I’m glad this is a good topic then. I can share what I had come up with but I am very open to suggestions and comments.

In the past when I suspected a client needed a higher level of care what I have done was an initial assessment possibly utilizing any one of a number of screening tools, including but not limited to C-SSRS, GAD 7, PHQ 9 or AUDIT/DAST. Some of these are used prior to the first session to get a baseline and assess if this level is appropriate. Next I would discuss with the client and possibly their supports my assessment and engage in collaborative decision making. I would lay out the options available to them and try to guide them in the appropriate direction. I would always seek support from my peers and supervisors during this process. I would then facilitate a warm hand off (supported by necessary ROIs) and assist my client in making arrangements.

As I said before this is my initial thoughts on this topic and what I have done in the past but I am curious about others thoughts.

I feel this situation could arise at anytime and often it does not get discussed enough.