WAM Appointment Notes & Risk Assessment YOU MUST COMPLETE THIS FOR EVERY SESSION AND EVERY CONTACT WITH CLIENT. Name of Mentor *Name of Client *Date of appointment *Time of Appointment (24 hour clock) *Hours000102030405060708091011121314151617181920212223Minutes000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859Session Number *Was the appointment attended? *YESNODNA/CANCELLEDWhat was the intended method of contact, phone, skype, google meet, etc?Appointment Notes:IF THERE IS ANY RISK PLEASE DETAIL BELOW (CHECK FOR RISK AT EVERY APPOINTMENT) IF THE RISK IS MEDIUM ALSO COMPLETE A SAFE PLAN WITH THE CLIENT SEPERATE TO THIS DOCUMENT *SUICIDAL IDEATIONSELF HARMURGENT MEDICAL ATTENTIONNONE OF THE ABOVE - N/A - UNABLE TO ASSESSNOW ASSESS THE LEVEL OF RISK *SELECTZERO RISK - NO THOUGHTS PLAN OR INTENT - SKIP RISK ASSESSMENTLOW RISK - THOUGHTS PRESENT, NO PLAN NO INTENT - GIVE VERBAL ADVICE TO CONTACT 111 OR 999 IF THOUGHTS PERSIST OR A PLAN DEVELOPSMEDIUM RISK - THOUGHTS ARE PRESENT WITH A CLEAR PLAN, NO INTENT - COMPLETE 111 ONLINE NHS ASSESSMENTHIGH RISK - THOUGHTS , PLAN & INTENT ARE PRESENT - CALL 999 & INFORM YOUR TLDNA / NOT APPLICABLEDETAILS OF THOUGHTS, PLAN OR INTENT OF SUICIDE/SELF HARM OR URGENT MEDICAL ATTENTIONNHS 111 ASSESSMENT LINK111 Assessment Portal (click on link)COPY AND PASTE THE ADVICE WHICH WAS GIVEN FROM THE NHS 111 ONLINE ASSESSMENT HERE:GIVE CLIENT ADVICE FROM ASSESSMENT ABOVE: IS THE CLIENT ACTING ON THE ADVICE?SELECTYESNO - SEE NEXT QUESTIONBased on the above, do you consider that the client is in danger, or a further risk to themselves or others?SELECTYES - DETAIL ANY ACTION YOU HAVE TAKEN BELOWNO - END OF ASSESSMENT CARRY ON WITH THE CALL & RECORD FORMDETAILS OF ANY ACTION I TOOK MYSELF: EXAMPLE: FROM THE 111 ASSESSMENTIs there a Safeguarding Issue from this appointment? *SELECTYES - DETAIL BELOW & INFORM SAFEGUARDING TEAMNOSAFEGUARDING NOTESOutcome of appointment *Next session booked as plannedDischarged DNA/CANDischarged Work CompleteDischarged Other – please note below – or write N/A if neededNot Applicable [other] detail belowOther discharge reason / other outcome if required if not required enter N/ADate of Submission *Time of Submission (24 hour clock) *Hours000102030405060708091011121314151617181920212223Minutes000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859SUBMIT FORM Like this:Like Loading...
