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Recognising Signs of Deterioration in a Person’s Mental State

During national consultation for the National Consensus Statement: Essential elements for recognising and responding to deterioration in a person’s mental state the Commission identified the need to develop consensus on a set of signs that can be used for monitoring deterioration in a person’s mental state. The Commission engaged Gaskin Research to undertake the project and provide a report on Recognising Signs of Deterioration in a Person’s Mental State.

The authors conducted a literature review and interviews with key stakeholders to generate a list of signs. They then undertook a sequential survey process to develop consensus on the signs, resulting in a proposed set of 28 clusters of signs, arranged into five indicators:

  • Reported change
  • Distress
  • Loss of touch with reality or consequences of behaviours
  • Loss of function
  • Elevated risk to self, others or property.

These five indicators provide an overarching framework for monitoring deterioration in a person’s mental state, and are outlined in the signs of deterioration in a person's mental state table.

The Commission will undertake further work with stakeholders on the alignment of the proposed signs with existing systems to ensure safe and effective response to deterioration in a person’s mental state.

An updated literature review was conducted in 2019.


Contact us

If you would like further information about any of the Commission’s work in mental health, please email: mentalhealth@safetyandquality.gov.au

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