Standards › Standard 9 › Forms
Form · FLD-FRM-004 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 9.10
Purpose
Records each psychosocial offer, the answer, the referral and each staff debrief.
How to complete
- Record the offer at each set point.
- Record the answer.
- Record each staff debrief.
Checks
| Check | Entry |
|---|---|
| Patient or staff member | Yes |
| Offer made (date and reason) | Yes |
| Accepted or declined | Yes |
| Referred to (name and date) | Yes or N/A |
| Staff debrief held (date) | Yes or N/A |
Evidence
| Reference | Note |
|---|---|
| E-009 | Based on the IASC Guidelines for Mental Health and Psychosocial Support in Emergency Settings (2007). |
| E-006 | ASF Policy Framework v1.2. Adapted. |
| E-009 | ASF Expert Committee consensus. |
Change history
| Version | Date | What changed | Approval |
|---|---|---|---|
| 1.0 | the date of approval | First version | set Expert Committee approval |
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References
- Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)