Sync template from atomicqms-style deployment

README.md

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-# mental-health-inpatient
+# Mental Health Inpatient Services Quality Management System
 
-A comprehensive QMS template designed for psychiatric hospitals, inpatient behavioral health units, and acute psychiatric care facilities.
+A comprehensive QMS template designed for psychiatric hospitals, inpatient behavioral health units, and acute psychiatric care facilities.
+
+## 🏥 Designed For
+
+- **Psychiatric Hospitals** - Freestanding behavioral health facilities
+- **Hospital Psychiatric Units** - Inpatient psych units within general hospitals
+- **Crisis Stabilization Units** - Short-term acute psychiatric care
+- **Child/Adolescent Psychiatric Units** - Pediatric behavioral health
+- **Geriatric Psychiatric Units** - Older adult mental health care
+- **Forensic Psychiatric Facilities** - Court-ordered treatment settings
+- **Residential Treatment Centers** - Extended care facilities
+
+## 📋 Regulatory Framework
+
+This template supports compliance with:
+
+- **The Joint Commission** - Behavioral Health Care accreditation
+- **CMS Conditions of Participation** - Psychiatric hospital requirements
+- **State Mental Health Authority** - State licensing regulations
+- **42 CFR Part 482** - Hospital Conditions of Participation
+- **HIPAA** - Patient privacy requirements
+- **EMTALA** - Emergency psychiatric presentations
+- **State Commitment Laws** - Involuntary treatment regulations
+- **APA Practice Guidelines** - Psychiatric treatment standards
+- **NPSG** - National Patient Safety Goals (behavioral health)
+- **Nurse Practice Act** - Psychiatric nursing regulations
+
+## Repository Structure
+
+```
+├── SOPs/
+│   ├── Admission-Discharge/   # Voluntary/involuntary admission, discharge planning
+│   ├── Assessment/            # Psychiatric evaluation, risk assessment, treatment planning
+│   ├── Safety/                # Suicide prevention, elopement, environmental safety
+│   ├── Restraint-Seclusion/   # Use, monitoring, debriefing, documentation
+│   ├── Medication/            # Psychotropic meds, PRN protocols, monitoring
+│   └── General/               # Document control, training, CAPA
+├── Forms/
+│   ├── Admission-Forms/       # Consent, legal status, voluntary/involuntary
+│   ├── Assessment-Tools/      # PHQ-9, GAD-7, Columbia, mental status
+│   ├── Safety-Plans/          # Suicide safety plans, precaution levels
+│   ├── Restraint-Records/     # Restraint/seclusion orders, monitoring logs
+│   ├── Treatment-Plans/       # Individualized treatment plans, goals
+│   └── Training/              # Competency assessments
+├── Policies/                  # Institutional policies
+├── Work-Instructions/         # Step-by-step procedures
+└── Templates/                 # Document templates
+```
+
+## Document Numbering Convention
+
+- **POL-XXX**: Policies
+- **SOP-ADM-XXX**: Admission/Discharge SOPs
+- **SOP-ASM-XXX**: Assessment SOPs
+- **SOP-SAF-XXX**: Safety SOPs
+- **SOP-RS-XXX**: Restraint/Seclusion SOPs
+- **SOP-MED-XXX**: Medication SOPs
+- **WI-XXX**: Work Instructions
+- **FRM-XXX**: Forms and Records
+
+## 🤖 AI-Powered Assistance
+
+This repository includes **AtomicAI**, your mental health QMS assistant. Mention `@atomicai` in any issue or pull request to:
+
+- Draft admission and assessment procedures
+- Create suicide risk assessment protocols
+- Generate restraint/seclusion procedures
+- Develop medication management SOPs
+- Create safety and elopement prevention plans
+- Review documents for Joint Commission compliance
+
+### Example Prompts
+
+- "@atomicai create an SOP for suicide risk assessment using Columbia-Suicide Severity Rating Scale"
+- "@atomicai draft an involuntary admission procedure per state requirements"
+- "@atomicai write a restraint/seclusion policy meeting CMS requirements"
+- "@atomicai create a psychiatric medication monitoring protocol"
+- "@atomicai develop an elopement prevention and response procedure"
+- "@atomicai create a therapeutic milieu safety checklist"
+
+## Getting Started
+
+1. **Align with State Laws** - Review involuntary commitment and patient rights laws
+2. **Establish Safety Protocols** - Implement suicide prevention and environmental safety
+3. **Define Assessment Standards** - Standardize psychiatric evaluation tools
+4. **Set Up Medication Monitoring** - Configure psychotropic medication protocols
+5. **Train Staff** - Crisis intervention and de-escalation training
+
+## Key Documents to Create First
+
+1. **Suicide Risk Assessment SOP** - Standardized screening and intervention
+2. **Involuntary Admission Procedure** - Legal holds and commitment process
+3. **Restraint and Seclusion Policy** - CMS-compliant R/S procedures
+4. **Environmental Safety Checklist** - Ligature risk and contraband
+5. **Elopement Prevention SOP** - Risk assessment and precautions
+6. **Treatment Planning SOP** - Individualized treatment plan development
+7. **Discharge Planning Procedure** - Safe transitions and aftercare
+
+## Special Considerations for Psychiatric Inpatient Care
+
+### Patient Safety
+- Suicide risk screening and assessment
+- Environmental safety (ligature points, sharps)
+- Contraband prevention and searches
+- Elopement risk and prevention
+- Patient supervision levels
+
+### Legal and Rights
+- Voluntary vs. involuntary status
+- Informed consent for treatment
+- Patient rights notification
+- Grievance procedures
+- Advance directives and healthcare proxies
+
+### Restraint and Seclusion
+- Least restrictive interventions
+- Physician orders and time limits
+- Continuous monitoring requirements
+- Debriefing and documentation
+- Reduction initiatives
+
+### Treatment
+- Psychiatric evaluation and diagnosis
+- Treatment plan development
+- Medication management and monitoring
+- Group and individual therapy
+- Discharge planning and aftercare
+
+---
+
+*This template is maintained by AtomicQMS. For questions, open an issue in this repository.*