Suicide Prevention Pathway
A client states that they "don't want to be here anymore" And would be "better off dead" What is your next step?
Complete the CSSRS with client
True of False?
It is NOT important to document small things like attempting to contact parents, short conversations with teachers, or short breaks that the client takes with you.
FALSE - all interactions should be documented
Who can take a client off the suicide prevention pathway?
therapists
How long can you bill for when you staff a client in group staffing?
How often does a GAD7 and PHQ9 need to be done with each client (assuming they are not on the pathway and do not have a dx of MDD)
Every even month (at least)
The CSSRS recommends that client be placed on the suicide prevention pathway. What steps are next?
- Complete safety plan with client
- If client is a child, contact parent to explain the pathway and safety plan
- Place on pathway in EMR
- If client has plan / intent they should be referred to hospital for evaluation
- DOCUMENT EVERYTHING!
True of False?
It is okay to put notes in at whatever time as long as you really completed the services.
FALSE - times should be exact
Who can put a client ON the pathway?
All staff
Name 5 pieces of information that you need to have on hand when you staff a client in staffing
Name, age, meds, dx, history, family, living situation, treatment history, medical issues, cognitive issues etc
Name 3 reasons an incident report should be done
Child abuse, injury of staff or child, self-harm, threats, car accident, death, police involvement, ambulance involvement, sending client to hospital,
How often should safety plan be reviewed with client?
At every session.
True or False:
You should only do chart reviews if it is to benefit the client. Never to benefit yourself or to just catch up on HOC.
True !
How often do clients need to be seen when they are on the pathway?
How do you know when you are up next to staff a client?
The staffing rotation list that was emailed - or if you have someone on the suicide prevention pathway.
True or False - a ROI is NOT needed for routine communication with DCS
False (unless making a DCS report due to suspected abuse)
When does a GAD7 need to be done with someone on the suicide pathway or who has a MDD diagnosis
At every session
True or False
If you are doing a note and another client was involved it is okay to put their name in the chart.
False- we never put other clients names in charts only the client we are charting on.
If a client has suicide plan and intent but the parent refuses to take them to the hospital for evaluation, what should you do?
Make safety plan, staff with supervisor, possibly make a DCS report
How many hours of HOC should you aim for a day?
5-6
When can a client come off the Pathway?
When they have been free from SI for at least 30 days, the CSSRS recommends being taken off, they have been staffed and are no longer a danger to themselves.
How long do you have to put in a progress note?
Until Midnight the next business day