Hi Mike I agree that spirituality likely desreves more specific and focussed attention than START presently accommodates under Case specific items. We attend to physical health issues under Self Care (e.g., diabetic diet compliance) and under Physical health where we list and briefly summarise relevant health related issues. Regards Johann ----- Original Message ----- From: startgroup-bounce@xxxxxxxxxxxxx <startgroup-bounce@xxxxxxxxxxxxx> To: startgroup@xxxxxxxxxxxxx <startgroup@xxxxxxxxxxxxx> Sent: Sat Jul 18 09:16:08 2009 Subject: [startgroup] Re: START Dear Tonia Thanks for your response and article Tonia. Physical health is a major focus for services here and in particular nursing staff since chief nursing officers review of mental health nursing in 2006. Deficits in traditional knowledge and skills in physical health identified. spiritual features regularly in our assessments, as similar to most MSUs, we have a disproportionate number of black and minority ethnic patients. BW Mike ----- Original Message ----- From: Nicholls, Tonia <mailto:tnicholls@xxxxxxxxxxxxxx> To: startgroup@xxxxxxxxxxxxx Sent: Tuesday, July 14, 2009 9:41 PM Subject: [startgroup] Re: START Mike and Steve – I’m curious, are the physical health, spirituality highly common? We generally recommend that they could be coded as case specific items (as would be intelligence, creativity/artistic talent, cultural issues, etc.). Cheers, Tonia ________________________________ From: startgroup-bounce@xxxxxxxxxxxxx [mailto:startgroup-bounce@xxxxxxxxxxxxx] On Behalf Of Mike Doyle Sent: July 14, 2009 1:34 PM To: startgroup@xxxxxxxxxxxxx Subject: [startgroup] Re: START Thanks Steve. We have also added a physical health item and feel spiritual needs should be considered. Mike ----- Original Message ----- From: Rose, Steve <mailto:Steve.Rose@xxxxxxxxxxxxxxxxx> To: startgroup@xxxxxxxxxxxxx Sent: Friday, July 10, 2009 9:41 AM Subject: [startgroup] Re: START Make that 21 for us in Ashworth Mike. Physical Health added. Regards Steve Rose ________________________________ From: startgroup-bounce@xxxxxxxxxxxxx [mailto:startgroup-bounce@xxxxxxxxxxxxx] On Behalf Of Mike Doyle Sent: 09 July 2009 21:16 To: startgroup@xxxxxxxxxxxxx Subject: [startgroup] START Nice one Roger! Looking forwarwd to networking with alll on the list. First query; where did the 20 items of the START come from? Thanks Mike ********************************************************************** This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This footnote also confirms that this email message has been swept for the presence of computer viruses. **********************************************************************