Author: Joan Beasley, M.Ed., L.C.S.W., Clinical Director, S.T.A.R.T. Services, Greater Lynn MH & MR Association, Lynn, MA
Individuals with a Dual Diagnosis (MR/MI) often experience crises due to wide range of factors including mental health symptoms which remain untreated, environmental factors, and communication difficulties. The community support system may also create boundaries which have a negative impact on the individual getting the help he/she needs. Often, as a result of addressing these issues and pre-negotiating interventions, future crises can be avoided. Presented here are the guiding principles to effective community care and a description of the START (Systemic, Therapeutic, Assessment, Respite and Treatment) Crisis Intervention and Prevention Plan.