Applicant File Review — HCNA and Direct Threat

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

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

Forms

Health Care Needs Assessment (HCNA)

Form 2-05, Health Care Needs Assessment and Word version
Chronic Care Management Plan (CCMP) Provider Forms
(Fact sheets, provider health questionnaires, CPP guidelines, and flow sheets)

Direct Threat Assessment (DTA)

Form 2-04, Individualized Assessment of Possible Direct Threat and Word version

HWD Center File Review Forms

Guidance Documents and Examples of Completed Forms

CMHC AFR Resources

Applicant File Review Guide for CMHCs Part 1: Overview — June 2023
Applicant File Review Guide for CMHCs Part 2: Guidance for Form 2-04 and Form 2-05 — June 2023
Sample Applicant Clinical Interview Questions — February 2023
AFR Tools – Form 2-05 HCNA Template Items — July 2024 Updated
Brief Guide to Reviewing Individualized Education Plans (IEPs) — February 2023
Pre-DAP Form for Direct Threat Assessments — February 2023
Pre-DAP Form for Health Care Needs Assessments — February 2023

TEAP AFR Resources

Sample Applicant File Review Questions for TEAP — February 2020
TEAP Specialist’s Role in AFR Snapshot
When completing an AFR, contact your Regional TEAP Specialist for assistance:

For the Boston, Philadelphia and San Francisco Regions contact:
Diane Tennies, PhD, LADC
Diane.Tennies@humanitas.com (no PHI/PII) or (207) 478-9278

For the Atlanta, Chicago and Dallas Regions contact:
Christy Hicks, MSW
Christy.Hicks@humanitas.com (no PHI/PII) or (606) 610-8385

Examples of Completed Direct Threat and Health Care Needs Assessments