CAI CAI Crisis Management and Safety Planning 1 — Questions and Answers
Question 1: What is the primary goal of a safety plan developed during an ARISE intervention?
- To legally obligate the person of concern to enter treatment
- To provide a structured response guide for managing high-risk situations (Correct answer)
- To document the interventionist's liability
- To list all substances the person has used
Correct answer: To provide a structured response guide for managing high-risk situations
A safety plan gives the person of concern and their support network a structured, actionable guide for responding to high-risk or crisis situations.
Question 2: When assessing suicide risk during an intervention, which factor indicates the highest immediate danger?
- Passive ideation with no plan
- History of suicidal thoughts 10 years ago
- Active ideation with a specific plan and access to means (Correct answer)
- Expressing hopelessness about job loss
Correct answer: Active ideation with a specific plan and access to means
Active suicidal ideation combined with a specific plan and access to lethal means represents the highest level of immediate risk and requires urgent intervention.
Question 3: Which communication approach is most effective when de-escalating a person in crisis during an intervention?
- Using confrontational language to force a decision
- Speaking rapidly to prevent the person from leaving
- Using calm, non-judgmental, and empathetic language (Correct answer)
- Involving as many people as possible at once
Correct answer: Using calm, non-judgmental, and empathetic language
Calm, non-judgmental, empathetic communication reduces defensiveness and helps the person in crisis feel safe enough to engage.
Question 4: In crisis intervention, what does the acronym 'SLAP' help assess?
- Substance use level and patterns
- Suicide plan specificity, lethality, availability, and proximity (Correct answer)
- Safety, listening, awareness, and planning
- Severity, location, antecedents, and prevention
Correct answer: Suicide plan specificity, lethality, availability, and proximity
SLAP is a suicide risk assessment tool evaluating the Specificity of the plan, Lethality of the method, Availability of means, and Proximity of help.
Question 5: What should an ARISE interventionist do if the person of concern becomes physically aggressive during the intervention meeting?
- Continue the intervention and ignore the aggression
- Physically restrain the individual until they calm down
- Prioritize safety, de-escalate, and end the meeting if necessary (Correct answer)
- Call the police immediately without attempting de-escalation
Correct answer: Prioritize safety, de-escalate, and end the meeting if necessary
The interventionist must prioritize everyone's safety by de-escalating the situation and ending the meeting if physical aggression continues or escalates.
Question 6: Which element is essential in a crisis safety plan for a person with substance use disorder?
- A list of their past treatment failures
- Contact information for emergency services and a trusted support person (Correct answer)
- A detailed financial history
- Documentation of all substances used in the past year
Correct answer: Contact information for emergency services and a trusted support person
An effective safety plan must include emergency contact numbers and at least one trusted support person who can be reached during a crisis.
What is the primary goal of a safety plan developed during an ARISE intervention?