{"id":5111,"date":"2026-07-14T07:12:31","date_gmt":"2026-07-14T12:12:31","guid":{"rendered":"https:\/\/iceebp.uthscsa.edu\/Wordpress\/?page_id=5111"},"modified":"2026-08-19T08:21:25","modified_gmt":"2026-08-19T13:21:25","slug":"living-room-crisis-counseling","status":"publish","type":"page","link":"https:\/\/iceebp.uthscsa.edu\/Wordpress\/evidence-based-practices\/living-room-crisis-counseling\/","title":{"rendered":"Living Room Crisis Counseling"},"content":{"rendered":"<div class=\"et_pb_section_0 et_pb_section et_section_regular et_flex_section\">\n<div class=\"et_pb_row_0 et_pb_row et_flex_row\">\n<div class=\"et_pb_column_0 et_pb_column et_flex_column et_pb_column_empty et_pb_css_mix_blend_mode_passthrough et_flex_column_12_24 et_flex_column_12_24_tablet et_flex_column_24_24_phone\"><\/div>\n\n<div class=\"et_pb_column_1 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_12_24 et_flex_column_12_24_tablet et_flex_column_24_24_phone\">\n<div class=\"et_pb_text_0 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module eyebrow preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><p>Evidence-Based Practice<\/p>\n<\/div><\/div>\n\n<div class=\"et_pb_text_1 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><h1>Living Room Crisis Counseling (LRCC)<\/h1>\n<\/div><\/div>\n\n<div class=\"et_pb_divider_0 et_pb_divider et_pb_space et_pb_divider_position_top et_pb_module\"><div class=\"et_pb_divider_internal\"><\/div><\/div>\n\n<div class=\"et_pb_text_2 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><p>The Living Room is a practical, evidence-informed model of crisis counseling that helps behavioral health professionals respond effectively to emotional and psychiatric crises \u2014 including suicidal ideation, self-harm risk, panic, psychosis, trauma-related distress, and grief \u2014 while promoting engagement, recovery, and appropriate use of higher levels of care.<\/p>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_section_1 et_pb_section et_section_regular et_flex_section\">\n<div class=\"et_pb_row_1 et_pb_row et_flex_row\">\n<div class=\"et_pb_column_2 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone\">\n<div class=\"et_pb_text_3 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module eyebrow preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><p>About This Practice<\/p>\n<\/div><\/div>\n\n<div class=\"et_pb_text_4 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><h2>What is Living Room Crisis Counseling?<\/h2>\n<\/div><\/div>\n\n<div class=\"et_pb_text_5 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><p>Many clinicians receive extensive training in crisis assessment and risk management, but comparatively little training in what to do therapeutically once a crisis has been identified. The Living Room closes that gap with a structured, two-step counseling framework: first, human supportive listening that helps the person feel heard and safe; then targeted skills teaching and active support drawn from DBT, Motivational Interviewing, and Solution-Focused approaches.<\/p>\n<p>In its initial implementation at UT Health San Antonio, the Living Room was associated with substantial emergency department diversion, an estimated $272,000 in annual healthcare savings, and high patient satisfaction \u2014 with trainees performing comparably to licensed clinicians after completing the training.<\/p>\n<p>Below you can find more information about the Living Room Foundations and Living Room + Suicide Risk Assessment and Safety Planning Intensive courses we offer.<\/p>\n<\/div><\/div>\n\n<div class=\"et_pb_text_6 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module eyebrow preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><p>Training Formats<\/p>\n<\/div><\/div>\n\n<div class=\"et_pb_text_7 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><h2>Select Your Training<\/h2>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_row_2 et_pb_row et_flex_row\">\n<div class=\"et_pb_column_3 et_pb_column et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_18_24 et_flex_column_18_24_tablet et_flex_column_24_24_phone\">\n<div class=\"et_pb_tabs_0 et_pb_tabs et_pb_module\"><ul class=\"et_pb_tabs_controls clearfix\"><li class=\"et_pb_tab_nav_item_0 et_pb_tab_nav_item et_pb_tab_0 et_pb_tab_active\"><a class=\"et_pb_tab_nav_item_link\" href=\"#\">Living Rooms Foundations<\/a><\/li><li class=\"et_pb_tab_nav_item_1 et_pb_tab_nav_item et_pb_tab_1\"><a class=\"et_pb_tab_nav_item_link\" href=\"#\">Living Room & Suicide Risk Assessment and Safety Planning<\/a><\/li><\/ul><div class=\"et_pb_all_tabs\">\n<div class=\"et_pb_tab_0 et_pb_tab clearfix et_pb_active_content et_pb_module et_flex_module\"><div class=\"et_pb_tab_content et_flex_module\"><h3>Living Rooms Foundations<\/h3>\n<ul>\n<li>Duration: 1 day<\/li>\n<li>Training offered on-site (your location or ours) or virtually<\/li>\n<li>Certificate of completion awarded at the conclusion of the course<\/li>\n<\/ul>\n<p>This course covers introducing the Living Room crisis counseling model \u2014 including the Two-Step framework, crisis engagement, assessment, and DBT- and Motivational Interviewing\u2013informed intervention strategies. Ideal for building core crisis counseling skills across your team. The course can be customized to your needs. To request an in-person training, contact us. CEUs available upon request.