Crisis Intervention Handbook: Assessment, Treatment, and Research

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The next phase is to identify major problem s , including what in their life has led to the crisis at hand. During this stage it is important that the client is given the control and power to discuss their story in their own words. While he or she is describing the situation, the intervention specialist should develop a conceptualization of the client's "modal coping style", which will most likely need adjusting as more information unfolds. This is referred to as stage three. As a transition is made to stage four, feelings will become prevalent at this time, so dealing with those feelings will be an important aspect of the intervention.

Crisis Intervention Handbook Assessment, Treatment, and Research

While managing the feelings, the counselor must allow the client s to express their story, and explore feelings and emotions through active listening and validation. Eventually, the counselor will have to work carefully to respond to the client using challenging responses in order to help him or her work past maladaptive beliefs and thoughts, and to think about other options. At step five, the victim and counselor should begin to collaboratively generate and explore alternatives for coping.

Although this situation will be unlike any other experience before, the counselor should assist the individual in looking at what has worked in the past for other situations; this is typically the most difficult to achieve in crisis counseling.

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Once a list has been generated, a shift can be made to step six: development of a treatment plan that serves to empower the client. The goal at this stage it to make the treatment plan as concrete as possible which could be followed by the client and implemented as an attempt to make meaning out of the crisis event.

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Having meaning of the situation is also an important part of this stage because it allows for gaining mastery. Step seven is for the intervention specialist to arrange for follow-up contact with the client to evaluate their post crisis condition in order to make certain resolution towards progressing. The follow-up plan may include "booster" sessions to explore treatment gains and potential problems.

The model approaches crisis intervention as an instrument to help the client to achieve their baseline level of functioning from the state of crisis. A comprehensive view of how to treat the trauma consists of ten stages outlined by Lerner and Shelton These 10 steps relate similar to the crisis intervention steps. After the crisis situation has been assessed and crisis interventions have been applied, the aim is at eliminating stress symptoms, thus treating the traumatic experience.

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Non-violent approach in crisis intervention for agitation management involves better understanding of Proxemics Personal space of a person and Kinesics Nonverbal communication through postures. When using crisis intervention methods for the disabled individual, every effort should first be made to first find other, preventative methods, such as giving adequate physical, occupational and speech therapy, and communication aides including sign language and Augmentative Communication systems, behavior and other plans, in order to first help the handicapped individual to be able to express their needs and function better.

Too often, crisis intervention methods including restraining holds are used without first giving the disabled more and better therapies or educational assistance.

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Also, school districts fail to inform parents about their disabled child's "intervention" with restraint or seclusion, thereby providing little, if any, opportunity for the family to help the disabled child recover. Congress is trying to curtail the use of restraint and seclusion by school districts, having proposed legislation "Keeping All Students Safe Act" which had bi-partisan support but the bill has repeatedly died in committee.

Debriefing is a process by which facilitators describe various symptoms related PTSD and other anxiety disorders that individuals are likely to experience due to exposure to a trauma. As a group they process negative emotions surrounding the traumatic event.

Each member is encouraged continued participation in treatment so that symptoms do not become exacerbated. Critical incident debriefing has been criticized by many for its effectiveness on reducing harm in crisis situations.

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Some studies show that those exposed to debriefing are actually more likely to show symptoms of PTSD at a month follow-up than those who are not exposed to the debriefing. Most recipients of debriefing reported that they found the intervention helpful. Based on symptoms found in those who received no treatment at all, some critics state that reported improvement is considered a misattribution, and that the progress would naturally occur without any treatment.

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Crisis Intervention Handbook: Assessment, Treatment, and Research

Published on May 30, Roberts About Books Focuses on crisis intervention services for persons who are victims of natural disasters, school-based and home-based violence, violent crimes, and personal or family crises. This work applies a model of crisis intervention, making it appropriate for front-line crisis workers - clinical psychologists, social workers, psychiatric - and others. SlideShare Explore Search You. Submit Search. Successfully reported this slideshow. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads.

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