Crisis Intervention Algorithm (PDF: diagram)

Crisis Intervention Algorithm
It is determined that mother/ client is suicidal or homicidal
And there is imminent danger
1.
•
•
•
Call local emergency resources
Stay with client until arrangements
are made for client safety
Contact your supervisor
3. Collaborate with mother for care of
child/ren
•
•
Consider friends, relatives,
neighbors
Local emergency shelter if no other
options
4. Document the complete intervention
including:
•
•
•
•
Client condition
Contacts made
Arrangements made
Time of events (ex. called police at
10:00am)
3. On follow-up visit with client:
•
•
•
•
Continue to evaluate mental health status
Discuss experience
Determine plan for mental health follow-up
Stay focused on purpose of keeping baby and
mom safe
4. Keep in touch with assigned therapist/
provider minimum monthly until mother is stable
as determined by therapist/ mental health provider
2. Refer to local resource
information sheet
5. Contact care provider:
Primary care, obstetrician and/or
mental health care provider to inform of
situation
Follow up
1. Debrief with supervisor or coworker
2. Contact client next business
day:
•
•
•
Provide support
Obtain updated status
Plan for follow-up visits
5. Return to maternal screening
algorithm
June
2014
(Edited Cindy Kellett, DNP Student, University of Minnesota for the Minnesota
Department of Health). Developed by the El Paso County Department of Health &
Environment Nurse -Family Partnership Program - Adopted by the work of
Renquist, J. & Barnekow, K. (2008) Wisconsin Infant Mental Health Conference)
Kroenke, K.; Spitzer, R. L.; Williams, J. B. W.(2001) PHQ-9. Journal of General
Internal Medicine, 16(9): 606– 613.
Wisner, K.L; Parry, B. L.; Piontek, C. M. (2002). Postpartum Depression. N Engl J Med
347(3), 194-199.
Contact Information: http://www.health.state.mn.us/divs/cfh/topic/pmad/
Phone: (651) 201-3760