Keks et al,
Box 4
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| Typical components of a coordinated care agreement between a
general practitioner and an area mental health service for a patient
with chronic psychosis
- Names of and methods to contact general practitioner, responsible
psychiatrist, case manager, others involved, emergency outreach
team
- Protocol for antipsychotic treatment: whether managed by general
practitioner or psychiatrist, reviewed at what frequency, symptoms
and side effects targeted
- Rehabilitation needs: from what provider, at what level
- Basic living needs: plans for accommodation, finances, safety
(usually via case manager)
- Frequency of monitoring by case manager
- Date for review of plan (e.g., six months later)
- Plan for crisis management: who is called; protocol involving
general practitioner, case manager, crisis outreach team.
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