Assessing risk and clinical considerations
This interactive flowchart is part of the Absent without approval (AWA) pathway. It forms part of Action 2 of the Absent without approval (AWA) pathway flowchart (PDF 299 kB).
Use it to determine:
- the risk profile of a patient who is absent without approval
- whether you, or other authorised mental health service (AMHS) staff, can act alone to return a patient or if you need police or ambulance assistance
- the least restrictive method of transport.
The interactive flowchart aligns with the Chief Psychiatrist's policies for transport, transfers and managing involuntary patient absences and the Mental Health Act 2016.
The interactive flowchart is a guide only. If you're unsure how best to support the return of a patient, contact your AMHS administrator for advice.
Use the interactive flowchart
Question Id (Enter as a capital Q and a number no spaces) | Question or Statement | Response | Go to Question or Outcome (based on response selected) | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Q1 | Q1 Assessing risk and clinical considerations will help you determine if mental health clinicians can act alone to return the absent person (or if they might need ambulance or police assistance too). | Start | QP1-1 | ||||||||
More information | Q1a | ||||||||||
Q1a | Q1aHow does it work?It contains guidance and examples for risk factors and clinical considerations listed in the Authority to transport absent person form, which are split into four parts in this tool:
| Continue | Q1b | ||||||||
Q1b | Q1bWhat will I need?You may need to consult several documents to ensure a comprehensive and accurate risk assessment. This may include (where it exists):
| Start | QP1-1 | ||||||||
Where do I find them? | Q1c | ||||||||||
Q1c | Q1cCheck the person's file in CIMHAAn 'absent without approval' prevention and response plan is a locally developed plan setting out clinical strategies for responding to (and preventing) patient absences. An acute management plan is:
An involuntary patient and voluntary high risk patient summary is:
A police and ambulance intervention plan is:
| Start | QP1-1 | ||||||||
QP1-1 | P1-1Part 1 of 4Does the (current or past) situation indicate any of the following risk factors?
| Yes | QP1-2 | ||||||||
No | QB-P2-1 | ||||||||||
QP1-2 | P1-2These factors may require police assistancePolice officers can support mental health clinicians where there are public safety risks that cannot be managed solely by others. Do any of those factors indicate an imminent risk that the absent person will harm themselves or someone else? For example:
| Yes | QP1-2a | ||||||||
No | QP1-3 | ||||||||||
QP1-2a | P1-2aHave you called Triple Zero (000)?If there's an imminent risk of harm, you should call Triple Zero (000) and ask for police. Did Queensland Police Service accept or reject the request for them to (act alone and) immediately respond and return the absent person? | They accepted it | Outcome0a | ||||||||
They rejected it | QP1-2b | ||||||||||
QP1-2b | P1-2bWhy did police reject a request to act alone?Queensland Police Service may reject a request to act alone (to respond and return an absent person) if they disagree that:
| Continue | QP1-2c | ||||||||
QP1-2c | P1-2cWhat should I do next?If necessary, immediately follow the escalation process in the Chief Psychiatrist policy for Managing involuntary patient absences (at section 4.3.4). You should also continue this assessment to ensure that police assistance is required for returning the absent person. It will help you prepare an Authority to transport absent person form explaining why their assistance is required. It will also assist the treating (or on-call) psychiatrist or clinical director with escalating the matter. Those factors still indicate that you may require police assistance The next few sections will go through each risk factor and provide guidance and examples for completing the Authority to transport absent person form. | Continue | QP1-4 | ||||||||
QP1-3 | P1-3 The next few sections will go through each risk factor and provide guidance and examples for completing the Authority to transport absent person form. | Continue | QP1-4 | ||||||||
QP1-4 | P1-4Violence (including to police or ambulance officers)In the Authority to transport absent person form, add relevant information to section 6 (assessed level of risk to self and others). Provide context (static, dynamic and protective factors) about identified risks–this may include:
| Continue | QP1-5 | ||||||||
See form examples | QP1-4-Ex | ||||||||||
QP1-4-Ex | P1-4-Ex Example 1 Criminal history includes:
Example 2 The absent person was involved in an argument with his wife and threatened to harm her. He then pushed her over and left the house. He did not attend their medical appointment his medication for schizophrenia is now 3 days overdue. They have a history of increasing risk of violence towards others in the absence of treatment. | Continue | QP1-5 | ||||||||
QP1-5 | P1-5AggressionIn the Authority to transport absent person form, add relevant information to section 6 (assessed level of risk to self and others). Provide context (static, dynamic and protective factors) about identified risks–this may include:
| Continue | QA-P2-1 | ||||||||
See form examples | QP1-5-Ex | ||||||||||
QP1-5-Ex | P1-5-Ex Example 1 The consumer became angry at his wife this morning, accusing her of having an affair. He has pushed her over when leaving the family home. He may have been intoxicated on illicit substances at the time–this increases his impulsivity and aggression He has a history of verbal aggression and threats towards family and healthcare staff when unwell and disengaged from treatment Example 2 When the consumer becomes unwell, they become verbally aggressive and threatening. This is often in response to believing people are persecuting him and hearing voices telling him to harm these people (that is, stab them) The risk will increase when the consumer is intoxicated. Their family reports that the consumer commences drinking while on leave Example 3 The consumer has previously turned up at his ex-partner's address and was threatening and abusive to her. There is currently a domestic violence order in place (ordering that he does not contact his ex-partner) Example 4 They have been known to visit the Child Support office and Child Safety while intoxicated. Will become abusive to their staff, over historical issues with his daughter | Continue | QA-P2-1 | ||||||||
QA-P2-1 | A-P2-1Part 2 of 4Does the (current or past) situation indicate any of the following risk factors or clinical considerations?