<\/p>\n<p><a href=\"mailto:iceebp@uthscsa.edu\" class=\"rb-button-link\">Contact Us<\/a><\/p>\n<\/div><\/div>\n\n<div class=\"et_pb_tab_1 et_pb_tab clearfix et_pb_module et_flex_module\"><div class=\"et_pb_tab_content et_flex_module\"><h3>Living Room & Suicide Risk Assessment and Safety Planning<\/h3>\n<ul>\n<li>Duration: 1.5 days<\/li>\n<li>Training offered on-site (your location or ours) or virtually<\/li>\n<li>Certificate of completion awarded at the conclusion of the course<\/li>\n<\/ul>\n<p>This course covers combining Living Room crisis counseling with Suicide Risk Assessment and Safety Planning, an evidence-based approach to suicide risk assessment and safety planning. Includes role plays and implementation planning for teams ready to go deeper. The course can be customized to your needs. To request an in-person training, contact us. CEUs available upon request.  <\/p>\n<p><a href=\"mailto:iceebp@uthscsa.edu\" class=\"rb-button-link\">Contact Us<\/a><\/p>\n<\/div><\/div>\n<\/div><\/div>\n<\/div>\n\n<div class=\"et_pb_column_4 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_6_24 et_flex_column_6_24_tablet et_flex_column_24_24_phone\">\n<div class=\"et_pb_text_8 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><h4>Need Guidance?<\/h4>\n<p>Not sure which training format is right for your team? We're happy to help you find the best fit.<\/p>\n<p><a href=\"mailto:iceebp@uthscsa.edu\" class=\"rb-button-link\">Contact Our Team<\/a><\/p>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_row_3 et_pb_row et_flex_row\">\n<div class=\"et_pb_column_5 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone\">\n<div class=\"et_pb_text_9 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module eyebrow preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><p>Curriculum Highlights<\/p>\n<\/div><\/div>\n\n<div class=\"et_pb_text_10 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><h2>What You'll Learn<br \/>\n<\/h2>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_row_4 et_pb_row et_flex_row curriculum-highlights-row\">\n<div class=\"et_pb_column_6 et_pb_column et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_8_24 et_flex_column_8_24_tablet et_flex_column_24_24_phone\">\n<ul class=\"et_pb_icon_list_0 et_pb_icon_list et_pb_module et_flex_module\">\n<li class=\"et_pb_icon_list_item_0 et_pb_icon_list_item et_pb_module et_flex_module\"><span class=\"et-pb-icon\">R<\/span><div class=\"et_pb_icon_list_text\">Core principles and structure of the Living Room crisis counseling model<\/div><\/li>\n<\/ul>\n<\/div>\n\n<div class=\"et_pb_column_7 et_pb_column et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_8_24 et_flex_column_8_24_tablet et_flex_column_24_24_phone\">\n<ul class=\"et_pb_icon_list_1 et_pb_icon_list et_pb_module et_flex_module\">\n<li class=\"et_pb_icon_list_item_1 et_pb_icon_list_item et_pb_module et_flex_module\"><span class=\"et-pb-icon\">R<\/span><div class=\"et_pb_icon_list_text\">How to engage individuals experiencing emotional and psychiatric crises<\/div><\/li>\n<\/ul>\n<\/div>\n\n<div class=\"et_pb_column_8 et_pb_column et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_8_24 et_flex_column_8_24_tablet et_flex_column_24_24_phone\">\n<ul class=\"et_pb_icon_list_2 et_pb_icon_list et_pb_module et_flex_module\">\n<li class=\"et_pb_icon_list_item_2 et_pb_icon_list_item et_pb_module et_flex_module\"><span class=\"et-pb-icon\">R<\/span><div class=\"et_pb_icon_list_text\">Strategies for balancing supportive following with active coping<\/div><\/li>\n<\/ul>\n<\/div>\n\n<div class=\"et_pb_column_9 et_pb_column et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_8_24 et_flex_column_8_24_tablet et_flex_column_24_24_phone\">\n<ul class=\"et_pb_icon_list_3 et_pb_icon_list et_pb_module et_flex_module\">\n<li class=\"et_pb_icon_list_item_3 et_pb_icon_list_item et_pb_module et_flex_module\"><span class=\"et-pb-icon\">R<\/span><div class=\"et_pb_icon_list_text\">Evidence-informed counseling techniques for reducing emotional distress<\/div><\/li>\n<\/ul>\n<\/div>\n\n<div class=\"et_pb_column_10 et_pb_column et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_8_24 et_flex_column_8_24_tablet et_flex_column_24_24_phone\">\n<ul class=\"et_pb_icon_list_4 et_pb_icon_list et_pb_module et_flex_module\">\n<li class=\"et_pb_icon_list_item_4 et_pb_icon_list_item et_pb_module et_flex_module\"><span class=\"et-pb-icon\">R<\/span><div class=\"et_pb_icon_list_text\"> How