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Format Reference

FTR — Free Through Recovery (ND) / Docstars

Community Connect — ND HHS Provider Portal

MN Mental Health Peer — Ch. 245I / ARMHS / CTSS

MN Peer Recovery — Section 254B.052

SOAP — Universal clinical format

Resource Directory

Behavioral health, housing, reentry, and recovery resources across ND and MN.

Wellness Tools

Breathing exercises, grounding techniques, and psychoeducation for use with clients.

4-7-8 Breathing

Inhale for 4 counts. Hold for 7. Exhale for 8. Repeat 3–4 cycles. Activates parasympathetic nervous system and reduces acute anxiety.

5-4-3-2-1 Grounding

Name 5 things you see. 4 you can touch. 3 you hear. 2 you smell. 1 you taste. Effective grounding for anxiety and dissociation.

Box Breathing

Inhale 4. Hold 4. Exhale 4. Hold 4. Used by first responders for rapid stress regulation. Repeat 4 cycles.

TBI & Behavior Psychoeducation

TBI can cause irritability, impulsivity, and memory challenges that look like non-compliance. Shorter sessions, frequent check-ins, and visual cues support better engagement.

Nutrition & Mental Health

Gut health and inflammation can affect mood and cognition. Hydration, regular meals, and reduced processed food intake support mental stability especially in early recovery.

Recovery Affirmations

“Recovery is not a destination but a direction.”
“Progress, not perfection.”
“Every day sober is a victory.”
“You are not your past.”

Crisis Protocol

De-escalation guides, escalation steps, and SafeTalk resources.

Escalation Steps

1. Assess immediate safety.

2. Stay calm. Low, steady voice. Do not argue.

3. Ask directly: “Are you thinking about hurting yourself?”

4. Contact supervisor immediately.

5. If imminent danger: Call 911.

6. Document all actions taken.

Crisis Lines

📞 988 Suicide & Crisis Lifeline
Call or text 988 — 24/7

📞 Crisis Text Line
Text HOME to 741741

📞 ND Crisis Line
1-800-472-2911 — 24/7

📞 MN Crisis Network
1-800-862-1799

De-Escalation Techniques

• Validate feelings, not harmful behavior

• Give choices to restore sense of control

• Open body language — do not block exits

• Reduce environmental stimulation

• Use client name calmly and slowly

• Avoid power struggles or ultimatums

SafeTalk Framework

Tell — Listen for invitations to talk

Ask — Ask directly about suicidal thoughts

Listen — Listen without judgment

Keep Safe — Connect to professional help

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