| Yes | QA-P2-2 | ||||||||
No | QAB-P3-1 | ||||||||||
QA-P2-2 | A-P2-2These factors may require ambulance assistanceAmbulance officers can support mental health clinicians when there are clinical risks related to the patient's physical health. Do any of those factors indicate an imminent risk that the absent person will harm themselves? For example, are they seriously injured or in immediate danger? | Yes | QA-P2-2a | ||||||||
No | QA-P2-3 | ||||||||||
QA-P2-2a | A-P2-2a Do you know where (or approximately where) to locate the absent person? | Yes | QA-P2-2b | ||||||||
No | QA-P2-2e | ||||||||||
QA-P2-2b | A-P2-2bHave you called Triple Zero (000)?If there's an imminent risk of harm, you should call Triple Zero (000) and ask for ambulance. The operator will ask a serious of questions–for example:
Did Queensland Ambulance Service accept or reject the request for them to immediately respond and return the person? | They accepted it | Outcome0b | ||||||||
They rejected it | QA-P2-2c | ||||||||||
QA-P2-2c | A-P2-2cWhy did ambulance reject a request to act alone?Queensland Ambulance Service may reject a request to act alone (to respond and return an absent person) if they disagree that:
If necessary, immediately notify the treating (or on-call) psychiatrist or clinical director about the situation. You may need to instead call Triple Zero (000) and ask for police. Make sure you advise them of the imminent risk that the absent person will harm themselves and that Queensland Ambulance Service rejected the request to immediately respond. | Continue | QA-P2-2d | ||||||||
QA-P2-2d | A-P2-2dWhat should I do next?You should continue using this assessment to ensure that ambulance assistance is required for returning the absent person. It will help you prepare an Authority to transport absent person form explaining why their assistance is required. It will also assist the treating (or on-call) psychiatrist or clinical director with escalating the matter. Those factors still indicate that you may require ambulance assistance The next few sections will go through each risk factor and provide guidance and examples for completing the Authority to transport absent person form. | Continue | QA-P2-4 | ||||||||
QA-P2-2e | A-P2-2eHave you called Triple Zero (000)?You should call Triple Zero (000) and ask for police instead and advise them that:
A police officer may be able to assist with locating the absent person where immediate ambulance assistance is necessary. Remember, Queensland Ambulance Service are unable to assist until the person's whereabouts are known. Did Queensland Police Service accept or reject the request for assistance with locating the absent person? | They accepted it | Outcome0c | ||||||||
They rejected it | QA-P2-2f | ||||||||||
QA-P2-2f | A-P2-2fWhy did police reject a request to help locate the absent person?Queensland Police Service may reject a request to help locate the absent person (so that immediate ambulance assistance can occur) if they disagree that:
| Continue | QA-P2-2g | ||||||||
QA-P2-2g | A-P2-2gWhat should I do next?If necessary, immediately follow the escalation process in the Chief Psychiatrist policy for Managing involuntary patient absences (at section 4.3.4). You should also continue this assessment to ensure that ambulance (or police) assistance is required for returning (or locating) the absent person. This assessment will help you prepare an Authority to transport absent person form explaining why their assistance is required. It will also assist the treating (or on-call) psychiatrist or clinical director with escalating the matter. Those factors still indicate that you may require ambulance assistance The next few sections will go through each risk factor and provide guidance and examples for completing the Authority to transport absent person form. | Continue | QA-P2-4 | ||||||||
QA-P2-3 | A-P2-3 The next few sections will go through each risk factor and provide guidance and examples for completing the Authority to transport absent person form (if required). | Continue | QA-P2-4 | ||||||||
QA-P2-4 | A-P2-4Suicide or self-harmIn the Authority to transport absent person form, add relevant information to section 6 (assessed level of risk to self and others). Provide context (static, dynamic and protective factors) about identified risks–this may include:
| Continue | QA-P2-5 | ||||||||
See form examples | QA-P2-4-Ex | ||||||||||
QA-P2-4-Ex | A-P2-4-Ex Example 1 Past hanging attempt in July 2020 after hearing about the death of his best (and close) friend from school. Did this while on leave. Consumer timed a rope around his neck and attempted to hang from a door at his family member's house Since July 2020 (and during his admission), he has made threats to stab himself if he was able to get hold of a sharp knife. Generally, these threats occur when the consumer is upset with other consumers or staff Limited history prior to 2021, except when he was first admitted to the secure unit in 2018 where he attempted to choke himself with a large jumper Example 2 Self-harm scars on both forearms from cutting with a knife or sharp blade. Does this when he is upset as he states it helps him calm down | Continue | QA-P2-5 | ||||||||
QA-P2-5 | A-P2-5Evidence of intoxication at time of absenceIn the Authority to transport absent person form, add relevant information to section 9 (clinical considerations). | Continue | QA-P2-6 | ||||||||
See form examples | QA-P2-5-Ex | ||||||||||
QA-P2-5-Ex | A-P2-5-Ex Example 1 Threatening violence, angry and aggressive when last seen. This is out of character when sober Example 2 Consumer has commenced drinking while absent–may be unsteady on his feet, unkept and will find it difficult to have a conversation as he will slur on his words Example 3 During a phone call, to encourage the absent person to return to the hospital, they were slurring their words | Continue | QA-P2-6 | ||||||||
QA-P2-6 | A-P2-6Other relevant health conditionsIn the Authority to transport absent person form, add relevant information to section 9 (clinical considerations). | Continue | QAA-P3-1 | ||||||||
See form examples | QA-P2-6-Ex | ||||||||||
QA-P2-6-Ex | A-P2-6-Ex Example 1 Sensory processing disorder–will become bothered by sounds and textures (that is, thinks lights are too bright, think sounds seem too loud) Avoid the use of lights and sirens where possible Example 2 Will not be taking his medication while absent without approval which means the voices will appear apparent and real to the consumer. Will also have poor hygiene and diet during this period (may not eat while unwell as he may think the food is poisoned) | Continue | QAA-P3-1 | ||||||||
QB-P2-1 | B-P2-1Part 2 of 4Does the (current or past) situation indicate any of the following risk factors or clinical considerations?
