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Crisis & Safety Planning

Youth Era supplied knowledge extraction · 2026-07-20

training-reference · Training reference

Population: See individual training topic

Material available: Supplied extraction

(High-priority folder per Martin's original notes. Now substantially complete, including Youth Era's own Crisis Response Policy — see "Remaining files" at the end for the small number of items still outstanding.)

Navigating Crisis (Icarus Project)

Source: Crisis & Safety Planning — "Icarus - Navigating Crisis" (The Icarus Project); two near-identical file variants in this folder, content extracted once

Reframes crisis at the root: "crisis" comes from a word meaning "judgment" — a turning point when things can't continue as they have, not synonymous with violence, and potentially "an opportunity for breakthrough, not just breakdown." An 8-point Crisis Response Quick List: work in teams (coordinate support rather than one person absorbing everything); try not to panic (a calm, patient, unhurried response from supporters measurably helps de-escalate); be real about what's going on without over- or under-reacting (a genuine active suicide attempt needs emergency intervention; someone processing intense feelings while holding a knife and talking about UFOs does not automatically need police); listen to the person without judgment (ask what they need rather than assuming); consider whether abrupt medication withdrawal is a factor; create a sanctuary and meet basic needs (food, water, sleep, a change of scene); recognize sleep deprivation as a major crisis driver; and don't make calling police or a hospital the automatic first response, since both can traumatize and made things worse historically for many in this community.

A section on suicide reframes suicidal feelings as being "desperate for things to be different," not giving up on life — the practical move is to find what specifically needs to change or "die" (a pattern, a relationship, a belief) rather than the whole life, and to gently reality-check the critical inner voice that suicidal thinking often amplifies. Practical guidance for supporting someone: don't argue with them, be patient with long silences, let them ask for anything (an errand, food, a place to stay), and remind them directly: "you are not alone."

Introduces psychiatric advance directives — a "living will for crisis" that a person completes while well, specifying who should and shouldn't be contacted, preferred/unacceptable medications and treatment facilities, and what supporters should do if the person becomes a danger to themselves — carrying real though limited legal weight, and useful to have on file with a therapist, family, or support network before a crisis hits.

Safety Plan / Crisis Prevention Plan (Project LETS)

Source: Crisis & Safety Planning — Project LETS, "Safety Plan - Crisis Prevention Plan" template

A structured checklist-style safety plan template covering: problem behaviors that show up under stress (losing temper, self-injury, suicidal feelings, substance use); personal triggers (not being listened to, feeling pressured, being touched, loud noises, isolation, particular people or times); warning signs others might notice (sweating, clenched fists, pacing, becoming very quiet, sleeping more or less); a checklist of interventions that help calm the person down (time alone, music, coloring, exercise, cold cloth on face, journaling, hugging a stuffed animal, calling specific family members); and things that make it worse (being alone vs. being around people, being reminded of rules, being touched — highly individual, which is the point of having the person specify their own). Closes with a short structured crisis plan naming specific warning signs to notice, what action to take, what supporters should do, and a reward for successfully managing a potential crisis without escalation.

Anti-Carceral Crisis and Safety Planning

Source: Crisis & Safety Planning — "Anti-Carceral Crisis and Safety Planning" worksheet

Frames crisis as occurring "when an environment can no longer meet a person's needs" — not as a symptom of someone being inherently dangerous or "crazy." Common drivers: prolonged holding-it-together, unmet basic needs (housing, safety, food), repeated negative experiences with authority, grief, trauma, drug use or sleep deprivation, spiritual/altered-state experiences, or chronic pain overwhelming a person's capacity to tolerate physical sensation. Uses a pressure/pipe metaphor: a crisis is pressure that needs somewhere to go; without space for it to release, the nervous system may panic into behavior read as "violent," which is often really a desperate attempt to get needs met or self-protect. States plainly that involving police is always an escalation, and that the mental health system is "fundamentally carceral" and can exacerbate trauma. Includes a reframing table example: what you might see (screaming, head-banging) vs. what you might assume ("trying to hurt myself") vs. what's actually happening ("stimming and trying to calm down") — a useful caution against assuming self-injurious-looking behavior is always suicidal intent. Builds toward a personalized plan: what wellness feels like in the body, early warning signs vs. urgent warning signs, a named support team with specific check-in questions ("have you eaten? What's sleep been like?"), and explicit "signs I am no longer making the best decisions for myself" paired with a supported decision-making plan.

