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2005
April
S
Sample Survey
Sample Survey
Guildford CMHT: NICE Guidlines for Schizophrenia, Care Pathway.
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1. Hello:
This carepathway is to be completed for all clients with a diagnosis of schizophrenia or psychosis whethter on an enhanced or standered CPA.
Thank you very much for your time and support.
2.
NAME OF CLIENT.................................................................................................................................
DATE OF BIRTH................................
3. Is the client aware of thier diagnosis
Yes
No
4.
Has the client been given information about their condition?
Yes
No
5.
Is your client on more than one anti-psychotic?
Yes
No
6.
Does your client experience extra yramidal side effects?
Yes
No
7.
Has the client been given information on their medication side effects?
Yes
No
8.
Has the client an identified need for psychological intervention?; CBT, Psycho-social Interventions.
Yes
No
9.
Has the client previously had psychological input?
Yes
No
10.
Has the client had a risk assessment in the last 6 months?
Yes
No
11.
Has the clients CPA been completed and circulated?
Yes
No
12.
Have all identified careers been offered a carers assessment in the last year?
Yes
No
13.
Have carrers been given information (leaflets/websites) about their reletives condition?
Yes
No
14.
OUTCOME (PLEASE COMPLETE DATE FOR ACTION TO BE COMPLETED ON EACH OF THE CATEGORIES).
Diagnosis: Update by
Treatment: Update by
Risk: Updated by
Carerers: Updated by
15. Additional Comments/Suggestions for improvement
Please hand a copy to David Mushati (CPN) and file the original in client's notes.
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