Voluntary
EEA
RA
Absconded
100

A patient self presents feeling down with thoughts of suicide. This patient is...

Voluntary

100

Who can complete an Emergency Examination Authority?

Police or Ambulance ofiicers

100

What is a Recommendation for Assessment (RA)?

Initiates a period of involuntary assessment under the Mental Health Act 

100

A voluntary patient deemed not at risk absconds. What do we do?

Inform DON OC and notify CW Mental Health Service 


200

Within hours (Mon-Fri 8-4:30pm), a voluntary patient presents. Who do you contact?

Mental Health Intake Clinician

200

How long can a patient remain under an EEA?

6hrs, can be extended by a Health Practitioner to 12hrs

200

How long can someone be detained under an RA?

Initially 24hrs. Can be extended to 72hrs for authorised MO and Psychiatrist 


200

An at-risk voluntary patient absconds. What next?

Call QPS for immediate action to locate patient

Notify DON OC ASAP

Consider need for EEA/RA

300

Can a voluntary patient be placed under the Mental Health Act?

Yes, a voluntary patient can be made involuntary if they are deemed at risk to self or others, or mentally ill or mentally disordered

300

How can an EEA be "lifted" or removed?

Medical Officer completes C9 to end involuntary detention

300

What is a Treatment Authority (TA)?

To have the patient transferred to a gazetted facility e.g. Rockhampton for involuntary care
300

Patient absconds while on EEA. What now?

DON OC 

Complete Authority to Transport Absent Person form for QPS

Notify Psychiatrist 

Follow Pathway 7 and call QPS in the order stated

400

Who decides if a voluntary patient is safe for discharge?

Consultant Psychiatrist

400

If a patient is transferred to another facility, do copies or originals of their EEA go with them?

Originals. 

Take copies of the documents, and the copies go in your facilities manilla chart for that patient

400

How does a patient come off a RA?

Authorised MO completes Revocation of Recommendation for Assessment form (ends the period of involuntary detention)

400

Do we follow an absconded patient out of the hospital?

No. Take note of what they're wearing and what direction they go

500

A voluntary patient has been deemed unsafe for discharge but is not placed under the Mental Health Act. What happens now?

Pathway 5: Voluntary admission. 

Review with MH team every weekday via telehealth, or face-to-face, and MDT every weekday

Escalate to Rockhampton Acute Care Team after hours


500

The patient is assessed and deemed mentally ill or disordered, what comes after the EEA?

Recommendation for Assessment- RA

500

A RA is commenced & RFDS Retrieval is required for a MHIPU admission, what needs to be done?

Treating MO contacts RSQ for coordination of transport arrangements

Nurse completes RFDS Transfer Guidelines for Disturbed Patients for RFDS to assess risk and provide appropriate flight crew

500

The patient is extremely aggressive and threatening to harm self and others, then absconds. Who do you call?

000 and DON OC

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