ADULT MODEL, COMMUNITY SETTING

Adult community mental health

The CMHT and older-adults community estate — 98.7% of NELFT contacts carry a recorded clinical need.

The clinical note

63-year-old man, referred to the Community Mental Health Team (CMHT) by his GP. Clinical need: new-onset psychotic disorder. He has had 10 weeks of persistent persecutory delusions, believing neighbours are monitoring him, with associated auditory hallucinations and marked social withdrawal. No prior episodes. No mood disorder predominance. No substance misuse identified (urine drug screen negative). No history of mania. Attended assessment today in the community clinic; discharged home with close follow-up. Diagnosis: paranoid schizophrenia, first episode, currently untreated.

Step 1 · Routing to ICD-10-CM mental-health categories

F2098%
F211%
F231%
F010%
F020%

Step 2 · Ranking candidate codes within the top categories

F20.098%
F20.811%
F20.91%
F20.10%
F20.20%

Step 3 · The coded payment record

ICD-10-CM DIAGNOSIS
F20.0
F20.0, F20.81, F20.9 (top candidates)
PAYMENT CURRENCY · 2026/27
MAA96A
Adult - Psychosis and Bipolar Disorders - Community - CMHT
MHNRG SECTION
Adult - Psychosis and Bipolar Disorders
diagnostic resource-group family
fields the agent extracted for this currency model
age at referral63 (recorded in 98.7% of contacts)
clinical neednew-onset psychotic disorder
service/team typeCommunity Mental Health Team (CMHT)
settingcommunity clinic

Service report — Adult community mental health

currency model: Adult · community setting The CMHT estate is the trust's main volume. 98.7% of contacts already carry a clinical need; what is missing at payment grain is the service/team type (CMHT vs specialist vs day hospital) that the community band distinguishes — recorded in only a fraction of contacts.

recorded fieldNELFT completeness
clinical need (diagnosis or presenting complaint)98.7%
age at referral≤ 0.02%
primary reason for referral · service/team typenot retrievable at warehouse grain
attendance outcome invalid or unknown≥ 4.07%

The agent classified the first-episode paranoid presentation as F20.0 and, from the team type stated in the note, selected the CMHT community band MAA96A (Psychosis & Bipolar — Community — CMHT). Team type is a single line in the note; it is the field the warehouse says is not retrievable today.