Notice early, act within role, and complete the handoff.
Use this page as a controlled working guide. Adapt language and activities to the population, verify local resources, assign ownership, and preserve the clinical and life-safety boundaries described throughout the model.

Life-safety response
Community settings must know their limits before an emergency. The goal is not to make every staff member a crisis clinician. The goal is to make sure no urgent concern is minimized, improvised, or left without an owner.
Use 911 or the locally approved emergency pathway for imminent danger, suspected overdose, severe medical distress, violence, inability to maintain immediate safety, or other emergencies. Use 988 or the approved crisis pathway for behavioral-health crisis when emergency medical or law-enforcement response is not immediately required. Follow agency policy and local protocol.
Overdose response essentials
Suicide, violence, abuse, neglect, and exploitation
Ask directly within role
Do not use euphemism when a safety concern is present. Ask the approved direct questions and consult the qualified responder immediately.
Do not promise secrecy
Explain that privacy is respected but safety and reporting obligations may require action.
Do not investigate beyond authority
Record the exact statement, immediate condition, and action. Mandated reporting is not a private trial.
Do not send danger away alone
Maintain supervision and transfer responsibility according to the emergency or crisis plan.
Protect everyone affected
Consider youth, siblings, intimate partners, older adults, vulnerable adults, staff, and others exposed to the same environment.
Follow after the sirens
Emergency transfer is a beginning, not a completed recovery pathway. Track discharge, next appointment, safety plan, and practical barriers.