TX HHS Form 1016. PASRR Mental Illness Specialized Services Discussion Checklist

The TX HHS Form 1016, PASRR Mental Illness Specialized Services Discussion Checklist, is a practical tool designed to facilitate the discussion of specialized services for individuals with mental illness who have been identified as needing PASRR (Pre-Admission Screening and Resident Review) services. This form helps resolve issues related to service delivery by documenting recommended services, desired services, and reasons for refusal.

The form consists of three sections: Section 1 documents the specialized services recommended on the PASRR Evaluation (PE), while Section 2 focuses on the discussion of PASRR MI Specialized Services. In this section, LMHA or LBHA staff must document whether the individual desires any of these services and list reasons for refusal, as well as efforts to resolve identified barriers to service delivery. Section 3 requires the signature of the LMHA or LBHA representative.

This form is typically used by Local Behavioral Health Authority (LBHA) staff in situations where individuals have been identified as needing PASRR services due to mental illness. The form helps ensure that necessary services are discussed and documented, promoting effective service delivery and resolution of any barriers that may arise. Key features include the documentation of recommended services, desired services, and reasons for refusal, as well as efforts to resolve identified barriers.

• This form is used by Local Behavioral Health Authority (LBHA) staff in situations where individuals have been identified as needing PASRR services due to mental illness.