Use this checklist before making a decision
Recognize when support is needed, find appropriate care, plan for grief and isolation, and know when urgent help is required. A checklist cannot decide an individual case, but it can prevent missed questions, missing records, and avoidable deadlines.
Decision checklist
- Describe the change: mood, sleep, appetite, memory, pain, substance use, functioning, safety, and how long it has lasted.
- Review medications, recent illness, loss, housing stress, finances, caregiving, and isolation with a clinician.
- Check insurance coverage, provider licensing, telehealth rules, accessibility, and appointment availability.
- Create a written safety plan and identify people who can help.
- Remove or secure immediate hazards when advised by a qualified professional.
- Use emergency services or 988 when there is immediate concern about suicide or crisis.
Information to write down
- The exact program, provider, company, service, product, or legal document involved.
- The person’s state, county, ZIP code, coverage, deadlines, accessibility needs, and preferred contact method.
- Names, dates, confirmation numbers, written notices, estimates, contracts, and appeal instructions.
- The original source used to verify each important claim.
Questions to ask
- Which rule or program applies to this exact situation?
- What is the deadline, and what proves that the request was received?
- What costs are excluded from the quoted amount?
- What changes by state, plan, provider, or household?
- Is there an appeal, grievance, correction, or second-review process?
- Where is the answer published by the responsible agency?
Official sources
- 988 Lifeline — official or established source for current details.
- FindTreatment.gov — official or established source for current details.
- NIMH Older Adults — official or established source for current details.
- Medicare mental health coverage — official or established source for current details.
Related information
Within this subject: Updates and Official Changes, Official Help and Trusted Starting Points, Common Mistakes and Warning Signs, State-by-State Differences.
Also review: Loneliness, Social Connection, and Purpose, Family Caregiver Support, Respite, and Training, Memory Loss, Dementia, Cognitive Health, and Safety.
Last reviewed
This checklist was reviewed on 2026-07-30. Verify current rules before acting.