Domain 5 - Service use and response history  (Contextual Domain)
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Overview
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This domain considers the older adult's previous use of services and support focussed on mental health-related assistance. The initial assessment on this domain should consider:

   * Whether the person has previously sought help from or required mental health services and related supports (including specialist or mental health inpatient services).
   * Their progress or benefit from past services and support.

**Definition of the term services and support** - Relevant services and support refer to safe, culturally appropriate, evidence-informed mental health, health or community services focussed on or relevant to the person's mental health (such as a psychological service delivered by a GP or mental health professional, other behavioural services) rather than the personal supports provided by friends, family, or social networks.


Scoring
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**0 = No previous service use**

   a.	Has not previously sought help or required a referral for mental health issues.

**1 = Excellent progress from previous service use**

   a.	Previously accessed services for a mental health issue and experienced a significant benefit resulting in no need for additional services at that time.

**2 = Moderate progress from previous service use**

   a.	Previously accessed services and experienced a moderate benefit and required some additional services (either ongoing or periodically) to maintain the benefit.
   
**3 = Minor progress from previous service use**

   a.	Previously accessed services with only minor benefits resulting in a need for additional services or longer duration of services.
   
**4 = Negligible progress from previous service use**

   a.	Previously accessed services with little or no benefit.