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2 |
Patients with Acute Conditions |
Personal Resources
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Healthcare professionals attending a person who has self-harmed should conduct and record a comprehensive and respectful assessment of (in order of urgency):
1. risk
2. current emotional and mental state
3. psychosocial needs
4. main clinical and demographic factors associated with risk of further self-harm and/or suicide.
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4 |
Patients with Acute Conditions |
Patient-Centeredness, Patients with Mood Disorders
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Additional support (e.g., more frequent direct contacts with primary health care staff or telephone contacts) should be considered for patients with depression who are assessed to be at high risk of suicide.
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6 |
Patients with Acute Conditions |
Accessibility, Patients with Mood Disorders
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People presenting with suicidal, assaultive or homicidal thoughts and/or plans, which make the clinician uncertain of safety of the patient or others: Proportion who receive same-day specialized mental health care.
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9 |
Patients with Acute Conditions |
Quality and Safety
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The practice has a written protocol for the assessment of and management of people at risk of harming themselves or others.
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10 |
Emergency Services |
Patients with Acute Conditions, Accessibility
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Urgently required mental health services are received within 24 hours.
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16 |
Emergency Services |
Accessibility, Patients with Acute Conditions
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A crisis response system (CRS) is available in each district and includes a plan for 24 hours, 7 days per week services.
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53 |
Emergency Services |
Accessibility, Patients with Acute Conditions
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Percent of telephone crisis line calls answered in a timely fashion by telephone crisis line staff.
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65 |
Emergency Services |
Patients with Acute Conditions
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Use of a comprehensive assessment method (e.g., Australian Mental Health Triage scale) to determine clinical urgency in the emergency department so that patients are seen in a timely manner.
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70 |
Emergency Services |
Patients with Acute Conditions, Accessibility
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Proportion of clients with wait times of less than 14 days for initiation of ongoing treatment intervention after initial contact with any crisis intervention service (police, emergency department, crisis line).
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76 |
Patients with Acute Conditions |
Patient-Centeredness, Patients with Psychosis
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Percentage of individuals suffering from serious mental illness with jointly developed crisis plans containing advance directives detailing the individual's treatment choices in the event of an acute episode of illness.
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82 |
Outreach Services |
Patients with Acute Conditions, Continuity
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The primary mental health care team works jointly with local agencies to ensure home-based crisis services are available on a 24/7 basis (e.g. through PMHC staff providing some portion of clinical coverage for the service)
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83 |
Outreach Services |
Patients with Acute Conditions, Continuity
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Crisis resolution and home treatment teams should be used as a means to manage crises for service users to augment the services provided by early intervention services and assertive outreach teams to individuals with severe mental illnesses, as well as a means of delivering high-quality acute care.
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89 |
Patients with Acute Conditions |
Comprehensiveness, Continuity
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Acute day hospitals should be considered as a clinical and cost-effective option for the provision of acute care, both as an alternative to acute admission to inpatient care and to facilitate early discharge from inpatient care.
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96 |
Patients with Acute Conditions |
Psychotherapy
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Inappropriate intervention: Proportion of individuals who report experiencing a traumatic event and are offered single session interventions (often referred to as debriefing) as this intervention can increase the risk of developing post traumatic stress disorder
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97 |
Youth |
Patients with Acute Conditions, Psychotherapy
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For young people who have self-harmed several times, consideration may be given to offering developmental group psychotherapy with other youth who have repeatedly self-harmed. This should include at least six sessions. Extension of the group therapy may also be offered; the precise length of this therapy should be decided jointly by the clinician and the service user.
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104 |
Emergency Services |
Competence, Patients with Acute Conditions
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Percent of telephone crisis line staff undergoing an initial credentialing and annual recredentialing process.
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149 |
Patients with Acute Conditions |
Psychotherapy, Patients with Personality Disorders
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Percentage of individuals with 1 or more psychotherapy visits within 6 months of hospitalization or emergency room visit for borderline personality disorder.
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