Patient Release

 

DSS Hospital Patient Release Example

Important factors are entered and given an importance rating 1- 10.
In this example the HISTORIC information is not regarded as important

MENTAL STATE 10
ENVIRONMENT/CURRENT 8
HISTORICAL information 7

Entrants- Patient names are put into database

Patient A
Patient B
Patient C

Patients are given a rating for each factor 10 being the least desirable I.e

Patient A factor MENTAL STATE: 8 – the Patient is not stable
Patient A factor ENVIRONMENT/CURRENT: 10 – the Patient has no support at home
Patient A factor HISTORICAL information: 4 – the Patient history is OK
Patient B factor MENTAL STATE: 2 – the Patient has good mental state
Patient B factor ENVIRONMENT/CURRENT: 8 – the Patient does not have support at home
Patient B factor HISTORICAL information: 6 – the Patient history is not serious
Patient C factor MENTAL STATE: 8 – the Patient is not stable
Patient C factor ENVIRONMENT/CURRENT: 8 – the Patient has no support at home
Patient C factor HISTORICAL information: 6 – the Patient history is not very bad

Click Here to view the calculated result
note in this example Patient A is worst candidate for release because they have the highest score ,
MENTAL STATE is the worst problem Patient A also has a bad ENVIRONMENT/CURRENT which scores highly against release
HISTORY does not score highly against release

If the bad ENVIRONMENT/CURRENT was not rated highly important a different Patient may have been less suitable for release.

Typically the factors used are broken down further and scored as shown in this sample risk factor list.
MENTAL STATE

Behaviour
· Dangerous or threatening actions
· Verbal/non-verbal risks
· Deliberate self harm
· Aggression
Affect
· Arousal, anger, hostility,
irritability, suspiciousness, fear
· Low mood or elevated mood
Cognition
· Thoughts or fantasies of 1deliberate self harm or harm to others
· Persecutory thoughts, delusions
· External control
· Confusion
· Preoccupation, obsession,  jealousy
· Control over-ride
· Cultural beliefs
Perceptions
· Command hallucinations (especially linked with delusional beliefs)
· Misidentification
· Matakite

ENVIRONMENT/CURRENT FACTORS
Immediate stressors
· Substance use, intoxication or withdrawal· Relationships
· Presence or absence of support
· Presence/absence of treatment, non-compliance with treatment
· Persecution or threats from others
· Arrest or criminal charges
· Loss including death of a peer
· Cultural transgression
· Financial stress
Access
· To weapons, pills, victims
Situation
· Home, prison, hospital, etc Individual’s attitude
· Co-operation
· Refusal to co-operate (including fear of compulsory treatment process)

HISTORICAL INFORMATION
Illness and incidents
· Patterns of illness
· Psychiatric history
· History of incidents (and context)
· Treatment and outcomes
· Features of past crises
· Personal history
Personality
· Usual coping style
Family background
· Demographics, age,
sex
· Culture
· Dynamics

 

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