Crisis intervention strategies chapter 3 4

... times per week, with much criticism) Contingency Management (CM) (reward/reinforcement based) Intervention Strategies • Motivation and Stages of Change • Precontemplation (using but seen as a problem)...

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... of coping skills, resources, Movement to stability Restoration of functioning See Tables 5. 1, 5. 2, 5. 3, 5. 4 WALK-IN’S - TYPES OF PRESENTING CRISES Chronic Mental Illness (often multiple problems ... MENTAL HEALTH CLINIC (CONT) Mobile Crisis Teams/Police • • When client is out of control and unwilling or unable to go to the clinic Jail is frequent 10 CRISIS INTERVENTION TEAM (CIT) • • • • • ... thinking, feeling and acting Personality change CRISIS CASES Compressed scope Best guess or set procedures Here and now Minutes/hours Specific crisis info Quick determination of coping skills,...

... HANDLING ON TELEPHONE CRISIS LINES Still important in crisis work Used most often in suicide intervention "first-order intervention" "psychological first aid" Most prevalent intervention for initial ... TELEPHONE COUNSELING STRATEGIES * Dependent on content, voice tone, pitch, speed and emotion * Often ambiguous * Requires great care and effort TELEPHONE COUNSELING STRATEGIES Strategies: * Making ... client and community) * Therapeutic effectiveness (trained volunteers) CASE HANDLING ON TELEPHONE CRISIS LINES Why so popular? (cont.) * Access to support systems, networks, support groups * Avoidance...

... they see a parent killed or sexually assaulted 90% of sexually abused children will develop PTSD 77 % of children who witness a school shooting 35% of children who witness neighborhood violence ... trauma with other past experiences and restores a sense of continuity to life Note: Cycles and trancrisis highly frequent 15 PSYCHOTROPIC MEDICATION Some relief of psychophysiological responses Prozac ... exposed to the same type of trauma but at different times and under different circumstances.) 17 PTSD GROUPS (2 PHASES) Focus on accessing and working through the trauma and its symptoms Life...

... 23 INTERVENTION STRATEGIES Perturbations - Anxiety: mental uneasiness * A cause of such anxiety or uneasiness * Synonyms: disturbance, trouble, agitation, unrest, anxiety Suicide Intervention strategies ... involve "interrupting a suicide attempt that is imminent or in the process of occurring" 24 CRISIS INTERVENTION STRATEGIES Two Categories Dealing with perturbations (using The Three I's) Reducing lethality ... a person manifests four or five of these risk factors, it should be an immediate signal for the crisis worker to treat the person as high risk in terms of suicide potential * Some have more weight...

... predictable Not regular Not linear May cause additional crisis intervention Can be benchmarks for growth BASIC CRISIS INTERVENTION THEORY • • 19 40’s to 19 60’s Lindemann and Caplan • • • • Traumatic events ... cause transcrisis states TRANSCRISIS POINTS Client with new developmental stage progression • • • • • • • • • Disequlibrium Occur frequently in transcrisis states Within the therapeutic intervention ... life anxieties) Ecosystem Crises (natural or human-caused disaster) CRISIS INTERVENTION MODELS Basis for many intervention strategies and methodologies Equilibrium (control to loss of control)...

... • • Impact emotions and behaviors Can lead to conflicts and crisis 10 PAST HISTORY AND EXPERIENCE • Can impact client view of crisis intervention services 11 EFFECTIVE MULTICULTURAL COUNSELOR ... WHAT WE ‘DO’ KNOW • • Beliefs and ways of coping surface when in crisis Minorities access counseling less than Caucasians when in crisis (although impacted with disaster more often) COUNSELOR DANGEROUS ... 4 ATTRIBUTES FOR CRISIS WORKERS • • • • Self knowledge and awareness of biases Knowledge about the status and cultures of different groups Culturally appropriate skills and interventions Multicultural...

... dangerous things the victim can Intervention Strategies • Assessment • • • • Personality measures Clinical interviews Medical settings Crisis lines • Components of intervention • • • • • • Listening ... violence Stalking Gay and Lesbian Violence • Prevalence of violence • Complicating factors • Crisis intervention involving gay and lesbian violence • • • • • • Sensitivity Precipitating factors ... and Massachusetts Coalition of Battered Women Service Groups (United States) • The Domestic Abuse Intervention Project in Duluth, Minnesota (Duluth Model) • • • Police procedures, increased prosecution...

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... Anti-Violence Intervention • Assumptions • Precautions • Outreach Precautions • Intervention Strategies Cont • Record Keeping and Program Evaluation (recording of incidents) • Stages of Intervention ... to treatment) • Motoric Cues (physical cues, verbal cues, threats) • Multiple Indicators Intervention Strategies • Security Planning • Commitment and Involvement • Worksite Analysis • Hazard...

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... change the situation Intervention Strategies Assessment  Burnout  Compassion Fatigue and Compassion Satisfaction  Work Environment Intervention Through Training Intervention With the Organization ... services Maintaining Difficult  a Public Presence Work Schedule Evenings  Weekends  Few vacations INTERVENTION WITH THE INDIVIDUAL  Direct Action  Palliative (quick fix) Action  BASIC IDS Behavior...