Table 4.

Biosecurity

Identification of patients at risk of transmission of COVID-19 Clinicians (care coordinators and medical staff) to compile risks and discuss with senior team leaders identifying those who may pose a risk including: Risk due to psychiatric characteristics 1. Disorganisation or agitation secondary to mania or psychosis where this involves breach of public health recommendations 2. Risks due to underlying personality characteristics including antisocial traits, including known threats by patient to spread infection to staff or public 3. Cognitive and functional impairment affecting ability to comprehend or abide by public health measures 4. Socio-economic factors effecting transmission 4.1 Unstable accommodation including homelessness, couch surfing 4.2 Living in overcrowded accommodation Strategies to minimise risk of transmission of COVID-19 1. Individual risk assessment for each patient based on clinical assessment with above factors 2. Registration and monitoring of risk 2.1 Alert on mental health and general medical patient record (CBIS risk alert) 2.1 Regular review at CMH team meetings Notification of risks 1. Establishment of a Mental Health Liaison Officer with network to contact SA Police and Communicable Disease Control Branch (e.g. threats by a patient to harm another with their reported symptoms of COVID-19, or a suspected case reporting they would not adhere to self-isolation)