Crisis Intervention - Indiana University�Purdue University Fort by OAgU85U


									Crisis Intervention
     Case Methods
            Crisis Intervention
   A crisis is where:
    – a precipitating event occurs
    – the perception of the event leads to
      subjective distress
    – usual coping methods fail, leaving the
      person to function psychologically,
      emotionally, and behaviorally at a lower
      level than before the crisis
Major concepts in crisis intervention
   the primary goal is to help the client return at
    least to the pre-crisis level of functioning
   crisis intervention is relatively short term
   specific, current, observable difficulties are the
    target of the intervention
   crisis intervention strategies generally work
    better than other approaches when dealing with
   the practitioner in crisis intervention assumes a
    more active role which is often more directive
    than that assumed in other approaches
        Steps in crisis intervention
       Assessment
    –    Determine why the person called you or
         came in to see you on that particular day:
            What is the precipitating event?
            How does the client view/feel about the event?
            Does the client have access to support from
            What is the history of the client in solving similar
    –    Is there any suicidal or homicidal risks?
      Steps in crisis intervention
   Planning
    – Evaluate the extent to which the crisis is
      interfering with the client’s life
    – Review potential alternatives
      Steps in crisis intervention
   Implementation
    – Help client look at the crisis situation more
    – Help client express hidden feelings
    – Use past coping methods in resolving the
    – Reestablish old or develop new social
      support systems
      Steps in crisis intervention
   Anticipatory planning
    – What have clients learned during this crisis
    – Follow-up
            Suicide Assessment
 Ask if the person has thought of killing him- or
 What is their intent (can scale from 1 to 10)?
 Ask if they have a plan
    – How detailed is it?
    – Do they have the means to carry it out?
 Is their a history of suicide or harming him- or
  her self?
 What is the person’s mental status (eg,
  confused, intoxicated, etc.)
    Assessing Danger to Others
 Are they actively or passively engaged in
  violent behaviors?
 What the person’s intent?
 Does the person have a plan and the
  means to carry it out?
 Does the person have a history of violent
   A 43-year-old woman comes to your clinic
    saying that she is depressed. She has
    been divorced for 15 years and all of her
    children live out of town. She sees no
    reason to keep living and feels like a
    burden to people around her.

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