Mental Health Care Plan
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PRESENTING ISSUE(S) What are the patient’s current mental health issues PATIENT HISTORY Record relevant biological psychological and social history including any family history of mental disorders and any relevant substance abuse or physical health problems MEDICATIONS (attach information if required) ALLERGIES ANY OTHER RELEVANT INFORMATION RESULTS OF MENTAL STATE EXAMINATION Record after patient has been examined RISKS AND CO-MORBIDITIES Note any associated risks and co-morbidities including risks of self harm /or harm to others OUTCOME TOOL USED DIAGNOSIS RESULTS YES NO GP MENTAL HEALTH TREATMENT PLAN PATIENT NEEDS / MAIN ISSUES PATIENT PLAN TREATMENTS GOALS Record the mental health goals agreed to by the patient and GP and any actions the patient will need to take REFERRALS Treatments, actions and support services to achieve patient goals Note: Referrals to be provided by GP, as required, in up to two groups of six sessions..
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