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Why are we concerned for this person's safety?

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Why are we concerned for this person's safety?

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What do you think your automatic response would have been like to this client?

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What do you think your automatic response would have been like to this client?

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Summarize how the situation was handled.

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Summarize how the situation was handled.

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Would you have done anything differently? 

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Would you have done anything differently? 

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He mentioned, " I might as well be dead". When questioned, he responded saying he would kill himself with his handgun. He was served an order of protection from his wife and abuses alcohol. Vince has long-standing risk factors and was experiencing anger and agitation.

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He tried to kill himself in his twenties on heroin

He has warming signs of from his flares up when he gets a pain in his liver

He feels hopeless and doesn't have a great support system

he has a gun, concerned his AA counselor

He gets mad for telling his supervisor that he needs

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What do you think your automatic response would have been like to this client?

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What do you think your automatic response would have been like to this client?

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Ask Vince if he had a plan and what his plan was. Ask him if he has access to the gun once he responded.

# data[].attributes.headline
Why are we concerned for this person's safety?

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Why are we concerned for this person's safety?

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Because he overdosed by abusing pills and alcohol. He also has suicidal ideation and suffers from PTSD symptoms.

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Why are we concerned for the person's safety?

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Why are we concerned for the person's safety?

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He stated "I might be better off dead" in group IOP.

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What do you think your automatic response would have been like to this client?

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What do you think your automatic response would have been like to this client?

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Create a safety plan.

# data[].attributes.headline
Why are we concerned for this person's safety?

# data[].attributes.subject
Why are we concerned for this person's safety?

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She has bipolar disorder, has attempted suicide, and uses cocaine that worsens her hypomanic and depressive episodes. She also lacks stable housing and employment making her at high risk for relapse potential.

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Summarize how the situation was handled.

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Summarize how the situation was handled.

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His first comment was about not wanting to live without his wife. This led for concern from the counselor. The counselor explored this comment more deeply. He asked, " You made a comment not wanting to live without Jolene, Can you help me understand that?". He responded he would be better off dead and it would serve them right if he, "just blew his brains out.". The counselor made the decision he needed an emergency room evaluation that day. Due to Vince being nonreceptive to this recommendation, an escort to the emergency was needed to prevent suicide and violence.

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Summarize how the situation was handled.

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Summarize how the situation was handled.

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The counselor was able to get Leon to be honest by giving him time to think and talk and asking direct questions. The counselor also created an appointment to the VA for him.

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Would you have done anything differently?

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Would you have done anything differently?

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No, the counselor did a good job.

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What do you think your automatic response would've been to your client?

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What do you think your automatic response would've been to your client?

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Try to remain calm. After group talk to him and try to determine what level of care he needs. Then later reapproach the topic in group.

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Why do you think you feel hopeless?  Was there a time when you didn't feel hopeless?

what will changing your will do? How is your relationship with your family and community?

Come up with a safety plan or get put into IOP.

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Would we have done anything differently?

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Would we have done anything differently?

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I don't think so. Due to his actions and history, it was necessary for him to be evaluated for his safety and others safety. He was becoming aggressive so the escort was the best option for transportation and safety.

# data[].attributes.headline
Summarize how the situation was handled.

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Summarize how the situation was handled.

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He was pulled aside after group. The counselor asked if he started using again. Then asked further questions to determine if he is actively suicidal.

# data[].attributes.headline
What do you think your automatic response would have been like to this client?

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What do you think your automatic response would have been like to this client?

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Ask what her safety plan is, what does your support system look like, how are you going to handle difficult situations

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Would you have done anything differently?

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Would you have done anything differently?

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Make referral for mental health assessment

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overall, the siltation was handaled good.

He worked with his daughter to get the gun out of his house, put with a mental health consult.

His pain is his trigger causing his suicidal thoughts, we can see internal pain

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Summarize how the situation was handled.

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Summarize how the situation was handled.

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Angela's therapist met with her brother Walter to include him in her treatment planning. The therapist discussed treatment options and housing options that will be beneficial to her recovery. The therapist and Walter then had a discussion with Angela about her treatment options and discussed how to help keep her safe.

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1. Rena's Stated desire to hurt herself
2. Pills
3. Rena was alone
4. Previous Suicide Attempts
5. Relapsed Drinking

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1. Stay calm.
2. Inquire to find out if there's a suicide plan in place.
3. Review safety plan
4. Follow-up with an office visit ASAP

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Would you have done anything differently?

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Would you have done anything differently?

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Encourage Angela to elaborate more on her plan, have Angela set her own goals, assess her progress on a weekly basis

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Rena was having suicidal ideations. She followed her safety plan & tried to self-regulate. When that did not work, she called her counselor who continued reviewing the safety plan. He utilized her Hope Box to try to redirect her thinking to a more positive/hopeful outlook, choosing a photo of her children to focus on. He then suggested she come to town to visit the ER to further assess her current mental health needs. He collaborated with Rena's mother, since she was alone, to give her a ride to the ER.

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The only thing we might do differently is follow-up with treatment for her trauma/childhood sexual abuse, assuming she was not already in treatment for it.

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Motivation interviewing
Showing him positive change instead of just telling him
Trying to get a better understand of his life before he tried killing himself the first time

Know more about past drug use, and liver problems