SRS Syllabus

Circle the rating that is closest to the amount of supervision that the patient actually receives. "Supervision" means that someone is responsible for being with the patient.

 

Rating	Description
Level 1: INDEPENDENT
1	The patient lives alone or independently. Other persons can live with the patient, but they cannot take responsibility for supervision (for example, a child or elderly person).
2	The patient is unsupervised overnight. The patient lives with one or more persons who could be responsible for supervision (for example, a spouse or roommate), but they are all sometimes absent overnight.
Level 2: OVERNIGHT SUPERVISION
3	The patient is only supervised overnight. One or more supervising persons are always present overnight but they are all sometimes absent for the rest of the day.
Level 3: PART-TIME SUPERVSION
4	The patient is supervised overnight and part-time during waking hours, but is allowed on independent outings. One or more supervising persons are always present overnight and are also present during part of waking hours every day. However, the patient is sometimes allowed to leave the residence without being accompanied by someone who is responsible for supervision.
5	The patient is supervised overnight and part-time during waking hours, but is unsupervised during working hours. Supervising persons are all sometimes absent for enough time for them to work full-time outside the home.
6	The patient is supervised overnight and during most waking hours. Supervising persons are all sometimes absent for periods longer than one hour, but less than the time needed to hold a full-time job away from home.
7	The patient is supervised overnight and during almost all waking hours. Supervising persons are all sometimes absent for periods shorter than one hour.
Level 4: FULL-TIME INDIRECT SUPERVISION
8	The patient is under full-time indirect supervision. At least one supervising person is always present, but the supervising person does not check on the patient more than once every 30 minutes.
9	Same as #8 plus requires overnight safety precautions (for example, a deadbolt on outside door).
Level 5: FULL-TIME DIRECT SUPERVISION
10	The patient is under full-time direct supervision. At least one supervising person is always present and the supervising person checks on the patient more than once every thirty minutes.
11	The patient lives in a setting in which the exits are physically controlled by others (for example, a locked ward).
12	Same as #11 plus a supervising person is designated to provide full-time line-of-sight supervision (for example, an escape watch or suicide watch).
13	The patient is in physical restraints.