The Role of Transitioning Patients The role of transitioning patients from one level to another involves making decisions that are clinically sound. The decisions involves assessments that takes place through a psychologist, or clinical therapists and it includes understanding where the individual current mental state along with three key independent axes. The First Independent axes involve assessing the severity of the illness and this includes analyzing the severity of the current symptom such as, biological, psychological, and behavioral. The safety and stability is also a part of this process because it determines if the individual will be bringing harm to his or herself and others. During this time the psychologist of clinical therapists will evaluate any current and past treatment that the individual may have, and the individual willingness to participant in the treatment will also be analyzed. The second part of the independent axes involves assessing the intensity of service and this involves determining what is necessary to diagnosis and treats the current problem. The intensity of service involves key questions, which will determine the level of care that the individual needs. The question involves determining if the individual may need 24 hour care or needs monitoring for behavioral and safety issues that may put the patient or other individuals at risk for being harm. During this time care providers will also evaluate if physical confinement needs to take place or if a multi- disciplinary treatment needs to be take place. The third part of the independent axes involves assessing the intensity of service and this determines what is necessary to diagnosis and treats the current problem. The intensity of services involves key question that an psychologist or a clinical therapist must answer regarding if the patient is need of 24 hour care or needs monitoring because of behavioral or safety issues During this time the providers will also evaluate the patient to see if an multi- disciplinary treatment needs to take place. The third independent axes also involve relevant external factors and this is an important part of the assessment because it involves decisions that can affect the level of clinical care. The relevant factors involve the accessibility of care such as, behavioral, medical, and dental within the patient’s area. The level of care is also important because it involves a process that will promote advocacy and this involves the clinical experience of staff along with the resources with which they work. The level of care are an individual who manages clinical outcomes and assist patients and practitioners in enhancing treatments. During this part of providing care it must take integrating all three levels of independent axes into the patient’s treatments. Care providers must also consider appropriate, effective, and patient centered treatment options as well as the benefits that are available to the patients. The community resources are also a part of this process because it can help to achieve the best outcome for the patients . Reference CIGNA Level of Care(2010 ) Behavioral and Substance Abuse Retrieved from http:// www.cigna.coom