CRISIS 

UDHIA KUMAR

A PRIMER FOR FSC ON

MANAGEMENT

ãUdhiaKumar20Sep2017

PrimeronCrisisManagementforFSCs1TrainingObjectives

§ TimetoreflectonCrisisWorkinFSCSetting.§ Yourpersonalandprofessionalrelationshipwithcrisis.§ UnderstandwhycrisisworkisneededinFSCanditsroleinourclient’sjourney.§ Ourpurposeinknowingit.Lensesweneedtouse.§ BriefrecaponCrisisKnowledge.§ CrisisWorkinKKFSCAgencyContext.VisionandValues.§ HowtopositionCrisisWorkwithCSWP.LookingatGWandComWork.§ Howtousethisknowledgewithourclients.§ AnalyseCaseStudyusinginformationlearnedintraining.CrisesinYourOwnLife§ Think back to times when you faced your ownpersonalcrises

§ Howdidyouarriveattheideathatitwasacrisis?§ Whathappenedtoyou?§ What was the impact and effect on those aroundyou?

§ Howdid your resolve it?Howdo you know itwasfullyresolved?

§ Whatdidyoudothathelped?§ Whatdidyoulearnfromtheexperience?§ How have you incorporated this into your lifenarratives?

§ Howdoyouperceive and relate to crisis nowas aProfessional?

§ Whatremainsthesameandwhatdiffers?Why?

CrisesinYourClient’sLife§ Whodefinesthecrisisfortheclient?§ WhatdoesthecrisismeanforyouastheCW?§ Whatdoesitmeanforyourclient?§ How do you perceive that meaning your clientmakes?

§ How have your worked with your client on theircrises?

§ If you were to scale your comfort with handlingcrisesinthelivesofyourclientwhatscorewouldyougiveyourself?Why?

§ Which types of crises would you need more helpwithormaynotevenwanttoworkwith?

§ Ifyouhadametaphorforcrisiswhatwoulditbe?

FORTHINKING§ Whathaveyoubecomeawareoffromthisreflectionexercise?§ Willyoubeemotionallyandphysicallyabletohandledifferentkindsofcrises?§ Willpersonalunresolvedbiasesorprejudicesinterferewithyourabilitytobeeffectivecrisismanagementworker?§ TraumaInformedorCrisisInformedorRiskInformedPractices?

IMPLICATIONSFORSWP

Sources§ García,H.,Miralles,F.,&Cleary,H.(2017).Ikigai:theJapanesesecrettoalongandhappylife.NY,NY:PenguinBooks.§ Greenstone,J.L.,&Leviton,S.(2011).Elementsofcrisisintervention:crisesandhowtorespondtothem.Australia:Brooks/Cole/Cengagelearning.

§ Jackson-Cherry,L.R.,&Erford,B.T.(2010).Crisisinterventionandprevention.UpperSaddleRiver,NJ:Pearson.§ KANEL,K.(2018).GUIDETOCRISISINTERVENTION.S.l.:BROOKSCOLE.§ Payne,M.(2014).Modernsocialworktheory.Houndmills,Basingstoke:PalgraveMacmillan.§ Roberts,A.R.,&Yeager,K.(2009).Pocketguidetocrisisintervention.Oxford:OxfordUniversityPress.

ãUdhiaKumar20Sep2017

PrimeronCrisisManagementforFSCs2CrisisTheoryDefinitions Theperceptionofaneventor

situationasanintolerabledifficultythatexceedstheresourcesandcopingmechanismsoftheperson,andunlessthepersongainsreliefthecrisishasthepotentialtocausesevereaffective,cognitiveandbehavioralmalfunctioning.

