SAFETY/RISK

DISTRESS

• Codes/Critical Events
• Child Protection (suspected physical, sexual, or emotional maltreatment)
• Child Welfare Alerts
• Vulnerability due to Life Stage and Social Situation (Child & Youth)
• Vulnerability due to Cognitive/Physical Deficits; and Abuse, Neglect/Self-Neglect (Adult Guardianship) 
• High Risk Behaviours
• Harm to Self &/or Others
• Depression and Suicidal Ideation/Attempts
• Unsafe Environments
• Violence in Relationships
• Human Trafficking
• Substance Misuse &/or Abuse
• Concurrent Disorders – Mental Health and Substance Use with Safety/Risk Challenges
• Homelessness – associated with Safety/Risk, Harm to Self /Others
• Complex Legal/Ethical issues

• Crisis Intervention/Traumatic Event (includes assault, significant injury/change in health status or unexpected medical outcomes)
• Death & Bereavement (Adult/Child including miscarriages, still birth, etc) 
• Treatment Decisions/Quality of Life discussions, including End of Life 
• Advance Care Planning
• Adjustments & Transitions (i.e. pre & post diagnosis, treatment trauma, critical illness, life altering prognosis, significant change in function or lifestyle, etc.)
• Anxiety or other Mental Health Concerns
• Isolation / Limited Support Network
• Family Systems Challenges (i.e. roles, relationships, conflicts, parenting concerns, separation/divorce, grief & loss, etc)
• Caregiver Responsibility Challenges (Adult &/or Child)

SYSTEMS NAVIGATION

PRACTICAL CONCERNS

• Complex Situations Requiring Enhanced Communication/Planning (i.e. collaborative care planning conferences)
• Barriers to Transition Planning or Accessing Necessary Resources 
• Engaging Individuals/Families for Issues of Participation/Compliance with Treatment
• Coordinating Legal Processes (Adoption, Surrogacy, Temporary Substitute Decision Maker, etc)
• Managing Chronic Conditions (ABI, ALS, COPD, CVA, Diabetes, MH, MS, Renal, etc)
• Individuals/Families with Frequent Hospital Contacts  &/or Multiple Service Providers
• Clinical Pathways
• Advocacy & Promoting Self-Advocacy
• Barriers Associated with Social Determinants of Health (i.e. social status, culture, language, education, poverty, etc)

• Transition Planning/Continuity of Care
• Eligibility for Various Services/Benefits (ICBC, Veterans Affairs, Work Safe BC etc)
• Housing Resources (tenancy issues, shelters, boarding homes, mental health facility, etc)
• Financial Concerns (accessing income supports, medical coverage or difficulty managing financial matters)
• Transportation
• Legal Assistance Education
• Immigration (sponsorship breakdown, illegal immigrant, visitor, etc)
• Cultural Connections (interpretation arrangements, links to cultural/spiritual  community)
• Linking/Referrals  &/or Community Resource Education (i.e. Public Health, food/meal programs, private pay resources, Detox or treatment for substance use, etc )