Quality statement 10: 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.

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 guidance

'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.