Crisis Intervention Chapter 3

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What is the overarching process that happens continuously during crisis intervention?

Assessment

What two categories contain the six-steps of crisis intervention?

Listening and Acting

What is psychological first aid?

Establishing physical safety and linking clients to basic resources while reducing their immediate stressors

What are the first 3 steps of the 6-step model?

Define the problem, ensure safety, provide support

What are the next 3 steps of the 6-step model?

Examine alternatives, making plans, obtaining comitment

What is equilibrium?

A state of stability or balance

What is mobility?

The ability to change, cope or adapt to normal events

What are the ABC's of assessment in crisis intervention?

Affective, Behavioural, Cognitive

What does affective state refer to?

The client's emotions or emotional stability

What is behavioural functioning?

The client's actions, what they can and are doing

What is cognitive state?

The client's mental state, thoughts and beliefs

What does TAF stand for?

The Triage Assessment Form

How do we rate clients on the TAF?

We start with the highest number and "rule it out", working backwards

What are the four factors used in assessing a client's emotional stability?

Duration, Degree, Ecosystem, Developmental Stage

How do we tell the "depth" of a client's emotional strength reservoir?

The less the client is able to see towards the future, the shallower their reservoir

What does it mean to own a feeling?

To use an "I" statement to communicate possession of a feeling

Why is it important to own feelings?

So that you don't group yourself with others and place your client in a position of hostility or defenceless compliance

What is an assertion statement?

An owning statement (directed at the client) that asks for their commitment to some action or behaviour

What are the four dimensions of listening?

Give full attention to the client, respond in a way that lets the client know you understand, use facilitative responses that help the client move towards resolution, and help clients understand the impact of the crisis

What is the creating awareness strategy of crisis intervention?

Bringing to awareness repressed thoughts and feelings that help the client to define the problem

What does it mean to allow a client catharsis?

Allowing the client to vent, which helps the client define the problem and be supported by the crisis worker

What is increasing expansion?

This refers to activities to open up a client's view of the situation

What 5 techniques are used in being empathetic?

Attending, verbal and non-verbal empathetic understanding, reflecting feelings, and appropriate silence

How does a worker use verbal empathetic understanding?

Paraphrasing emotions ("I hear that you're feeling very frustrated")

How does a worker use reflection of feeling?

Make an educated guess about the person is feeling with a conditional ("It semes like you...")

When is a crisis worker nondirective?

When the client is able to carry out their own actions

When is a crisis worker collaborative?

When the client has some level of mobility but is not immobile

When is the crisis worker directive?

When there is a serious risk (high teens low 20's on the TAF) of danger to the client or others

What is the purpose of an action plan?

To provide short-term steps to give the client control and relieve the immediate crisis

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