Under current risks, record observable facts and your uncertainties. Note recent substance use in your own words, sleep changes, food and fluid intake, unusual agitation or confusion, physical complaints, thoughts of self-harm, and whether alcohol or other substances may also be involved. Do not use the grid to diagnose the person. Its purpose is to help a professional understand the situation without forcing you to remember everything during a stressful call.
Under history, list prior treatment experiences, periods when concerns improved or worsened, relevant medical or mental health history, prescribed medications, allergies, and previous urgent-care or hospital visits. If you do not know an answer, write “unknown.” Accurate uncertainty is more useful than a guess. Bring a current medication list for professional review, but do not change medications or attempt a taper based on this article or a facility webpage. Keep medications in the “needs clinical review” column until a qualified professional discusses them with you where appropriate, because no particular medication is established as part of Living Longer Recovery’s services by the facts available here.
- Current risks: What is happening today, and has anything changed quickly?
- History: What prior care, health history, medications, and substance patterns may matter?
- Supports: Who can participate appropriately, provide accurate information, or help with continuing plans?