Domain 5 - Treatment and Recovery History (Contextual Domain)

Overview

This initial assessment domain should explore the individual’s relevant treatment history and their response to previous treatment. Response to previous treatment is a reasonable predictor of future treatment need and is particularly important when determining appropriateness of lower intensity services.

Assessment of an individual on this domain should consider:

  • whether there has been previous treatment (including specialist or mental health inpatient treatment),
  • if the person is currently engaged in treatment, and
  • their response to past or current treatment.

When considering this domain relevant treatment refers to treatment by a qualified mental health provider rather than informal care provided by friends, family, or social networks.

Scoring

0 = No prior treatment history

  1. No history of previous treatment for a mental health condition.
  2. In a current treatment arrangement that is appropriate and meets person’s needs.

1 = Full recovery with previous treatment

  1. Previously sought help for earlier episode(s) and generally able to achieve full recovery with no need for ongoing intervention.

2 = Moderate recovery with previous treatment

  1. Previously received treatment for earlier episode(s) and generally able to achieve and maintain partial recovery with limited support.

3 = Minor recovery with previous treatment

  1. Recently received treatment for an episode(s) with only minor improvement.
  2. Previously accessed intermittent specialist supports (e.g., psychiatry services, state, and territory specialist mental health services) for current or previous episode but limited response.
  3. Currently receiving treatment but is not making the expected level of progress despite intensive, structured, and medical supports delivered over an extended period.

4 = Negligible recovery with previous treatment

  1. Recently received treatment for an episode with negligible or no improvement despite intensive, structured, and specialist medical supports delivered over an extended period.
  2. Ongoing need for or use of specialist supports (e.g., psychiatry services, state and territory services).
  3. Currently receiving treatment but is deteriorating despite intensive, structured, and specialist medical supports delivered over an extended period.