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MHRS Practice Guidelines

The purpose of MHRS Practice Guidelines is to aid in the development and support of a standard of care that is guided by research and evidenced based practices. It is the policy of MHRS to maintain a process to develop, adopt and implement Practice Guidelines in order to continuously improve care processes and thereby improve outcomes of care for beneficiaries.

Practice Guidelines shall meet the following requirements:

  1. Be based on valid and reliable clinical evidence or a consensus of behavioral health care professionals in the applicable field.
  2. Consider the needs of beneficiaries.
  3. Are adopted in consultation with health care professionals.
  4. Are reviewed and updated periodically as appropriate.

MHRS will provide and/or coordinate the necessary training when implementing new and/or updating Practice Guidelines.

MHRS County and County Contracted providers involved in the delivery of services in the Mental Health Plan (hereby referred to as Orange MHP) and Drug Medi-Cal Organized Delivery System (DMC-ODS) are to attend or complete the required training provided on Practice Guidelines and to utilize the most current Practice Guidelines as a model to guide service provision and professional practice.

Please click the links below for Practice Guidelines adopted and/or created by MHRS.

In addition, please see our Policy & Procedure surrounding the development and implementation of Practice Guidelines.

MHRS Policy & Procedure: Practice Guidelines Development and Implementation

List of Practice Guidelines:

MHRS Adult and Older Adult Physicians Manual and Practice Guidelines Adopted
Practice Guideline 4/24/2023
Quick Guides:  
Quick Guide Parameters for General Health-Related Monitoring, Consultation & Interventions  
Quick Guide Parameters for the Use of Antidepressant Medications  
Quick Guide Parameters for the Use of Antipsychotic Medications  
Quick Guide Parameters for the Use of Anxiolytic Medications  
Quick Guide Parameters for the Use of Mood Stabilizing Medications  
Quick Guide Parameters for the Use of Psychoactive Meds in Individual with Co-Occurring Substance Use & Mental Health Conditions  
Quick Guide Parameters for the Use of Psychotropic Medication in Older Adults  
Quick Guide Parameters for the Use of Medications for Addiction Treatment (MAT)  
Quick Guide MAT- Guidelines for the Use of Naltrexone Long Acting Injection (NLAI)  


MHRS Clinical Supervision Adopted
Practice Guideline 04/01/19
Quick Guide  
Common Elements of Clinical Supervision  
Policy & Procedures (P&P) updated


Clinical Supervision Reporting Form updated  
Clinical Supervision Agreement Form updated  

Sample Supervisor Competency Assessment

Regulatory Board and Association Websites  
American Association for Marriage and Family Therapy (AAMFT)  
American Psychological Association (APA)  
Association of Social Work Boards (ASWB)  
Association of State and Provincial Psychology Boards  
Board of Behavioral Health Sciences (BBS)  
California Association of DUI Treatment Programs (CADTP)  
California Association of Marriage and Family Therapists (CAMFT)  
California Board of Psychology (BOP)  
California Consortium of Addiction Programs and Professionals (CCAPP)  
Canadian Psychological Association (APA)  
National Association of Social Workers (NASW)  
New Zealand Psychologists Boards  
Psychology Board of Australia  
Psychology Board of Australia  


MHRS Substance Use Disorder Practice Guidelines - Adopted Adopted
SUD Perinatal Practice Guidelines (DHCS PG) 01/2024
SUD Treatment for People with Physical and Cognitive Disabilities (SAMHSA PG) 09/2019
SUD Youth Treatment Guidelines (State PG) 09/2019


MHRS Suicide Assessment & Treatment Practice Adopted
Practice Guideline 11/06/2019
Quick Guide 11/06/2019


MHRS Trauma-Informed Care Workplace and Practice Adopted
Practice Guideline 12/10/2019
Quick Guide 12/10/2019
Introduction Video 2/19/2020


MHRS Treatment Interventions for Trauma Adopted
Practice Guideline 2012
Additional Resources