Objectives• Defining what we mean by ‘crisis’• Recognise different types of crises• Examine what we mean by ‘mental health crisis’ in more detail• Explore the typical stages of a crisis• Consider a personal crisis of our own with regard to the above• Examine some case studies• Consider aspects of supporting someone in crisis• Examine what services might be available
What is a crisis?• A brief psychological response to severe stress (Rosen, 1998)• A situation in which you are confronted with circumstances outside your usual life experience and outside of your control• An emotional state where someone requires urgent help (MIND )
Is there a difference between a crisis and an emergency?• EMERGENCY – A life- threatening situation demanding an immediate response.• CRISIS - Often not immediately life- threatening
Crisis, stress, mentalhealth, they are the same things, right?• Adjustment Disorder• Stress
Types of Crisis DevelopmentalSituational Complex
• Developmental – Life changes and transitions.• Situational – Cultural maybe, social and specific• Complex – Not part of our our everyday experience, much harder to overcome.
Can experiencing a crisis be positive?• Yes or No?
Kaleidoscope YorkshireMental Health Crisis Line
How would you deal with someone having a crisis• Talk about observable behaviour• Assess for suicide or self harm• Non judgmental• Give reassurance and information• Encourage self support and help• Allowing the tension• Personal strengths• Goals for intervention
Other supportive ideas• Spend more time• Promote ownership• Doing things• Privacy• Help facing reality
Support Services• Professional services• GP• CMHT• Crisis Resolution• A & E / Casualty• NHS Direct• Crisis lines• Internet resources