Transcript Document
CJ440 Crisis Intervention Unit 2 Six Step Model of Crisis Intervention 1. 2. 3. 4. 5. 6. Defining the Problem Ensuring the Client Safety Providing Support Examining Alternatives Making Plans Obtaining Commitment Assessing Always, always assessing – Why is this so crucial? During all 6 steps, we constantly assess. Assessment is fluid. During each step, we continue to assess. Assessing • Listening – Observing – Understanding – Empathy – Genuineness – Respect – Acceptance – Nonjudgmental – Caring 1. Explore/define the problem from Client’s point of view. Why is that crucial???? Active listening Open ended questions Watch verbal/nonverbal cues from client 2. Ensure client safety – Assess lethality or seriousness of threat to client’s physical and psychological safety 3. Provide support – Communicate to client that worker is a valid support person. Demonstrate caring, positive, nonjudgmental. How? 4. Examine alternatives • • • Assist in exploring choices available to him/her now. What immediate support(s) is available. Coping mechanisms? Positive thinking? 5. Make plans • Develop realistic, short term plan • Definite action steps that client can own and comprehend Why is that so important? 6. Obtain commitment • Ideas on how to accomplish this? • What’s one of the most important tools crisis worker must possess?? Core Listening Skills • • • • Empathy Genuineness Acceptance Positive regard ABC’s of Assessing • Enables the worker to determine: – Severity of the crisis – Current emotional status – Level of emotional mobility or immobility – Alternatives, coping mechanisms, support systems, resources available – Level of lethality – Is worker deescalating/diffusing the situation? Assessing Current Emotional Functioning • Four major factors – Duration of the crisis – Degree of emotional stamina or coping at the clients disposal at the moment – The ecosystem where the client resides – Developmental stages of the client How? • Factors to consider: – Age – Education – Family situation – Marital status – Vocational maturity/job stability – Financial stability – Drug/alcohol use – Legal history • • • • • Social background Intelligence Lifestyle Religious orientation Ability to maintain close personal relationships • Medical history • Past history of dealing with crisis No one factor alone can be used. Look for patterns • Open ended questions – Examples? • Closed ended questions – Examples? Basic Strategies of C.I. • • • • • • • • • Creating Awareness Allowing Catharsis Providing Support Increasing Expansion Emphasizing Focus Providing Guidance Promoting Mobilization Implementing Order Providing Protection • Non verbal communication – Examples? – How important is this to a C.I. worker? • Silence – Value?? Project for Unit 3 • Review 2 scenarios and response to BOTH – Each response 2-3 pages – Address each question presented – Look at CLA