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Training dealing with Crisis Intervention

Training dealing with Crisis Intervention


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  • http://www.minddisorders.com/Br-Del/Crisis-intervention.html
  • http://www.dshs.wa.gov/manuals/socialservices/sections/CrisisInter.shtml
  • http://www.minddisorders.com/Br-Del/Crisis-intervention.html
  • http://www.ehow.com/how_2138570_intervene-crisis-situation.html
  • http://www.ehow.com/how_2138570_intervene-crisis-situation.html
  • http://www.slc.edu/offices-services/security/assault/Definition_of_Sexual_Assault.html
  • http://www.centenary.edu/handbook/appendices/sexual_assault
  • http://www.lafasa.org/sexual-assault-statistics.html#LA
  • http://www.ncvc.org/ncvc/main.aspx?dbName=DocumentViewer&DocumentID=32369
  • http://www.cismc.org/information/assault.html
  • http://www.brrcc.org/
  • http://www.shc.lsu.edu/index.php?page=sass_aboutsane
  • http://www.suicidology.org/c/document_library/get_file?folderId=232&name=DLFE-244.pdf
  • http://www.suicidology.org/c/document_library/get_file?folderId=232&name=DLFE-244.pdf
  • Transcript

    • 1. Calming the Storm:Responding to Crisis in Your Community
      Charles Beard
      Resident Director
      Campus Advantage
    • 2. Format of Training
      This training will be delivered via this PowerPoint
      The PowerPoint will contain the appropriate information
      The slides will also direct you to the appropriate materials
      This training is intended to take 3-4 hours. You may split up the training or complete it in one sitting as long as you cover all the material.
      You will have a one on one at midterm with the Resident Director and will be tested on your knowledge of the material contained in this training session
    • 3. Goal
      The goal of this training program is to provide you with the knowledge, skills, and abilities to confront and diffuse crisis situations that you may encounter in your community
      The specific crises that will be discussed are sexual assault and suicide prevention
    • 4. Learning Objectives
      Participants will be able to define crisis intervention with 100% accuracy after completing this session
      Participants will be able to define a crisis with 100% accuracy after completing this session
      Participants will be able to identify common causes of a crisis with 100% accuracy after completing this session
      Participants will be able to identify the steps involved in crisis response with 90% accuracy after completing this session
      Participants will be able to implement Campus Advantage reporting procedures with 90% accuracy after completing this session
    • 5. What is Crisis?
      Event that causes a sudden loss of someone’s ability to use appropriate problem-solving and coping skills
      Can involve life-threating situations
      3 Parts to a Crisis
      Stressful Situation
      Difficulty with Coping
      Timing of the Intervention
    • 6. What Causes a Crisis?
    • 7. Crises We Will Discuss
      Sexual Assault
      Suicide
    • 8. What is Crisis Intervention?
      “The methods used to offer immediate, short-term help to individuals who experience an event that produces emotional, mental, physical, and behavioral distress or problems” (Encyclopedia of Mental Disorders)
    • 9. Purpose of Crisis Intervention
      Reduce intensity of individual’s emotional, physical, mental, and behavioral reactions to crisis
      Help individual return to functional level before crisis
    • 10. How to Intervene
      Define the Problem
      Try to perceive the crisis from the victim’s perception
      Ensure Safety
      Minimize the risk factor
      Do you need to get the client to a safe location such as your office?
      Provide Support
      Let the resident know that you care
      Show compassion and empathy
    • 11. How to Intervene
      Examine Alternatives
      Explore people, coping mechanisms, and thinking patterns that provide relief from the current situation
      Make a Plan
      The plan should identify additional persons, groups, or referral services that can be contacted for immediate support
      Obtain a Commitment
      Ensure that the resident will commit to the plan
      How will you follow up with the resident to ensure they go to X resource?
      If a threat to health and safety is present, call 911 immediately
    • 12. Reporting
      Campus Advantage Policy Gives the Following Guidelines for Reporting an Incident
      Level 1- Incidents that require site level management but typically not corporate level involvement. Local law enforcement may also be involved. These include incidents such as roommate conflict, noise disturbance, vandalism, alcohol use or drug use.
