Data Collection: Alaska Specific Data Element - AMHT Disabilities

Data Element ID

AMHT

Implementation Date

August 27, 2018

Data Element Name

AMHT Disabling Conditions

Data Required For

All Clients

Data Collection Point

Project Start

Interim/Update as necessary to reflect any change(s)

Field 1-5 Response Options & Instructions

Select from the following options when entering into AKHMIS for each of Fields 1-5:

Yes

Use when client responds yes.

No

Use when client responds no.

Client doesn't know

Use when client does not know an answer.

Client prefers not to answer

Use when client refuses to provide an answer.

Data not collected

Use when client was not asked the question.

Field 1

Alzheimers Disease And Related Dementias

Client is asked if they have Alzheimers Disease or Related Dementias:

   Primary degenerative dementia of the Alzheimer type; multi-infarct dementia; senile dementia; and pre-senile dementia.

Field 2

Chronic Alcoholism or other Substance Use Disorder

Client is asked if they have a Chronic Alcoholism or other Substance Use Disorder:

   Alcohol withdrawal delirium (delirium tremens); alcohol hallucinosis; alcohol amnestic disorder; dementia associated with alcoholism; alcohol-induced organic mental disorder; alcoholic depressive disorder.

Field 3

Intellectual or Developmental Disabilities

Client is asked if they have an Intellectual or Developmental disability:

   Cerebral palsy; epilepsy; intellectual developmental disorder; autism; severe organic brain impairment; significant developmental delay during early childhood indicating risk of developing an intellectual and/or developmental disorder.

Field 4

Mental Illness

Client is asked if they have any mental illness:

   Schizophrenia; delusional (paranoid) disorder; mood disorders; anxiety disorders; Somatic symptom disorder; organic mental disorders; personality disorders; dissociative disorders; other psychotic or severe and persistent mental disorders manifested by behavioral changes and symptoms of comparable severity to those manifested by persons with mental disorders listed in this subsection; and persons who have been diagnosed by a licensed psychologist, psychiatrist, or physician licensed to practice medicine in the state and, as a result of the diagnosis, have been determined to have a childhood disorder manifested by behaviors or symptoms suggesting risk of developing a mental disorder.

Field 5

Traumatic Brain Injuries

Client is asked if they have a traumatic brain injury (TBI) potentially resulting from one or more of the following information below from mayoclinic.org:

   Falls from a bed/ladder/ in the bath/ or down stairs or other similar event are the most common cause, particularly in older adults and young children. Collisions involving cars, motorcycles or bicycles and pedestrians involved in such accidents. Gunshot wounds, domestic violence, child abuse and other assaults. Shaken baby syndrome in infants caused by violent shaking. Penetrating wounds, severe blows to the head with shrapnel or debris, and falls or bodily collisions with objects following a blast. May be caused by injuries from a number of sports, including soccer, boxing, football, baseball, lacrosse, skateboarding, hockey, and other high-impact or extreme sports; these are particularly common in youth. Explosive blasts are a common cause of traumatic brain injury in active-duty military personnel.

Field 6

Start Date*

Enter the date the information was collected.

Field 7

End Date

Always leave blank on a new record.

If a prior record exists that needed updating, add an End Date to the prior record, setting it to the day before Start Date of the new record, to close out the prior record.