Table 9: Proposed clusters of signs and indicators of deterioration in a person's mental state. Reported Change Distress Loss of with Reality Loss of Function Elevated Risk to Self, or Consequence of Others or Property Behaviours Descriptions A person, or someone who A person, or someone A person is losing touch with A person is losing her or his A person's actions indicate knows the person well, involved in her or his care, reality or the consequences ability to think clearly, an increased risk to self, reports that her or his mental shows signs of distress, of her or his behaviour. communicate, or engage in others, or property. state is changing for the which are evident through regular activities. worse. observation and conversation. Clusters of Signs Self-initiated requests for Uncharacteristic facial Unusual movement patterns Increases in the use of Indications of experiencing Loss of skills restrictive practices Requests for treatment from Physiological/medical Poor daily self-care Reduced safety of self Indications of experiencing healthcare professionals Reduction in regular Reduced safety of others or those close to the Negative themes in Reduced safety of property Unusual self-presentation Difficulty participating in Disengaging from Unusual ways of Self-reported negative or Apparent distress of self or b inflated sense of others Unusual speech during Unresponsiveness to Appearing confused during Self-reported uncontrollable conversations thought processes Seemingly impaired memory Self-reported negative Apparent difficulty with thinking about things in different Note: Changes to clusters are provided in superscripts (refer to Appendix B for details). name of the cluster has been modified. cluster has been combined with other clusters.
Table 9: Proposed clusters of signs and indicators of deterioration in a person's mental state. Reported Change Distress Loss of with Reality or Consequence of Behaviours Loss of Function Elevated Risk to Self, Others or Property Descriptions A person, or someone who knows the person well, reports that her or his mental state is changing for the worse. A person, or someone involved in her or his care, shows signs of distress, which are evident through observation and conversation. A person is losing touch with reality or the consequences of her or his behaviour. A person is losing her or his ability to think clearly, communicate, or engage in regular activities. A person's actions indicate an increased risk to self, others, or property. Clusters of Signs Self-initiated requests for Requests for treatment from healthcare professionals or those close to the Self-reported negative or inflated sense of Self-reported uncontrollable thought processes Self-reported negative Uncharacteristic facial Physiological/medical Negative themes in Apparent distress of self or others Indications of experiencing Indications of experiencing Unusual self-presentation Unusual ways of Appearing confused during conversations Unusual movement patterns Loss of skills Poor daily self-care Reduction in regular Difficulty participating in b Unusual speech during Seemingly impaired memory Apparent difficulty with thinking about things in different Increases in the use of restrictive practices Reduced safety of self Reduced safety of others Reduced safety of property Disengaging from Unresponsiveness to Note: Changes to clusters are provided in superscripts (refer to Appendix B for details). name of the cluster has been modified. cluster has been combined with other clusters.
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