James&Gilliland(2001)

Anacutedisruptionofpsychologicalhomeostasisinwhichone’scopingmechanismsfailandthereexistevidenceofdistressandfunctionalimpartment.Itisthesubjectivereactiontoastressfullifeexperiencethatcompromisestheindividual’sstabilityandabilitytocopeorfunction”

Roberts(2005)

TrilogyDefinition§ Aprecipitatingevent§ Aperceptionoftheeventleadingtosubjectivedistress

§ Diminishedfunctioningwhenthestressisnotalleviatedbycustomarycopingresources.

Kanel(2007)VisualAid

CrisisTypes Developmental

§ Normativechanges§ Flowoflifedisrupted

Situational§ Non-normativechanges§ Nowayofforecasting§ Faroutofnormalrealm

Existential§ Innerconflictsofexistence

§ Importantunfulfilledpartoflife

Systemic§ Largesegmentsofsocietyaffected

§ Basicneedsunmet

CrisisEventsCrisisOrigins

Health§ Diagnosisofillness§ MajorIllness§ Inabilitytoaccesshealthcare

§ Inabilitytoaffordmedication

§ Careforailingparentorchild

§ Extendedhospitalization§ Suddenonsetillness

Financial§ Jobloss§ Overextension§ Unexpectedfinancialburden

§ Loansharks§ Utilitiescutoff§ Homelessness

Legal§ Divorce§ Childcustody§ Infractionswiththelaw

Victimization§ Robbery§ Theft§ Assault§ Rape§ DomesticViolence§ Mentalcruelty§ Workplaceviolence§ Schoolviolence

Loss§ Lossofalovedonetounexpectedevent

§ SenseofSelf§ Autonomy§ Bodilyfunctions§ Brainfunction§ Friendship§ Belonging§ Financial

ExposureofIllegalActs§ Pornographyinvolvement§ EMA§ Unethicalbusinesspractices

§ Unprofessionalacts

NaturalDisasters§ Fire§ Flood

Family§ Problemswithchildren§ AdoptionorBirth§ Abortion§ Pendingmarriage§ Separation&Divorce§ Blendingofstepfamilies§ Eldercareissues§ Educationissues§ Truancyissues

RelatedTerms

PsychologicalEmergencies§ Judgmentimpaired§ Incapableofcaringforselforothers

§ Permanentdamageimminent§ Suddenonset

Crisis§ Overwhelmedandfeelingasenseofdisequilibrium

§ Typicalwayofcopingineffective

§ Notinimmediatedangerofharmingselforothers

Trauma§ Normalpatternsoflifealtered§ Enormous sense of helplessness andthreat

§ Memory of trauma not integrated toself but develops a separate existencetotheperson

§ Beliefsaboutworldchanged§ Extended fixation of event causing theproblems

ãUdhiaKumar20Sep2017

CrisisInterventionBasics

§ Muchofourworkstartsascrisisintervention§ Crisiscanbeuniversaloridiosyncratic§ Crisiscanbesingleormultipleepisodes§ Deliberatecumulativemultipleexposurescanleadtotrauma(Rape,DV,CAN,SexualAbuse)

§ Crisiscanbeprivateorpublic§ CrisisifnotresolvedcanprogresstoAcuteStressDisorderandthentoPTSD

§ Timeframeshortandrapiddecisionsneedtobemade

§ CrisisInterventionisnotTherapy

§ CItargetsABCdistortions§ Treatmentfocusesonasingleissueonly§ Purposeistogainasenseofequilibrium§ Needtofocusquicklyonthecrisisproblem§ Flexibilityinschedulingneeded§ SuccessfulCIachievesproblemmanagementnotresolution.

§ Thoseaffectedthroughtheprimaryvictimoftensuffertheirowncrisis.

