Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 3 - Licensing and Certification
Chapter 89 - Crisis Intervention
Section I-8913 - Glossary of Terms

Crisis -the subjective reaction to a stressful life experience that compromises the individual's and/or family's stability and ability to cope or function.

Crisis Assessment-exploration of the precipitating factors, description of current manifestations, identification of available resources, and development of a crisis response plan.

Crisis De-escalation -techniques for reduction in crisis manifestations and implementation of the crisis response plan.

Crisis Intervention -treatment which alleviates the impact of a crisis and helps mobilize the resources and improve the coping skills of those affected.

Crisis Intervention Service -services which provide assessment, de-escalation and referrals to those in emotional/behavioral crisis. This may include one-to-one intervention to prevent harm to self or others. These services may be available 24 hours a day, seven days a week and are usually staffed by crisis clinicians, social workers, and trained paraprofessionals.

Crisis Worker -professional or paraprofessional worker engaged in direct services delivery or in supervision of direct services delivery.

DSM IV -fourth edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders.

One-to-one Intervention -provision of staff, trained in verbal de-escalation and passive physical restraint, to a person in crisis characterized by continuous visual contact, at a minimum, for a specified amount of time, for the purpose of preventing harm to self or others. These staff do not function as alternative care givers or supplant the existing care giver relationships.

Passive Physical Restraint -the least amount of direct physical contact required on the part of a staff member to prevent a client from harming self or others, and specifically excludes use of restraining devices.

Staff Member -staff members include the wage and hourly workers (consistent with Department of Labor guidelines) and independent contractors paid by the provider. Staff may be either administrative and clerical support workers or professional and paraprofessional workers engaged in direct service delivery. Due to the unpredictable nature of the demand for crisis services, crisis providers may need to employ independent contractors as staff members on an as-needed basis.

AUTHORITY NOTE: Promulgated in accordance with R.S. 46:51.