| Yes | QB-P2-2 | ||||||||
No | QBB-P3-1 | ||||||||||
QB-P2-2 | B-P2-2These factors may require ambulance assistanceAmbulance officers can support mental health clinicians generally when there are clinical risks related to the patient's physical health. Do any of those factors indicate an imminent risk that the absent person will harm themselves? For example, are they seriously injured or in immediate danger? | Yes | QB-P2-2a | ||||||||
No | QB-P2-3 | ||||||||||
QB-P2-2a | B-P2-2a Do you know where (or approximately where) to locate the absent person? | Yes | QB-P2-2b | ||||||||
No | QB-P2-2e | ||||||||||
QB-P2-2b | B-P2-2bHave you called Triple Zero (000)?If there's an imminent risk of harm, you should call Triple Zero (000) and ask for ambulance. The operator will ask a serious of questions–for example:
Did Queensland Ambulance Service accept or reject the request for them to immediately respond and return the person? | They accepted it | Outcome0b | ||||||||
They rejected it | QB-P2-2c | ||||||||||
QB-P2-2c | B-P2-2cWhy did ambulance reject a request to act alone?Queensland Ambulance Service may reject a request to act alone (to respond and return an absent person) if they disagree that:
If necessary, immediately notify the treating (or on-call) psychiatrist or clinical director about the situation. You may need to instead call Triple Zero (000) and ask for police. Make sure you advise them of the imminent risk that the absent person will harm themselves and that Queensland Ambulance Service rejected the request to immediately respond. | Continue | QB-P2-2d | ||||||||
QB-P2-2d | B-P2-2dWhat should I do next?You should continue this assessment to ensure that ambulance assistance is required for returning the absent person. It will help you prepare an Authority to transport absent person form explaining why their assistance is required. It will also assist the treating (or on-call) psychiatrist or clinical director with escalating the matter. Those factors still indicate that you may require ambulance assistance The next few sections will go through each risk factor and provide guidance and examples for completing the Authority to transport absent person form. | Continue | QB-P2-4 | ||||||||
QB-P2-2e | B-P2-2eHave you called Triple Zero (000)?You should call Triple Zero (000) and ask for police and advise them that:
A police officer may be able to assist with locating the absent person where immediate ambulance assistance is necessary. Remember, Queensland Ambulance Service are unable to assist until the person's whereabouts are known. Did Queensland Police Service accept or reject the request for assistance with locating the absent person? | They accepted it | Outcome0c | ||||||||
They rejected it | QB-P2-2f | ||||||||||
QB-P2-2f | B-P2-2fWhy did police reject a request to help locate the absent person?Queensland Police Service may reject a request to help locate the absent person (so that immediate ambulance assistance can occur) if they disagree that:
| Continue | QB-P2-2g | ||||||||
QB-P2-2g | B-P2-2gWhat should I do next?If necessary, immediately follow the escalation process in the Chief Psychiatrist policy for Managing involuntary patient absences (at section 4.3.4). You should also continue this assessment to ensure that ambulance (or police) assistance is required for returning (or locating) the absent person. It will help you prepare an Authority to transport absent person form explaining why their assistance is required. It will also assist the treating (or on-call) psychiatrist or clinical director with escalating the matter. Those factors still indicate that you may require ambulance assistance The next few sections will go through each risk factor and provide guidance and examples for completing the Authority to transport absent person form. | Continue | QB-P2-4 | ||||||||
QB-P2-3 | B-P2-3 The next few questions will go through each risk factor and provide guidance for completing the Authority to transport absent person form (if required). | Continue | QB-P2-4 | ||||||||
QB-P2-4 | B-P2-4Suicide or self-harmIn the Authority to transport absent person form, add relevant information to section 6 (assessed level of risk to self and others). Provide context (static, dynamic and protective factors) about identified risks–this may include:
| Continue | QB-P2-5 | ||||||||
See form examples | QB-P2-4-Ex | ||||||||||
QB-P2-4-Ex | B-P2-4-Ex Example 1 Past hanging attempt in July 2020 after hearing about the death of his best (and close) friend from school. Did this while on leave. Consumer timed a rope around his neck and attempted to hang from a door at his family member's house Since July 2020 (and during his admission), he has made threats to stab himself if he was able to get hold of a sharp knife. Generally, these threats occur when the consumer is upset with other consumers or staff Limited history prior to 2021, except when he was first admitted to the secure unit in 2018 where he attempted to choke himself with a large jumper Example 2 Self-harm scars on both forearms from cutting with a knife or sharp blade. Does this when he is upset as he states it helps him calm down | Continue | QB-P2-5 | ||||||||
QB-P2-5 | B-P2-5Evidence of intoxication at time of absenceIn the Authority to transport absent person form, add relevant information to section 9 (clinical considerations). | Continue | QB-P2-6 | ||||||||
See form examples | QB-P2-5-Ex | ||||||||||
QB-P2-5-Ex | B-P2-5-Ex Example 1 Threatening violence, angry and aggressive when last seen. This is out of character when sober Example 2 Consumer has commenced drinking while absent–may be unsteady on his feet, unkept and will find it difficult to have a conversation as he will slur on his words Example 3 During a phone call, to encourage the absent person to return to the hospital, they were slurring their words | Continue | QB-P2-6 | ||||||||
QB-P2-6 | B-P2-6Other relevant health conditionsIn the Authority to transport absent person form, add relevant information to section 9 (clinical considerations). | Continue | QBA-P3-1 | ||||||||
See form examples | QB-P2-6-Ex | ||||||||||
QB-P2-6-Ex | B-P2-6-Ex Example 1 Sensory processing disorder–will become bothered by sounds and textures (that is, thinks lights are too bright, think sounds seem too loud) Avoid the use of lights and sirens where possible Example 2 Will not be taking his medication while absent without approval which means the voices will appear apparent and real to the consumer. Will also have poor hygiene and diet during this period (may not eat while unwell as he may think the food is poisoned) | Continue | QBA-P3-1 | ||||||||
QAA-P3-1 | AA-P3-1Part 3 of 4Does the (current or past) situation indicate any of the following clinical considerations?
| Yes | QAA-P3-2 | ||||||||
No | QAAB-P4-1 | ||||||||||
QAA-P3-2 | AA-P3-2These factors require mental health clinician attendanceMental health clinicians provide the necessary expertise to manage clinical risks relating to the person's mental illness. Remember, they also lead the responses to (and prevention of) patients absent without approval regardless of whether the above factors are indicated. | Continue | QAA-P3-3 | ||||||||
QAA-P3-3 | AA-P3-3Which mental health clinician should attend?This depends on the level of clinical expertise required, it may involve either:
The circumstances of the situation will also affect whether a clinician is required from an inpatient unit or community mental health service. The next few sections will go through each risk factor and provide guidance and examples for completing the Authority to transport absent person form. | Continue | QAA-P3-4 | ||||||||
QAA-P3-4 | AA-P3-4Mechanical restraint and administering medication (sedating)In the Authority to transport absent person form, add relevant information to section 9 (clinical considerations) under 'active signs of mental illness.' Remember, in these circumstances you must follow the:
| Continue | QAA-P3-5 | ||||||||
See form examples | QAA-P3-4-Ex | ||||||||||
QAA-P3-4-Ex | AA-P3-4-Ex Example 1 ... Example 2 ... | Continue | QAA-P3-5 | ||||||||
QAA-P3-5 | AA-P3-5Highly distressed or acute mental health problemsIn the Authority to transport absent person form, go to section 9 (clinical considerations) and add relevant information to 'active signs of mental illness.' | Continue | QAAA-P4-1 | ||||||||
See form examples | QAA-P3-5-Ex | ||||||||||
QAA-P3-5-Ex | AA-P3-5-Ex Example 1 Morbid jealousy–when unwell the consumer becomes very suspicious that his wife is having an affair He becomes very preoccupied with this belief in the absence of any evidence (making them agitated and angry) Example 2
| Continue | QAAA-P4-1 | ||||||||
QAB-P3-1 | AB-P3-1Part 3 of 4Does the (current or past) situation indicate any of the following clinical considerations?