§ Canachieveasenseofequilibriumwithin6weeks

Resources Material§ Money§ Food§ Shelter§ Transportation§ Clothing

Personal§ EgoStrength§ Personalitytraits§ PhysicalWellbeing§ IntelligenceandEducation

Social§ Family§ Friends§ ReligiousOrganisations§ Work§ School

ImplicationsforCommunityWorkOutcomesofCI

§ Establishnewcopingmechanismsasartofclient’srepertoire§ Workingthroughthefeelingsandexperienceoftheproblemsothatlongertermchangescanbemade§ Mobilisingresourcesforsupport§ Reducingcontinuingunpleasanteffectsandemotions§ Thinkingthrougheventsandtheiraftermathandintegratingthemintotheclient’spersonallifenarrative

Payne’sCrisisModel(2005)

IMPLICATIONSFORSWP

Individuals’NormalFunctioning

PrecipitatingEvent

Seenasmeaningfulandthreatening

RisingSubjectiveDistress

FailureinCopingGreater

VulnerabilityDisequilibrium

StateofActiveCrisis

HELP

NOHELP

HigherFunctioningLevelGrowth,Insight&CopingSkills

LowerLevelofFunctioningMorelikelytobeaffectedbylater

hazardousevents

Non-FunctioningLevelRiskofSuicide,ViolenceandMI

ãUdhiaKumar20Sep2017

PrimeronCrisisManagementforFSCs3EffectsofProlongedCrisisorInadequatelyResolvedCrisisonClients

NormalPsychophysiologicalReactionsPhysicalReactions§ Fatigue/Exhaustion§ SleepDisturbances/Insomnia

§ Heightenedstartleresponses

§ Lossofappetite§ Digestiveproblems§ Muscletremors/twitches/tension

§ Startlereactions§ Headaches/Backaches§ Dizziness§ Muscleaches§ Nausea/vomiting§ Chestpain/palpitations§ Skinbreakouts§ Reducedimmunity

CognitiveReactions§ Concentrationdifficulties§ Problemssolvingdifficulties

§ Nightmares§ Flashbacks§ Difficultiesinmakingdecisions

§ Amnesiaforevent§ Vividdreams§ Decreasedlevelsofjudgement/insight

§ increasednegativethoughtprocesses

§ Racingthoughts§ Anticipationoftheworst

SocialReactions§ Isolation/withdrawal

EmotionalReactions§ Guilt§ Feelingsofhelplessness§ Emotionalnumbing§ Overlysensitive§ Fear/anxiety§ Self-doubt§ Hypervigilance/Onedge§ Moodiness/moodswings§ Agitation/irritability§ Feelingoverwhelmed§ Feelingmisunderstood

DepressionBio§ Poorappetite§ Insomnia§ Lethargy/lowenergy§ LossofsexualdrivePsycho§ Persistentsadmood§ IntrusivethoughtsSocial§ Isolation/Socialwithdrawal

Health(Abnormal)§ Heartdisease§ Diabetes§ IBS

§ HBP§ Asthma§ Obesity

Behavioural§ Teethgrinding§ Over/UnderEating§ Procrastination§ Angerdisplacement

AbnormalPhysiologicalReactions§ Prolongedperiodsofstresswearsthebodydownleadingtoprematureageing.§ Bodywearsdownfasterduringperiodsofcrisis.§ Stresspromotescellularageingbyweakeningcellstructuresknownastelomereswhichaffectsregeneration.§ Stress has a degenerative effect over time. Sustained state of emergency affects the neurons associated withmemory.Itinhibitsthereleaseofcertainhormones,theabsenceofwhichcausesdepression,irritability,insomnia,anxietyandHBP.

§ Normaleffectivecopingskillscanbeoverwhelmedduringcrisisstage.

CaveDwellers ModernHumansWererelaxedmostofthetimes Workmostofthetimeandarealerttoanyandallthreats.

Feltstressedonlyinspecificsituations Areonlineorwaitingfornotificationsfromtheirphones24/7.

Thethreatswerereal.Apredatorcouldendtheirlivesatanytime.

ThebrainassociatesthepingofaHPoranemailnotificationwiththethreatofapredator.

Highdosesofcortisolandadrenalineatmomentsofdangerkeptbodyhealthy.

Lowdosesofcortisolflowthroughthebody,withimplicationsforarangeofhealthproblems,includingadrenalfatigueandchronicfatiguesyndrome.

