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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 crises 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 others? What is the history of the client in solving similar problems? – 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 objectively – Help client express hidden feelings – Use past coping methods in resolving the crisis – 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 herself 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 behavior? Example 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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