Table 6 Incidence of care episodes with triggers pointing at deficient quality of care

 Absence of care plan

 Lack of documented physical observations

 Lack of suicide risk assessment

 Absence of family contact

 Absence of intervention plan

 Lack of review of crime relapse risk

 Absence of the alcohol use disorder identification test (AUDIT)

 Absence of a urinary lab test when addiction is suspected

 Absence of the expiratory alcohol test

 Absence of the addiction severity index (ASIA)

 Coercion treatment–administrative failure

 Use of more than five different psychotropic drugs

 More than three benzodiazepines or treatment for more than 6 months

 Faults in screening for metabolic risk factors during antipsychotic treatment

 Lack of regular tests for medication with lithium, methylphenidate, methadone/buprenorphine or clozapine

 Use of three or more different antipsychotic drugs

 Lack of an accountable physician

 Unplanned discharge

 Lack of physician’s visit during the last 12 months in outpatient care