Thingstodotospeeduprecoveryprocess§ Structuretime,keepbusyandkeeplifeasnormalaspossible§ “Youarenormalandhavenormalreactions”Helpclientsnottolabelthemselvesascrazyorrelatedlabels§ Talktopeople,talkingisthemosthealingmedicine§ Bewareofandavoidattemptstonumbthepainwithdrugsoralcoholorsexorotherunhealthycopingmethods§ Within the first 2 days of the event, alternate periods of strenuous physical exercisewith relaxation to reducephysicalreactions

§ Trynottoisolateoneself,reachouttoothers§ Spendtimewithpeopleyoutrust§ Gethelpfrompeerstocheckonhowtheyaredoing§ Givepermissiontofeelrottenandsharethefeelingswithothers

IMPLICATIONSFORSWP§ Impactonchildrenandothervulnerablepersons.ImplicationsforPreventive/DevelopmentalWork?§ Individualresponsesvaryandhencecanleadtounderestimation.

ãUdhiaKumar20Sep2017

PrimeronCrisisManagementforFSCs4IndicatorsofaCrisisPronePerson

§ Isunabletomaintainmeaningfulinterpersonalrelationships§ Alienationfromlastingandmeaningfulpersonalrelationships§ Hasahistoryofoneormoreinstancesofmentaldisordersandperiodsofinstabilitywhenthepersonhasstoppedtakingpsychiatricmedications.Historyofmentaldisordersorsevereemotionalimbalance

§ Usuallyfeelsstressed-outandoverwhelmed§ Unwillingnesstounderstandtherelationshipbetweenactionsandconsequences§ Seemstolacktheabilitytoreachouttosocialsupportsystemssuchasfamily,friendsandgroups§ Hasahistoryofpreviousacutecrisisepisodesthathavenotbeenfullyresolved(Hoff’sCrisisParadigm)§ Seemsstuckandcontinuestousethesamefailedcopingmethodsandhasdifficultylearningandgrowingfrompastevent

§ Exhibitslowself-esteem§ Isimpulsive,easilyangered,andhasanexplosivepersonality§ Provocative,impulsivebehaviourresultingfromunresolvedinnerconflicts§ Experienceslongperiodsofsadness,hopelessness,irritability,sleepdisturbancesandchangeinappetite§ Hasahistoryofpoormaritalandsexualrelationships§ Hassubstanceaddiction,includingalcoholismorgambling§ Unusualandfrequentphysicalinjuries§ Frequentchangesinresidence§ Frequentencounterswiththelaw§ Hasaveryerraticworkhistoryandiseitherchronicallyunemployedoronlyemployedforshortperiodsoftime

AnotherViewofPeopleInCrisisandHowtoHelpThem

§ Peoplehavebeenexperiencingstress,predicamentsandlifecrisesthroughouthistory§ PeoplehelpersneedtorecognisethateveryonehasavastpotentialforgrowthandcrisisisapointofOPPURTUNITYaswellasDANGER.Oursuccesshingesonourvaluesandbeliefsaboutthenatureofthepersonexperiencingthecrises.

1.Everyindividual,group,family,andcommunityhasstrengths2.Traumaandabuse,illnessandstruggle,maybeinjuriousbuttheymayalsobesourcesofchallengeandopportunity.3.Assumethatyoudonotknowtheupperlimitsofthecapacitytogrowandchange.Takeindividual,group,andcommunityaspirationsseriously.4.Webestserveclientsbycollaboratingwiththem.5.Everyenvironmentisfullofresources.6.Caring,caretaking,andcontext.

§ Peopleincrisiswhileinastateofhightensionandanxietyarebasicallynormalfromthestandpointofdiagnosableillness.

