Behavioral Health · embedded service
Validated BH screens (PHQ-9 depression · GAD-7 anxiety · DSM-5 SUD criteria · Columbia Suicide Severity proxy) for residents flagged by the other verticals' screens. The BH composite tier (stable / elevated / active / crisis) drives next-action workflow: schedule re-screen, request psych consult, or escalate.
Active screens
8
all verticals
Crisis tier
1
escalate now
Active tier
3
psych consult this week
IPF payment YTD
$6,367
inpatient psych admissions
Suicide-risk distribution
Imminent (1:1 sit)
1
High
2
Moderate
0
Low
5
Screens (sorted by composite tier)
Crisis — escalate now
IPF stay
$6,367
PHQ-9 (depression)
24 / 27
Severe (20-27)
Item 9 (SI): 3/3
GAD-7 (anxiety)
19 / 21
Severe (15-21)
Suicide risk
imminent
Imminent — 1:1 sit + emergency hold
Transferred to inpatient psych on emergency hold. 1:1 sit pre-transfer.
Active — psych consult this week
PHQ-9 (depression)
22 / 27
Severe (20-27)
Item 9 (SI): 2/3
GAD-7 (anxiety)
16 / 21
Severe (15-21)
Suicide risk
high
High — psych consult + remove means
Psych consult requested same-day. Increase visits to 2x/week. Remove access to means.
Active — psych consult this week
PHQ-9 (depression)
9 / 27
Mild (5-9)
GAD-7 (anxiety)
8 / 21
Mild (5-9)
Suicide risk
low
Low
DSM-5 SUD severe. CIWA-Ar protocol on admission. SBIRT + MOUD evaluation.
Active — psych consult this week
PHQ-9 (depression)
17 / 27
Moderately severe (15-19)
Item 9 (SI): 2/3
GAD-7 (anxiety)
13 / 21
Moderate (10-14)
Suicide risk
high
High — psych consult + remove means
Prior IP psych admission 2024. Safety plan + MSW weekly visits + family contact.
Elevated — schedule re-screen
PHQ-9 (depression)
14 / 27
Moderate (10-14)
Item 9 (SI): 1/3
GAD-7 (anxiety)
9 / 21
Mild (5-9)
Suicide risk
low
Low
Late-stage Alzheimer's with behavioral disturbance. Non-pharm interventions first.
Elevated — schedule re-screen
PHQ-9 (depression)
12 / 27
Moderate (10-14)
Item 9 (SI): 1/3
GAD-7 (anxiety)
11 / 21
Moderate (10-14)
Suicide risk
low
Low
On sertraline. Compliance good. PHQ-9 trending down month-over-month.
Stable
PHQ-9 (depression)
7 / 27
Mild (5-9)
GAD-7 (anxiety)
5 / 21
Mild (5-9)
Suicide risk
low
Low
Recent transition to AL after spouse's death. Engaging with social services.
Stable
PHQ-9 (depression)
3 / 27
Minimal (0-4)
GAD-7 (anxiety)
2 / 21
Minimal (0-4)
Suicide risk
low
Low
Routine wellness screen. Mood and anxiety within normal limits.
PHQ-9 + GAD-7 cutoffs per Kroenke & Spitzer 2002 / Spitzer 2006. Composite tier and suicide-risk classifier are deterministic via lib/verticals/behavioral-health. IPF-PPS payment is a simplified national base ($850/day with declining variable per-diem at days 8+ and 15+); production applies the full 17 IPF-PPS DRG categories with wage index + IME/DSH adjustments.