WELLBEING PLAN | |
| Patient Name | [Patient Demographics:Full Name]Medicare: [Patient Demographics:Medicare Number][Patient Demographics:Address] |
| Gender | [Patient Demographics:Sex] |
| D.O.B | [Patient Demographics:DOB] |
| Aboriginal or Torres Strait Islander origin | no |
| GP | [Doctor:Full Details] |
| Date of Mental Health Plan | [Miscellaneous:Date] |
| Outcome Tool Used | [Outcome Tool Used ] | Result | [Outcome Tool result] |
| Informed consent to proceed with GP MHP obtained by GP. |
| Problem/Diagnosis | Goal(eg reduce symptoms, improve functioning) | Action/ Task (eg psychological or pharmacological treatment, referral, engagement of family and other supports) |
| 1 | reduce symptoms | supportive therapy by GP, discuss referral to clinical psychologist |
| 2 | improve everyday functioning | review need for medications, consider need for specialist’s care |
| 3 | develop good understanding of mental health problem | education and reassurance |
| Relapse Prevention Plan (if appropriate) | ||
| Emergency Care | ||
| 1. If unsure / worried about the progress, medications etc. – come and see your GP ASAP. | ||
| 2. If you think of harming yourself – call 000 or anonymous suicide help line on 1300651251. Try to be with someone who you know (relative, friend, neighbour, police ambulance, fire brigade, hospital). BE WITH SOMEONE! | ||
| 3. If in any kind of crisis – call Alfred Hospital Mental Help Line- 1300363746 – THEY KNOW WHAT TO DO. | ||
| Patient Education | yes |
| Copy of MH plan offered to patient | yes |
| Key Family Contact/Support |
| I understand the above Mental Health Plan and agree to the outlined goals/actions |
Patient’s consent | obtained today | Date: [Miscellaneous:Date] | |
GP | [Doctor:Name] | Date: [Miscellaneous:Date] | |
| Date for Mental Health Review (between 4 weeks – 6 months): | |||
| Notes |
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