Week 3: Intake & Crisis Response

Question 1

What are some of the goals of eliciting information from a client during the intake process? (5)

Answer 1

-Ensuring appropriate fit for the agency/program
-Identifying client’s concerns
-Identifying ROPES
-Determining what the person wants to achieve/how you can be helpful for them
-Assessing for imminent risk to self or others

Question 2

What would be involved in a motivational approach to intake? (4)

Answer 2

-Validating feelings
-Validating inner conflicts about change
Emphasising strengths
-Helping clients identify and reduce barriers to personal growth

Question 3

What suicide risk factors are included in the SAD PERSONS acronym?

Answer 3

S: sex
A: age
D: depression

P: previous attempts
E: excessive substance use
R: rational thinking loss
S: sickness
O: organised plan
N: no social support
S: stated future intent

Question 4

In order from top to base, what are the 7 tiers of Maslow’s Hierarchy of Needs?

Answer 4

1. Self-actualisation (self-fulfillment, realising potential)
2. Aesthetic (symmetry, order, beauty)
3. Cognitive (to know, understand, explore)
4. Esteem (to achieve, gain approval/recognition)
5. Belongingness/love (acceptance, affiliation)
6. Safety
7. Physiological (hunger, thirst, etc.)

Question 5

What are the 4 stages of risk management (O’Hara)

Answer 5

1. Gathering information (risk assessment)
2. Analysis (weighing pros and cons, options, communication with all parties)
3. Professional judgement/decision (systems theory, resilience, strengths)
4. Action to reduce harm

Question 6

What is included in the ALARMS suicide conversation framework?

Answer 6

A: ask
L: listen
A: affirm
R: reassure
M: move
S: signpost

Question 7

What is included in the CPR suicide conversation framework?

Answer 7

C: current plan (how, when, where, etc.)
P: previous exposure (personal or loved ones)
R: resources (friends, family, helplines, coping strategies, lack of certainty, etc.)

Question 8

What are the 5 child protection considerations in a risk assessment?

Answer 8

1. Basic physical, emotional, or psychological needs not being met
2. Lack of arrangement of medical care
3. Risk of physical/sexual mistreatment
4. Exposure to domestic violence
5. Psychological harm

Question 9

What are the two dimensions that determine the level of risk associated with a person’s suicide ideation/plan?

Answer 9

1. Likelihood: plan detail, immediacy, history of harm (personal/loved ones), access to means
2. Degree of harm (lethality)

Question 10

Are social workers authorised to administer naloxone?

Answer 10

Not automatically; social workers can administer when the responsibility is formally delegated to them by a regulated health professional and they are provided training OR in a first-aid/emergency situation