The purpose of the 1 HR Face-to-Face Assessment for Seclusion or Restraints is to be used for units that need a more specific assessment form to capture the patient’s status.
- Click the Search icon.
- Type 1 HR into the search bar.
- Click to select 1 HR Face-to-Face Assessment for Seclusion or Restraints (Client).
![](https://2023.calmhsa.org/wp-content/uploads/2024/07/595-1024x249.png)
- Checkbox the reason(s) for why the patient needed seclusion and/or restraints
![](https://2023.calmhsa.org/wp-content/uploads/2024/07/596.png)
- Describe the patient’s current status/immediate situation, and their understanding of the situation. This is a mandatory field to fill out.
- Describe what interventions/strategies were used within the last hour, including less restrictive measures, and the client’s reaction.
- Capture the medical and behavioral evaluation including any patient history, substance use, labs findings, environmental factors and other pertinent information. This is a mandatory field and must be completed.
![](https://2023.calmhsa.org/wp-content/uploads/2024/07/597.png)
- Describe any concerns that might put this patient at risk due to restraints, involuntary medications and/or seclusion. This is a mandatory field and must be completed.
- Record if the patient has been informed of the plan for seclusion and restraints and any criteria for release. This is a mandatory field to fill out
- Add any additional information and/or comments
- Click Sign.
![](https://2023.calmhsa.org/wp-content/uploads/2024/07/598-1.png)
The document will generate. For instructions on how to capture a co-signature, CLICK HERE.
![](https://2023.calmhsa.org/wp-content/uploads/2024/07/599.png)