section 12: crisis intervention

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Section 12: Crisis Intervention. UCLA. Give me some examples. Form groups of 4-6. Agree on 3 examples of crises faced by your staff What made these crises challenging to deal with?. Things to Consider When Facing a Crisis. Things to Consider…. Are you safe? Are other clients safe? - PowerPoint PPT Presentation


  • Section 12: Crisis InterventionUCLA

    Screening and Brief Intervention

  • Give me some examplesForm groups of 4-6.Agree on 3 examples of crises faced by your staffWhat made these crises challenging to deal with?*

  • Things to Consider When Facing a Crisis

    Screening and Brief Intervention

  • Things to ConsiderAre you safe?Are other clients safe?Is the client in crisis safe?Can I handle this?What other resources do I need?How do I feel better after its over?*

  • Are you safe?Protecting your safety is protecting the safety of the clientIf they hurt youThey will no longer feel safe,They will no longer be able to receive treatment from your agency Putting your safety first is in the best interest of the client.*

  • Keeping yourself safeThe Office SetupBe conscious of where you are in the office*

  • *

  • The Office SetupBe conscious of where you are in the officeBe aware of ways of asking for helpKeeping yourself safe*

  • Keeping yourself safe

    Be careful not to reflect negative emotional statesWatch your body language Stay calm and keep you voice tone low and softBe careful not to stand over or lean into patient

    Personal Style*

  • Keeping yourself safeGet outTake a breakLeave the officeLeave the buildingGet helpCall a supervisorCall a colleagueCall the policeIf none of that works*

  • Things to ConsiderAre you safe?Are other clients safe?Is the client in crisis safe?Can I handle this?What other resources do I need?How do I feel better after its over?*

  • Are other clients safe?Where is the crisis happening?If other clients are observing, they may not feel safeWe do not want to contribute to the chaos of their livesThey want to have confidence in their environment.A crisis with one client may lead to a crisis with another*

  • Keeping other clients safeCalm the participant (and you)Protect confidentialityProtect other clients from direct harmProtect other clients from helpingRemove the situation to a quiet, safe place. This will help to:*

  • Things to ConsiderAre you safe?Are other clients safe?Is the client in crisis safe?Can I handle this?What other resources do I need?How do I feel better after its over?*

  • Is the client in crisis safe?Is the Client a danger to:Self?Others?If danger = being aggressive, follow recommendations aboveIf danger = killing self or others, follow recommendations above AND make sure they get assessed.*

  • What is a Suicide/Homicide Assessment?If you think that someone wants to kill him/herself or someone else, they must be evaluated.If risk is significant, they may need to be hospitalizedIf risk is minimal, a plan needs to be developed in case feelings get worse.*

  • *Risk factorsCommon psychiatric risk factor leading to suicideDepression*Major DepressionBipolar DepressionAlcohol and Drug abuse and dependenceSchizophreniaOther psychiatric risk factors with potential to result in suicidePost Traumatic Stress Disorder (PTSD)Eating disorders

  • *Risk factors for SuicideSymptom Risk Factors During Depressive Episode Desperation HopelessnessAnxiety/psychic anxiety/panic attacksSudden change in moodAggressive or impulsive personalityHas made preparations for a potentially serious suicide attempt or has rehearsed a plan during a previous episode Recent hospitalization for depressionPsychotic symptoms

  • *Risk factorsMajor physical illness-especially recentChronic physical painHistory of trauma, abuse, or being bulliedFamily history of death by suicideDrinking/Drug useBeing a smoker

  • *Symptoms and Danger SignsWarning Signs of SuicideDangerTalking about suicide. Statements about hopelessness, helplessness, or worthlessness. Preoccupation with death. Suddenly happier, calmer. Loss of interest in things one cares about. Visiting or calling people one cares about. Making arrangements; setting one's affairs in order. Giving things away, such as prized possessions.

  • *Symptoms and Danger SignsWarning Signs of SuicideWarning SignsObservable signs of serious depressionUnrelenting low moodHopelessnessAnxietyWithdrawalSleep problemsIncreased alcohol and/or other drug useRecent impulsiveness and taking unnecessary risksThreatening suicide or expressing strong wish to dieMaking a plan (giving away possessions, obtaining other means of killing oneself)Unexpected rage or anger

  • *Assessment of SuicideHistoryInfluencesLethalityPsychological OrganizationEvaluation of Risk PotentialRecommendations

  • Crisis Intervention: CASE STUDIES The following two case study exercises present crisis scenarios. Please break out into groups of 2-4 and carefully read each scenario, then write down your response as counselor. You will then share your responses to the class.


  • Exercise 1Case Study 1: FaridaFarida is a 25-year old Ritalin and Valium addict with 3 months of sobriety, whom you have been seeing once a week. When she walks into your clinic today, she appears forlorn and acts withdrawn. She refuses to answer your open-ended and closed-ended questions. Finally, she mutters, My husband is seeing another woman and he told me he is leaving me. Without him, my life isnt worth living anymore. I just want to go to sleep and not wake up. What do you do?


  • Exercise 2Case Study 2: MariamMariam is a 32-year old heroin addict who comes to your clinic for a scheduled appointment. She has not used drugs for 1 month. Today she seems uncharacteristically happy and in a calm, almost content state. You know she has tried to commit suicide 3 times in her past. When you ask her if she has had any thoughts of suicide lately, she responds, Oh, I dont knowmaybe once or twice. No big deal. Describe your next steps.




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