Addressing Crisis and Suicide Intervention A Collaborative Approach to Care February 2, 2019 * Tex-CHIP Training Series

Case Management for Suicidality

Understanding Provider Role in Treating Crisis/Suicide Case Manager Role- Gather all necessary information related to crisis situation Ideation, Plan, Intent, Means, Psychosis, History, Substance Abuse, Related Symptoms Staff crisis immediately with licensed staff/supervisor for recommendation of care Coordinate/Link with appropriate resources Clinic appointments Appropriate Referrals Follow up within 24 hours

Considerations when Interacting with Clients Background: Language Barriers Who they usually seek help from Age/Education/Socioeconomic status Belief Systems: Religion Belief in prayer/faith alone will treat issues Perceived Stigma: Fear of others opinions Shaming the family Weakness, lack of self-discipline, immaturity

Our Treatment Plan Healthcare Domain: Behavioral Health Provider: Case Manager Objective: Decrease suicidality as indicated by client report of: (a) Suicidal/ Homicidal Ideation (b) Plan/Intent (c) Means (d) Related symptoms   Goals: a) Address Immediate Crisis b) Environmental safety c)  Link to appropriate resources/referrals within a timely manner Interventions: a) Assess for lethality- Safety Plan?  b)  Remove/secure access to weapons  c) MHID appointment with psychiatrist within 7-14 days of initial crisis/ Pathways Respite Unit

Measuring Outcomes/ Success Initial crisis is resolved and the individual is seen by a psychiatrist within 7 days An Adult Needs/Strengths Assessment (ANSA) is completed Needs/strengths are scored on a scale of 0-3 Transitioning individual into a least restrictive level of care

Communication Needed From Other Providers Relevant up to date information for the individual in crisis Appropriate information for accessing the referral to other providers (documentation needed etc.) Timeliness with requested information