Client Emergency and Crisis Protocol

Purpose

To provide clear guidelines for handling emergency and crisis situations involving clients, ensuring safety, appropriate response, and adherence to legal and ethical standards.

Policy Statement

Common Thread Therapy is an outpatient mental health clinic and does not provide crisis intervention or emergency services. The therapist is in session with other clients and cannot respond to emergencies in real time. Clients experiencing an immediate crisis should seek assistance from emergency services or crisis resources.

Definition of a Crisis

A crisis is any situation in which a client:

  • Is at immediate risk of harming themselves or others

  • Is experiencing a severe psychiatric episode that requires urgent intervention

  • Requires immediate medical attention due to a mental health condition

Medical vs. Mental Health Emergencies

Medical Emergencies: If you are experiencing a life-threatening physical emergency (e.g., chest pain, difficulty breathing, severe injury), call 911 immediately.

Mental Health Crises: If you are at risk of harming yourself or others, or are experiencing severe psychiatric distress, contact 911, 988, or local crisis resources.

Client Responsibilities

Clients are responsible for seeking immediate help in emergencies. This includes:

  • Contacting 911 for immediate safety concerns

  • Using 988, local crisis hotlines, or preferred warmlines for urgent mental health support

  • Informing the therapist of any ongoing safety concerns or crises at the next session

  • Developing and following personalized safety plans in collaboration with the therapist

Therapist and Practice Role in a Crisis

During Business Hours: The therapist and administrative staff will direct clients to appropriate emergency services as able. They cannot provide crisis intervention and cannot guarantee availability for urgent contact.

After Business Hours: The practice does not provide after-hours crisis support. Clients should utilize 911, 988, or local crisis resources.

Mandated Reporting

Therapists are legally required to take action if a client expresses intent to harm themselves or others, including notifying emergency services or designated support persons. Suspected abuse or neglect must also be reported to the appropriate authorities.

Wellness and Safety Planning

Clients at risk of crisis are encouraged to work with the therapist to develop a safety plan. This may include identifying:

  • Support systems (friends, family, or other helpers)

  • Coping strategies and self-soothing techniques

  • Local emergency and mental health resources

Clients are required to share emergency contact information with the practice in case of a crisis requiring outreach.