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Crisis Theory in Behavioral Health:

Crisis Theory in Behavioral Health:. PRESENTED AT APA IN NEW ORLEANS 2006. Michael Bütz, Ph.D. Aspen Practice, P.C. Corey Schwinn, LCSW Washington County Psychotherapy Associates Linda Chamberlain, Psy.D. Pasco-Hernando Community College. Moving from stasis to developmental adaptation….

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Crisis Theory in Behavioral Health:

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  1. Crisis Theory in Behavioral Health: PRESENTED AT APA IN NEW ORLEANS 2006 • Michael Bütz, Ph.D. • Aspen Practice, P.C. • Corey Schwinn, LCSW • Washington County Psychotherapy Associates • Linda Chamberlain, Psy.D. • Pasco-Hernando Community College Moving from stasis to developmental adaptation… Bütz and Schwinn 2004

  2. Transformative Crisis Intervention • These terms represent developmental movement through successive states… Dynamic Steady State Progression   Transformative State  Dynamic Steady State Developmental Movement    Regression Adaptation Bütz and Schwinn 2004

  3. Transformative Crisis Intervention • Striving, via a Resource Structural Maladaptations (RSM) may prove to be a risk to a system akin to a fever left uncontrolled – by the act of attempting to heal itself, it harms itself. Dynamic Steady State Progression Dynamic Steady State   Transformative State     Developmental Movement Developmental Movement   RSM Regression Adaptation Bütz and Schwinn 2004

  4. Add In Nonlinear Dynamics… Progression Dynamic Steady State        Transformative State Developmental Movement    RSM Regression Adaptation Bütz and Schwinn 2004

  5. YES Encourage & Support NO Provide Safety & Slow Process   Dynamic Steady State  Progression Developmental Movement    Regression Chaos Adaptation Complexity Nonlinear Dynamics Informed Approach... • Does the client have the internal structure & external resources to push through the crisis? Bütz and Schwinn 2004

  6. Considering the above Matrix… • Internal structure • (Caplan Matrix; level of organization) & • External resources • (Halpern, et. al., Matrix; human eco-system) Encourage & Support  Provide Safety & Slow Process   Dynamic Steady State Progression Developmental Movement    Regression Chaos Adaptation Complexity Bütz and Schwinn 2004

  7. Principles in Action • Case Studies • Open vs. Closed • Internal Structure? • External Resources? Bütz and Schwinn 2004

  8. Crisis Domains: Updating the Matrix Open Internal Structure/Resources External Structure/Resources High Risk Moderate Risk Low Risk Closed Bütz and Schwinn 2004

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