History of medication and other treatments for mental illness Consider: Past referrals Effectiveness of previous treatments Side-effects and complications associated with previous treatments for Patient’s preference medications Allergies Relevant physical examination and other investigations Results of relevant previous psychological and developmental testing Other care plan Yes, Specify: e.g. GP Management Plans and Team Care Arrangements; No Wellness Recovery Action Plan; Family Care Plan Comments on Current Mental State Examination Consider: Appearance, cognition, thought process, thought content, attention, memory, insight, behaviour, speech, mood and affect, perception, judgement, orientation. Appropriateness of Mini Mental State Examination for patients over 75 years or if otherwise indicated Risk assessment Ideation/ thoughts Intent Plan If high level of risk Suicide indicated, document actions taken in Self harm Treatment Plan below Consider: Harm to others Does the patient have a timeline for acting on a plan? Comments or details of any identified risks How bad is the pain/distress experienced? Is it interminable, inescapable, intolerable? Assessment/outcome tool used, except where clinically inappropriate. Date of assessment
History of medication and other treatments for mental illness Consider: Past referrals Effectiveness of previous treatments Side-effects and complications associated with previous treatments Patient’s preference for medications Allergies Relevant physical examination and other investigations Results of relevant previous psychological and developmental testing Other care plan e.g. GP Management Plans and Team Care Arrangements; Wellness Recovery Action Plan; Family Care Plan Yes, Specify: No Comments on Current Mental State Examination Consider: Appearance, cognition, thought process, thought content, attention, memory, insight, behaviour, speech, mood and affect, perception, judgement, orientation. Appropriateness of Mini Mental State Examination for patients over 75 years or if otherwise indicated Risk assessment If high level of risk indicated, document actions taken in Treatment Plan below Consider: Does the patient have a timeline for acting on a plan? How bad is the pain/distress experienced? Is it interminable, inescapable, intolerable? Ideation/ thoughts Intent Plan Suicide Self harm Harm to others Comments or details of any identified risks Assessment/outcome tool used, except where clinically inappropriate. Date of assessment
gp-mental-health-treatment-plan-template-adult.docx