      Level 2- Incidents that require both site level management and regional corporate level involvement. These include incidents such as drug dealing, theft or burglary, injury and threats to injure self or others.
      Level 3- Incidents that require site level management, full corporate involvement and owner notification. These include significant property loss, assault, fire, home intrusion, suicide attempt and death.
    • 13. Reporting
      Campus Advantage policy requires that an incident report be completed and submitted to the Resident Director and General Manager as soon as the crisis intervention is over
      Review the Incident Reporting Policy on your Policy and Procedures Portal
    • 14. LSU CARE TeamA General Resource
      CARE stands for Communicate, Assess, Respond, and Refer
      CARE is managed by the Office of Student Advocacy and Accountability under the direction of the CARE team manager
      CARE Team consists of representatives from LSU Residential Life, Disability Services, LSU Police, the Dean of Students, and Mental Health
    • 15. What the CARE Team Does
      Assist students in identifying appropriate university resources
      Listens to students and helps identify issues and concern
      Assist students in understanding issues and identifying workable solutions
      Any faculty, staff, or student can refer a student to the CARE team
      That means you!
    • 16. Things to do before proceeding
      Read How to Intervene in a Crisis Situation
      http://www.ehow.com/how_2138570_intervene-crisis-situation.html
      Read Who Ya Going to Call?
      http://www.reslife.net/html/crisis_0401a.html
      Pretend that you just finished a crisis intervention for a situation of your choice. Fill out an incident report and send it to the Resident Director.
      This is not a graded activity but will help the Resident Director determine what specific training you may need
    • 17. Section 2 Learning Objectives
      Students will be able to define Sexual Assault with 100% accuracy after completing this training session
      Students will be able to define the different types of sexual assault as outlined by Louisiana law with 80% accuracy after completing this training session
      Students will be able to identify the common reactions to sexual assault with 90% accuracy after completing this training session
      Students will be able to confront and communicate with sexual assault victims with 80% accuracy at the completion of this training session
      Students will be able to identify sexual assault resources with 100% accuracy after completing this training session
      Students will be able to recite victim’s rights and the effects of the Clery Act with 100% accuracy at the completion of this training session
    • 18. Sexual Assault
      Watch the Video Linked Below:
      http://www.youtube.com/watch?v=30TKSFLfY-w&feature=feedf
    • 19. Sexual Assault Defined
      A sexual assault has been committed when an individual engages in sexual activity without the explicit consent of the other individual involved
      Sexual activity is any touching of a sexual or other intimate part of a person for the purpose of gratifying sexual desire of either party. This includes coerced touching of the actor by the victim as well as the touching of the victim by the actor, whether directly or through clothing.
      (Sarah Lawrence College, 2010)
    • 20. Types of Sexual Assault Defined In Louisiana
      For Each Item, Read the Website Listed Below the item
      Aggravated Rape (LSA-R.S. 14:42)
      http://www.babcockpartners.com/resources/statutes/louisiana-aggravated-rape-law
      Forcible Rape
      Included in previous reading of LSA-R.S. 14:42
      Simple Rape (R.S. 14:43)
      http://www.babcockpartners.com/resources/statutes/louisiana-simple-rape-law
    • 21. Types of Sexual Assault Continued
      Sexual Battery (R.S. 14:43.1)
      http://www.babcockpartners.com/resources/statutes/louisiana-sexual-battery-law
      Second Degree Sexual Battery (R.S. 14:43.2)
      http://law.justia.com/codes/louisiana/2009/rs/title14/rs14-43.2.html
      Intentional Exposure to the AIDS Virus (R.S. 14:43.5)
      http://law.justia.com/codes/louisiana/2009/rs/title14/rs14-43.5.html
      Sexual Assault Using a Controlled or Dangerous Substance (“Date Rape”) (R.S.40:969D)
      http://law.justia.com/codes/louisiana/2006/48/98883.html
    • 22. Statistics
      Estimated that 20-25% of women will experience a completed rape or attempted rape during their college career
      1 in 10 reported sexual assault victims are males
      Over 50% of sexual assaults go unreported
      Over 50% of campus sexual assaults are associated with alcohol consumption
      70% of sexual assault victims knew their attacker
