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1. Adjust goals and evaluative approaches to the setting.

Settings include inpatient, outpatient, home, emergency, school, residential treatment, skilled nursing, long-term care, and correctional and other forensic settings.

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2. Consider if the setting meets the needs of the patient.

For patients seen longitudinally, continually reassess to determine the appropriate level of care.

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3. Document factors of the setting that may limit the evaluation.

Such factors may include lower level and quality of observation, compromised privacy, unavailability of interpreters for patients with limited English proficiency, unavailability of medical evaluations and diagnostic tests, and compromised safety and confidentiality.

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4. Use inpatient settings to optimize safety, provide intensive and continuous observation, and provide multidisciplinary treatment and collaborative decision making.

It is important to assess the patient'€™s current living environment on admission and identify resources to optimize care after discharge.

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5. Use outpatient settings to provide greater patient autonomy and longitudinal perspective on the patientâ??s symptoms.

  • Consider helping the patient to obtain a primary care physician to enhance attention to co-occurring general medical conditions.

  • With the patient'€™s permission, involve the family and significant others, but be aware of conflicts that may interfere with support.

  • Consider if observation from one-to-one interviews can be complemented by observations of the patient in a group setting.

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
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