HCNA and Direct Threat

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Applicant File Review - Health Care Needs Assessment and Direct Threat Assessment

Applicant file review is the process by which the center reviews applicant files to determine whether or not the individual’s health care needs exceeds those of basic care or if the individual poses a direct threat to self or others. Because file review can be a complex process, it is essential that all centers use the same process and documentation. An effective file review process requires cooperation between admissions counselors (ACs), records staff, and health and wellness staff.

Policy & Directives

Job Corps Policy

PRH Chapter 1: Enrollment Services, 1.5 Center Applicant File Review of Completed Application
PRH Chapter 2: Student Support Services, 2.4 Disabilities
Form 2-03 Procedures for Providing Reasonable Accommodation, reasonable Modification in Policies, practices, or Procedures, and Auxiliary Aids and Services for Participation in the Job Corps Program
Form 2-04, Individualized Assessment of Possible Direct Threat (Use this form until February 28, 2023)

Form 2-04, Individualized Assessment of Possible Direct Threat (Begin using March 1, 2023)

Form 2-05, Health Care Needs Assessment (Use this form until February 28, 2023)

Form 2-05, Health Care Needs Assessment (Begin using March 1, 2023)

Directives

PRH Change Notice

PRH Change Notice 22-02 Revisions to the Policy and Requirements Handbook (PRH) Applicant File Review, Reasonable Accommodation, Confidentiality and Transmission and Storage of Protected Health and Disability Information, Medical Separation, Direct Threat, and Health Care Needs Processes
Attachment: 22-02a
Release Date: November 29, 2022

Program Instructions

Program Instruction 15-08 Revised ‘Consent for Pre-Enrollment Interview’ Form
Attachment: 15-08a
Release Date: December 22, 2015
Program Instruction 14-34 Applicant Interviews by Job Corps Center Health and Wellness Consultants and Staff Across State Lines
Attachment: 14-34a
Release Date: June 10, 2015
Program Instruction 14-06 Applicant File Review Log and Webinar
Attachment: 14-06a
Release Date: August 21, 2014

Forms & Documents

General

Applicant File Review Snapshot
TEAP Specialist’s Role in AFR Snapshot
Dual Reviews in AFR Snapshot
Health Care Needs Assessment (HCNA) Guidance for CMHC — September 2021
Brief Guide to Reviewing Individualized Education Plans (IEPs) — October 2022 NEW
Applicant File Review Reminders for CMHCs — April 2022

Flowcharts

Examples of Completed Health Care Needs and Direct Threat Assessments

PRH Resources and Forms

Tip Sheet

Sample Applicant File Review Questions for TEAP — February 2020
CMHC File Review Tip Sheet — April 2020
Sample Applicant Clinical Interview Questions — December 2019

Webinars

Medical Separations and DTAs Detailed Training — December 15 & 16, 2022
Medical Separations, DTAs, and Disability Discrimination Overview Training — December 12, 13, & 14, 2022
Change Notice 22-02 Health Services and Disabilities PRH Updates — December 6, 7, 8, & 9, 2022
Clinical Review of School Disability Documents for Applicant File Review (AFR) — October 18, 2022
Applicant File Review for CMHCs — February 23, 2022
Slides with audio (Streaming link or Download link)
Note: The Webex ARF player is required to playback the recording. Download ARF player
Previous presentations: October 13, 2021, August 12, 2021, June 9, 2021, February 10, 2021, and January 21, 2021
Clinical Review of School Disability Documents for Applicant File Review (AFR)— September 29 & 30, 2021
Handout 1 - IEP Example with Notes; Handout 2 - HCNA Example with IEP Information; Handout 3 - Functional Behavior Assessment (FBA) Example; Handout 4 - HCNA with FBA and Behavior Intervention Plan (BIP) Example; Handout 5 - Section 504 Plan Example; Handout 6 - HCNA with Section 504 Plan Information Example
Previous presentation: March 30 & April 1, 2021