§ Peopleincrisisaresocialbynatureandliveinspecificculturalcommunitiesbynecessity.Howtheymakemeaning.§ Peopleincrisisgenerallywanttoandarecapableofhelpingthemselves,althoughthiscapacitymaybeimpairedtovaryingdegrees.Theirneedforself-masteryandtheircapacity forgrowthfromthecrisisexperienceareusuallyenhancedwithtimelyhelpfromfriends,family,neighboursandsometimesfromtrainedcrisisworkers.

§ Thepreventionofburnout inhumanserviceworkers is tiedtotheirrecognitionofpeople’sbasicneedforself-determinationevenincrises.Resistingrescuing.

§ Thegreatesteconomyandeffectivenessofcrisiscareintermsofhealthpromotionandthepreventionofsufferingoccurswhencontextualisedinapublichealthandhumanrightsframework.

FORTHINKING§ CrisisPronePersonsorCause&Effect?§ Howareourclientsasindividualsandfamiliespronetocrisis?§ Howhavetheyresistedandpositivelyadaptedtopastcrises?

IMPLICATIONSFORSWP

ãUdhiaKumar20Sep2017

PrimeronCrisisManagementforFSCs5ModelsofCrisisIntervention(CI)

Gillliland&James(1989)6StepModelofCI

CISkills

Assessing§ Overarching,continuousanddynamicongoingthroughoutthecrisis.§ Evaluatingtheclientspresentandpastsituationsintermsofabilitytocope,personalthreatandmobility.§ Determinestypeofactionbyworker.§ UseofTriageAssessmentFormforSafety(Myers,Williams,Ottens&Schmidt(1992)

Listening ActingAttending,observing,understanding,emphaticresponding,genuineness,acceptance,non-judgment,caring

Becominginvolvedintheinterventionatanondirective,collaborativeordirectivelevel.Accordingtotheneedsoftheclientandtheavailabilityofenvironmentalsupports.

DefinetheProblemExploreanddefineproblemfromclient’sperspective.AttendtoNVandVparts.Useofactivelistening.

ExamineAlternativesAssistclientinexploringthechoicesavailablenow.Facilitatesearchforimmediatesituationalsupports,copingmechanismsandpositivethinking.

EnsureClientSafety/WorkerSafetyAssesslethality,criticality,immobilityandseriousnessofthreattophysicaland/orpsychologicalsafety.Assessboththeclient’sinternaleventsandthesituationsurroundingtheclient.Ensureclientismadeawareofalternativestoimpulsiveself-destructiveactions.

MakePlansAssistclientindevelopingrealisticshort-termplansthatidentifiesadditionalresourcesandprovidescopingmechanisms.Definiteactionstepsthatclientcanownandcomprehend.

ProvideSupportCommunicatetoclientofyourvalidsupportrole.DemonstratebyV&NVofyourinvolvementwithclient.

ObtainCommitmentHelpclientcommittodefinite,positiveactionstepsthatcanbeownedandachieved.

Worker’sActionContinuum

NondirectiveClientismobile

CollaborativeClientispartiallymobile

DirectiveClientisimmobile

LevelsofIntervention Affective Behavioural Cognitive

9StrategiesUsed

§ Awareness§ Carthasis§ Validation

§ Expansion§ Focus§ Guidance

§ Mobilization§ Ordering§ Protection

Robert’s7StageCrisisInterventionModel(2005)Followupplanandagreement § Followupafterinitialintervention

§ EnsurecrisisisonthewaytobeingresolvedDevelopandformulateactionplan

§ Empoweredtreatmentplan§ Coordinatedintervention

Generateandexplorealternatives

§ Nosuicideagreement§ Seekingmedicalattention

Dealwithfeelingsandemotions

§ Allowforclienttoexpressfeelingsandexplainthestory§ Workerlaterintroduceschallengingresponsestohelploosenandmodifymaladaptivebeliefsandconsiderotheroptions

IdentifymajorproblemsIncludingtheLastStrawCrisisprecipitants

§ Focusonclient’scurrentproblemswhichprecipitatedcrisis§ Attempttoprioritizewhichonestoworkonfirst§ Whileasking,workergainsanevolvingconceptualisationoftheclientscopingstylewhichmaylikelyneedmodification

