fix(clinical): red flags, one crisis rule, callback after a crisis, one table of numbers
Clinical review of the questionnaires (ADR-013):
- Red-flag block first in stage 1 (config/instruments/red_flags.yaml); any «Да» stops the
questionnaire with an acute alert and the help screen of its category.
- One crisis rule: the crisis screen opens at a HIGH C-SSRS risk only; moderate stops and goes
to a psychiatrist (24 h as a guide), low is a flag with the safety plan. PHQ-9 item 9 with a
negative screener is a discrepancy flag; without a completed screener it asks the C-SSRS at once.
config/questionnaire.yaml: cssrs_positive_policy graded (C01).
- Every crisis leaves a callback task for the doctor on duty (post_crisis_call, one per patient)
and the app asks how the person is the next day, the safety plan one tap away.
- Routing: risk and flags first, scales second; PCL-5 >= 50 no longer means a priority
appointment (pcl5_severe is moderate on the dashboard too).
- Crisis numbers live only in config/texts/crisis.yaml; texts and the agent prompt refer to them
via {phone:<key>}. Fixes the children's helpline offered to adults by the chat agent.
Refs #92
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
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@@ -7,6 +7,7 @@ import yaml
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from pydantic import BaseModel, ConfigDict, Field
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from app.config import get_settings
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from app.core.safety import fill_phones
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class _Strict(BaseModel):
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@@ -91,6 +92,7 @@ class ReachOutTexts(_Strict):
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silence: str
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missed_doses: str
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default: str
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after_crisis: str
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class VisitTexts(_Strict):
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@@ -120,4 +122,4 @@ def dialog_texts_path() -> Path:
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@lru_cache
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def load_dialog_texts(path: Path | None = None) -> DialogTexts:
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path = path or dialog_texts_path()
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return DialogTexts.model_validate(yaml.safe_load(path.read_text(encoding="utf-8")))
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return DialogTexts.model_validate(yaml.safe_load(fill_phones(path.read_text(encoding="utf-8"))))
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