Assessment in a crisis
Quality statement
People accessing crisis support have a comprehensive assessment, undertaken by a professional competent in crisis working.
Quality measure
Structure
a) Evidence of local arrangements to ensure that service users accessing crisis support have a comprehensive assessment.
b) Evidence of local arrangements to ensure that professionals who assess people in crisis are competent in crisis working.
Process
Proportion of service users accessing crisis support who have a comprehensive assessment.
Numerator - the number of people in the denominator who have a comprehensive assessment.
Denominator - the number of service users accessing crisis support.
Outcome
Evidence from experience surveys and feedback that service users accessing crisis support were asked about their relationships, their social and living circumstances and level of functioning, as well as their symptoms, behaviour, diagnosis and current treatment.
Description of what the quality statement means for each audience
Service providers ensure systems are in place for service users accessing crisis support to have a comprehensive assessment undertaken by a professional competent in crisis working.
Mental health and social care professionals ensure service users accessing crisis support have a comprehensive assessment by a professional competent in crisis working.
Commissioners ensure they commission crisis support services in which professionals competent in crisis working undertake comprehensive assessments.
People accessing crisis support have an assessment in which they are asked about their living conditions, how well they are managing in everyday life, their relationships, symptoms, behaviour, diagnosis and any treatment they are having.
Source clinical guideline references
Service user experience in adult mental health (NICE clinical guidance 136) recommendation 1.5.3.
Data source
Structure
a) and b) Local data collection.
Process
Local data collection.
Outcome
Local data collection.
Definitions
A comprehensive assessment includes details of the person's:
- relationships with others
- social and living circumstances
- level of functioning
- symptoms
- behaviour
- diagnosis
- current treatment
This page was last updated: 12 December 2011
- Service user experience in adult mental health
- Feeling optimistic about care
- Empathy, dignity and respect
- Shared decision-making and self-management
- Continuity of care
- Using views of service users to monitor and improve services
- Access to services
- Information and explanations
- Care planning
- Crisis planning
- Assessment in a crisis
- Inpatient shared decision-making
- Contact with staff on wards
- Meaningful activities on the ward
- Using control and restraint, and compulsory treatment
- Combating stigma

