Choosing a care cluster
1. Rate the cluster assessment tool. This rating provides evidence of service user’s need.
2. Narrow down the clusters you’re considering by looking at the decision tree. Choose
which group this service user’s needs best fit in; organic, psychotic, or non-psychotic.
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Choosing a care cluster
3.
Reduce your choices further by considering the next level of headings. Are
the presenting needs complex, related to a first episode?
4.
Next check out the
cluster descriptions.
Try and match the
assessment scores you
made to the coloured
grids. The red boxes
should match the
scores you recorded.
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Choosing a care cluster
5.
The cluster description,
statement around risk,
diagnosis and duration
of likely episode should
all feel right.
6.
If any of these aren’t a
good fit, there’s likely
to be a better cluster
choice elsewhere.
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Clustering Best Practice 2017
On RIO….I.
• Recording your clustering information needs a new record. Editing old records
doesn’t update information on the data warehouse (used for reports).
• Choose the clustering option from the
MH services menu in the Case Record
Menu
• Create a new record from the clustering
• assessment and allocation option
Clustering Best Practice 2017
On RIO….II.
• Complete the date of assessment
• Select the reason for this assessment and the referral this cluster
allocation relate to
Clustering Best Practice 2017
On RIO….III.
• Complete Clustering assessment items (these are also referred to as
HoNOS).
• Item 8 has a numerical value and a problem area to choose from. The most
pressing issue should be rated on each occasion. If 0-no problem is
selected, no letter is required. If J- Other is chosen, an indication of the
nature of the problem is needed.
Clustering Best Practice 2017
On RIO…..
• Diagnosis information
can be pulled through
using search function.
• The cluster allocation
is completed from a
drop down menu
• Date should reflect the
cluster assessment
date at the top of the
form
Clustering Best Practice 2017
At Discharge…..
• At discharge, the cluster episode should be close by creating a new record.
• Complete the clustering assessment to complete outcomes information (HoNOS).
If the client hasn’t been seen recently, then unknown or 9 can be recorded.
• Select Discharge from the clustering allocation drop down menu. Complete the
last fields “Discharging from clustering”.
• The date should be consistent throughout the form
Don’t edit old
records