Crisis intervention ppt

Barry Kidd 2010Barry Kidd 2010 11

CRISIS CRISIS INTERVENTIONINTERVENTION


DEFINITION

A crisis is an overwhelming reaction to a threatening situation in which a person’s usual problem solving strategies fail to resolve the situation resulting in a state of disequilibrium.


TYPES OF CRISISTYPES OF CRISIS

Developmental (Maturational) Crisis- Developmental (Maturational) Crisis- predicted times of stress in predicted times of stress in everyone’s life which occurs in everyone’s life which occurs in response to a transition from one response to a transition from one stage to another in the life cycle.stage to another in the life cycle.


TYPES OF CRISISTYPES OF CRISIS(Continuation(Continuation))

Situational Crisis- occurs in response to Situational Crisis- occurs in response to a sudden unexpected event in a a sudden unexpected event in a person’s life. The critical life events person’s life. The critical life events revolve around experiences of grief revolve around experiences of grief and loss. For example loss of a job, and loss. For example loss of a job, divorce, abortion, death of a love one, divorce, abortion, death of a love one, severe physical or mental illness, etc.severe physical or mental illness, etc.


TYPES OF CRISISTYPES OF CRISIS(Continuation)(Continuation)

Adventitious Crisis- are not part of Adventitious Crisis- are not part of

everyday life. They are unplanned and everyday life. They are unplanned and accidental resulting in traumatic accidental resulting in traumatic experiences. Such as…experiences. Such as… Natural disasters.. hurricanes, flood, fire, Natural disasters.. hurricanes, flood, fire,

earthquake, etc…earthquake, etc… National disasters.. war, riots, etc…National disasters.. war, riots, etc… Crime of violence.. Child abuse, rape, Crime of violence.. Child abuse, rape,

assault, bombing in crowded areas, etc… assault, bombing in crowded areas, etc…


CRISIS INTERVENTION CRISIS INTERVENTION GENERAL OVERVIEWGENERAL OVERVIEW

Crisis….Crisis…. Occurs in everyoneOccurs in everyone Not necessarily pathological, may Not necessarily pathological, may

encourage growth and changeencourage growth and change Time limited to a brief period, 4-6 Time limited to a brief period, 4-6

weeks except deathweeks except death A person’s perception determines A person’s perception determines

the crisisthe crisis


CRISIS INTERVENTIONCRISIS INTERVENTIONBALANCING FACTORSBALANCING FACTORS

Crisis- good outcomeCrisis- good outcome1.1. Perception of Perception of

event realisticevent realistic2.2. Situational Situational

support adequatesupport adequate3.3. Coping Coping

mechanism mechanism adequateadequate

No crisisNo crisis

Crisis- developmentCrisis- development1.1. Perception of event Perception of event

distorteddistorted2.2. Situational support Situational support

inadequateinadequate3.3. Coping Coping

mechanisms mechanisms inadequateinadequate

CrisisCrisis


PHASES OF CRISISPHASES OF CRISIS

STRESS ANXIETYUSUAL COPING MECHANISMS INEFFECTIVE

TRIAL & ERROR SOLUTIONS

SEVERE ANXIETY

PERSONALITY DISORGANIZATION (CRISIS)

OR

NEW PROBLEM- SOLVING SOLUTIONS AND SUPPORT

ANXIETY

PRE-CRISIS LEVEL OF FUNCTIONING


CRISIS INTERVENTIONCRISIS INTERVENTION

ASSESSMENTASSESSMENTa.a. Perception of event: What happened that Perception of event: What happened that

prompted you to seek help?; How are you prompted you to seek help?; How are you feeling now?; etc.feeling now?; etc.

b.b. Coping mechanisms: Suicidal?; Plans?; What Coping mechanisms: Suicidal?; Plans?; What helps you feel better?; etc. helps you feel better?; etc.

c.c. Support systems: With whom do you live Support systems: With whom do you live with?; Who is available to help you?; Who is with?; Who is available to help you?; Who is most helpful?; etcmost helpful?; etc

d.d. Mental status, previous historyMental status, previous history

e.e. Identify client’s strengthsIdentify client’s strengths

f.f. Self-assessment: EMR’s feelings Self-assessment: EMR’s feelings



EMR Diagnosis:EMR Diagnosis:1.1. Risk self directed violenceRisk self directed violence2.2. Chronic low self esteemChronic low self esteem3.3. HopelessnessHopelessness4.4. PowerlessnessPowerlessness5.5. Severe/Panic levels of anxietySevere/Panic levels of anxiety6.6. Disturbed thought processDisturbed thought process7.7. Sleep deprivationSleep deprivation



Planning and outcome identificationPlanning and outcome identification

1.1. Assist the patient in setting realistic Assist the patient in setting realistic goals to return to the pre-crisis level of goals to return to the pre-crisis level of functioningfunctioning

2.2. Establish desired outcome criteria for Establish desired outcome criteria for the patient using the problem solving the patient using the problem solving approach. approach.



ImplementationImplementation

1.1. Assess for any suicidal/ homicidal thoughts or Assess for any suicidal/ homicidal thoughts or plans.plans.

2.2. Take initial steps to make the patient feel safe Take initial steps to make the patient feel safe and lower anxiety. and lower anxiety.

3.3. Safety- intervene to prevent violence- suicide/ Safety- intervene to prevent violence- suicide/ angry, aggressive patient. angry, aggressive patient.

4.4. Listen attentively and encourage the patient to Listen attentively and encourage the patient to discuss the crisis situation. Facilitate the discuss the crisis situation. Facilitate the verbalization of thoughts and feelings.verbalization of thoughts and feelings.

5.5. Creative and directive approach needed. Creative and directive approach needed. Initially the EMR/or other health care persons Initially the EMR/or other health care persons may make phone calls (arrange baby-sitters, may make phone calls (arrange baby-sitters, find shelters, contact social workers, etc.)find shelters, contact social workers, etc.)


CRISIS INTERVENTION Con’tCRISIS INTERVENTION Con’t

6.6. Use problem solving approach.Use problem solving approach.7.7. Identify needed social support (with patient’s Identify needed social support (with patient’s

input) and mobilize the most needed first. input) and mobilize the most needed first. 8.8. Identify and work to increase needed coping Identify and work to increase needed coping

skills (problem solving, relaxation, skills (problem solving, relaxation, assertiveness, job training, newborn care, self-assertiveness, job training, newborn care, self-esteem).esteem).

9.9. Plan with patient interventions that are Plan with patient interventions that are acceptable to both.acceptable to both.

10.10. Evaluate plan and instruct patient with Evaluate plan and instruct patient with alternative plan if needed. alternative plan if needed.


QUESTIONSQUESTIONS


Healthcare

Crisis intervention ppt