| Yes | QAB-P3-2 | ||||||||
No | QABB-P4-1 | ||||||||||
QAB-P3-2 | AB-P3-2These factors require mental health clinician attendanceMental health clinicians provide the necessary expertise to manage clinical risks relating to the person's mental illness. Remember, they also lead the responses to (and prevention of) patients absent without approval regardless of whether the above factors are indicated. | Continue | QAB-P3-3 | ||||||||
QAB-P3-3 | AB-P3-3Which mental health clinician should attend?This depends on the level of clinical expertise required, it may involve either:
The circumstances of the situation will also affect whether a clinician is required from an inpatient unit or community mental health service. The next few sections will go through each risk factor and provide guidance and examples for completing the Authority to transport absent person form. | Continue | QAB-P3-4 | ||||||||
QAB-P3-4 | AB-P3-4Mechanical restraint and administering medication (sedating)In the Authority to transport absent person form, add relevant information to section 9 (clinical considerations) under 'active signs of mental illness.' Remember, in these circumstances you must follow the:
| Continue | QAB-P3-5 | ||||||||
See form examples | QAB-P3-4-Ex | ||||||||||
QAB-P3-4-Ex | AB-P3-4-Ex Example 1 ... Example 2 ... | Continue | QAB-P3-5 | ||||||||
QAB-P3-5 | AB-P3-5Highly distressed or acute mental health problemsIn the Authority to transport absent person form, add relevant information to section 9 (clinical considerations) under 'active signs of mental illness.' | Continue | QABA-P4-1 | ||||||||
See form examples | QAB-P3-5-Ex | ||||||||||
QAB-P3-5-Ex | AB-P3-5-Ex Example 1 Morbid jealousy–when unwell the consumer becomes very suspicious that his wife is having an affair He becomes very preoccupied with this belief in the absence of any evidence (making them agitated and angry) Example 2
| Continue | QABA-P4-1 | ||||||||
QBA-P3-1 | BA-P3-1Part 3 of 4Does the (current or past) situation indicate any of the following clinical considerations?
| Yes | QBA-P3-2 | ||||||||
No | QBAB-P4-1 | ||||||||||
QBA-P3-2 | BA-P3-2These factors require mental health clinician attendanceMental health clinicians provide the necessary expertise to manage clinical risks relating to the person's mental illness. Remember, they also lead the responses to (and prevention of) patients absent without approval regardless of whether the above factors are indicated. | Continue | QBA-P3-3 | ||||||||
QBA-P3-3 | BA-P3-3Which mental health clinician should attend?This depends on the level of clinical expertise required, it may involve either:
The circumstances of the situation will also affect whether a clinician is required from an inpatient unit or community mental health service. The next few sections will go through each risk factor and provide guidance and examples for completing the Authority to transport absent person form. | Continue | QBA-P3-4 | ||||||||
QBA-P3-4 | BA-P3-4Mechanical restraint and administering medication (sedating)In the Authority to transport absent person form, add relevant information to section 9 (clinical considerations) under 'active signs of mental illness.' Remember, in these circumstances you must follow the:
| Continue | QBA-P3-5 | ||||||||
See form examples | QBA-P3-4-Ex | ||||||||||
QBA-P3-4-Ex | BA-P3-4-Ex Example 1 ... Example 2 ... | Continue | QBA-P3-5 | ||||||||
QBA-P3-5 | BA-P3-5Highly distressed or acute mental health problemsIn the Authority to transport absent person form, add relevant information to section 9 (clinical considerations) under 'active signs of mental illness.' | Continue | QBAA-P4-1 | ||||||||
See form examples | QBA-P3-5-Ex | ||||||||||
QBA-P3-5-Ex | BA-P3-5-Ex Example 1 Morbid jealousy–when unwell the consumer becomes very suspicious that his wife is having an affair He becomes very preoccupied with this belief in the absence of any evidence (making them agitated and angry) Example 2
| Continue | QBAA-P4-1 | ||||||||
QBB-P3-1 | BB-P3-1Part 3 of 4Does the (current or past) situation indicate any of the following clinical considerations?
| Yes | QBB-P3-2 | ||||||||
No | QBBB-P4-1 | ||||||||||
QBB-P3-2 | BB-P3-2These factors require mental health clinician attendanceMental health clinicians provide the necessary expertise to manage clinical risks relating to the person's mental illness. Remember, they also lead the responses to (and prevention of) patients absent without approval regardless of whether the above factors are indicated. | Continue | QBB-P3-3 | ||||||||
QBB-P3-3 | BB-P3-3Which mental health clinician should attend?This depends on the level of clinical expertise required, it may involve either:
The circumstances of the situation will also affect whether a clinician is required from an inpatient unit or community mental health service. The next few sections will go through each risk factor and provide guidance and examples for completing the Authority to transport absent person form. | Continue | QBB-P3-4 | ||||||||
QBB-P3-4 | BB-P3-4Mechanical restraint and administering medication (sedating)In the Authority to transport absent person form, add relevant information to section 9 (clinical considerations) under 'active signs of mental illness.' Remember, in these circumstances you must follow the:
| Continue | QBB-P3-5 | ||||||||
See form examples | QBB-P3-4-Ex | ||||||||||
QBB-P3-4-Ex | BB-P3-4-Ex Example 1 ... Example 2 ... | Continue | QBB-P3-5 | ||||||||
QBB-P3-5 | BB-P3-5Highly distressed or acute mental health problemsIn the Authority to transport absent person form, add relevant information to section 9 (clinical considerations) under 'active signs of mental illness.' | Continue | QBBA-P4-1 | ||||||||
See form examples | QBB-P3-5-Ex | ||||||||||
QBB-P3-5-Ex | BB-P3-5-Ex Example 1 Morbid jealousy–when unwell the consumer becomes very suspicious that his wife is having an affair He becomes very preoccupied with this belief in the absence of any evidence (making them agitated and angry) Example 2
| Continue | QBBA-P4-1 | ||||||||
QAAA-P4-1 | AA-P4-1Part 4 of 4Does the (current or past) situation indicate any of the following risk factors or clinical considerations?
