Mental health phase of care guide © Independent Hospital Pricing Authority 2016 This publication is available for your use under a licence, with the exception of the Independent Hospital Pricing Authority logo, photographs, images, signatures and where otherwise stated. The full licence terms are available from . Use of Independent Hospital Pricing Authority material under a licence requires you to attribute the work (but not in any way that suggests that the Independent Hospital Pricing Authority endorses you or your use of the work). Independent Hospital Pricing Authority material used 'as supplied'. Provided you have not modified or transformed Independent Hospital Pricing Authority material in any way including, for example, by changing Independent Hospital Pricing Authority text – then the Independent Hospital Pricing Authority prefers the following attribution: Source: The Independent Hospital Pricing Authority Document information Approval and version history Version Effective Dates Change Summary Approvals Signature Approval Date 1.0 29 June 2016 Final version for implementation of AMHCC based on feedback from the MHWG. A/g CEO James Downie Ownership Enquiries regarding this document can be made to: Name: Vanessa D’Souza Position: A/g Director, Mental Health Care Email:
only gathering to enable assessment of an consumer Or potential referral for treatment services if required. seeking assessment or has been referred from another agency. assessment to determine if referral for treatment is required. Collection of collateral information. Initial management planning focused on the identification and referral to alternative services. Phase expected to last hours. This phase is not intended to capture regular review as part of a standard clinical workflow routine. This phase was developed to capture the significant amount of work that occurs for people who do not necessarily go on to formal episodes of care. experienced by the consumer or family member or friend result in help seeking behaviour. Phase occurs on first contact with a service where a mental health assessment is needed, to determine if any further intervention is required. interview, observation, collateral history gathering, formulation, initial management plan and referral have been completed. Further care needs have been identified.
1 A consumer who is by a case management team for a long period of time has become rapidly unwell during the course of their care, requiring closer supervision. The consumer will still be managed by the case management team however care has been temporarily transferred to the acute care team over the weekend, due to lack of staff resourcing to provide appropriate care. The consumer will return to the case management team when there is more staffing available after the weekend. Is this a change in phase of care over a two day period and would this warrant a completion of additional outcome measures? This would not require a change to the phase of care. The collection of an outcome measure is not mandated; however as part of clinical practice, outcome measures may be collected anytime as clinically indicated. 2 In an encounter, the usual first point of contact is the acute care team. After receiving services from the acute care team, consumers may be transferred to a case management team where the phase of care may be the same or different. If the phase of care is the same does an outcome measure need to be completed? An additional outcome measure is not required as it is about the consumer and not the treatment provider. However, if the phase of care is changed, an outcome measure will be required. For example, when a consumer becomes rapidly unwell and the main goal or aim of care has changed. 3 Some consumers may be seen by a primary case management team and a secondary team (for example, rehab, working with families, transition teams and Clozapine clinics). In accordance with the outcome measure protocols, responsibility for completing outcome measures rest with the primary team. Secondary teams are not required to complete an additional set of outcome measures. If the secondary team is a rehab team and the phase of care of the rehab team is different to the phase of care of the primary team should an additional set of outcome measures be completed? The phase of care should align with the mental health care plan for the consumer. The mental health care care plan for the consumer would normally reflect the activity that was being undertaken by all relevant teams therefore the phase of care should not be different for the various treatment providers. As a result there be additional outcome measures would not need to be collected.