Roles
Who does the SRB High Risk Policy apply to?
ALL assigned and attached Soldiers in Recovery and Cadre members of the SRB-NCR
The MEDEVAC was late this week and arrived Friday night at 2200. SPC Smith will be outpatient and was medically evacuated from Kuwait due to requiring a higher level of behavioral health care than could be provided in theater. He is being escorted by SGT Jones from his unit. Since it is after hours, the SRU SW is not available to conduct the initial 24 hour RA. What would you do?
Escort SPC Smith and SGT Jones to the ER where SPC Smith can be evaluated by the on-call Social Worker at the hospital.
A Soldier states that they want to kill themselves and have a plan. The Soldier is currently assessed as being low risk level (GREEN), after appropriate action is taken should the risk level remain the same?
No, the risk level should be raised to High Risk after Soldier is escorted to the ER for further assessment.
How many risk levels are there? What are they?
4 risk levels: High (Black), Moderate (Red), Moderate-Low (Amber), or Low (Green)
Who can initiate a risk assessment? What is the purpose?
Any member of the IDT can reach out to the Detachment Command team, PSG/SL, NCM, SW, or MA to have a new risk assessment initiated if they feel that there is a potential for an upgrade in risk level. When a new RA is opened all immediate members of SM team (CO, PSG/SL, NCM, SW) are notified via email that a new risk assessment has been opened and by whom. This prompts further communication between the team
Who is the primary and final decision maker in assessing a Soldier's risk level? How does this person make this determination?
The Detachment Commander is the primary and final decision maker in assessing a Soldier's risk. Central to the Detachment Commander's assessment is input from the PSG, SL, SRMM, NCM, and SW, as well as, input from other Behavioral Health providers to aid in determining a Soldier's level of risk.
During morning formation you notice that SPC Smith is unusually quiet and standing towards the back of formation which is unlike him. After formation you speak with him privately and he informs you that the girlfriend he has been dating for 3 months broke up with him this past weekend. What would you do?
Ensure that a new risk assessment is opened so that SM can be assessed by his team (PSG/SL, NCM & SW). Inform SM Social Worker.
A Soldier is currently in the Intensive Outpatient Program (IOP) at WRNMMC for the next 6 weeks. High Risk?
Yes, any Soldier involved in a higher level of care (IOP, inpatient psychiatric unit, inpatient PTSD treatment, etc) will be assessed as high risk the entire time they are in that program.
How often is a High Risk Soldier discussed at IDT?
Weekly
A Soldier was released from the inpatient psychiatric unit 1 week ago. The Soldier is doing well after a change in their medication and no longer has suicidal ideation. High risk?
Yes, Soldiers who have been released from an inpatient psychiatric unit within the past 30 days will be assessed as high risk
Who is responsible for completing a risk assessment in ARCS within 24 hours of a Soldier's arrival to the unit?
Company Commander, PSG/SL, NCM, and SW. Soldier is also seen by SRMM within 1 business day.
A Soldier with chronic passive suicidal ideation (e.g. I would be ok if I didn't wake up tomorrow) with no intent or plan who is actively engaged in BH treatment and has a positive support system at the SRU. High Risk?
No
Who places a Soldier on "Sole Provider Status"? What is Sole Provider status? Why is this measure taken?