Admission triage is the foundation of safe detox and treatment planning at Siam Rehab. Every client undergoes structured medical, psychiatric, and substance-use screening before acceptance into the programme. Our Detox Risk Screening System categorises clients into risk levels and determines the required observation and clinical oversight during early withdrawal.
1. Admission Triage: Step-by-Step Process
The triage pathway integrates information from referring parties, pre-admission calls, medical documentation, and validated screening tools. Each case is reviewed by the clinical team prior to admission.
2. Screening Tools Used at Admission
We use a combination of validated instruments, structured questions, and clinical judgement. These tools help assess withdrawal severity, psychiatric comorbidity, medical safety, and suitability for on-site detox.
3. Detox Risk Categories
Detox risk levels guide the intensity of monitoring and clinical oversight during the first 72 hours of treatment. Categories are determined based on substance type, quantity, time of last use, medical history, psychiatric stability, and previous withdrawal complications.
4. First 72 Hours: Observation Requirements
The early withdrawal window is the highest-risk period. Observation frequencies and clinical check-ins differ by risk level and by time of day (daytime, evening, night shift).
5. Pre-Admission Medical Clearance
Some clients require additional medical checks before being accepted for detox. Clearance decisions are based on age, comorbidities, medication profiles, and risk of severe withdrawal.
6. Reasons for Admission Rejection or Deferral
For safety, certain medical or psychiatric profiles require stabilisation at a hospital before arrival or may be unsuitable for residential treatment.
7. Detox Risk Level & Outcomes
Detox outcomes vary by risk level. Higher-risk groups require more monitoring but still achieve safe detox completion with appropriate supervision. Tracking outcomes helps refine the screening model over time.
8. Governance Oversight
All triage decisions and detox risk assignments are reviewed during governance meetings. Patterns such as repeated high-risk admissions or triage reclassifications inform ongoing improvements to screening tools, training, and criteria.
Clinical Safety, Governance, and Outcomes at Siam Rehab
– overview of our clinical governance framework, licensing, safety systems, and programme outcomes.
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Aftercare Monitoring & Follow-Up Safety
– how we support clients after discharge, detect red flags remotely, and coordinate safety interventions in early recovery. -
Admission Triage & Detox Risk Screening
– pre-admission assessment, validated screening tools, detox risk categories, and first 72-hour observation requirements. -
Risk Management & Early Warning System
– daily risk scoring, behavioural and psychiatric alerts, night-shift monitoring, and escalation pathways. -
Emergency Response & Hospital Transfer
– how we respond to medical and psychiatric emergencies, criteria for hospital transfer, and incident outcomes. -
Medication Safety & Detox Governance
– prescribing protocols, medication storage, detox monitoring, complication rates, and safety audits. -
Clinical Outcomes Methodology
– how we collect, analyse, and report PHQ-9, GAD-7, cravings, sleep, wellbeing scores, and follow-up outcomes.
