B.         CRISIS 

1.00     Care Planning

1.01     Documentation: Understands and is able to identify standards and procedures for identifying pertinent data for inclusion in reports; organizing information in a clear and concise manner; writing summaries of assessment and other supporting data for the case history in a timely manner. 

1.02     Care Planning Process: Understands and is able to identify standards and procedures for developing a crisis prevention plan, which includes procedures for avoiding retraumatization of individuals with trauma histories. 

1.03     Care Coordination: Understands and is able to utilize various approaches to coordinate implementation of a crisis prevention plan. 

1.04     Adult Transition Planning:  Understands procedures for moving children to adult status and the roles of schools in the process. 

1.05     Discharge Planning:  Understands procedures for treatment and discharge planning to ensure continuity of care. 

1.06     Community Resources:  Has knowledge of the local and regional community support, respite and emergency systems and how to access them. 

2.00     Crisis Assessment 

2.01     Mental Status:  Understands and is able to evaluate mental status and assess potential causes for diminished mental health status and assess potential danger to self and others. Understands dynamics of trauma as impacting negatively on mental health status. 

2.02     Assessment of Emergency:  Understands and is able to evaluate the potential for a medical or behavioral emergency. 

2.03     Domestic Violence:  Understands indicators and cycles of domestic violence and battered women’s issues. 

2.04.    Sexual Assault:  Understands indicators and dynamics of sexual assault and sexual abuse victimization issues. 

3.00     Crisis Interpersonal Skills  

3.01     Independence/Teamwork Balance:  Has the ability to work independently to make critical decisions and to work collaboratively as an integral part of a team. 

3.02     Independence:  Has the ability to work independently, utilizing technology to communicate and facilitate interaction. 

3.03     Modes of Communication:  Is able to communicate using all alternative modes of communication including American Sign Language. 

3.04     Handling Difficult Situations:  Understands and is able to use mediation, negotiation, anger management and conflict resolution skills to handle difficult situations. 

3.05     Working Relationships:  Has the ability to initiate, develop and maintain effective working relationships with clients, clinicians, families, law enforcement and judicial system personnel. 

4.00     Crisis Intervention and Management 

4.01     Legal Base:  Understands the voluntary and involuntary process including general knowledge of provisions of EMTLA (Emergency Medical Treatment and Labor Act) and how it affects people using emergency medical services. 

4.02     Physical Intervention:  Is able to assess need and utilize appropriate physical intervention in a crisis situation (is trained in the use of interventions and approaches so as to avoid retraumatizing clients). 

4.03     Crisis Intervention Theory:  Has knowledge of crisis intervention theory and practices, including theory and practices informed by understanding of trauma dynamics. 

4.04     Holistic View:  Has knowledge of medical, chemical, trauma related and other types of problems that may exacerbate symptoms of clients while in crisis. 

4.05     Emergency First Aid and CPR:  Has the knowledge and ability to provide emergency First Aid and CPR and has been certified by a nationally recognized source. 

4.06     Administering Medications:  Has the knowledge and ability through a state approved certification program to administer prescribed medications. 

4.07     Personal Safety:  Understands legal issues related to personal safety (e.g. OSHA regulations and Departmental policy on transportation) and is able to take appropriate action. 

4.08     Suicide Prevention:  Understands indicators of suicidal behavior and appropriate intervention techniques.

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