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Goals and Models of Crisis Intervention

Terms in this set (4)

Level 1 - Somatic Distress: crisis due to somatic distress precipitated by biomedical disease (e.g., cancer, diabetes) or by depression, anxiety, or minor psychiatric state. Interventions: education about illness and treatments to address symptom reduction.

Level 2 - Transitional Crisis: caused by stressful events that may be anticipated but not controlled (e.g., adolescent pregnancy, job loss). Interventions: education, self-help groups, and individual therapy.

Level 3 - Traumatic Stress Crisis: precipitated by external stressor, unpredictable, sudden, life-threatening, overwhelming (e.g., natural disaster, assault, sudden death of a loved one). Interventions: crisis-oriented CBT, solution focused therapy, pharmacotherapy.

Level 4 - Family Crisis: precipitated by crisis with family or primary relationship or related to developmental issue (e.g., child abuse, domestic violence, parental abduction, homelessness). Intervention: "help restabilize lives, strengthen relationships, deter symptomatology" with psychoeducation, individual, couple, and family treatment.

Level 5 - Serious Mental Illness: dementia, psychosis, or serious mental illness increases likelihood of another problem precipitated by crisis. Immediate intervention: symptom reduction, enhancing problem-solving skills, environmental manipulation, pharmacotherapy. Hospitalization, long-term individual and group treatment.

Level 6 - Psychiatric Emergencies: severe impairment with threat/harm to self/others (e.g., suicide, homicide, drug overdose). Interventions: rapid assessment, mobilization of resources, emergency care.

Level 7 - Catastrophic Crisis: two or more level 3 crisis with a level 4, 5, or 6. Requires comprehensive multimodal intervention.