Domain 5 - Service use and response history (Contextual Domain)

Overview

This domain considers the adolescent and their family’s previous use of services and support focussed on mental health-related assistance. The initial assessment on this domain should consider:

• Whether the adolescent or their family 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, developmentally, and culturally appropriate evidence-informed mental health, health or community services focussed on or relevant to the adolescent’s mental health (such as a psychological service delivered by a GP or mental health professional or other behavioural services) rather than the personal supports provided by friends, family, or social networks.

Consider both the adolescent and their family’s use of previous services and support but do not include those services and support relevant to, but not focused on, the adolescent’s mental health.

Scoring

0 = No previous service use

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

1 = Excellent progress from previous service use

1. 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

1. 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

1. Previously accessed services with only minor benefits resulting in a need for additional services or longer duration of services.

4 = Negligible or no progress from previous service use

1. Previously accessed services with little or no benefit.