| Yes | QAAA-P4-2 | ||||||||
No | Outcome4 | ||||||||||
QAAA-P4-2 | AA-P4-2These factors may require assistance from police, ambulance or mental health cliniciansThe next few sections will go through each factor and provide guidance and examples for completing the Authority to transport absent person form. | Continue | QAAA-P4-3 | ||||||||
QAAA-P4-3 | AA-P4-3Communication considerationsIn the Authority to transport absent person form, add relevant information to section 9 (clinical considerations). Remember, you may find this information in an existing Police and ambulance intervention plan. | Continue | QAAA-P4-4 | ||||||||
See form examples | QAAA-P4-3-Ex | ||||||||||
QAAA-P4-3-Ex | AA-P4-3-Ex Example 1 The consumer does not trust police officers and is uncooperative if they are present, but gets along well with ambulance officers Example 2 When speaking to the consumer, address them as "Liz" only. They are known to react negatively (instantly becoming obstructive and uncooperative) if they are called "Elizabeth," "Lizzie" or "mate" Example 3 Known history of inhalant misuse. Please do not give chase if they appear to be concealing a bottle or spray can in their shirt (as a sudden rush of adrenaline combined with inhalants can cause heart failure and death) Example 4 The consumer continually refuses to cooperate with mental health clinicians attempting to transport them to the service for a monthly injection of medication However, they consistently cooperate if a police officer is present (avoiding the need for restrictive practices, such as mechanical restraint or sedation to transport them) | Continue | QAAA-P4-4 | ||||||||
QAAA-P4-4 | AA-P4-4Vulnerability and history of trauma or abuseIn the Authority to transport absent person form, add relevant information to:
Remember, you may find this information in an existing Police and ambulance intervention plan. | Continue | Outcome4 | ||||||||
See form examples | QAAA-P4-4-Ex | ||||||||||
QAAA-P4-4-Ex | AA-P4-4-ExExamples for section 6 (assessed level of risk to self or others)Example 1 ... Example 2 ... Examples for section 9 (clinical considerations)Example 1 ... Example 2 ... | Continue | Outcome4 | ||||||||
QABA-P4-1 | AB-P4-1Part 4 of 4Does the (current or past) situation indicate any of the following risk factors or clinical considerations?
| Yes | QABA-P4-2 | ||||||||
No | Outcome3 | ||||||||||
QABA-P4-2 | AB-P4-2These factors may require assistance from police, ambulance or mental health cliniciansThe next few sections will go through each factor and provide guidance and examples for completing the Authority to transport absent person form. | Continue | QABA-P4-3 | ||||||||
QABA-P4-3 | AB-P4-3Communication considerationsIn the Authority to transport absent person form, add relevant information to section 9 (clinical considerations). Remember, you may find this information in an existing Police and ambulance intervention plan. | Continue | QABA-P4-4 | ||||||||
See form examples | QABA-P4-3-Ex | ||||||||||
QABA-P4-3-Ex | AB-P4-3-Ex Example 1 The consumer does not trust police officers and is uncooperative if they are present, but gets along well with ambulance officers Example 2 When speaking to the consumer, address them as "Liz" only. They are known to react negatively (instantly becoming obstructive and uncooperative) if they are called "Elizabeth," "Lizzie" or "mate" Example 3 Known history of inhalant misuse. Please do not give chase if they appear to be concealing a bottle or spray can in their shirt (as a sudden rush of adrenaline combined with inhalants can cause heart failure and death) Example 4 The consumer continually refuses to cooperate with mental health clinicians attempting to transport them to the service for a monthly injection of medication However, they consistently cooperate if a police officer is present (avoiding the need for restrictive practices, such as mechanical restraint or sedation to transport them) | Continue | QABA-P4-4 | ||||||||
QABA-P4-4 | AB-P4-4Vulnerability and history of trauma or abuseIn the Authority to transport absent person form, add relevant information to:
Remember, you may find this information in an existing Police and ambulance intervention plan. | Continue | QABA-P4-5 | ||||||||
See form examples | QABA-P4-4-Ex | ||||||||||
QABA-P4-4-Ex | AB-P4-4-ExExamples for section 6 (assessed level of risk to self or others)Example 1 ... Example 2 ... Examples for section 9 (clinical considerations)Example 1 ... Example 2 ... | Continue | QABA-P4-5 | ||||||||
QABA-P4-5 | AB-P4-5 Consider what you just added to the Authority to transport absent person form for these factors:
Did it indicate that ambulance assistance may be required for the current situation? | Yes | Outcome4 | ||||||||
No | Outcome3 | ||||||||||
QBAA-P4-1 | BA-P4-1Part 4 of 4Does the (current or past) situation indicate any of the following risk factors or clinical considerations?
| Yes | QBAA-P4-2 | ||||||||
No | Outcome2 | ||||||||||
QBAA-P4-2 | BA-P4-2These factors may require assistance from police, ambulance or mental health cliniciansThe next few sections will go through each factor and provide guidance and examples for completing the Authority to transport absent person form. | Continue | QBAA-P4-3 | ||||||||
QBAA-P4-3 | BA-P4-3Communication considerationsIn the Authority to transport absent person form, add relevant information to section 9 (clinical considerations). Remember, you may find this information in an existing Police and ambulance intervention plan. | Continue | QBAA-P4-4 | ||||||||
See form examples | QBAA-P4-3-Ex | ||||||||||
QBAA-P4-3-Ex | BA-P4-3-Ex Example 1 The consumer does not trust police officers and is uncooperative if they are present, but gets along well with ambulance officers Example 2 When speaking to the consumer, address them as "Liz" only. They are known to react negatively (instantly becoming obstructive and uncooperative) if they are called "Elizabeth," "Lizzie" or "mate" Example 3 Known history of inhalant misuse. Please do not give chase if they appear to be concealing a bottle or spray can in their shirt (as a sudden rush of adrenaline combined with inhalants can cause heart failure and death) Example 4 The consumer continually refuses to cooperate with mental health clinicians attempting to transport them to the service for a monthly injection of medication However, they consistently cooperate if a police officer is present (avoiding the need for restrictive practices, such as mechanical restraint or sedation to transport them) | Continue | QBAA-P4-4 | ||||||||
QBAA-P4-4 | BA-P4-4Vulnerability and history of trauma or abuseIn the Authority to transport absent person form, add relevant information to:
Remember, you may find this information in an existing Police and ambulance intervention plan. | Continue | QBAA-P4-5 | ||||||||
See form examples | QBAA-P4-4-Ex | ||||||||||
QBAA-P4-4-Ex | BA-P4-4-ExExamples for section 6 (assessed level of risk to self or others)Example 1 ... Example 2 ... Examples for section 9 (clinical considerations)Example 1 ... Example 2 ... | Continue | QBAA-P4-5 | ||||||||
QBAA-P4-5 | BA-P4-5 Consider what you just added to the Authority to transport absent person form for these factors:
Did it indicate that police assistance may be required for the current situation? | Yes | Outcome4 | ||||||||
No | Outcome2 | ||||||||||
QBBA-P4-1 | BB-P4-1Part 4 of 4Does the (current or past) situation indicate any of the following risk factors or clinical considerations?
