01 |
Medication |
Any discussion of medication, excluding side effects |
02 |
Medication side effects |
Side effects of medication |
03 |
Daily activities |
Includes activities such as education, employment, household chores, daily structure etc. |
04 |
Living situation |
The life situation of the patient, including housing, finances, benefits, plans with life etc. |
05 |
Psychotic symptoms |
Discussion on symptoms of psychosis such as hallucinations and delusional beliefs |
06 |
Physical health |
Any discussion on general physical health, physical illnesses, operations, etc. |
07 |
Non-psychotic symptoms |
Discussion of mood symptoms, anxiety, obsessions, compulsions, phobias etc. |
08 |
Suicide and self harm |
Intent, attempts or thoughts of self harm or suicide (past and present) |
09 |
Alcohol, drugs and smoking |
Current or past use of alcohol, drugs or cigarettes and their harmful effects |
10 |
Past illness |
Discussion of past history of psychiatric illnesses, including previous admissions and relapses |
11 |
Mental health services |
Care coordinator, community psychiatric nurse, social worker or home treatment team etc. |
12 |
Other services |
Primary care services, social services, DVLA, employment agencies, police, housing etc. |
13 |
General chat |
Includes introductions; general topics; weather; holidays; end of appointment courtesies |
14 |
Explanation about illness |
Patients diagnosis, including doctor explanations and patients questions about their illness |
15 |
Coping strategies |
Discussions around coping strategies that the patient is using or the doctor is advising |
16 |
Relapse indicators |
Relapse indicators and relapse prevention, including early warning signs |
17 |
Treatment |
General and psychological treatments, advice on managing anxiety, building confidence etc. |
18 |
Healthy lifestyle |
Any advice on healthy lifestyle such as dietary advice, exercise, sleep hygiene etc. |
19 |
Relationships |
Family members, friends, girlfriends, neighbours, colleagues and relationships etc. |
20 |
Other |
Anything else. Includes e.g., humour, positive comments and non-specific complaints |