Geriatric Mental Health Services

Geriatric Guide - Section C

For Assessing Changes in Behavior in Residents of Long Term Care Facilities and.......
Getting Help When Needed

Information for Crisis Intervention Programs

When calling for immediate assistance, gather the following information and be prepared to provide it to the Crisis Intervention program when you call.

  • The individual's name and date of birth.
  • Describe the behaviors that are of concern, including
  • Onset,
  • Duration and
  • What has been attempted to resolve the situation and
  • What the results were.
  • What does the individual say is happening or causing your concerns?
  • What if any recent changes have been noted?
  • Daily activities, such as sleep, eating, wandering.
  • Any changes in surroundings such as roommate moved, changed or died?
  • What are the individual's life circumstances? Any recent changes?
  • When was last physical assessment made?
  • Any recent labs done? What are the results?
  • Name of medical provider.
  • Has provider been called?
  • Will provider order the referral to Crisis?
  • What medications is the individual taking?
  • When was the last time taken?
  • Any recent changes in medication?
  • Is client compliant with medication regiment?
  • Is there any family support/involvement? How much if any?
  • Is there a guardian? What has been their involvement?
  • Have family/guardian been made aware of the recent concerns?
  • Any psychiatric/mental health history known?
  • If so, please provide relevant information including last hospitalization, where hospitalized, and diagnosis if known.
  • What intervention are you asking for?
  • Is there an advance directive of any sort either related to physical or mental health? If so, please have copy available as reference. (See Appendix 5 for the explanation of mental health advanced directive)

There will, in all likelihood, be a situation or circumstance that has not been thought of here. Preplanning is the best way to deal with unexpected or surprise events. We suggest that you call your local crisis program, get to know them and let them get to know you. Work out the specifics together of what each of you can and will do to make the situation the best for the individual or individuals in crisis, be it resident or staff.