When to Send to the ED or Higher Level of Care

When to Send to the ED or Higher Level of Care

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The PMHNP Clinical Resource Library

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Start Here: How to Use These Resources

  • Who This Resource Library Is For
  • Scope and Disclaimer
  • Terms of Use
  • How to Use Patient Education Handouts
  • How to Use Monitoring Guides
  • How to Adapt Resources for Different Clinical Settings

Medication Decision Guides

  • Acute Mania Medication Guide
  • ADHD Medication Comparison
  • ADHD Medication Decision Guide
  • AUD Medication Comparison Guide
  • Bipolar Disorder Medication Decision Tree
  • Choosing an Antidepressant Based on Symptoms and Side Effects
  • Choosing an Antipsychotic Based on Symptoms and Side Effects
  • Choosing a Mood Stabilizer
  • Eating Disorders: Medication, Treatment, Therapy, Intervention, and Caution Guide
  • Insomnia Medication Risk-Benefit & Decision Guide
  • Medication Options in Bipolar Depression
  • Medication Options in Psychosis with Metabolic, EPS, or Prolactin Concerns
  • OUD Medication Overview
  • PTSD Medication and Therapy Guide
  • Switching Antidepressants / Tapering Basics
  • Treatment-Resistant Depression

Documentation Templates

  • Initial Psychiatric Evaluation Template
  • Follow-Up Medication Management Note Template
  • Psychotherapy Documentation
  • Safety Planning Documentation
  • Suicide Risk Assessment Documentation
  • Controlled Substance Documentation
  • Informed Consent for Psychiatric Medication Initiation
  • Patient Education Documentation
  • Coordination-of-Care Note Template
  • Release of Information (ROI) Documentation
  • Psychiatric Accommodation Documentation

Clinical Safety and Crisis Resources

  • Suicide Risk Assessment Checklist
  • Safety Plan Template
  • Violence Risk Red Flags & De-escalation Guide
  • When to Send to the ED or Higher Level of Care
  • NMS vs Serotonin Syndrome vs Malignant Catatonia
  • Alcohol Withdrawal: Screening Tools, Level-of-Care Decisions, and Interventions
  • Benzodiazepine Withdrawal Red Flags
  • Eating Disorder Medical Instability Red Flags
  • Duty to Warn/Protect Documentation Checklist
  • Mandated Reporting Quick Guide & Documentation Tips

Core Psychiatric Clinical Reference Sheets

  • Psychiatric Medication Monitoring Cheat Sheet
  • Common Psychiatric Lab Workup
  • Antidepressant Quick Guide
  • Mood Stabilizer Monitoring Guide
  • Antipsychotic Monitoring Guide
  • Controlled Substance Prescribing Checklist
  • Pregnancy & Lactation Psychopharmacology Prescribing Quick Reference
  • Geriatric Prescribing Cautions

Therapy and Skills Handouts

  • Therapy and Skills Handouts
  • CBT Thought Record Worksheet
  • Behavioral Activation Worksheet
  • DBT Distress Tolerance Skills Handout
  • DBT Emotion Regulation Skills Handout
  • Bipolar Social Rhythm & Relapse Prevention Workbook
  • Grounding Techniques for Trauma & Dissociation Workbook
  • Panic Attack Coping Workbook
  • Sleep Diary & Sleep Improvement Workbook
  • Mood Monitoring & Mood Chart Workbook
  • Emotion Regulation & Coping Skills Workbook
  • Anxiety Skills Workbook
  • Trauma Symptoms and Grounding Skills Workbook
  • OCD and ERP Workbook

Patient Education Handouts

  • Starting an SSRI/SNRI: What to Expect
  • Common Antidepressant Side Effects
  • Antipsychotic Metabolic Monitoring Handout
  • Clozapine ANC Monitoring Handout
  • Benzodiazepines: Risks, Safer Alternatives, and Temporary Utility
  • ADHD Stimulant Safety Handout
  • Sleep Hygiene
  • Panic Attack Education
  • Depression Behavioral Activation Handout
  • Bipolar Relapse Prevention Handout
  • Psychosis Relapse Warning Signs
  • Safety Planning Handout
  • Therapy Options
  • Medication Adherence: Why Consistency Matters
  • Understanding Psychiatric Medication Follow-Up Visits
  • Shared Decision-Making
  • Substance Use and Psychiatric Medications
  • Naloxone and Overdose Safety
  • Eating Disorder Medical Warning Signs
  • Cannabis and Mental Health

Medication Specific Client Education Handouts

  • Buspirone Patient Education
  • Hydroxyzine Patient Education
  • Mirtazapine Patient Education
  • Starting Lamotrigine
  • Lithium Patient Education
  • Trazodone Education
  • Carbamazepine and Oxcarbazepine Patient Education
  • Aripiprazole Patient Education

Special Populations

  • Special Populations Introduction
  • Child & Adolescent Psychiatry Quick Guide
  • School Coordination & Accommodation Documentation
  • Perinatal Psychiatry Quick Guide
  • Geriatric Psychiatry Quick Guide
  • Geriatric Medication Risk Review Toolkit
  • Substance Use Disorders Clinical Toolkit
  • Trauma-Informed Care Clinical Toolkit
  • Serious Mental Illness Clinical Toolkit

Diagnostic and Assessment Tools

  • PHQ-9 Summary & Clinical Use
  • GAD-7 Summary and Clinical Use
  • MDQ Summary and Clinical Use
  • YMRS Summary and Clinical Use
  • C-SSRS Summary and Clinical Use
  • AIMS Summary and Clinical Use
  • MoCA Summary and Clinical Use
  • AUDIT-C Summary and Clinical Use
  • DAST-10 Summary and Clinical Use
  • PCL-5 Summary and Clinical Use
  • Y-BOCS Summary and Clinical Use
  • Vanderbilt ADHD Rating Scales: Summary and Clinical Use
  • ASRS Summary and Clinical Use
  • EPDS Summary and Clinical Use

Introduction to Nutraceuticals & Functional Psychiatry Section

  • Foundations of Functional and Integrative Psychiatry
  • Evidence Hierarchy
  • How to Evaluate Supplement Claims
  • Safety and Scope Considerations
  • Shared Decision-Making
  • Documentation Considerations
  • Nutraceutical Decision Guide
  • Nutrient Deficiencies and Medical Conditions That Can Mimic Psychiatric Symptoms
  • Laboratory Evaluation in Psychiatry
  • Supplement Safety for Psychiatric Clinicians
  • How to Talk About Supplements
  • How to Respond to Social Media Health Claims
  • Motivational Interviewing for Lifestyle and Supplement Conversations
  • Handout: Lifestyle Changes for Improved Mental Health
  • Supplement Interaction Checklist & Toolkit