    • 23. Common Reactions to Sexual Assault
      Fear and Anxiety
      This may happen when the victim remembers the assault or can be triggered spontaneously
      Re-experiencing the trauma
      This can occur through flashbacks or nightmares
      Increased Arousal
      Victims may feel jumpy, jittery, shaky, easily startled, and have trouble concentrating and sleeping
      Can lead to impatience and irritability
      Avoidance
      Victims may avoid situations reminding them of the sexual assault
    • 24. Reactions Continued
      Anger
      Victims may be angry with others not just the attacker
      Feelings of Guilt and Shame
      Many victims blame themselves or fear blame from others
      Depression
      Victim may feel down, sad, hopeless and full of despair
      Self Image
      Victim may have trouble trusting others
      More negative view of the world
    • 25. Confronting Sexual Assault Victims
      You may not know a resident is a victim until you talk to them
      Be aware of the Reactions listed in the previous two slides
      Talk to residents who are exhibiting those reactions or whose behavior and attitude have dramatically changed
    • 26. When Sexual Assault is Identified
      Provide Emotional Support for the Victim
      Provide a safe environment
      Assure the victim it was not his/her fault
      Do not try to force the victim to do anything. Phrase crisis intervention steps as questions
      It is important for survivors to make their own decisions as a way to regain control
    • 27. Having the Conversation
      You cannot guarantee confidentiality but only privacy
      You must call the Resident Director if a sexual assault occurs
      Ask the victim if he/she would like to talk to the police
      A sexual assault victim is not required to call the police
    • 28. The Conversation Continued…
      Ask the victim if he/she would like to seek medical attention
      Ask the victim when and where the sexual assault occurred
      Let the victim know you have to call the Resident Director
      Let the victim know the Resident Director is a trained Sexual Assault Victims Advocate (SAVA)
    • 29. More About the Conversation
      While waiting for the Resident Director, ask the victim if he/she would like to speak to someone at the PHONE or the Rape Crisis Center
      The victim does not have to give his/her name to the person on the phone at either service
      The PHONE is a free confidential crisis intervention center that can be called at any time
      Explain to the victim the services offered by SAVA and the Rape Crisis Center
      See Upcoming Slides
      The Resident Director will take over the intervention once he arrives
      If the Resident Director is unavailable call the General Manager
    • 30. SAVA
      Trained Faculty, Staff, or Graduate Assistant
      Can Assist the victim with:
      Filing a police report
      Obtaining medical care
      Assistance with the University Accountability Process
      Assistance with Housing Relocation
      Academic Assistance/Accommodations
      Referrals to Appropriate Services and Resources
      A list of all SAVAs can be obtained by going to:
      http://www.shc.lsu.edu/index.php?page=sass_savacontacts
    • 31. Rape Crisis Center
      225-383-7273
      24 Hour Hotline
      Victims can receive counseling, support, and referrals
      Can contact a Sexual Assault Nurse Examiner (SANE) to meet the victim at a local hospital for a Sexual Assault Exam (See Next Slide)
      Can provide an advocate to be with the victim during the exam
      All Services are Free
    • 32. SANE
      A nurse specially trained to conduct a forensic sexual assault examination/evidence collection
      Exam can take over 2 hours
      Monday-Friday 8:00am-4:30pm a SANE is available to do exams at the Student Health Center
      Contact a SAVA to schedule the exam
      The Rape Crisis Center can arrange an exam 24 hours/7 days a week at local hospitals
      The exam is a public service and thus is free
    • 33. The Victim’s Rights
      A victim DOES NOT have to file a police report
      Evidence from an exam can be held for thirty days without a police report being filed
      If a police report is filed, the victim does not have to press charges
    • 34. Use Your Resources
      You can call the PHONE or the Rape Crisis Center to get guidance on how to proceed with the intervention
      You can contact the Resident Director or another SAVA for assistance and guidance
      You can defer to someone else if you are uncomfortable handling the intervention
      You can bring another person of the same gender in with you for your protection
    • 35. The Clery Act
      Universities must report annual crime statistics under Federal Law (The Clery Act)
