Page 670 - 2015 2nd Half No Table

Patient Name: Simon Cordell
Date of Birth: 26/01/1981 11214451
Number:
Name of Assessors): Jack Hallett
Date: 27/11/2015 Time:
Factors to be considered when undertaking an initial assessment of a
person with a suspected mental health problem:
1. Is the caller or referrer reporting Crisis?
2. Is the patient currently known to mental health services?
3. Has drag and/or alcohol intoxication been ruled out as a cause?
4. If the person has a known mental health history, always check RIO
note before undertaking any new assessment for previous risk history?
CRHT & Triage telephone screening tool copy right Osvaldo So et sane
and Tracey Keyes
1
ASSESSMENT CATEGORIES
1. Background history of the current Crisis YES NO
*Is the person currently aggressive and/or
threatening? NO
*Does the person pose an immediate risk to self,
you or others? NO
*Does he/she have specific ideas or plans to harm NO
anyone else?
*Does the person have any immediate (i.e.: within NO
the next few minutes or hours) plans to harm self?
*Does he/she have a history of violence? NO
*Has the person got a history of self-harm? YES
* Does the person have a history of mental health
problems or psychiatric illness? YES
* Does the person appear to be experiencing any
delusions or hallucinations? YES
*Does the person feel controlled or influenced by NO
external forces?
If yes to any of the above, record details below:
Told his mother that the TV was talking about
him, that voices coming from TV was directed to
him. He says people are laughing and talking about
him, and accusers’ people of setting him up
2. Current Presentation YES NO
*Is the person obviously distressed, markedly YES
anxious or highly aroused?
* Is the person behaving inappropriately to the NO
situation?
* Is the person quiet and withdrawn? NO
*Is the person attentive and co-operative? NO
21,
CRHT & Triage: telephone screening tool copy right Osvaldo Soetsanc and
Tracey Keyes 2
If yes to any of the above, record details below: