LEVEL 4 LEVEL 3 LEVEL 2 LEVEL 1 of Functioning (4 points) (3 points) (2 points) (1 point) ACCESS (continued) Client is completely Client often needs Client may need Client has no language unable to understand or translation services or sign infrequent, occasional problems or barriers and is CULTURAL/ LINGUISTIC function within the interpretation to operate assistance in capable of high continuum of care system; within the continuum of understanding functioning within OR care or to understand complicated forms; linguistic/cultural Client is in a crisis complicated medical OR environments. situation and in need of concepts. Client may need immediate assistance with occasional help from translation services or translator or sign culturally sensitive interpreters. interpreters and advocates. Score: Client has no access to Client has frequent access Client needs occasional, Client is fully self- public or private needs for transportation; infrequent transportation sufficient and has available TRANSPORTATION transportation (e.g. lives OR assistance for HIV related and reliable in an area not served by Client has difficulty needs; transportation; and has no public transportation, has accessing transportation OR physical disabilities or no resources available for due to physical Client is unable to physical disabilities transportation options) disabilities. understand bus/train limiting access to AND/OR schedules or how to transportation. Client has difficulty manage bus/train accessing transportation transfers. due to physical Score: disabilities.
of Functioning LEVEL 4 (4 points) LEVEL 3 (3 points) LEVEL 2 (2 points) LEVEL 1 (1 point) ACCESS (continued) CULTURAL/ LINGUISTIC Score: Client is completely unable to understand or function within the continuum of care system; OR Client is in a crisis situation and in need of immediate assistance with translation services or culturally sensitive interpreters and advocates. Client often needs translation services or sign interpretation to operate within the continuum of care or to understand complicated medical concepts. Client may need infrequent, occasional assistance in understanding complicated forms; OR Client may need occasional help from translator or sign interpreters. Client has no language problems or barriers and is capable of high functioning within linguistic/cultural environments. TRANSPORTATION Score: Client has no access to public or private transportation (e.g. lives in an area not served by public transportation, has no resources available for transportation options) AND/OR Client has difficulty accessing transportation due to physical disabilities. Client has frequent access needs for transportation; OR Client has difficulty accessing transportation due to physical disabilities. Client needs occasional, infrequent transportation assistance for HIV related needs; OR Client is unable to understand bus/train schedules or how to manage bus/train transfers. Client is fully self- sufficient and has available and reliable transportation; and has no physical disabilities or physical disabilities limiting access to transportation.
ELECTRONIC_Standardized_Michigan_HIV_MCM_Acuity_Pilot_Tool_2.2016_517969_7.docx