CHAT Tool - Offender Health Research Network

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SECTION 2. INFORMATION FROM INFORMANTS/RECORDS/OBSERVATIONS Tick No or Yes as appropriate for each question and include additional notes No Yes Does the young person have a history of speech and language delay or difficulties If Yes please provide details below: Has the young person had previous speech and language therapy If Yes please provide details below: Does the young person have a speech problem or find it hard to say words clearly e.g. stammer or its difficult to understand them If Yes please provide details below: Does the young person have difficulty understanding what I say If Yes please provide details below: Does the young person find it hard to understand long or complicated words/instructions If Yes please provide details below: Are their responses minimal or very limited to one answer with minimal spontaneous elaboration or description If Yes please provide details below: Does the young person find it hard to explain things or gets stuck on words when speaking If Yes please provide details below: ACTION FOR CARE PLAN Surname: DOB: Forenames: NHS Number: CHAT Tool Secure Estate (Version 3 - June 2013) 89 | P age
Learning Disability and Educational Needs Initially obtain information from other staff working with the young person currently (both education staff and key worker/personal officer) and information from records including ASSET prior to the assessment. When interviewing the young person have access to a magazine and non-digital clock (wrist watch or wall clock in room) and use your observational skills • If diagnosis of learning disability already made include in the care plan. • If not diagnosed but presents with possible learning disability or educational needs discuss with education team or Mental Health team (psychologist/psychiatrist or senior nurse) if further specialist assessment required (all young people with functional impairment should be considered) INFORMATION FROM INFORMANTS AND RECORDS Tick No or Yes as appropriate for each question and include additional notes Does the young person have a statement of special educational needs If Yes please provide details below: No Yes Has the young person attended a specialist school (non-mainstream) If Yes please provide details below: Has the young person ever been in contact with specialist learning disability services If Yes please provide details below: Are there concerns from education staff that the young person has any learning needs If Yes please provide details below: Surname: DOB: Forenames: NHS Number: CHAT Tool Secure Estate (Version 3 - June 2013) 90 | 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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Page 39 and 40: Tick No or Yes as appropriate for e
Page 43 and 44: Disability and Impairment Invitatio
Page 45 and 46: Physical Health Summary/Review Summ
Page 47 and 48: Do the accompanying documents or in
Page 49 and 50: Drug/Alcohol History and Misuse (Co
Page 51 and 52: Drug/Alcohol History and Misuse (Co
Page 53 and 54: 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 83 and 84: CHAT NEURODISABILITY ASSESSMENT •
Page 87 and 88: After a head injury or accident som
Page 89: NARRATIVE TASK Ask the young person
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 and 106: Initial Weight: Date: Discharge Wei
Page 107 and 108: Summary of any current or previous
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CHAT Tool - Offender Health Research Network

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