RESOURCE COLLECTION

Support for the BHSA data collection and reporting system (DCR)

Support for users of the Behavioral Health Services Act (BHSA formerly known as MHSA) data collection and reporting system (DCR).

Creating a DCR account

If you don't have a DCR account:

  1. Fill out the DCR Account Request form
  2. Fill out the User Confidentiality form 
  3. Signed the forms and email them to dph-dcr@sfdph.org
  4. Follow these instructions to complete the online enrollment

 

Logging into the DCR

  1. Go to the BHIS login page and log in
  2. On the Applications menu, choose "DCR Web Application"

Contact support

Contact the local DCR support team for questions about DCR data collection, navigation, procedure and reports:

  • Email dph-dcr@sfdph.org (this address automatically forwards to everyone on the DCR support team)
  • Phone
    • Primary: Karmen Louie 628-271-7213
    • Backup: Christina Rivera 628-271-6768

For password resets:

For other DCR issues:

Note: Emails with personal health information must be encrypted unless you are sending it from a DPH or UCSF email account.

Documents

DCR forms

Child - Partnership Assessment Form (PAF)

For ages 0-15 including residential, educational, employment, financial, and legal information.

2007-05-01
Child - Key Event Tracking Form (KET)

For ages 0-15 about changes in administrative, residential, education, employment, legal, and emergency information.

2007-05-01
Child - Quarterly Assessment Form (3M)

For ages 0-15 including education, financial support, legal, health, and substance use information.

2007-05-01
Transitional Aged Youth (TAY) - Partnership Assessment Form (PAF)

For ages 16-25 including residential, educational, employment, financial, and legal information.

2007-05-01
Transitional Aged Youth (TAY) - Key Event Tracking Form (KET)

For ages 16-25 about changes in administrative, residential, education, employment, legal, and emergency information.

2007-05-01
Transitional Aged Youth (TAY) - Quarterly Assessment Form (3M)

For ages 16-25 including education, financial support, legal, health, and substance use information.

2007-05-01
Adult - Partnership Assessment Form (PAF)

For ages 26-59 including residential, educational, employment, financial, and legal information.

2007-05-01
Adult - Key Event Tracking Form (KET)

For ages 26-59 about changes in administrative, residential, education, employment, legal, and emergency information.

2007-05-01
Adult - Quarterly Assessment Form (3M)

For ages 25-59 including education, financial support, legal, health, and substance use information.

2007-05-01
Older Adult - Partnership Assessment Form (PAF)

For ages 60+ including residential, educational, employment, financial, daily activities, and legal information.

2007-05-01
Older Adult - Key Event Tracking Form (KET)

For ages 60+ about changes in administrative, residential, education, employment, legal, and emergency information.

2007-05-01
Older Adult - Quarterly Assessment Form (3M)

For ages 60+ including education, financial support, legal, health, daily living, and substance use information.

2007-05-01

Partner agencies