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If called to undertake an emergency psychiatric assessment consider the following:

Before the interview 1 Attempt to predict the range of outcomes before attending: Rapidly collect all available information Discuss with colleagues or other doctors who know the patient if possible. 2 Plan for the outcomes: Check availability of patient's family, police and other health professionals such as community mental health team members Do not go out alone if the situation sounds dangerous Ensure appropriate medications, certification documents and a mobile phone are accessible Check availability of a hospital bed, or availability of family or case managers to spend more time with the patient if admission to hospital can be avoided If hospitalisation is a likely outcome, plan the means of transport for the patient, in advance if possible. During the interview Introduce yourself and explain why you are present Remain courteous and non-threatening, but be honest and direct Avoid confrontation at all costs -- be prepared to "agree to differ" with the patient's perspective and to address what they see as the major issues first Do not attempt to manhandle the patient, except to prevent serious assault or suicide attempts Explain to the patient what is the agreed plan of action. After the interview Write comprehensive case notes as soon as possible Check yourself for your personal responses to the incident to ensure that you are not adversely affected If the incident was traumatic, or you feel anxious or distressed, discuss these issues with a colleague or friend, or use a more formal debriefing process.

On to section 1.4 . . .