General Functioning Questions:

 

• Is it affecting their functioning in key areas of their life?

  • Any physical health issues?

  • Any family/home life issues?

  • Any occupational issues?

  • Any legal issues?

 

• Are others noticing it as an issue for them?

 

 

 

Level of Safety and Stability Questions:

 

• Are they in danger from themselves or anyone else in their life?

• Do they have any current thoughts or intentions of harming themselves? Any past attempts?

• In the past year, have they had more than five drinks in a day?

 

 

Determining the Level of Intensity and Urgency of Action Plan

 

1. They have reached an emergency level

2. There is a need to refer out to mental health professionals

3. They could benefit from a consultation and discussion

4. Their concern is noticeable but within normal limits