Protocol 4-250 - Chronic Mental Health Management

CMH EMS & MIH Protocols


Condition GREEN: All Clear Zone... This is the safety zone.
Indications:
  • None of the YELLOW or RED indications are present.
What you can do:
  • Take your medications as ordered.
  • Follow healthy eating habits.
  • Balance activity and rest periods.
  • Keep all medical appointments.
What your CHW might do:
  • Review health history and PCP care plan prior to visit.
  • Answer any questions and address any concerns you have.
  • Review any discharge instructions from any hospital, emergency room, and/or doctor visits.
  • Review goals from previous visit:__________
  • Assess adherence to care plan, including diet, exercise, medications, and keeping appointments.
  • Review disease process and prevention measures with you including how and when to correctly take your medications.
  • Education on healthy eating and living habits is to be expected for every encounter.
  • Specific education on medications as they relates to mental health will be provided.
  • Review of recent appointments and transportation to appointments.
  • Complete an assessment of the possibility for domestic violence, child abuse, or elder abuse.
  • Complete a History and Physical Exam.
  • A complete Medications Reconciliation is to be expected at every encounter.
  • Complete a Safety Assessment.
  • Complete a Social Assessment.
  • Facilitate a Telehealth visit, if scheduled.
  • Follow any verbal orders as obtained via telehealth, phone call, or electronic messaging.
  • Schedule follow-up appointment(s) as needed that might include, but not limited to: Primary Care Provider, Addiction Recovery, Behavioral Health, Dental Care, Dietician, Home Health, Home Medical Equipment, Hospice, Pharmacy Services, Therapy Services, Public Health, Wound Care
  • Establish goals for next visit:__________
What your CP might do:
  • Ensure completion of applicable CHW items above.
Condition YELLOW: Warning Zone... This is the watch zone.
Indications:
  • None of the RED indications are present.
  • You missed a mental health appointment,
  • Mild anxiety,
  • Minor increase in depression,
  • Changes in appetite,
  • An uneasy feeling or you know something is not right,
  • Fatigue or no energy,
  • Other indication set by your doctor:____________________
What you can do:
  • You may need an adjustment to your medications.
  • Improve your eating habits.
  • Increase your activity level.
  • Call your CHW or CP:____________________
  • Call your PCP:____________________
    • If outside business hours, 24-hour triage nurse screening is available by calling your PCP's number.
What your CHW might do:
  • Ensure completion of applicable items in the GREEN zone above.
  • Complete a suicide risk assessment.
What your CP might do:
  • Ensure completion of applicable CHW items above.

Condition RED: Medical Alert Zone... This is the danger zone.
Indications:
  • Altered mental status, confusion, or inability to think clearly,
  • Thoughts of harming yourself, harming others, or suicide,
  • Recent triggering event occurred,
  • Hallucinations,
  • Bizarre bahavior,
  • Violence,
  • Intoxication or substance abuse,
  • Missed more than one appointment in a row,
  • Other indication set by your doctor:____________________
What you can do:
  • You need immediate evaluation by a medical professional.
  • Call your CHW or CP:____________________
  • Call your PCP:____________________
    • If outside business hours, 24-hour triage nurse screening is available by calling your PCP's number.
  • Call 9-1-1
What your CHW might do: What your CP might do:
  • Ensure completion of applicable CHW items above.
  • Assist you in the administration of your own prescribed medications.

NEMSIS Protocol: 9914175 - General-Community Paramedicine / Mobile Integrated Healthcare

Citations:


Change Log:

DateLink to
previous
version
Description of change
03/16/23Created this section.
05/11/23pdfFirst draft with green, yellow, red sections.
05/26/23pdfAdded review of discharge instructions.

Return to Protocols Table of Contents.

Search protocols:


CMH Pre-Hospital Services Mission: "Provide safe, exceptional, and compassionate care to our communities with an emphasis on highly trained and empowered staff." CMH Mobile Integrated Healthcare Mission: "Provide exceptional, compassionate, and patient-centered care by a mobile collaborative team to improve patient experience, improve quality outcomes, and reduce healthcare costs."
Creative Commons License Polk, Hickory, Cedar, & St Clair County EMS Protocols is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.