How are you all balancing 60-minute intakes with 20–30 minute med follow-ups in community mental health? I’m a PMHNP at an FQHC revising my assessment flow (PHQ-9, GAD-7, C-SSRS) and trying to keep room for brief CBT/MI interventions and safety planning without rushing people. Practical scheduling or documentation tweaks that have worked for you?
I’ve found that integrating a brief ‘check-in’ at the beginning of sessions really helps set the tone and manage time better… It gives clients a chance to voice immediate concerns, which we can then prioritize during the intake or follow-up. Have you tried adjusting your session structure this way?
But , this juggling act can drive me nuts! I’ve started using a quick template for the PHQ-9 and GAD-7 to save time during intakes. It gives me more space for those essential brief CBT moments, but I still worry about missing deeper issues.