      A SAVA will have to report that a sexual assault to a student did occur
      BUT ONLY DEMOGRAPHIC INFORMATION SUCH AS GENDER AND AGE IS REPORTED UNLESS THE VICTIM CONSENTS
      The University will determine if the assault becomes part of the annual report or not
      The Rape Crisis Center and the PHONE will decide if cases need to be reported that are referred to them
    • 36. A Few More Instructions
      Do encourage a victim not to bathe, change clothing, or douching in order to preserve evidence prior to an exam
      An exam can be done up to seven days following a sexual assault
      BUT the sooner it is done the more evidence that be collected
    • 37. Recap of Sexual Assault
      It is important to know what your state defines as sexual assault and the types of sexual assault
      It is important that you remain empathetic and non-judgmental during a conversation with a victim
      Follow the guidelines for the conversation
      Know your resources such as SAVA and the Rape Crisis Center
      Know the victims rights
    • 38. Things to do before proceeding
      Read the Following Websites:
      http://www.shc.lsu.edu/index.php?page=sass_aboutsava
      http://www.shc.lsu.edu/index.php?page=sass_aboutsane
      http://www.reslife.net/html/tools_0800e.html
    • 39. Suicide
      This portion of the training session will cover suicide prevention and helping the survivors of a suicide
      The material from this session could potentially help save someone’s life
      The material is heavy but necessary
    • 40. Section 3 Learning Objectives
      Students will be able to identify the components of the Suicide Risk Assessment with 90% accuracy at the completion of this training session
      Students will be able to confront suicidal victims with 80% accuracy at the end of this training session
      Students will be able to implement the proper protocol when a resident is deemed suicidal with 100% accuracy at the completion of this training session
      Students will be able to assist survivors of suicide with 70% accuracy at the completion of this training session
    • 41. A Short Video
      Please Click on the Link Below and Watch the Video
      http://www.youtube.com/watch?v=AWSA3MHN3Hs&feature=feedf
    • 42. Suicide Statistics (2007)
      10th Leading Cause of Death
      3rd Leading Cause of Death for people between 15 and 24 years old
      34,598 Suicides
      Approximately 381,000 Attempted Suicides
      Males complete suicide 3.6 times more than females
      A failing economy traditionally leads to more suicides annually
    • 43. Assessing the Risk of Suicide
      IS PATH WARM is a mnemonic used in Assessing the Risks of Suicide
      Ideation
      Substance Abuse
      Purposelessness
      Anxiety
      Trapped
      Hopelessness
      Withdrawal
      Anger
      Recklessness
      Mood Change
    • 44. IS
      Ideation
      Talk of wanting to harm oneself
      Looking for ways to kill oneself
      Talking or writing about death
      Substance Abuse
      Increased alcohol or drug usage
    • 45. PATH
      Purposefulness
      No reason for living
      Anxiety
      Anxiety, agitation, change in sleeping habits
      Trapped
      Feeling like there is no way out
      Hopelessness
      No hope
    • 46. WARM
      Withdrawal
      Withdrawal from friends, family, society
      Anger
      Uncontrolled anger and rage
      Recklessness
      Acting reckless or taking unnecessary and dangerous risks
      Mood Change
      Dramatic Mood Changes
    • 47. Response
      Like Sexual Assault, suicidal residents might not be identified until you are talking with them possibly about something unrelated
      If you notice in conversation or behavior that the resident is showing signs of the risks discussed, intervention needs to happen immediately
    • 48. Conversation
      Ask the resident if he/she plans on hurting him/herself or another person
      Ask the resident if he/she is planning on killing him/herself
      Ask if the resident has a suicide plan and ask them to elaborate
      Ask the resident if anyone else knows
      YOU WILL NOT CAUSE SOMEONE TO COMMIT SUICIDE BY ASKING QUESTIONS
    • 49. Conversation Continued
      If the resident answers yes to any questions or exhibits what you consider reasonable risk call the police immediately
      Call the Resident Director and/or General Manager AFTER calling the police
      Try to get the resident to talk to someone at the PHONE while waiting on the police
      Do not under any circumstance, unless threat to your health and safety exist, leave the resident alone until emergency personnel arrive
      The resident may be mad that you called the police but you may have just saved their life!