to integrate crisis response with existing treatment and recovery goals<\/div><\/li>\n<\/ul>\n<\/div>\n\n<div class=\"et_pb_column_11 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_8_24 et_flex_column_8_24_tablet et_flex_column_24_24_phone\">\n<ul class=\"et_pb_icon_list_5 et_pb_icon_list et_pb_module et_flex_module\">\n<li class=\"et_pb_icon_list_item_5 et_pb_icon_list_item et_pb_module et_flex_module\"><span class=\"et-pb-icon\">R<\/span><div class=\"et_pb_icon_list_text\"> Approaches for supporting continuity of care following a crisis<\/div><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_section_2 et_pb_section et_section_regular et_flex_section\">\n<div class=\"et_pb_row_5 et_pb_row et_flex_row\">\n<div class=\"et_pb_column_12 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone\">\n<div class=\"et_pb_text_11 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module eyebrow preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><p>Evidence Base<\/p>\n<\/div><\/div>\n\n<div class=\"et_pb_text_12 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><h2>Demonstrated Outcomes<\/h2>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_row_6 et_pb_row et_flex_row equal-blurbs\">\n<div class=\"et_pb_column_13 et_pb_column et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_8_24 et_flex_column_8_24_tablet et_flex_column_24_24_phone\">\n<div class=\"et_pb_blurb_0 et_pb_blurb et_pb_bg_layout_light et_pb_blurb_position_top et_pb_module et_flex_module\"><div class=\"et_pb_blurb_content et_flex_module\"><div class=\"et_pb_main_blurb_image et_animated\"><span class=\"et_pb_image_wrap\"><span class=\"et-pb-icon\">\uf0f9<\/span><\/span><\/div><div class=\"et_pb_blurb_container\"><h3 class=\"et_pb_module_header\">Emergency Department Diversion<\/h3><div class=\"et_pb_blurb_description\"><p>The Living Room model has demonstrated substantial diversion from emergency department care by providing timely, focused crisis counseling in a familiar outpatient setting.<\/p>\n<\/div><\/div><\/div><\/div>\n<\/div>\n\n<div class=\"et_pb_column_14 et_pb_column et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_8_24 et_flex_column_8_24_tablet et_flex_column_24_24_phone\">\n<div class=\"et_pb_blurb_1 et_pb_blurb et_pb_bg_layout_light et_pb_blurb_position_top et_pb_module et_flex_module\"><div class=\"et_pb_blurb_content et_flex_module\"><div class=\"et_pb_main_blurb_image et_animated\"><span class=\"et_pb_image_wrap\"><span class=\"et-pb-icon\">&#039;<\/span><\/span><\/div><div class=\"et_pb_blurb_container\"><h3 class=\"et_pb_module_header\"> Reduced Healthcare Costs<\/h3><div class=\"et_pb_blurb_description\"><p>Initial implementation was associated with an estimated $272,000 in annual diversion-related healthcare savings, demonstrating the potential value of effective outpatient crisis intervention.<\/p>\n<\/div><\/div><\/div><\/div>\n<\/div>\n\n<div class=\"et_pb_column_15 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_8_24 et_flex_column_8_24_tablet et_flex_column_24_24_phone\">\n<div class=\"et_pb_blurb_2 et_pb_blurb et_pb_bg_layout_light et_pb_blurb_position_top et_pb_module et_flex_module\"><div class=\"et_pb_blurb_content et_flex_module\"><div class=\"et_pb_main_blurb_image et_animated\"><span class=\"et_pb_image_wrap\"><span class=\"et-pb-icon\">\ue05c<\/span><\/span><\/div><div class=\"et_pb_blurb_container\"><h3 class=\"et_pb_module_header\"> Effective, Sustainable Crisis Care<\/h3><div class=\"et_pb_blurb_description\"><p>New interns trained in the Living Room model demonstrated outcomes comparable to licensed clinicians while maintaining high patient satisfaction, supporting a practical and scalable approach to crisis response.<\/p>\n<\/div><\/div><\/div><\/div>\n<\/div>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":6,"featured_media":0,"parent":1787,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-5111","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/iceebp.uthscsa.edu\/Wordpress\/wp-json\/wp\/v2\/pages\/5111","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/iceebp.uthscsa.edu\/Wordpress\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/iceebp.uthscsa.edu\/Wordpress\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/iceebp.uthscsa.edu\/Wordpress\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/iceebp.uthscsa.edu\/Wordpress\/wp-json\/wp\/v2\/comments?post=5111"}],"version-history":[{"count":5,"href":"https:\/\/iceebp.uthscsa.edu\/Wordpress\/wp-json\/wp\/v2\/pages\/5111\/revisions"}],"predecessor-version":[{"id":5191,"href":"https:\/\/iceebp.uthscsa.edu\/Wordpress\/wp-json\/wp\/v2\/pages\/5111\/revisions\/5191"}],"up":[{"embeddable":true,"href":"https:\/\/iceebp.uthscsa.edu\/Wordpress\/wp-json\/wp\/v2\/pages\/1787"}],"wp:attachment":[{"href":"https:\/\/iceebp.uthscsa.edu\/Wordpress\/wp-json\/wp\/v2\/media?parent=5111"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}