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Crisis Intervention

Crisis Intervention. “a highly emotional temporary state in which an individual’s feelings of anxiety, grief, confusion or pain impair his/her ability to act”. Qualities and Characteristics of a Crisis. 1) period of heightened psychological accessibility

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Crisis Intervention

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  1. Crisis Intervention “a highly emotional temporary state in which an individual’s feelings of anxiety, grief, confusion or pain impair his/her ability to act”

  2. Qualities and Characteristics of a Crisis • 1) period of heightened psychological accessibility • 2) usually stimulated by an outside precipitator • 3) are normal reactions to emotionally hazardous situations • 4) individual’s appraisal/perception determines the occurrence and seriousness of the crisis

  3. Qualities and Characteristics (cont’d) • 5) the more seriously threatening the appraisal, the greater the likelihood for primitive coping behaviors • 6) persons in crisis tend to “pull away” from contact • 7) persons in crisis tend to lose all concept of time

  4. How a Crisis Develops • 1) Stimulus/Precipitating Event • 2) Appraisal of Situation by the Individual • 3) Coping Methods and Personal Resources

  5. Types of Crisis • 1) Developmental • 2) Situational Potential Crises

  6. The ABC Method of Crisis Intervention (Stone) • “A”: Achieving contact with the person in crisis. • “B”: Boiling down the problem to its essentials. • “C”: Coping with the problem.

  7. Suicide • Why discuss suicide? • Edwin Shneidman: father of the suicide prevention movement in the United States

  8. Feelings Suicide Survivors Experience • Shame: predominant feeling • Guilt • Anger • Fear • Distorted Thinking

  9. Effective Listening Principles for Serving Suicide Survivors • “Do’s”: • Be an active listener, observe body language, clarify, paraphrase • Listen for the 5 most common concerns: • The need to know why. • Guilt • Anger • Finding someone to blame. • Client’s fear that they too are capable of suicide. • Make appropriate referrals

  10. “Don’ts” When Serving Suicide Survivors • Don’t answer questions that have not been asked. • Don’t answer exclamations as questions that require an answer. • Don’t answer questions that are theological, psychological or medical.

  11. American Foundation for Suicide Prevention Only national not-for-profit organization exclusively dedicated to funding research, developing prevention initiatives and offering educational programs and conferences for survivors, mental health professionals, physicians and the public. www.afsp.org

  12. Homicide/Sudden Death • Survivor may have: sense of unreality, guilt, need to blame, helplessness, unfinished business • Medical and legal authorities. • “fight or flight response” • Increased need to understand “Why?” • Follow-up and appropriate referrals.

  13. SIDS • Over 8000 babies/year in the U.S. • Occurs in infants under 1 year. • Most frequent: 2-6 months • Complicating factors: • Death occurs without warning. • Absence of a definite cause. • Involvement of the legal system. • Meaning of the deceased child. • Marital turmoil. • Sadness and anger.

  14. AIDS • Features that could affect the bereavement process: • Contagion • Stigma • Lack of Social Support • Untimely Deaths • Multiple Losses • Protracted Illness/Disfigurement • Neurological Complications

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