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IRIS PROJECT AUDIT
CASE INFORMATION
| Client Name: |
Keyworker:
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| Swift Number: |
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1. Contact points in pathway:
2. Contact players:
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GP
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A&E
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Psychiatrist
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CMHT
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Police
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Other
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Crisis Team
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Please specify:
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3. Help sought by:
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Self
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Friend
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A&E
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Family
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Work
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999
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4. Problem presented
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Psychosis
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Other
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Non-psychotic
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Please specify:
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5. Treatment:
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None
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Referral - Psychiatrist
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Medication
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Referral - Other
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6. First contact point:
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GP
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A&E
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Other
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Psychiatrist
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Police
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Please specify:
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7. Helpfulness
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Not at all
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Fairly
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Extremely
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8. Admitted to hospital:
9. Number of times admitted to hospital: ___________________
10. Status on admission:
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Section
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Informal
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Regraded to 2
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Regraded to 3
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11. Diagnosis:
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Psychosis
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Schizoaffective
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Other
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If other, please specify:
12. Treatment:
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Typical
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Depot
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Other
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Atypical
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Mood stabiliser
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Please specify:
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13. Included in care planning:
14. CPA level:
15. Keyworker profession:
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Psychiatrist
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Social worker
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CPN
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Other
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Please specify:
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16. Psychosocial interventions offered:
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CBT
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Relapse
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Other
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BFT
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Voices
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Please specify:
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17. Other agencies involved:
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MDF
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Rethink
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Other
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MIND
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Walkways
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Please specify:
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18. Illicit drugs used:
19. Alcohol used:
20. Number of days under MHA: ______________
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