CHAT Tool - Offender Health Research Network

More documents

Recommendations

Info

ADDITIONAL INFORMATION Tick No or Yes as appropriate for each question and include additional notes Does the young person have difficulties following the conversation If Yes please provide details below: No Yes Did you have to rephrase the questions to clarify (always check whether the young person has understood the information - use your observational skills) If Yes please provide details below: Does the young person have difficulties expressing themselves (use your observational skills) If Yes please provide details below: Information Confirm information with parent/carer or other professional (provide details below) ACTION FOR CARE PLAN Surname: DOB: Forenames: NHS Number: CHAT Tool Secure Estate (Version 3 - June 2013) 93 | P age
Autistic Spectrum Disorder Start by having a conversation with the young person about their family and friends and what they enjoy doing. Give them prompts to describe their experiences if necessary. Then change the conversation to a different topic, for example telling them about your interests and experiences and assess if the young person can follow your topic and shows interest. Complete the following questions using your observations AND with information from the young person’s keyworker, personal officer or YOT worker. Also include information from previous documents/assessments prior to the interview. Make additional notes below providing examples. If YES for any question from two different sections (sections 2, 3 or 4) OR any YES to section 1: • If diagnosis of ASD already made include in care plan. • Discuss care plan with Mental Health Team (psychiatrist, psychologist or senior nurse). This may include further assessment using ASD specific screening tools (for example Social Responsiveness Scale or Social Communication Questionnaire) and obtaining further information from a parent/carer. • If further information confirms social communication difficulties consider referral to local CAMHS team on release for specialist ASD assessment (provide all relevant assessments to date). If YES for any question on one section (section 2, 3 or 4) or other subtle social difficulties noted: - repeat assessment in 4 weeks. Section 1: From the notes Tick No or Yes as appropriate for each question and include additional notes No Yes Has the young person ever been assessed or diagnosed with an autistic spectrum disorder (ASD), pervasive disorder not otherwise specified (PDD-NOS) or pragmatic language impairment/semantic pragmatic disorder If Yes please provide details below: In current/previous notes has a professional or family member expressed concerns that the young person has social communication difficulties If Yes please provide details below: Surname: DOB: Forenames: NHS Number: CHAT Tool Secure Estate (Version 3 - June 2013) 94 | P age
Page 1 and 2:
Comprehensive Health Assessment Too
Page 3 and 4:
Mental Health Assessment No Yes Is
Page 5 and 6:
CHAT RECEPTION SCREEN • Every you
Page 7 and 8:
Medical and Psychiatric History Doc
Page 9 and 10:
5. Do you have DIABETES MELLITUS If
Page 11 and 12:
Reception Screen Section Two: Subst
Page 13 and 14:
6. Is the young person withdrawing
Page 15 and 16:
Tick No or Yes as appropriate for e
Page 17 and 18:
Page 19 and 20:
Documents you have access to at the
Page 21 and 22:
CHAT Immediate Care Plan Name: DOB:
Page 23 and 24:
Substance Misuse Service No Yes No
Page 25 and 26:
Is the young person subject to a CH
Page 27 and 28:
MMR BCG HPV Hep A Hep B Typhoid Flu
Page 29 and 30:
Page 31 and 32:
Page 33 and 34:
Page 35 and 36:
Page 37 and 38:
Page 39 and 40:
Page 41 and 42:
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 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: INFORMATION FROM THE YOUNG PERSON T
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
show all

CHAT Tool - Offender Health Research Network

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?