Table 7.

List of clinical assessment protocols triggered by different interrai mental health instruments.

CAP Name	Trigger Levels (Number and focus)	interRAI Mental Health Assessment
		Inpatient (MH)	Community (CMH)	Emergency (ESP)
SAFETY Harm to Others Suicidality and Purposeful Self-Harm Self-Care	2 levels; risk severity 2 levels; risk severity 2 levels; risk severity	✓ ✓ ✓	✓ ✓ ✓	✓ ✓ ✓
SOCIAL LIFE Social Relationships Informal Support Support Systems for Discharge Interpersonal Conflict Traumatic Life Events Criminal Activity	2 levels; degree of isolation, family dysfunction 2 levels; type of support needed 1 level; availability of support on discharge 2 levels; extent of conflict 2 levels; immediate safety, ongoing impact 1 level; violent or non-violent criminal behavior	✓ × ✓ ✓ ✓ ✓	✓ ✓ × ✓ ✓ ✓	× × × × × ×
ECONOMIC ISSUES Personal Finances Education and Employment	2 levels; economic hardship; IADL capacity 2 levels; reduce risk, support employment/education	✓ ✓	✓ ✓	× ×
AUTONOMY Control Interventions Medication Management and Adherence Rehospitalization	2 levels; use in emergency and non-emergency situations 2 levels; IADL & adherence, stopped meds/side effects 2 levels; risk severity	✓ ✓ ✓	✓ ✓ ✓	× × ×
HEALTH PROMOTION Smoking Substance Use Weight Management Exercise Sleep Disturbance Pain Falls	2 levels; withdrawal symptoms, encourage cessation 2 levels; current problematic use, prior problematic use 2 levels; problem BMI; problematic eating behaviors 2 levels; physical activity & presence of health concerns 2 levels; sleep disturbance & cognitive impairment 2 levels; treatment priority level 2 levels; risk severity	✓ ✓ ✓ ✓ ✓ ✓ ✓	✓ ✓ ✓ ✓ ✓ ✓ ✓	✓ × × × × × ×