In Granello's 7-step model, what is the next step for a client deemed high risk?

• A. Assessment
• B. Reflections
• C. Validation
• D. Containment

Answer: (D)

When risk is high, the immediate priority is safety and stabilizing the crisis. In Granello's seven-step model, containment is the next step to reduce danger and secure the client’s safety before exploring underlying issues or planning longer-term care. Containment involves practical actions like creating a safety plan, removing or securing means of self-harm or harm to others, identifying immediate supports (such as a trusted person or emergency services if needed), and documenting the risks and actions taken. Once the client is contained and the crisis is stabilized, you can move on to the subsequent steps, such as conducting a fuller assessment and developing a plan for ongoing treatment.