Does the exemplary standard of “24/7 availability to speak with a clinician who is familiar with the recipient” mean that all clinicians should be on twenty-four hour on-call?
While the ability for a recipient to contact their own therapist when in crisis may be ideal, the more fundamental expectation is that each recipient have ready access to a clinician when in need, rather than being directed to a hospital or law enforcement service. As the treatment home of the recipient, the clinic should have the most current and accurate information about the person’s circumstances and desired treatment approaches. Clinic staff providing on call coverage could be made familiar with individuals at risk or those experiencing increased distress through case conferences, team meetings etc. Regardless of the arrangement for crisis coverage, however, the sharing of pertinent information with the crisis responder is a valuable aspect of providing individualized and appropriate service to the recipient.
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