    • 50. When a Suicide Happens
      Unfortunately, we cannot prevent 100% suicides
      Follow procedures outlined in the Dead Resident policy on the Policies and Procedures website for dealing with the discovery of a dead body
      The people who are affected by the suicide are called survivors
    • 51. Survivors
      Survivors Include:
      Family
      Roommates
      Neighbors
      Friends
      Other Staff Members
      And the List Goes On
    • 52. The Mindset of Survivors
      Grief will immediately set in
      Feelings such as shock, guilt, disbelief, loneliness, depression, and confusion may occur
      Survivors struggle with the question of why did the suicide occur
    • 53. Helping Survivors
      Listen and be empathetic
      Use Crisis Intervention skills if necessary
      Use your resources
      Make sure survivors know about the PHONE
      Plan a day for grief counselors to come to the community
      Talk to the Resident Director and General Manager to set this up
      Be alert and be ready to respond to any crises caused by the suicide
    • 54. Conclusion
      This presentation has went over the basics of crisis intervention
      You have learned how to handle a crisis involving sexual assault
      You have learned how to address a situation with a suicidal resident
      You have learned what survivors of suicide experience
    • 55. Work Cite
      American Association of Suicidology. (2008). Suicide in the USA. Retrieved July 13, 2011, from American Association of Suicidology: http://www.suicidology.org/c/document_library/get_file?folderId=232&name=DLFE-244.pdf
      American Association of Suicidology. (2008). Survivors of Suicide Fact Sheet. Retrieved July 13, 2011, from American Association of Suicidology: http://www.suicidology.org/c/document_library/get_file?folderId=232&name=DLFE-244.pdf
      Babcock Partners. (2011). List of Common Crimes in Louisiana. Retrieved July 12, 2011, from Babcock Partners: http://www.babcockpartners.com/resources/statutes
      Campus Advantage. (2010). Policy and Procedures Portal. Retrieved July 12, 2011, from Campus Advantage: http://www.campusadv.com/my
      Crisis Intervention Services. (n.d.). Crisis Intervention Services: Sexual Assault. Retrieved July 14, 2011, from Crisis Intervention Services: http://www.cismc.org/information/assault.html
      East Baton Rouge District Attorney. (2011). Rape Crisis Center. Retrieved July 14, 2011, from Rape Crisis Center: http://www.brrcc.org/
      Ehow. (2011). How to Intervene in a Crisis Situation. Retrieved July 12, 2011, from Ehow: http://www.ehow.com/how_2138570_intervene-crisis-situation.html
      Encyclopedia of Mental Disorders. (2011). Crisis Intervention. Retrieved July 12, 2011, from Encyclopedia of Mental Disorders: http://www.minddisorders.com/Br-Del/Crisis-intervention.html
      Goldwater, J. (n.d.). Who YaGonna Call…? A Crisis Management Primer. Retrieved July 12, 2011, from Reslife.net: http://www.reslife.net/html/crisis_0401a.html
      Justia. (2009). 2009 Louisiana Code. Retrieved July 12, 2011, from Justia US Law: http://law.justia.com/codes/louisiana/2009/
      Louisiana Foundation Against Sexual Assault. (2009). Sexual Assault Statistics. Retrieved July 12, 2011, from Louisiana Foundation Against Sexual Assault: http://www.lafasa.org/sexual-assault-statistics.html#LA
      Louisiana State University. (2011). CARE Team. Retrieved July 12, 2011, from Student Advocacy and Accountability: http://www.lsu.edu/saa
      Louisiana State University. (2011). Sexual Assault Support and Services. Retrieved July 12, 2011, from Louisiana State University: http://www.shc.lsu.edu/index.php?page=sass_aboutsava
      Sexual Assault, Counseling and Education. (n.d.). Sexual Assault and Acquaintance Rape . Retrieved July 14, 2011, from Reslife.net: http://www.reslife.net/html/tools_0800e.html
      The National Center for Victims of Crime. (2008). Sexual Assault. Retrieved July 14, 2011, from The National Center for Victims of Crime: http://www.ncvc.org/ncvc/main.aspx?dbName=DocumentViewer&DocumentID=32369
      Washington State Department of Social and Health Sciences. (2011). Crisis Intervention. Retrieved July 1, 2011, from Transforming Lives: http://www.dshs.wa.gov/manuals/socialservices/sections/CrisisInter.shtml

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