Community Crisis Preparedness Worksheets (PDX Disabled Support)

Source: Crisis & Safety Planning — "Community Crisis Worksheets with Links," PDX Disabled Support

An extensive, disability-justice-informed crisis planning template built around a "community care pod" (a group of trusted people who support someone through crisis) rather than professional/institutional response alone. Explicitly non-police-oriented — it lists non-police crisis lines (People's Crisis Line, Trans Lifeline) while cautioning that even these organizations may still involve law enforcement in some circumstances, so it's worth clarifying an org's police-involvement policy before disclosing. Sections cover: who to trust vs. explicitly exclude from care/treatment decisions (including past domestic violence or abuse considerations); preferred vs. unsafe hospitals; Oregon-specific legal documents (Declaration for Mental Health Treatment, Advance Directive) distinguished from this informal plan; situation-specific "if X happens, I want person Y to do Z" plans; and a full post-crisis care section — "green flags" signaling recovery (clear, grounded, communicating openly, hungry, self-responsible), what support is needed on return home, what can wait vs. what needs immediate attention, and prompts for post-crisis accountability and repairing any strain the crisis put on relationships. Notably thorough on the after-crisis period, which is often under-planned relative to the crisis moment itself.

Top 10 De-Escalation Tips (Crisis Prevention Institute)

Source: Crisis & Safety Planning — CPI, "Top 10 De-escalation Tips"

Ten practical tips: be empathetic and nonjudgmental (feelings are real to the person even if they seem irrational to you); respect personal space (1.5-3 feet, explaining any necessary closer contact); use nonthreatening body language, since an escalated person reacts more to nonverbal cues than words; avoid overreacting and stay calm/rational ("I can handle this," "I know what to do"); focus on the person's feelings over the facts ("that must be scary" lands better than correcting details); ignore challenging/baiting questions without ignoring the person — redirect to the actual issue; set clear, simple, enforceable limits with respectful choices; be selective about which rules are truly non-negotiable vs. flexible; allow silence for reflection rather than filling every gap; and allow time for decisions, since rushing someone who's upset raises their stress further.

Youth Era Crisis Response Policy (internal policy — highest-priority original document)

Source: Crisis & Safety Planning — "YE Crisis Response Policy.pdf" (Youth Era internal policy)

Youth Era's own organization-wide crisis protocol. All direct-service staff are certified as Youth Peer Support Specialists (YPSS) and trained on the crisis-cycle framework, plus required ASIST (Applied Suicide Intervention Skills Training) for responding to suicide warning signs, and training on building/using a safety plan with youth in crisis. After a crisis, supervisors are expected to check in with staff on self-care and vicarious trauma, and the team must hold a full group debrief at the next team meeting — reviewing what happened, what strategies were used, what went well or poorly, and what could prevent recurrence. Chain of command for crisis contact: YPSS/Youth Wraparound Partner → immediate supervisor → Peer Services Manager/Statewide Wraparound Director → executive team member; anyone in that chain who's unavailable must designate a backup point of contact.

Defines three severity tiers with specific required actions. LOW (no immediate supervisor response required): minor illness/injury needing no action or basic first aid; a seizure where protocol was followed; behavior with a significant-but-manageable negative impact on others; disclosed/suspected substance use on-premises; ASIST initiated but the youth immediately denies suicidality. Action: notify immediate supervisor within 24 hours; supervisor notifies their own supervisor within 24 hours; an Incident Report may be required within 7 days. MEDIUM (immediate supervisor response required): illness/injury needing emergency services, or a seizure with no protocol followed; harassment, threats, or sexual/aggressive behavior toward staff or youth; drug dealing on premises; ASIST initiated and a "safety for now" plan is reached. Action: notify supervisor as soon as possible, Incident Report required within 7 days. HIGH (emergency services + executive/county involvement): a fatality; a life- or limb-threatening injury; weapon use or threat; overdose; ASIST initiated but no safety plan could be reached; fire; natural disaster. Action: call 911 (or the youth's emergency contact specifically for a suicide threat), evacuate as safely as possible, notify supervisor ASAP, and upper management must notify the county and/or relevant community partners where law enforcement or emergency services were engaged.

Worth cross-referencing directly against the more anti-carceral crisis material earlier in this file: YE's own policy does call for 911 in explicitly HIGH-severity situations (unlike some of the harm-reduction-oriented external material above, which cautions more broadly against police involvement), while still centering de-escalation and non-escalation for LOW/MEDIUM situations. A coach should know both the organizational escalation ladder (this document) and the values/de-escalation-first philosophy (the other sources in this file) side by side.

