Form LIC 9239 CCH. Entrance Checklist - Community Crisis Homes - California

Form LIC 9239 CCH is used in California by community crisis homes to document and track the process of admitting an individual or family into their program. This form is completed by community crisis home personnel when welcoming new residents seeking short-term crisis intervention and support.

The form consists of sections that require information about the individual or family being admitted, including personal details, crisis situation, needs assessment, and any immediate safety concerns. Important fields include the resident's name(s), contact information, reason for seeking crisis support, and emergency contact information. Accurate completion of this form ensures that relevant information is gathered to provide appropriate crisis intervention services and support to the residents.

An application example of this form would involve a community crisis home using Form LIC 9239 CCH when admitting individuals or families in crisis. Community crisis home personnel would gather the necessary information, assess the immediate needs and safety risks, and tailor their services accordingly. By completing this form, community crisis homes can maintain accurate records and ensure effective response and support during times of crisis.

Alternative forms: An alternative form to consider is the Form LIC 9114, Crisis Residential Service Referral - California. While both forms serve the purpose of admitting individuals or families into crisis intervention programs, Form LIC 9239 CCH is specific to community crisis homes, whereas Form LIC 9114 is used for referring individuals to crisis residential services. The main difference lies in the process and purpose of each form. Form LIC 9239 CCH focuses on gathering entrance information for community crisis homes, while Form LIC 9114 is used to facilitate the referral process from external sources to crisis residential services.