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A comprehensive client management system for crisis intervention services.

J D Thigpen, E Jones

Suicide & Life-Threatening Behavior

|January 1, 1979

Summary

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This study evaluated a client management system for suicide and crisis intervention, finding it effectively prioritized care for high-risk individuals. However, the system did not fully address unique challenges in crisis intervention services.

Area of Science:

Mental Health Services Research
Clinical Psychology
Public Health Interventions

Background:

Suicide and crisis intervention services face challenges in managing diverse client needs.
Standardized client management systems are crucial for effective resource allocation and care prioritization.

Purpose of the Study:

To present and evaluate a comprehensive client management system for suicide and crisis intervention.
To assess the system's effectiveness in differentiating service delivery based on client needs.

Main Methods:

Development of a five-tier service designation system (self-injury, crisis, active support, general support, single contact).
Evaluation of service delivery, contact frequency, duration, and outcome ascertainment across designations.

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Main Results:

Self-injury clients received significantly more contacts, longer involvement, and more direct service time, as intended.
Little difference was observed in individual contact length and outcome ascertainment across groups.
The system provided valuable service guidelines but did not resolve all unique intervention challenges.

Conclusions:

The client management system effectively prioritizes care for high-risk individuals in crisis intervention.
Further refinement is needed to address the complex and idiosyncratic issues encountered in suicide and crisis services.