| Yes | QBBA-P4-2 | ||||||||
No | Outcome1 | ||||||||||
QABA-P4-2 | AB-P4-2These factors may require assistance from police, ambulance or mental health cliniciansThe next few sections will go through each factor and provide guidance and examples for completing the Authority to transport absent person form. | Continue | QBBA-P4-3 | ||||||||
QBBA-P4-3 | BB-P4-3Communication considerationsIn the Authority to transport absent person form, add relevant information to section 9 (clinical considerations). Remember, you may find this information in an existing Police and ambulance intervention plan. | Continue | QBBA-P4-4 | ||||||||
See form examples | QBBA-P4-3-Ex | ||||||||||
QBBA-P4-3-Ex | BB-P4-3-Ex Example 1 The consumer does not trust police officers and is uncooperative if they are present, but gets along well with ambulance officers Example 2 When speaking to the consumer, address them as "Liz" only. They are known to react negatively (instantly becoming obstructive and uncooperative) if they are called "Elizabeth," "Lizzie" or "mate" Example 3 Known history of inhalant misuse. Please do not give chase if they appear to be concealing a bottle or spray can in their shirt (as a sudden rush of adrenaline combined with inhalants can cause heart failure and death) Example 4 The consumer continually refuses to cooperate with mental health clinicians attempting to transport them to the service for a monthly injection of medication However, they consistently cooperate if a police officer is present (avoiding the need for restrictive practices, such as mechanical restraint or sedation to transport them) | Continue | QBBA-P4-4 | ||||||||
QBBA-P4-4 | BB-P4-4Vulnerability and history of trauma or abuseIn the Authority to transport absent person form, add relevant information to:
Remember, you may find this information in an existing Police and ambulance intervention plan. | Continue | QBBA-P4-5 | ||||||||
See form examples | QBBA-P4-4-Ex | ||||||||||
QBBA-P4-4-Ex | BB-P4-4-ExExamples for section 6 (assessed level of risk to self or others)Example 1 ... Example 2 ... Examples for section 9 (clinical considerations)Example 1 ... Example 2 ... | Continue | QBBA-P4-5 | ||||||||
QBBA-P4-5 | BB-P4-5 Consider what you just added to the Authority to transport absent person form for these factors:
Did it indicate that ambulance or police assistance may be required for the current situation? | Police | Outcome3 | ||||||||
Ambulance | Outcome2 | ||||||||||
Both | Outcome4 | ||||||||||
Neither | Outcome1 | ||||||||||
QAAB-P4-1 | AA-P4-1Part 4 of 4Does the (current or past) situation indicate any of the following risk factors or clinical considerations?
| Yes | QAAB-P4-2 | ||||||||
No | Outcome4a | ||||||||||
QAAB-P4-2 | AA-P4-2These factors may require assistance from police, ambulance or mental health cliniciansThe next few sections will go through each factor and provide guidance and examples for completing the Authority to transport absent person form. | Continue | QAAB-P4-3 | ||||||||
QAAB-P4-3 | AA-P4-3Communication considerationsIn the Authority to transport absent person form, add relevant information to section 9 (clinical considerations). Remember, you may find this information in an existing Police and ambulance intervention plan. | Continue | QAAB-P4-4 | ||||||||
See form examples | QAAB-P4-3-Ex | ||||||||||
QAAB-P4-3-Ex | AA-P4-3-Ex Example 1 The consumer does not trust police officers and is uncooperative if they are present, but gets along well with ambulance officers Example 2 When speaking to the consumer, address them as "Liz" only. They are known to react negatively (instantly becoming obstructive and uncooperative) if they are called "Elizabeth," "Lizzie" or "mate" Example 3 Known history of inhalant misuse. Please do not give chase if they appear to be concealing a bottle or spray can in their shirt (as a sudden rush of adrenaline combined with inhalants can cause heart failure and death) Example 4 The consumer continually refuses to cooperate with mental health clinicians attempting to transport them to the service for a monthly injection of medication However, they consistently cooperate if a police officer is present (avoiding the need for restrictive practices, such as mechanical restraint or sedation to transport them) | Continue | QAAB-P4-4 | ||||||||
QAAB-P4-4 | AA-P4-4Vulnerability and history of trauma or abuseIn the Authority to transport absent person form, add relevant information to:
Remember, you may find this information in an existing Police and ambulance intervention plan. | Continue | Outcome4a | ||||||||
See form examples | QAAB-P4-4-Ex | ||||||||||
QAAB-P4-4-Ex | AA-P4-4-ExExamples for section 6 (assessed level of risk to self or others)Example 1 ... Example 2 ... Examples for section 9 (clinical considerations)Example 1 ... Example 2 ... | Continue | Outcome4a | ||||||||
QABB-P4-1 | AB-P4-1Part 4 of 4Does the (current or past) situation indicate any of the following risk factors or clinical considerations?
