Agencies vary in their policies about what to require by way of staff action responses to critical cases. 

Here is an example of a staff response policy:

“A MAYSI-2 critical case will require (a) timely referral (e.g., within 24 hours) for assessment by a mental health professional; (b) in case of elevated Suicide Ideation, immediate action according to the facility’s suicide precautions protocol; and (c) notification of detention staff supervisor regarding a newly admitted youth’s critical case status.”