Establishrapportandrapidlyestablishrelationship

§ Workeroffersconditionsofgenuineness,respect,acceptanceofclient§ Instilltrustandconfidenceinclient

PlanandconductcrisisassessmentIncludinglethalityassessment

§ Swiftbiopsychosocialassessment§ Clientsenvironmentalsupportsandstressors,medicalneeds,currentuseofdrugsandalcoholandinternalandexternalcopingmethods

§ Assesslethalityforsuicideorviolence

ãUdhiaKumar20Sep2017

PrimeronCrisisManagementforFSCs6CrisisWorkandCaretaking

CareforClientDocumentation § Ifit’snotwrittendownthenitdidnothappen

§ Failuretodocumentmeansnoevidenceofdecisionandactions§ Properdocumentationshowsdiligenceandreflectspromotionofclientwelfare§ Whatshouldbedocumented?

§ RecommendseparateCrisisManagementRecordSheet§ Predeterminedlistofdecisionsandactionsbasedonevidence§ IncorporateRisk/LethalityAssessmentToolsorMSFApprovedTools§ Keepexactnotesasinformationmaybecrucialincaseofinvestigation§ Notesshouldbepreciseandclear.Notvagueandopentointerpretation.

Confidentiality § Theprofessionalethicalandlegalobligationofworkertonotdiscloseclientinformationwithoutclient’swrittenconsent

§ Onlysituationswhereaclientisadangertoselforothersorwhenworkerismandatedbylawtoreportabuse,cantheworkerbreachConfidentiality.

InformedConsent § TerminationinCrisisWork

§ Duetobriefandintensenatureofcrisiswork,appropriateterminationproceduresneedstobefollowed.

§ Terminationshouldbringaboutclosureofrelationshipforcrisisandbolsterthegoalsandplanslaidoutinthecrisismanagementprocess.

CareforCaseworkerSelf-Awareness § Majorcomponentofethicalpracticeistomonitorownmentalhealthandtakeself-care

§ Crisistakesanemotional,cognitiveandphysicaltollonworkers.§ Afterworkingonacrisiscase,properdebriefingshouldoccurwithsupervisor.§ Periodiccheckinsshouldbeinstitutedforsituationsofprolongedcrisisworkinvolvement.§ Failure to attend to self-assessment and restoration can lead to burnout, compassionfatigueandvicarioustrauma.

Countertransference § Occurswhenworkersascribecharacteristicsofsignificantpeopleandeventsintheirpasttotheirclients.

§ Client’semotions,behavioursandissuesmaystirupunresolvedorburiedemotionswithinaworkerwhomightthenidentifytoocloselywiththeclientandusetherelationshiptofulfilunmetneeds.

Burnout

Prevent

OrganisationalBurnout

§ Profoundwearinessandhaemorrhagingoftheself§ Occurs when worker exhaust themselves both physically and emotionally throughoverworkandlackofself-care

§ Burnoutdamagesabilitytoempathiseandfunctionasahelper§ Stateofexhaustioncausedbyemotionalnatureofworkandoverwork§ Isaresponsetooccupationalstress

CompassionFatigue § Workerexposuretoclientpainandsufferingcanleadtosufferingandasenseofbeingoverwhelmedbyclientstories.

