About Medical Condition(S) (1)|Needs Some Skill Building To Independently Access Medical Care (2)"]
[textarea name="variable_1" default="Does Not Smoke\nStopped Smoking\nCurrently Smokes
x Per Day"]
[textarea name="variable_1" default="Currently
Does Not Drink\nDrinks\nOccasionally"]

[textarea name="variable_1" default="Health Concerns \n Allergies\n Medications \n Family Health Hx"]
Presenting Illness
[1] - Has Participated In Counseling/Psychotherapy Services In Past
[select name="variable_1" value="No Previous Tx|Has Not Participated In Psychotherapy In Past| Yes|Has Participated In Psychotherapy In Past "](If Yes) Prior Tx
[checklist name="Past Tx" value="Psychiatric/Medication Management|Psychiatric Hospitalizations|Php/Partial Hospitalization|Outpatient Tx|Family Member Had Outpatient Psychotherapy|Individual & Group Mental Health Evaluation & Tx (Psychotherapy)|Rehab/Other Therapies|Behavioral Health Austism Spectrum Disorder, Aba Services|Crisis Intervention|Counseling From Therapist At Primary Care Clinic|Psychological Testing To Evaluate Mental Health Condition|Mental Health & Alcohol Use Screening & Counseling (Screening, Brief Intervention, Referral, & Tx, “Sbirt”)|Psychiatric Consultation|Individual & Group Mental Health|Recreational"]

[textarea name="variable_1" default="When\nw/ Whom"]
Interventions Used
[checklist name="variable_1" value="Cognitive Behavioral Tx|Exposure & Response Prevention Tx|Cognitive Processing Tx|Dialectical Behavior Tx Skills Training|Play Tx|Solution Focused|Problem Solving |Supportive Tx|Communication Skills |Grief Work |Coping|Skills/Relaxation Training |Crisis|Intervention |Parenting Skills |Family Tx"]
Experience/Outcome[text name="variable_1" default="?"]

Past Substance Use/ Past Sud Tx[checklist name="variable_1" value="No Hx Of Abuse|Active Abuse|Early Full Remission|Early Partial Remission|Sustained Full Remission| Remission Sustained Partial Remission"]
Substance Start Date[date name="variable_1" default="12/30/2019"]
Last Use [date name="variable_1" default="12/30/2019"]
[textarea name="variable_1" default="Amount
|Frequency | Rehab Program(S)|Etc"]
addiction Tx Needs
[select name="addiction Tx Needs" value="denies Addiction Hx, No Blackouts, No Duis, No 12 Steps, No Ivdu, No Hcv"]

Coping Skills
[checkbox name="variable_1" value="Positive Coping Skills|Motivated For Tx|Positive Problem Solving Skills"]
--- Support Network
[select name="variable_1" value="Lack Of Support Identified|Positive Support Identified"]
Current Barriers To Tx
[select name="variable_1" value="Current Apprehension To Engage In Structured Psychotherapy|Current Apprehension To Engage In Psychopharmaceutical Intervention|Excessive Demanding"]
First Started Seeing Psych
Age [text name="age" default="x"]
For [text name="years" default="?"]
Has Been To Psych Er/Ward
[text name="#" default="#x"]x
Attempted Suicide [text name="#" default="#x"]
Via
[text name="#" default="#x"]0
[textarea name="variable_1" default="Methods"] Trauma[text name="variable_1" default="?"]
[link url="https://www.soapnote.org" memo="Past Psychiatric Hx"]

Family Psychogenetics
no Known Family Psychiatric

Spirituality:


Legal Concerns:
[textarea name="variable_1" default="Criminogenic Tx Needs\npt Arrested X As Juvenile\n Arrested X As Adult"]

[textarea name="variable_1" default="Goals"]

Screenings/Interventions/Assessments
[checklist name="variable_1" value="Mental Status Examination|Phq-9|Gad-7, Aoq/Gds (Adult Version, Age 18+)|Phq-9 & Gad-7 (Child & Adolescent, Age 11-17)|Dsm-5 Level 1 Cross-Cutting Symptom Measure -- Adult Version
|Dsm-5 Level 1 Cross-Cutting Symptom Measure -- Child Age 11-17 Version
|Dsm-5 Parent/Guardian-Rated Level 1 Cross-Cutting Symptom Measure—Child Age 6–17"]


Tobacco Use Alcohol Use

Financial Resources
Financial Concerns:
Source Of Income:
Military:
Lives:
Works:
Housing Concerns:
Socioeconomic Status
Has Been

Educational Level
Physical Activity

sleep
Daytime Energy Is
Stress Level Is Rated
Social Isolation & Connection
Exposure To Violence

Relationship status

Children
Ages
Gender Identity | Sexual Orientation


Past Medical Hx
Major Events

Ongoing Medical Problems

Preventive Care
PCP/ Clinic
Medical Tx Needs(See
Pcp Med List Above)
Last Physical Exam Date
Date Of Last Physical (If Not In Last 12 Months, Note If Referred To Pcp)
Current Tx Team


Has Coordination Of Care w/ Other Providers Been Requested

Drug Allergies/Adverse Reactions
Major Medical Hospitalizations/Surgeries/Inpatient Procedures

Surgical Hx

Pyschotropic Meds Current Physical Condition/Illness






Presenting Illness
[1] - Has Participated In Counseling/Psychotherapy Services In Past
(If Yes) Prior Tx



Interventions Used

Experience/Outcome

Past Substance Use/ Past Sud Tx
Substance Start Date
Last Use

addiction Tx Needs


Coping Skills

--- Support Network

Current Barriers To Tx

First Started Seeing Psych
Age
For
Has Been To Psych Er/Ward
x
Attempted Suicide
Via
0
Trauma
Past Psychiatric Hx

Family Psychogenetics
no Known Family Psychiatric

Spirituality:


Legal Concerns:




Screenings/Interventions/Assessments

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