Start with the sentence that carries the urgency: “The incidents at home are more intense than what you are seeing in session, and someone is being hurt.” Then hand over one concrete record instead of trying to retell the entire month from memory.

For each incident, include when it happened, what was happening in the two minutes before, how long it lasted, who was hurt and how, and what finally ended it. Add the family cost too: missed work, siblings hiding, damaged property, lost sleep, or an adult being unable to finish basic care.

Ask for a safety review before the next routine progress meeting. Leave the conversation knowing who is reviewing the incidents, what else they need from you, and the date you will hear what changes are being considered.

Ask whether a written safety plan, caregiver training for every adult present during incidents, or a review of support hours belongs in the next clinical discussion. Also ask for one clear number or contact route to use between sessions.

A safety conversation, a named contact, and a review date can happen quickly. Changes to goals, hours, or clinical procedures may take longer when new observation, assessment, staffing, or insurance approval is needed.

Do not leave with only “we will keep an eye on it.” Ask: “What will you review, what can change now, and when will we make the next decision?” Those three answers turn concern into a path.

Open the Safety page when injuries, dangerous property destruction, or immediate risk are part of the picture. It puts the urgent contacts and the exact safety questions in one place.

Open the Mental Health Toolbox for what remains in your body after the incident is over: the shaking, alertness, exhaustion, or dread of the next one.