How do you decide whether to request a welfare check (police or mobile crisis) when a typically responsive outpatient becomes suddenly unreachable?
How do you balance concern for patient safety with the potential harms of an intrusive intervention, including trauma or loss of therapeutic alliance? What factors most strongly influence your threshold to escalate?
Answer from: at Community Practice
Patient safety and welfare comes first. If a patient suddenly becomes unreachable, a welfare check is in order. A reasonable person would comprehend that this is borne of concern and should not cause a breach in the therapeutic relationship. In the contrary, most would be grateful for the concern.