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Table 3 Standard Pathways, Classes I, II and III

From: Bridging juvenile justice and behavioral health systems: development of a clinical pathways approach to connect youth at risk for suicidal behavior to care

CLASS I: CRISIS, IMMINENT RISK DO NOT LEAVE YOUTH UNATTENDED
DEBRIEF
1. Alert supervisor
2. Inform youth, and then caregiver, of the screening result and next steps
CONNECT
3. Call [Class I crisis provider] and advise them of a Class I/suicidal youth
4. Distribute the copies of the e-Connect Provider Referral Form and Bidirectional Release Form to the [CLASS I crisis provider]; keep one copy of each in youth’s case file
5. If [CLASS I crisis provider] determines youth needs to be transported for emergency services, complete and give caregiver the e-Connect Emergency Services/Transportation Form and Home Safety Information Sheet
DOCUMENT
6. Update supervisor
7. If youth is already in treatment, inform the existing provider of the e-Connect screening result and events
8. Document into Caseload Explorer
CLASS II: CRISIS, NON-IMMINENT RISK DO NOT LEAVE YOUTH UNATTENDED
DEBRIEF
1. Alert supervisor
2. Inform youth, and then caregiver, of the screening result and next steps
CONNECT
3. Call to [wording about Class II appointment within 72 h]
4. [Step about alerting other providers/LE etc if necessary]
5. [Email/Fax] e-Connect Provider Referral Form and Bi-Directional Release Form to [PROVIDER]; keep one copy of each in youth’s case file
6. Complete and give caregiver the e-Connect Family Appointment Form and Home Safety Information Sheet
DOCUMENT
7. Update supervisor
8. If youth is already in treatment, inform existing provider of the screening result and events
9. Document into Caseload Explorer
CONNECT
10. Follow-up with provider immediately after the scheduled appointment time to verify youth’s attendance
DOCUMENT
11. Update supervisor
12. Update Caseload Explorer
CLASS III: IN NEED OF BEHAVIORAL HEALTH SERVICES
DEBRIEF
1. Inform youth, and then caregiver, of the screening result and next steps (see back of this page)
2. If already in treatment with a provider, ask if they would prefer to see the existing provider or a new referral
CONNECT
3. If same provider, connect the youth with their existing provider; make a follow up appointment from your office, with family present or make a plan with caregiver if appointment cannot be made that day
4. If a new referral, inform youth and caregiver to [directions to access providers]
5. Complete and give caregiver the e-Connect Family Appointment Form
6. Once known, email/fax e-Connect Provider Referral Form and Bi-Directional release Form to [PROVIDER]; keep one copy of each in youth’s case file
DOCUMENT
7. Document into Caseload Explorer
8. Verify youth attendance with provider within 72 h of their appointment
9. Update Caseload Explorer