In this model, a nurse, social worker, or other staff member screens the patient for spiritual distress and refers to a board-certified chaplain if the patient is identified as having a spiritual crisis or requests to see a chaplain. The spiritual history is obtained by a clinician on the team as part of the total clinical history. Where clinicians may identify spiritual distress or other spiritual issues relevant to the clinical situation. In addition, it should be pointed out that the full spiritual history should be obtained for all patients even if they have screened “negative” for spiritual distress. Obtaining the full history allows the team to assess for patient strengths and meaning or to diagnose spiritual distress if this was not earlier identified.