Crisis Assessment
What is it called when there is risk of harm to the client or others?
What is an immediate behavioral health crisis
An emergency number to call when someone is in immediate life threatening emergency.
What is "911"?
The primary purpose of a crisis plan.
What is a helping the client and relevant supports recognize a crisis, respond safely, access appropriate resources, and reduce likelihood of further escalation?
Why is documentation important after a crisis intervention?
What is to record the client's presentation, assessment findings, interventions, decisions, referrals, and follow up? as well as continuity of care and the clinical response?
If a client becomes visibly upset during a session, begins pacing, raises their voice but has not threatened anyone, what should you do?
What is remaining calm, using nonconfrontational approach, assessing immediate safety, listening actively, using de-escalation techniques, and deciding whether additional support is needed?
A client expresses suicidal thoughts, and these are 3 areas are what a clinician assesses for.
What are thoughts with intent, plan, and means?
A number someone can call or text in the United States for suicide or mental health crisis.
What is "988" and the Suicide and Crisis Lifeline?
Three things that should be included in an individualized crisis plan.
What are warning signs /triggers, coping strategies, and contact information for supportive people?
What are the 4 things a clinician should document after a crisis?
What are: 1. Presenting Crisis, 2. The Risk Assessment and Findings, 3. Interventions Performed/Client's Response, and 4. Disposition/Referrals/Follow-Up?
What should you do if a client messages you after hours saying, "I can't do this anymore"?
What is review client's risk factors, available crisis information, and agency's policy/procedures for after hours?
*Should clarify immediate safety and direct to emergency resources.
Client states they wish they did not wake up but indicated they would never hurt themselves. Why would a clinician explore this statement directly and assess for suicide risk?
What is to clarify intent and assess means to determine appropriate interventions?
When a client informs you they intend to commit suicide today and immediate access to means. What are the next steps?
What is a situation which would require immediate contact with supervisor and arrangement of immediate emergency evaluation?
What is the appropriate support for client to access if a crisis occurs when the clinician or agency is unavailable?
Crisis Plan identifies after hours crisis services and emergency care indicating what a client should do outside normal business hours.
When a supervisor is contacted regarding a high-risk client, is documenting "supervisor notified", accurate documentation?
What is not acceptable in regard to documenting information of contacting supervisor for crisis?
Documentation should have relevant consultation, information shared, recommended services, consistent with agency policy and applicable requirements.
A teenager reports suicidal ideation with clear plan/intent/means and asks the therapist not to tell their parents or guardian. What should the therapist do?
What is tell the parents due to limitations of confidentiality and because there is imminent risk?
What is the difference between risk factor and protective factor?
Risk Factor: Likelihood of harm
Protective Factor: Reduce risk, support safety
A client denies suicidal ideation but has recently attempted suicide and exhibiting significant behavioral changes. What are the next steps?
What is clinician should consider the full picture, including recent behavior, history, current risk factors, and protective factors to determine the appropriate level of care?
What kind of situations are clinicians responsible for making a mandated report?
What is child abuse, elderly abuse, suicidal ideation, homicidal ideation?
Client refuses the recommended emergency evaluation, and clinician is wondering how to document and end the encounter. What steps should we take?
What is assessing client's circumstances and determining if emergency intervention in warranted as well as appropriateness for consulting and escalating, following legal requirements/agency procedures, and document rational and actions taken?
A client tells you they are going to take a gun to their ex-partner's home with intent to harm after they leave session, how do you handle this?
What is assess safety and determining police contact?
What should a clinician do when new stressors are present, an increase in substance use, changes in behavior, access to lethal means, or changes in suicidal intent which may require a different level of care?
Clinician is reassessing risk when a client's circumstances change.
The difference between a safety plan and promise to not attempt suicide.
What is a safety plan that is collaborative, with an actional plan identifying warning signs/coping strategies/supportive people/professional resources/steps to reduce access to lethal means compared to a promise where there is not risk assessment, safety planning or appropriate intervention?
How should a treatment plan indicate a client who has experienced several crises with warning signs?
What is reviewing patterns and triggers as well as identifying interventions that were effective or not effective?
What should a clinicians documentation include when a crisis results in referral or transfer to a higher level of care?
What is noting referral/transfer, relevant risk findings, actions taken to support safety, consultations/communications, receiving services, and disposition or handoff details?
A client is experiencing a behavioral health crisis and appears intoxicated with confusion and is not able to participate in meaningful safety planning, what would you do?
What is assessing for intoxication and immediate danger which would warrant emergency services?