| Yes | QABB-P4-2 | ||||||||
No | Outcome3a | ||||||||||
QABB-P4-2 | AB-P4-2These factors may require assistance from police, ambulance or mental health cliniciansThe next few sections will go through each factor and provide guidance and examples for completing the Authority to transport absent person form. | Continue | QABB-P4-3 | ||||||||
QABB-P4-3 | AB-P4-3Communication considerationsIn the Authority to transport absent person form, add relevant information to section 9 (clinical considerations). Remember, you may find this information in an existing Police and ambulance intervention plan. | Continue | QABB-P4-4 | ||||||||
See form examples | QABB-P4-3-Ex | ||||||||||
QABB-P4-3-Ex | AB-P4-3-Ex Example 1 The consumer does not trust police officers and is uncooperative if they are present, but gets along well with ambulance officers Example 2 When speaking to the consumer, address them as "Liz" only. They are known to react negatively (instantly becoming obstructive and uncooperative) if they are called "Elizabeth," "Lizzie" or "mate" Example 3 Known history of inhalant misuse. Please do not give chase if they appear to be concealing a bottle or spray can in their shirt (as a sudden rush of adrenaline combined with inhalants can cause heart failure and death) Example 4 The consumer continually refuses to cooperate with mental health clinicians attempting to transport them to the service for a monthly injection of medication However, they consistently cooperate if a police officer is present (avoiding the need for restrictive practices, such as mechanical restraint or sedation to transport them) | Continue | QABB-P4-4 | ||||||||
QABB-P4-4 | AB-P4-4Vulnerability and history of trauma or abuseIn the Authority to transport absent person form, add relevant information to:
Remember, you may find this information in an existing Police and ambulance intervention plan. | Continue | QABB-P4-5 | ||||||||
See form examples | QABB-P4-4-Ex | ||||||||||
QABB-P4-4-Ex | AB-P4-4-ExExamples for section 6 (assessed level of risk to self or others)Example 1 ... Example 2 ... Examples for section 9 (clinical considerations)Example 1 ... Example 2 ... | Continue | QABB-P4-5 | ||||||||
QABB-P4-5 | AB-P4-5 Consider what you just added to the Authority to transport absent person form for these factors:
Did it indicate that ambulance assistance may be required for the current situation? | Yes | Outcome4a | ||||||||
No | Outcome3a | ||||||||||
QBAB-P4-1 | BA-P4-1Part 4 of 4Does the (current or past) situation indicate any of the following risk factors or clinical considerations?
| Yes | QBAB-P4-2 | ||||||||
No | Outcome2a | ||||||||||
QBAB-P4-2 | BA-P4-2These factors may require assistance from police, ambulance or mental health cliniciansThe next few sections will go through each factor and provide guidance and examples for completing the Authority to transport absent person form. | Continue | QBAB-P4-3 | ||||||||
QBAB-P4-3 | BA-P4-3Communication considerationsIn the Authority to transport absent person form, add relevant information to section 9 (clinical considerations). Remember, you may find this information in an existing Police and ambulance intervention plan. | Continue | QBAB-P4-4 | ||||||||
See form examples | QBAB-P4-3-Ex | ||||||||||
QBAB-P4-3-Ex | BA-P4-3-Ex Example 1 The consumer does not trust police officers and is uncooperative if they are present, but gets along well with ambulance officers Example 2 When speaking to the consumer, address them as "Liz" only. They are known to react negatively (instantly becoming obstructive and uncooperative) if they are called "Elizabeth," "Lizzie" or "mate" Example 3 Known history of inhalant misuse. Please do not give chase if they appear to be concealing a bottle or spray can in their shirt (as a sudden rush of adrenaline combined with inhalants can cause heart failure and death) Example 4 The consumer continually refuses to cooperate with mental health clinicians attempting to transport them to the service for a monthly injection of medication However, they consistently cooperate if a police officer is present (avoiding the need for restrictive practices, such as mechanical restraint or sedation to transport them) | Continue | QBAB-P4-4 | ||||||||
QBAB-P4-4 | BA-P4-4Vulnerability and history of trauma or abuseIn the Authority to transport absent person form, add relevant information to:
Remember, you may find this information in an existing Police and ambulance intervention plan. | Continue | QBAB-P4-5 | ||||||||
See form examples | QBAB-P4-4-Ex | ||||||||||
QBAB-P4-4-Ex | BA-P4-4-ExExamples for section 6 (assessed level of risk to self or others)Example 1 ... Example 2 ... Examples for section 9 (clinical considerations)Example 1 ... Example 2 ... | Continue | QBAB-P4-5 | ||||||||
QBAB-P4-5 | BA-P4-5 Consider what you just added to the Authority to transport absent person form for these factors:
Did it indicate that police assistance may be required for the current situation? | Yes | Outcome4a | ||||||||
No | Outcome2a | ||||||||||
QBBB-P4-1 | BB-P4-1Part 4 of 4Does the (current or past) situation indicate any of the following risk factors or clinical considerations?
| Yes | QBBB-P4-2 | ||||||||
No | Outcome1a | ||||||||||
QBBB-P4-2 | BB-P4-2These factors may require assistance from police, ambulance or mental health cliniciansThe next few sections will go through each factor and provide guidance and examples for completing the Authority to transport absent person form. | Continue | QBBB-P4-3 | ||||||||
QBBB-P4-3 | BB-P4-3Communication considerationsIn the Authority to transport absent person form, add relevant information to section 9 (clinical considerations). Remember, you may find this information in an existing Police and ambulance intervention plan. | Continue | QBBB-P4-4 | ||||||||
See form examples | QBBB-P4-3-Ex | ||||||||||
QBBB-P4-3-Ex | BB-P4-3-Ex Example 1 The consumer does not trust police officers and is uncooperative if they are present, but gets along well with ambulance officers Example 2 When speaking to the consumer, address them as "Liz" only. They are known to react negatively (instantly becoming obstructive and uncooperative) if they are called "Elizabeth," "Lizzie" or "mate" Example 3 Known history of inhalant misuse. Please do not give chase if they appear to be concealing a bottle or spray can in their shirt (as a sudden rush of adrenaline combined with inhalants can cause heart failure and death) Example 4 The consumer continually refuses to cooperate with mental health clinicians attempting to transport them to the service for a monthly injection of medication However, they consistently cooperate if a police officer is present (avoiding the need for restrictive practices, such as mechanical restraint or sedation to transport them) | Continue | QBBB-P4-4 | ||||||||
QBBB-P4-4 | BB-P4-4Vulnerability and history of trauma or abuseIn the Authority to transport absent person form, add relevant information to:
Remember, you may find this information in an existing Police and ambulance intervention plan. | Continue | QBBB-P4-5 | ||||||||
See form examples | QBBB-P4-4-Ex | ||||||||||
QBBB-P4-4-Ex | BB-P4-4-ExExamples for section 6 (assessed level of risk to self or others)Example 1 ... Example 2 ... Examples for section 9 (clinical considerations)Example 1 ... Example 2 ... | Continue | QBBB-P4-5 | ||||||||
QBBB-P4-5 | BB-P4-5 Consider what you just added to the Authority to transport absent person form for these factors:
Did it indicate that ambulance or police assistance may be required for the current situation? | Police | Outcome3a | ||||||||
Ambulance | Outcome2a | ||||||||||
Both | Outcome4a | ||||||||||
Neither | Outcome1a |
Outcome0a
You need to authorise an involuntary return for police
Because they've confirmed they will immediately respond and return the absent person (given the imminent risk to themselves or others), you must prepare an authority to transport absent person form for emergency services.
