At times, many of the people coming to Turning Leaf for help are at a place in life when their ability to cope with life’s stress, acute mental health symptoms and problematic behaviour is compromised and no longer effective. This is when the Crisis Stabilization Team is called to help the participant in need.
The goal of the Crisis Stabilization team is to attend to and manage crisis scenarios 24 hours/day. This team is asked to support either new participants to Turning Leaf or those participants receiving residential treatment or community support but are unable to maintain emotional/behavioural stability while receiving service. The task then is to assist these participants in achieving emotional and behavioural stability and reintegrate them back into regular residential or community services.
Therefore, the Crisis team’s intervention is intended to be brief and have a transitional outcome (e.g., crisis supports should assist the participant through crisis and into stability).
What does a crisis intervention process include?
The crisis stabilization process, though not likely to be a linear process, includes the following sequence of events:
- Plan and conduct a bio psychosocial and lethality/imminent risk assessment
- Bio-psychosocial review is based on the premise that biological, psychological (which entails thoughts, emotions, and behaviors), and social factors, all play a significant role in human functioning in the context of disease or illness.
- Imminent risk refers to immediate risk to self or others.
- Develop collaborative rapport
- Identify the major presenting issue as well as those involved
- Who is involved that serves as a positive factor in achieving stability?
- Encourage dialogue about the impact of issue including feelings about presenting issue
- Generate and explore alternative coping strategies
- Develop safety/control plan
- Restore functioning by implementing a plan (e.g., connect participant to psychiatric, medical or Turning Leaf treatment housing)
- Plan for follow up contact
- Complete necessary documentation and reporting requirements
This service emphasizes the importance of hope, relationships and perseverance when helping individuals deeply impacted by street life and mental health crises.