77AGP Mental Health Care Plans (Subgroup 1 of Group A20)

77A GP Mental Health Care Plans (Subgroup 1 of Group A20) (1) For item 2710, preparation of a GP mental health care plan means the preparation of a comprehensive written plan, in consultation with a patient (and, if subrule (6) applies, the patient’s carer), that includes: (a) assessment of the patient’s mental disorder, including administration of an outcome measurement tool (except if considered clinically inappropriate); and (b) formulation or diagnosis or both formulation and diagnosis of the mental disorder; and (c) treatment goals with which the patient agrees; and (d) any actions to be taken by the patient; and (e) a plan for crisis intervention and/or for relapse prevention, if appropriate; and (f) referral and treatment options for the patient; and (g) arrangements for providing the treatment and services referred to in paragraph (f); and (h) arrangements to review the plan. (2) For paragraph (1) (f), the referral and treatment options for a patient include: (a) support services; and (b) psychiatric services; and (c) subject to the applicable limitations: (i) psychological therapies provided by a clinical psychologist (items 80000\* to 80020\*); and (ii) focussed psychological strategy services provided by a medical practitioner who is qualified in the way mentioned in paragraph 78 (1) (b) to provide those services (items 2721 to 2727); and (iii) focussed psychological strategy services provided by an allied mental health professional (items 80100\* to 80170\*). > Note Asteriked items relate to a health service specified in the Health Insurance (Allied Health and Dental Services) Determination 2006. (3) Preparation of the plan also includes: (a) explaining to the patient (and, if subrule (6) applies, the patient’s carer) the steps involved in preparing the plan; and (b) recording the plan; and (c) recording the patient’s agreement to the preparation of the plan; and (d) offering the patient (and, if subrule (6) applies, the patient’s carer): (i) a copy of the plan; and (ii) suitable education about the mental disorder; and (e) adding a copy of the plan to the patient’s medical records. (4) For item 2712, review of a GP mental health care plan means a process by which the medical practitioner: (a) reviews the matters mentioned in subrule (1) as applicable; and (b) checks, reinforces and expands any education given under the plan; and (c) prepares a plan for crisis intervention and/or for relapse prevention, if appropriate and if not previously provided; and (d) re‑administers the outcome measurement tool used in the assessment mentioned in paragraph (1) (a) (except if considered clinically inappropriate); and (e) if different arrangements need to be made, makes amendments to the plan that state those new arrangements. (5) Review of the plan also includes: (a) explaining to the patient (and, if subrule (6) applies, the patient’s carer) the steps involved in the review; and (b) recording the patient’s agreement to the review of the plan; and (c) if amendments are made to the plan: (i) offering a copy of the amended plan to the patient (and, if subrule (6) applies, the patient’s carer); and (ii) adding a copy of the amended plan to the patient’s medical records. (6) This subrule applies if: (a) a patient has a carer; and (b) the practitioner who is preparing or reviewing a GP mental health care plan considers it appropriate to involve the carer; and (c) the patient agrees to the carer being involved.