§ AlsoreferredtoasSecondaryTraumaticStressReaction§ Preoccupationwithtraumaticclientcasesandpersonalidentificationwiththetrauma§ OveridentificationcreatessymptomscomparabletoPTSD

VicariousTrauma § Worker’sworldviewandsenseofselfisaffected§ Occurswhenworkeroftenworkswithtraumaclients§ Involvesapersonalreactionwithinworkertoaclient’sexperience§ Disruptiontosenseofsafety,trust,esteem,controlandintimacy

ImplicationsforSWP§ Howdoyouself-careandhaveself-awareness?§ AgencyCareMechanisms§ Integrity

ãCreatedtogetherwithRotaryFSCTeam(2013)basedonschemaintroducedbyUdhiaKumar

PrimeronCrisisManagementforFSCs7TeamApproachtoCrisisManagement

UsefulnessofTeamApproach§ Maximizesthesafetyforallinvolved§ Forefficientinformationgathering§ Fordivisionofresponsibilityamongteammembers§ Foremotionalandphysicalsupportforteammembers

TeamDynamics§ Clarifythedivisionofresponsibilityofteammembers§ Befamiliarwiththepositioningofteammembers§ Bepreparedtoacceptpersonalresponsibilityasateammember

WalkInTelephone

ALERTAlertMentor

ConfidentialityandConsent

GeneralBackgroundInformation

Face-To-FaceAssessment

BRIEFRISKASSESSMENT(POSITIVE)

Immediateactionbyteamtostabilizesituation

UseGuidelinesforrespectivetypeofcases

WrittenReferral

ASSESSAssessNeedforCrisisTeam

ASSEMBLEAssembleTeam

SuspectedCrisis?

SuspectedCrisis?

SuspectedCrisis?

SituationStabilized

CrisisTeamDebriefby3rd

PartyorMentorGetsuggestionsforfutureworkfromteam/mentor

ãCreatedtogetherwithRotaryFSCTeam(2013)basedonschemaintroducedbyUdhiaKumar

Whendoweneedateam?

§ Whenmultipleresourcesneedtobemobilizedfast,asingleworkermaynotbeabletohandlebyoneself.

§ Whenworkerfeelsunabletocopewiththeissuesoremotionsraisedduringclient’scrisis

Whyateam?

§ Nosingleworkerknowsalltheresourcesneededforacrisis–morecontributionisneeded§ Themainworkerhandlingthecasemaybetooemotionallyinvolvedtomakegooddecisions§ Fastactionisneededduringacrisis.Withateaminvolvedthingscangofaster§ Everyoneinthecentreneedstogainexperienceinhandlingcrisis.Itisgoodforourprofessionallearning.

Who’sinateam?

§ About3-5people§ Canbeanyoneavailableandsuitable§ Notnecessarilyasenior–evenaveryexperiencedworkermaynotknowbestaboutcertainaspectsofacase

§ Aseniorismorelikelytobethecoordinatoroftheteamashe/sheisoneofthefirstpeopletobealerted

Howdoesit

work?

§ Pleaserefertosuggestedworkflow§ Mainly,thecaseworkeralertsasenior(mentor/SSW/ED),whoassemblesateamtohandlethecrisis

Debriefing

Whyneeded?

§ Workersinvolvedinhandlingthecrisismaybeemotionallyoverwhelmed§ Tolearnfromexperience§ Tosharelearningwiththerestoftheteam

DebriefingHow?

§ Workersinvolvedinthecrisissharetheirexperience/feelingswithathirdworkernotinvolvedinthehandling

§ Thedebriefingcanbedonebyanyone–notonlyseniors§ Hastobedonewithin48hoursasfeelingsandmemoriesarestillfresh§ Learning,especiallyresourcesandprocedures,hastobesharedamongtheprofessionalteam

IMPLCATIONSFORSWP

ãUdhiaKumar20Sep2017

PrimeronCrisisManagementforFSCs8SafetyPlanningSheet

Proactive Reactive

Finances Finances

Utilities Utilities

Medical Medical

Food Food

InstructionsUsethis formtoplanwiththefamilyhowtheywouldhandlefuturecrisisthatmaysurface.Toexplorewhatarethepossibleactions,whenandwhotakesthemtohandlethecrisis.Theproactiveportionlooksathowtheycanresponddifferentlyandthereactiveportionlooksathowtheyhavedonesointhepast.Getallfamilymemberstocontributeandsharetheirideas.