My Mood Map

Source: Crisis & Safety Planning — "My Mood Map"

A youth-facing self-assessment tool mapping five nervous-system states — Terror, Fear, Alarm, Alert, Calm — each with columns for "how this looks for me," "how I can help myself," and "how others can help me." Terror: pure reflexive fight or fainting. Fear: fully reactive, may run or dissociate. Alarm: very emotional, may resist or comply just to get it over with. Alert: rigid thinking, may look to others or avoid. Calm: clear thinking, capacity for creativity and daydreaming. Framed with a relatable opening: getting help in the "wrong way" while already worked up can make things worse, so mapping out what actually helps at each state ahead of time is the point of the exercise. Complements the De-Escalation Preference Chart and Anti-Carceral planning material above — a coach could fill this in collaboratively with a young person.

De-Escalation Preference Chart (Mandt System Crisis Cycle)

Source: Crisis & Safety Planning — "De-escalation Preference Chart," The Mandt System (rev. 11/2/2018)

Maps caregiver response to each phase of the crisis cycle: at Baseline, listen and engage — actively listen, support the person in things they find important/enjoyable. At the Stimulus/Trigger phase, listen to identify and remove the stimulus, noting known triggers (people, places, activities). At Escalation, engage to offer options drawn from the person's own baseline list; at higher Escalation, engage to set expectations and cue a replacement behavior. At Crisis itself, protect using the least amount of interaction needed for safety — minimal engagement, prioritizing safety over conversation. At De-escalation, engage to structure a cooling-off period using preferred recovery options. At Post-Crisis/Drain, listen — observe and support, watching for known important details/preferences. A useful phase-by-phase response template alongside the more narrative Anti-Carceral and PDX Disabled Support material earlier in this file.

Mental Health Safety Plan Template

Source: Crisis & Safety Planning — "MHSafetyPlan.pdf" (SelfLoveRainbow)

A fill-in-the-blank mental health safety plan / trigger-mapping template, prompting the person to identify their own specific triggers across categories: people, words & phrases, situations, feelings/emotions, places/environments, sensations, memories, and thoughts. Simple and short — a starting worksheet a coach could work through collaboratively with a young person alongside the more detailed Project LETS and Anti-Carceral safety plan templates already in this file. (A companion file, "MyCrisisSafetyPlan.pdf," returned no extractable text from this tool — likely an image-based or non-OCR'd form — and would need a different extraction approach to review.)

Working Through a Trigger (quick tool)

Source: Crisis & Safety Planning — "Photo (5).jpg" (a text graphic, not a photo of a person)

A concise 5-step in-the-moment trigger tool: notice the brain's narrative without trying to change it; name it explicitly as a story ("my brain is protecting me by creating a story right now"); take slow belly breaths to cue safety to the nervous system; say "I don't know" out loud to interrupt the certainty of the story, since the brain is often just making assumptions about why something happened; and stay curious and open — communicate, share, and be vulnerable. Framed as a way of separating the self from a trauma-driven narrative, building healthier relationships, confidence, and humility over time.

The Trigger Journal (SelfLoveRainbow workbook)

Source: Crisis & Safety Planning/The Trigger Journal SS subfolder — 10-slide workbook (two full duplicate PDF versions, Full Color and B&W, also exist in this folder but were not separately re-extracted since the content matches)

A self-guided journaling workbook distinguishing a stress response (predictable, mild-to-moderate, some control, tied to normal life events) from a trauma response (unpredictable, intense/severe, little control, tied to something outside normal experience) — while explicitly cautioning that these categories are fluid, and one person's "just stressful" can be another's trigger, so comparing whose pain "measures up" isn't useful. Walks through reflective prompts: a general trigger-associations checklist across smells, sounds, objects, textures, tastes, touch, physical sensations, situations, places, feelings, character traits, and specific dates; a long, wide-ranging "Potential Triggers" word bank (abandonment, rejection, criticism, loud noises, being interrupted, financial stress, holidays, specific dates, and dozens more), explicitly framed as incomplete and highly individual; and a structured journaling sequence asking what specifically triggers you and from what source; who/what makes you feel more vulnerable to being triggered vs. safe and grounded; how your relationships and other life areas (work, family, hobbies) have been affected; what your younger self needed from the adults around them; whether any triggers have had a positive side (clarifying who you don't want to be, or building empathy to help others); whether triggers show up in dreams; a 1–10 self-rating of how much triggers affect daily life; emotional and physical symptoms tied to the stress/trauma response; and — sensitively phrased — whether any triggers have led to self-destructive choices or self-harm, alongside what's helped the person overcome or heal from a trigger in the past. A rich, ready-to-use structured journal a coach could hand to a young person in pieces rather than all at once.

Remaining files not yet processed

  • NAMI-Teen-and-Young-Adult-Resource-Directory.pdf — external resource directory rather than original content; located this session, not yet read.
  • SE-International-SCOPE-pdf-791x1024-1.webp — unsupported file format for this extraction tool.

Some originals were not extracted. Preserve the extraction-gap notes; this is not signed agency policy.

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