Self management for a person assessed as low risk.
This is an option if:
- Person has good social supports
- Can discuss management
- Has good rapport with health workers
- Strategies are negotiated for vulnerable times (strategies may involve community, family and/or health workers)
- Useful information about community resources has been supplied and can be accessed
- Review arrangements are negotiated and agreed with health worker.
Primary care of shared care for person assessed as moderate risk.
This requires:
- Management plan in place
- Access to appropriate community resources is facilitated
- Plan is clearly communicated and agreed with the person and other services and people providing support are informed
- Plan includes details of a rapid response capacity for reassessment and appropriate escalation of care level, and circumstances in which this may occur
- Contact details are clearly negotiated with person and support people, and this is documented
- Face to face reassessment (within suitable time frame for risk level) is arranged and conveyed to the person and people providing support
- Plan documents, review arrangements.
Specialist care for person assessed as significant or extreme risk.
This requires:
- Immediate and continued monitoring
- Referral to an appropriate specialist mental health services, if appropriate
- Consideration of possible role of admission to hospital, possibly under detention
- Plan should be developed collaboratively between mental health service and primary care professional
- Plan includes:
- Steps to ensure safety
- Specific strategies for ongoing review and care
- Documentation should flow to all relevant people involved in the person’s care in a timely manner.
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Read the management section of the foundations of effective practice booklet.
Watch the management videos.
Read the management discussion paper.
Review the Resources.