The process
To be entered onto the register, individuals must:
- have a confirmed autism diagnosis or intellectual disability diagnosis or both
and
- be at significant risk of admission to mental health or specialist hospital
or
- show evidence of deterioration in their mental health or an increase in behaviours of concern which may, or has previously resulted in a placement breakdown or cannot currently be managed within their current living environment
or
- be transitioning from an inpatient to community setting
Also, for consideration are individuals:
- regularly presenting in crisis at accident and emergency
- being identified as requiring a specialist 52-week placement in partnership with children’s services and action is being undertaken to identify a placement
- being placed in a specialist 52-week residential school
- having no effective planned transition from children to adult services, especially if in inpatient services
To enable individuals to be placed on the DSR, consent of the child must be given (where assessed as being Gillick competent). Where gaining consent from a child is not appropriate, parental consent can be given. If it is felt that the individual lacks the capacity to consent, a best interest decision must be made in line with the Mental Capacity Act 2005 and its code of practice.
The NHS uses a triage assessment tool to assess your risk, it will tell if you are
- red - high risk
- amber - medium risk
- green - low risk
Everyone who is assessed can go on the DSR, those most at risk will be discussed in fortnightly meetings with multiple agencies to support unblocking barriers that may prevent individuals from remaining in the community. This means that everyone involved in your care knows that you are at risk. The professionals around you need to work together to make sure you are supported. This could be a CTR or CETR, local area emergency protocol or professionals meeting.
The only personal details on the DSR are your date of birth, NHS number and the reason you are at risk.
You can withdraw your consent at any time by telling anyone from LPFT involved in your care.
