CHAT Tool - Offender Health Research Network

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Health Recommendations/Outstanding Actions for Young Person Problem/Issue Intervention/Action Required Goal Responsible Person Summary of any current or previous Physical Health concerns: Summary of any current or previous Substance Misuse concerns: Surname: DOB: Forenames: NHS Number: CHAT Tool Secure Estate (Version 3 - June 2013) 105 | P age
Summary of any current or previous Mental Health concerns: Summary of any current or previous Neurodisability concerns: Summary of any current or Surname: DOB: Forenames: NHS Number: CHAT Tool Secure Estate (Version 3 - June 2013) 106 | P age
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Comprehensive Health Assessment Too
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Mental Health Assessment No Yes Is
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CHAT RECEPTION SCREEN • Every you
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Medical and Psychiatric History Doc
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5. Do you have DIABETES MELLITUS If
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Reception Screen Section Two: Subst
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6. Is the young person withdrawing
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Tick No or Yes as appropriate for e
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Documents you have access to at the
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CHAT Immediate Care Plan Name: DOB:
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Substance Misuse Service No Yes No
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Is the young person subject to a CH
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MMR BCG HPV Hep A Hep B Typhoid Flu
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Disability and Impairment Invitatio
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Physical Health Summary/Review Summ
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Do the accompanying documents or in
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Drug/Alcohol History and Misuse (Co
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Drug/Alcohol History and Misuse (Co
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Withdrawal - These symptoms are der
Page 55 and 56: DRUG/ALCOHOL USE Where do you usual
Page 57 and 58: Employment E.g. lack of qualificati
Page 59 and 60: Risk Review Tick No or Yes as appro
Page 61 and 62: CHAT MENTAL HEALTH ASSESSMENT • E
Page 63 and 64: Tick No or Yes as appropriate for e
Page 83 and 84: CHAT NEURODISABILITY ASSESSMENT •
Page 87 and 88: After a head injury or accident som
Page 89 and 90: NARRATIVE TASK Ask the young person
Page 91 and 92: Learning Disability and Educational
Page 93 and 94: INFORMATION FROM THE YOUNG PERSON T
Page 95 and 96: Autistic Spectrum Disorder Start by
Page 97 and 98: Section 3: In social interactions d
Page 101 and 102: Name: CHAT CARE PLAN DOB: Date: NHS
Page 103 and 104: Problem/Issue Intervention/Action R
Page 105: Initial Weight: Date: Discharge Wei
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CHAT Tool - Offender Health Research Network

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