PSYCHOSIS 271 B. Due to concerns about the client's inability to manage himself/herself within a less restrictive setting, he/she was referred to a crisis residential facility. C. The client was supported for cooperating voluntaril y with admission to a more supervised environment. D. The client refused to voluntarily admit himself/herself to a more supervised environment; therefore, civil commitment procedures were initiated. 8. Arrange for a Stable Setting ( 8) A. Arrangements we re made for the client to remain in a stable, supervised setting. B. The client has been able to decrease his/her psychotic symptoms as he/she has remained in a stable, supervised setting, and the benefits of this were reviewed with him/her. C. Despite r emaining in a stable, supervised setting, the client has continued to decompensate and he/she was admitted to a more intensive treatment setting. 9. Coordinate Mobile Crisis Response Services (9) A. Arrangements were made for mobile crisis response servi ces for the client, including a physical exam, psychiatric evaluation, medication access, and triage to inpatient care. B. The client was sought out in his/her home environment for the mobile crisis response services. C. Mobile crisis response services h ave assisted the client in becoming stabilized. D. The client continues to decompensate despite the use of mobile crisis response services, and a more structured placement was arranged. 10. Assess Suicidal Ideation (1 0) A. The client was asked to describ e the frequency and intensity of his/her suicidal ideation, the details of any existing suicide plan, the history of any previous suicide attempts, and any family history of depression or suicide. B. The client was encouraged to be forthright regarding th e current strength of his/her suicidal feelings and the ability to control such suicidal urges. C. The client was monitored on an ongoing basis for his/her suicide potential. D. Precautionary steps were taken to keep the client from committing suicide, i ncluding more direct supervision or placement in a locked, monitored environment. 11. Remove Potentially Hazardous Materials (1 1) A. Significant others were encouraged to remove firearms and other potentially lethal means of suicide from the client's eas y access. B. With the client's permission, potentially hazardous materials were removed and stored until he/she has become more stable. C. The client declined to allow hazardous materials to be removed, and he/she was provided with feedback about this de cision and the additional steps that may be taken to assure his/her safety. 12. Develop a Short-Term Crisis Plan (1 2) A. A short-term round-the-clock crisis plan was developed. B. It was determined that components of the client's short-term round-the-clock crisis plan must include multiple caregivers, psychiatric involvement, and/or crisis assistance in order to maintain him/her within the community. 