During a crisis, what should be documented to ensure accountability and safety?

• A. Document only after the crisis ends.
• B. Document all assessments, decisions, and actions; include safety plan, removal of means, contacts with consent, follow-up plans, and any collateral information used.
• C. Do not document during crisis.
• D. Document only the initial assessment.

Answer: (B)

In a crisis, what you record matters for safety and accountability because the situation is fluid and decisions have real consequences. The best approach is to document everything: all assessments, the decisions you make, and the actions you take. Include a concrete safety plan that outlines how risk will be reduced, the removal of any means of harm if needed, and the exact contacts you made (with the client’s consent) to involve supports or notify others. Also include follow-up plans, so there’s a clear path for ongoing monitoring and care. Recording any collateral information used—such as information from family, schools, or medical sources—shows the basis for your risk assessment and decisions, which helps supervisors and others understand the rationale and ensures transparency. This comprehensive, timely documentation supports accountability, protects client safety, and provides a clear record for continuity of care.