Frequently Asked Questions About Crisis Management

When should I call 911 versus handling a situation myself?

Call 911 immediately for any situation involving unconsciousness, difficulty breathing, chest pain, threats of self-harm or violence, serious injuries, or any medical emergency where you're unsure about severity. If you're questioning whether to call, it's always better to err on the side of caution. Emergency responders would rather respond to a situation that turns out to be less serious than miss a life-threatening emergency.

What information should I give to emergency responders?

Provide accurate information about substances used if known, timing of use, amounts consumed, any medical conditions or medications, and specific symptoms or behaviors you've observed. Don't withhold information due to fear of legal consequences—emergency responders need complete information to provide appropriate medical care.

What are Good Samaritan laws and how do they protect me?

Good Samaritan laws in many states provide legal protection for people who call for help during overdose emergencies, protecting both the caller and the person experiencing the overdose from prosecution for drug possession or use. These laws vary by state, so research your local protections, but they generally encourage people to seek help without fear of legal consequences.

Should I try to wake someone up who appears to be unconscious from drug or alcohol use?

Try to wake them by calling their name loudly and shaking them firmly. If they don't respond, check for breathing and pulse if you know how. If breathing is absent or very slow (less than 8 breaths per minute), call 911 immediately. Don't assume someone is just "sleeping it off" if they can't be awakened—this may indicate a life-threatening emergency.

What should I do if someone becomes violent or threatening during a crisis?

Prioritize your own safety and the safety of others present. Don't try to physically restrain someone who is violent unless you're trained to do so safely. Call law enforcement for assistance with violent behavior, and consider whether other people, especially children, need to be removed from the situation immediately.

How do I use a crisis situation as an opportunity for treatment intervention?

Crisis situations often create temporary motivation for treatment acceptance because consequences become undeniable. Have treatment resources researched and ready before crises occur, work with professionals who understand how to leverage crisis motivation, be prepared to act quickly when windows of opportunity arise, and focus on immediate treatment engagement rather than lengthy decision-making processes.

What if my loved one wants to leave the hospital against medical advice after an overdose?

You cannot force an adult to remain in the hospital, but you can express your concerns, ask medical staff to discuss risks with them, and have treatment options ready if they're willing to consider help. Focus on harm reduction and expressing love and concern rather than arguments about their decision-making during vulnerable moments.

Crisis management in addiction situations requires preparation, quick thinking, and appropriate use of professional resources. The key is understanding that crises, while frightening and stressful, often present opportunities for intervention and treatment engagement that may not exist during stable periods. By preparing for potential emergencies and responding effectively when they occur, families can potentially save lives and help their loved ones access the treatment and support they need for recovery.