Crisis Management Plan Guideline

A crisis management plan is an essential tool for psychiatric providers to ensure patient safety during acute mental health challenges, especially when providers are unavailable. This article provides guidance on creating a plan that empowers patients with clear steps, reduces anxiety, and offers structured support through emergency contact information, local resources, self-help strategies, and safety measures.

The Importance of a Crisis Plan for Patients

As a psychiatric provider, ensuring patient safety extends beyond your available hours. A crisis plan serves as a contingency for moments when patients face acute mental health challenges and you cannot be immediately reached.

The purpose of a crisis plan is to:

  • Empower patients by equipping them with clear steps and resources to manage distress independently when needed.
  • Ensure safety by providing access to emergency services, crisis hotlines, and support systems tailored to their needs.
  • Reduce anxiety by helping patients feel supported by having a structured approach to follow during high-stress situations.

This plan is not just for emergencies but is also a critical component of proactive care, teaching patients how to access help and maintain stability when they feel overwhelmed. It’s meant to provide a plan for how you’ll approach a patient crisis. 

What to Include in Your Crisis Contingency Plan

When you’re unavailable, a well-crafted contingency plan ensures patients have access to the support they need during a crisis. Consider including:

  • Emergency Contact Information:
  • Hospital and Emergency Services:
    • Nearest psychiatric emergency room or general emergency department.
    • Instructions for calling 911 and stating it is a mental health emergency.
  • Community Resources:
    • Local mental health clinics or walk-in crisis services.
    • Peer support organizations (e.g., NAMI chapters).
  • Self-Help Strategies:
    • Grounding techniques, mindfulness exercises, or journaling prompts.
    • Apps or tools for managing anxiety and distress (e.g., Calm, Headspace).
  • Trusted Support Contacts:
    • Encourage patients to identify a friend, family member, or caregiver to call for emotional support.
  • Medication and Safety Plans:
    • Reminders about the proper use of prescribed medications.
    • Recommendations to remove or secure harmful items if necessary.

Including some or all of these elements in your plan ensures patients have actionable steps and reliable resources to manage crises safely and effectively.

Example Crisis Management Plan

You can refer to the example crisis management plan below when creating a plan for your practice.

Helpful Care, LLC [Name of Provider’s Practice]

Crisis Management Plan

Purpose:

This plan is designed to support patients during after-hours or out-of-session crises when their provider is unavailable. It ensures that patients have clear, safe, and immediate steps to follow when in distress or facing a mental health emergency. 

After-Hours and Emergency Support

If you are in crisis outside of business hours or your provider is unavailable, please use the following resources for immediate help:

  • Rula 24/7 Crisis Support Line: 1 (877) 371-5488
    Trained mental health professionals are available 24/7 to help you stay safe and connect you with appropriate care.
  • 988 Suicide & Crisis Lifeline: Call or text 988 to connect with free, confidential support 24/7.
  • Crisis Text Line: Text HOME to 741741 for immediate text-based support.
  • Emergency Services: If you are in danger or unable to stay safe, call 911 and say, “This is a mental health emergency.” You can also go to your nearest emergency department or psychiatric crisis center.

Additional Support Resources

  • NAMI (National Alliance on Mental Illness): www.nami.org — peer and family support, education, and advocacy
  • SAMHSA Helpline: 1-800-662-HELP (4357) — for mental health or substance use assistance
  • Local Crisis Lines: [Insert your county’s local crisis hotline if known]

Contacting Your Provider [Provide HIPAA compliant, direct contact information]

If you are safe but need to discuss your symptoms, medications, or treatment or schedule/reschedule a follow up visit:

💬 Send a Secure Message: You can message your provider directly through the Rula Patient Portal at any time.

Messages are reviewed by your provider and will receive a response during regular business hours.

If you do not receive a response within 48 business hours, please contact the Rula Patient Support Team.

📞 Phone (HIPAA-Compliant Voicemail): [Insert your practice contact number, not the number for Rula]

📧 HIPAA-Compliant Email: [Insert your HIPAA compliant email address for direct patient contact]

Messages are reviewed by your provider and will receive a response during regular business hours. If you have not received a response within 48-72 hours, please contact Rula patient support below. 

📞 Rula Patient Support: (323) 205-7088 

🌐 Rula Patient Help Center: https://patientsupport.rula.com/hc/en-us

📧 Rula Patient Support Email: psychsupport@rula.com 

 

Updated

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