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Referral for diversion from CJS or step-up e.g.from PICU,prison, community Use DUNDRUM 1 Referral accepted Complete DUNDRUM 2 to assess urgency. Review regularly.     YES NO Referral to LSU Suitable for LSU? Bed available? YES Top of waiting list based on DUNDRUM 2? Periodic review e.g. CPA or Change in case e.g. leave/ discharge decision Improvement on 3 & 4? YES Progression within pathway NO YES NO Referral for step-down e.g. from MSU Use DUNDRUM 1 for history, 3 & 4 to determine readiness to progress Referral rejected Admit Admission DUNDRUM 3 & 4 (3rd party and self-report) No progression within pathway