CAI CAI Crisis Management and Safety Planning 2 — Questions and Answers
Question 1: What is the purpose of conducting a lethality assessment before an ARISE intervention?
- To determine the cost of treatment options
- To identify whether the person of concern poses a danger to themselves or others (Correct answer)
- To assess the family's financial resources
- To evaluate the interventionist's qualifications
Correct answer: To identify whether the person of concern poses a danger to themselves or others
A lethality assessment helps the interventionist determine the level of risk for self-harm or harm to others so appropriate safety measures can be put in place.
Question 2: Which crisis model involves a three-stage process of pre-crisis equilibrium, crisis, and post-crisis adaptation?
- Motivational enhancement model
- Roberts' Seven-Stage Crisis Intervention Model
- Basic Crisis Intervention Model (Correct answer)
- Transtheoretical model
Correct answer: Basic Crisis Intervention Model
The Basic Crisis Intervention Model describes three stages: pre-crisis equilibrium, the acute crisis state, and post-crisis adaptation or re-equilibration.
Question 3: An ARISE interventionist should coordinate with which professional if the person of concern is at imminent risk of self-harm?
- A financial advisor
- A licensed mental health crisis professional or emergency services (Correct answer)
- The family's attorney
- A spiritual advisor only
Correct answer: A licensed mental health crisis professional or emergency services
Imminent self-harm risk requires coordination with licensed mental health crisis professionals or emergency services to ensure the person receives appropriate immediate care.
Question 4: What does 'means restriction' mean in the context of suicide prevention during a safety plan?
- Limiting the person's access to financial resources
- Reducing or eliminating access to lethal means such as firearms or medications (Correct answer)
- Restricting the person to a treatment facility
- Limiting internet use to prevent access to harmful content
Correct answer: Reducing or eliminating access to lethal means such as firearms or medications
Means restriction involves removing or limiting access to objects that could be used for self-harm, which is one of the most evidence-based suicide prevention strategies.
Question 5: Which behavior change in a person of concern should prompt immediate reassessment of crisis risk?
- Agreeing to attend a family meeting
- Giving away prized possessions and saying goodbyes (Correct answer)
- Requesting information about treatment programs
- Expressing anger about being asked to seek help
Correct answer: Giving away prized possessions and saying goodbyes
Giving away possessions and saying final goodbyes are warning signs of imminent suicidal intent and require immediate safety reassessment.
Question 6: How does trauma-informed care influence crisis management in addiction interventions?
- It focuses solely on the substance use and ignores emotional history
- It recognizes that trauma underlies many crises and avoids re-traumatization (Correct answer)
- It delays crisis intervention until trauma therapy is complete
- It requires the family to disclose all past trauma before the intervention
Correct answer: It recognizes that trauma underlies many crises and avoids re-traumatization
Trauma-informed care acknowledges that unresolved trauma often underlies addictive behavior and crisis states, so practitioners avoid responses that could re-traumatize the individual.
CAI CAI Crisis Management and Safety Planning 2
What is the purpose of conducting a lethality assessment before an ARISE intervention?