Mental Health Crisis Protocol

 MENTAL HEALTH CRISIS PROTOCOL AND LIMITATIONS

 

What is a mental health crisis?

A crisis is any situation in which a person’s behaviors put them at risk of hurting themselves or others and/or when they are not able to resolve the situation with the skills and resources available.

What causes a mental health crisis?

Many things can lead to a mental health crisis, whether it is expected or unexpected.  Increased stress, physical illness, problems at work or school, missed medications, changes in family situation (divorce, moving), trauma/violence in the community, poverty, or substance use may trigger an increase in behaviors or symptoms that can lead to a crisis.  These issues are difficult for everyone, but they can be especially hard for someone living with a mental illness.

Warning signs of a mental health crisis:

Doesn’t bathe, brush teeth, comb/brush hair

Missed work/school days

Refuses to eat or eats too much

Sleep disturbances (sleeps all day, refuses to get out of bed, inability to sleep)

Increased energy level

Suddenly depressed, withdrawn

Suddenly happy/calm after a period of depression

Makes verbal threats

Destroys property

Violent, out-of-control behavior

Self-injurious behavior

Abuses alcohol or drugs

Confusion or disorganization

Complains they don’t feel well

Therapy Crisis Sessions

Should you experience an acute crisis that requires an unplanned telephone call or video call with the psychiatrist outside of your scheduled appointment time, you may contact the Practice Manager to determine if Dr. Wiita is available to meet in the timeframe you are requesting.  Last minute unplanned appointment requests are not guaranteed, as availability will depend on Dr. Wiita’s schedule and openings.

What to do in the case of a mental health crisis:

If you or your child are experiencing a mental health crisis or are suspecting a mental health crisis is about to occur, seek help.  If you or your child are not in immediate danger, you can call your treating therapist.  If they are available, they can assess the situation and either make an appointment or assist in admission to the hospital.  If you cannot reach your treating therapist and the situation is worsening, do not continue to wait for a return call.  Immediately take another action, such as going to the nearest emergency room.  Should you not be able to safely go to the nearest emergency room, and/or you or others are in immediate danger, call 911.  You may also call or text the free 24/7 National Suicide and Crisis Lifeline at 988.

Limitations of support services available at this practice:

At this time, Patrick Wiita, MD is NOT able to provide 24/7 crisis response services and there may be a delay in returning your call depending on the time of day that you call.  Should you or your minor child begin to frequently experience mental health crises due to a worsening mental health condition, your provider may speak with you about referring you to a higher level of care in order to receive the appropriate services for your needs.