Table 3 Standard Pathways, Classes I, II and III
CLASS I: CRISIS, IMMINENT RISK DO NOT LEAVE YOUTH UNATTENDED | |
DEBRIEF | |
1. Alert supervisor | |
2. Inform youth, and then caregiver, of the screening result and next steps | |
CONNECT | |
3. Call [Class I crisis provider] and advise them of a Class I/suicidal youth | |
4. Distribute the copies of the e-Connect Provider Referral Form and Bidirectional Release Form to the [CLASS I crisis provider]; keep one copy of each in youth’s case file | |
5. If [CLASS I crisis provider] determines youth needs to be transported for emergency services, complete and give caregiver the e-Connect Emergency Services/Transportation Form and Home Safety Information Sheet | |
DOCUMENT | |
6. Update supervisor | |
7. If youth is already in treatment, inform the existing provider of the e-Connect screening result and events | |
8. Document into Caseload Explorer | |
CLASS II: CRISIS, NON-IMMINENT RISK DO NOT LEAVE YOUTH UNATTENDED | |
DEBRIEF | |
1. Alert supervisor | |
2. Inform youth, and then caregiver, of the screening result and next steps | |
CONNECT | |
3. Call to [wording about Class II appointment within 72 h] | |
4. [Step about alerting other providers/LE etc if necessary] | |
5. [Email/Fax] e-Connect Provider Referral Form and Bi-Directional Release Form to [PROVIDER]; keep one copy of each in youth’s case file | |
6. Complete and give caregiver the e-Connect Family Appointment Form and Home Safety Information Sheet | |
DOCUMENT | |
7. Update supervisor | |
8. If youth is already in treatment, inform existing provider of the screening result and events | |
9. Document into Caseload Explorer | |
CONNECT | |
10. Follow-up with provider immediately after the scheduled appointment time to verify youth’s attendance | |
DOCUMENT | |
11. Update supervisor | |
12. Update Caseload Explorer | |
CLASS III: IN NEED OF BEHAVIORAL HEALTH SERVICES | |
DEBRIEF | |
1. Inform youth, and then caregiver, of the screening result and next steps (see back of this page) | |
2. If already in treatment with a provider, ask if they would prefer to see the existing provider or a new referral | |
CONNECT | |
3. If same provider, connect the youth with their existing provider; make a follow up appointment from your office, with family present or make a plan with caregiver if appointment cannot be made that day | |
4. If a new referral, inform youth and caregiver to [directions to access providers] | |
5. Complete and give caregiver the e-Connect Family Appointment Form | |
6. Once known, email/fax e-Connect Provider Referral Form and Bi-Directional release Form to [PROVIDER]; keep one copy of each in youth’s case file | |
DOCUMENT | |
7. Document into Caseload Explorer | |
8. Verify youth attendance with provider within 72 h of their appointment | |
9. Update Caseload Explorer |