When a therapist makes a report regarding a client who may harm themselves, the specific actions taken afterward can vary depending on the laws and regulations of the country or state in which the therapist practices. However, there are some general procedures that are commonly followed:
Emergency Response: If the therapist believes that the client is an immediate danger to themselves or others, they may take emergency action to ensure the client's safety. This can involve contacting emergency services, such as calling 911 or the local crisis intervention team, to provide immediate assistance.
Breaking Confidentiality: Therapists have a duty to protect their clients' confidentiality, but when a client's safety is at risk, they are obligated to breach that confidentiality to prevent harm. The therapist may inform relevant individuals or authorities about the client's situation to ensure appropriate care and intervention.
Contacting a Designated Person: Depending on the client's situation and the therapist's assessment, they may contact a designated person from the client's support system. This could be a family member, friend, or someone else who can provide support and help keep the client safe.
Hospitalization or Inpatient Care: If the client's risk of harm is severe, the therapist may recommend or facilitate hospitalization or inpatient psychiatric care. This step is taken to provide immediate and intensive intervention to ensure the client's safety.
Safety Plan: The therapist may work with the client to create a safety plan. This plan typically includes coping strategies, emergency contacts, and steps to take if the client experiences heightened distress or suicidal thoughts.
Collaboration with Other Professionals: In some cases, the therapist may collaborate with other mental health professionals, such as psychiatrists, social workers, or case managers, to coordinate a comprehensive approach to the client's care.
Follow-Up and Ongoing Support: After the immediate crisis has been addressed, the therapist will continue to work with the client to provide ongoing support and treatment. They will monitor the client's progress and safety while helping them address the underlying issues that contributed to the crisis.
It is essential to remember that therapists are ethically bound to prioritize their clients' well-being and safety. If you or someone you know is struggling with thoughts of self-harm or suicide, it is crucial to seek help immediately by reaching out to a mental health professional, a helpline, or a crisis intervention service in your country.