This new Council Report updates and replaces CR12, 'Good
medical practice in the aftercare of potentially violent or
vulnerable patients discharged from in-patient psychiatric
treatment', published in 1991.
The scope of this new report is somewhat broader then the 1991
document, as it was considered to be important to recognise that
the care necessary for such patients is not only applicable
following discharge from hospital.
The report outlines current statute and common law, and
incorporates guidance from the Department of Health, General
Medical Council, as well as other pertinent documents, including
Guidance is given on risk assessment and management, the
relevant factors in the history, mental state examination, physical
health, socio enviromental factors and response to treatment being
outlined. Particular times (such as admission, discharge or
transfer of patients) or events which may increase risk are
delineated. The role of the psychiatrist in the process is
Areas of particular concern such as patient confidentiality,
clincial governance, training and factors which may adversely
affect judgement are also demonstrated.