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BEGINNING OF TREATMENT BEGINNING OF TREATMENT COUNTY OF LOS ANGELESDEPARTMENT OF MENTAL HEALTH Program Support BureauMHSA Implementation and Outcomes Division OPTIONAL PEI OUTCOMES WORKSHEET Trauma: Individual Cognitive Behavioral Therapy 2026
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How to use or fill out the OPTIONAL PEI OUTCOMES WORKSHEET for Trauma: Individual Cognitive Behavioral Therapy
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- Click ‘Get Form’ to open it in our editor.
- Begin by entering the administrative information. Fill in the Client ID, First Name, Last Name, Therapist ID/Staff Code, and Provider ID in the designated fields.
- Next, input the date of the first Evidence-Based Practice (EBP) treatment session under 'BEGINNING OF TREATMENT INFORMATION'.
- Proceed to complete the Youth Outcome Questionnaire sections. For clients aged 4-17, select either Parent or Self-Report and enter the administration date.
- Fill out each item under Intrapersonal Distress, Somatic, Interpersonal Relations, Social Problems, Behavioral Dysfunction, and Critical Items. Ensure you calculate and enter the total score accurately.
- For clients aged 19+, complete the Outcome Questionnaire and UCLA PTSD-RI DSM-5 sections similarly. Record any 'Unable to Collect' reasons if applicable.
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