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

2. Case Management for Suicidality

3. 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

4. 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

5. 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

6. 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

7. 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