CHAT Tool - Offender Health Research Network
CHAT Tool - Offender Health Research Network
CHAT Tool - Offender Health Research Network
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Reception Screen Section Three: Mental <strong>Health</strong> Concerns<br />
One YES then complete RELEVANT SECTIONS of the Mental <strong>Health</strong> Assessment BEFORE first night. Otherwise<br />
complete within 3 days.<br />
Tick No or Yes as appropriate for each question and include additional notes No Yes<br />
1. Do you have a previous or current history of any mental health problems e.g.<br />
ADHD or depression<br />
Are you taking any MEDICATION for any mental health problems<br />
2. How are you feeling at the moment<br />
Do you feel constantly low in mood or angry PERSISTENT LOW MOOD<br />
If Yes - Have you experienced any of the following recently (for at least 2 weeks):<br />
loss of appetite, sleep disturbance, feelings of hopelessness, worthlessness or<br />
guilt<br />
3. Is the young person using any UNUSUAL SPEECH – Is the young person using words<br />
and phrases in an odd or bizarre way e.g. jumbled words/disjointed or rapid speech<br />
Surname:<br />
DOB:<br />
Forenames:<br />
NHS Number:<br />
<strong>CHAT</strong> <strong>Tool</strong> Secure Estate (Version 3 - June 2013)<br />
15 | P age
Change language