If a client experiences a crisis, what is the clinician’s obligation regarding referral or involvement of others?

• A. Discharge the client to avoid risk.
• B. Wait for the crisis to pass.
• C. Handle all crises internally within the same session.
• D. Refer to a higher level of care or involve another clinician during a crisis.

Answer: (D)

During a crisis, the clinician must prioritize safety by arranging appropriate support beyond what can be provided in a single session. This means assessing the immediacy and level of risk and referring to a higher level of care or involving another clinician or crisis team to ensure the client receives urgent, appropriate intervention. Simply discharging the client, waiting for the crisis to pass, or handling everything internally without collaboration risks harm and does not meet standard practice.

In teleMental Health, this also involves having a crisis protocol, knowing the client’s location, and coordinating with local emergency resources as needed, along with clear documentation and safety planning.