Outcome0b
You need to authorise an involuntary return for ambulance
Because they've confirmed they will immediately respond and return the absent person (given the imminent risk to themselves or others), you must prepare an authority to transport absent person form for emergency services.
Outcome0c
You need to authorise an involuntary return for ambulance and police
Whilst police officers are attempting to locate the absent person, you must prepare an Authority to transport absent person form for emergency services.
Remember, you should authorise both police officers and ambulance officers on the form so that ambulance officers have the necessary powers to transport the absent person (once police locate them).
Next steps
See preparing an authority to transport absent person form for emergency services.
Outcome1
Mental health clinicians can act alone to return the absent person
Based on your assessment of risk and clinical considerations, you don't appear to require ambulance or police to help you return the absent person. If the situation changes you might need to assess risk and clinical considerations again.
Remember, the type of mental health clinician that attempts to return the absent person will depend on the level of clinical expertise required.
Next steps
The Mental Health Act 2016 requires you to consider attempting a voluntary return first.
Outcome1a
Mental health clinicians can act alone to return the absent person
Based on your assessment of risk and clinical considerations, you don't appear to require ambulance or police to help you return the absent person. If the situation changes you might need to assess risk and clinical considerations again.
Remember, mental health clinicians lead the response for returning absent patients, regardless of whether mental health clinical considerations are indicated
The type of mental health clinician that attempts to return the absent person will depend on the level of clinical expertise required. It may involve either:
- an authorised psychiatrist
- an authorised doctor
- an authorised mental health practitioner–for example:
- a nurse practitioner
- a clinical or registered nurse
- a psychologist
- a social worker
- an occupational therapist
The circumstances of the situation will also affect whether a clinician is required from an inpatient unit or community mental health service.
Next steps
The Mental Health Act 2016 requires you to consider attempting a voluntary return first.
Outcome2
You may need to coordinate a return with ambulance officers
Your assessment of risk and clinical considerations indicates that ambulance assistance may also be required to return the absent person.
During a coordinated return:
- mental health clinicians lead the response for returning absent patients, and provide the necessary expertise to manage clinical considerations relating to the person's mental illness
- ambulance officers can assist by managing clinical considerations relating to the person's physical health.
Remember, the type of mental health clinician that attempts to return the absent person will depend on the level of clinical expertise required.
Next steps
Unless there's an immediate risk that the absent person may harm themselves, the Mental Health Act 2016 requires you to consider attempting a voluntary return first.
Outcome2a
You may need to coordinate a return with ambulance officers
Your assessment of risk and clinical considerations indicates that ambulance assistance may also be required to return the absent person.
During a coordinated return:
- mental health clinicians lead the response for returning absent patients, regardless of whether mental health clinical considerations are indicated
- ambulance officers can assist by managing clinical considerations relating to the person's physical health.
Remember, the type of mental health clinician that attempts to return the absent person will depend on the level of clinical expertise required. It may involve either:
- an authorised psychiatrist
- an authorised doctor
- an authorised mental health practitioner–for example:
- a nurse practitioner
- a clinical or registered nurse
- a psychologist
- a social worker
- an occupational therapist
The circumstances of the situation will also affect whether a clinician is required from an inpatient unit or community mental health service.
Next steps
Unless there's an immediate risk that the absent person may harm themselves, the Mental Health Act 2016 requires you to consider attempting a voluntary return first.
Outcome3
You may need to coordinate a return with police officers
Your assessment of risk and clinical considerations indicates that police assistance may also be required to return the absent person.
During a coordinated return:
- mental health clinicians lead the response for returning absent patients, and provide the necessary expertise to manage clinical considerations relating to the person's mental illness
- police officers can assist by managing serious risks to the absent person or others (that cannot be safely managed by others).
Next steps
Unless there's an immediate risk that the absent person may harm themselves or others, the Mental Health Act 2016 requires you to consider attempting a voluntary return first.
Outcome3a
You may need to coordinate a return with police officers
Your assessment of risk and clinical considerations indicates that police assistance may also be required to return the absent person.
During a coordinated return:
- mental health clinicians lead the response for returning absent patients, regardless of whether mental health clinical considerations are indicated
- police officers can assist by managing serious risks to the absent person or others (that cannot be safely managed by others).
Remember, the type of mental health clinician that attempts to return the absent person will depend on the level of clinical expertise required. It may involve either:
- an authorised psychiatrist
- an authorised doctor
- an authorised mental health practitioner–for example:
- a nurse practitioner
- a clinical or registered nurse
- a psychologist
- a social worker
- an occupational therapist
The circumstances of the situation will also affect whether a clinician is required from an inpatient unit or community mental health service.
Next steps
Unless there's an immediate risk that the absent person may harm themselves or others, the Mental Health Act 2016 requires you to consider attempting a voluntary return first.
Outcome4
You may need to coordinate a return with ambulance and police officers
Your assessment of risk and clinical considerations indicates that both ambulance and police assistance may also be required to return the absent person.
During a coordinated return:
- mental health clinicians lead the response for returning absent patients, and provide the necessary expertise to manage clinical considerations relating to the person's mental illness
- ambulance officers can assist by managing clinical considerations relating to the person's physical health
- police officers can assist by managing serious risks to the absent person or others (that cannot be safely managed by others).
Remember, the type of mental health clinician that attempts to return the absent person will depend on the level of clinical expertise required.
Next steps
Unless there's an immediate risk that the absent person may harm themselves or others, the Mental Health Act 2016 requires you to consider attempting a voluntary return first.
Outcome4a
You may need to coordinate a return with ambulance and police officers
Your assessment of risk and clinical considerations indicates that both ambulance and police assistance may also be required to return the absent person.
During a coordinated return:
- mental health clinicians lead the response for returning absent patients, regardless of whether mental health clinical considerations are indicated
- ambulance officers can assist by managing clinical considerations relating to the person's physical health
- police officers can assist by managing serious risks to the absent person or others (that cannot be safely managed by others).
Remember, the type of mental health clinician that attempts to return the absent person will depend on the level of clinical expertise required. It may involve either:
- an authorised psychiatrist
- an authorised doctor
- an authorised mental health practitioner–for example:
- a nurse practitioner
- a clinical or registered nurse
- a psychologist
- a social worker
- an occupational therapist
The circumstances of the situation will also affect whether a clinician is required from an inpatient unit or community mental health service.
Next steps
Unless there's an immediate risk that the absent person may harm themselves or others, the Mental Health Act 2016 requires you to consider attempting a voluntary return first.