Template library · Assessments & screeners
Post-Crisis Follow-Up template
Assess status and safety following a recent crisis episode or discharge from higher level of care.
Follow-up assessment after a suicide-related crisis or attempt
- 15 fields across 4 sections
- Included with MyWellOps
- Edit it, or save your own version
What’s in it
Assessment Details
- Client NameText
- Date of BirthDate
- Client ID / MRNText
- Date of AssessmentDate
- Clinician / CoachText
- Location / ModalityText
Current Status
- Current suicidal ideation presentTick box
- Safety plan in place and understoodTick box
- Means restriction confirmedTick box
- Follow-up care scheduledTick box
- Support person aware and engagedTick box
Notes
- Status since the crisis episodeText
- Adjustments to treatment planText
Signatures
- Clinician SignatureSignature
- Date signed (clinician)Date
When to use it
Use an assessment at the start of work to set a baseline, then repeat it at review points so you and the client can see what has changed.
How it works in MyWellOps
- Pick it from Documents.
- Send it to the client to complete, or fill it in together during a session.
- Each completed copy is kept on the client’s record, so earlier results are there to compare.
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