Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

4 hour verbal crisis de escalation

2,125 views

Published on

  • Be the first to comment

  • Be the first to like this

4 hour verbal crisis de escalation

  1. 1. Client and Personal Safety4 Hours<br />Dr. Dawn-Elise Snipes Ph.D., LMHC, CRC<br />Executive Director, AllCEUs.com<br />Copyright AllCEUs.com 2011. Unlimited CEUs $99 per year<br />
  2. 2. People are facing an untenable obstacle to life goals<br />People’s life cycles are significantly disrupted<br />AND<br />The person has no response to deal with a situation<br />Definition of Crisis<br />Copyright AllCEUs.com 2011. Unlimited CEUs $99 per year<br />
  3. 3. The unknown<br />Loss of control or power<br />Rejection<br />Isolation<br />Failure<br />Death<br />6 Basic Fears<br />Copyright AllCEUs.com 2011. Unlimited CEUs $99 per year<br />
  4. 4. Presence of opportunity and danger<br />Change causes crisis and crisis causes change<br />Increasing anxiety can lead to violent reactions<br />Complicated<br />Generally does not have one simple cause<br />Precipitating events may impact many different areas of life<br />Characteristics of Crisis<br />Copyright AllCEUs.com 2011. Unlimited CEUs $99 per year<br />
  5. 5. No Panaceas or Quick Fixes<br />May provide temporary, immediate relief<br />Ensure they do not make problem worse<br />Necessity of Choice<br />Making a choice requires action<br />Choosing not to act is a still a choice<br />Copyright AllCEUs.com 2011. Unlimited CEUs $99 per year<br />
  6. 6. Developmental<br />Normal or abnormal events causing dramatic change<br />Situational Crisis<br />Existential Crisis<br />Anxieties arising from questions of purpose, responsibility, independence, commitment<br />Ecosystemic Crisis<br />Disaster<br />Types of Crisis<br />Copyright AllCEUs.com 2011. Unlimited CEUs $99 per year<br />
  7. 7. Equilibrium/Stabilization<br />Cognitive<br />Gain control by changing thinking<br />REBT<br />Reality Therapy <br />Psychosocial<br />Assess internal and external exacerbating and mitigating factors<br />Choose workable alternatives<br />Models of Crisis Intervention<br />Copyright AllCEUs.com 2011. Unlimited CEUs $99 per year<br />
  8. 8. Danger and Opportunity<br />Time limited, but may be recurring<br />Complex<br />Life experiences of workers enhances their effectiveness<br />Crisis causes people to make choices<br />Important Points<br />Copyright AllCEUs.com 2011. Unlimited CEUs $99 per year<br />
  9. 9. There is no one “normal” range of behaviors<br />Individuals are not necessarily the basic building block of society<br />Problem definitions can be interdisciplinary, even if worker is not.<br />Language is not always interpreted in the same way<br />The value of independence and dependency varies between people and cultures<br />Not everything can be explained in a linear fashion<br />We must accommodate the client’s needs<br />Past history certainly impacts current events<br />Be aware of personal assumptions<br />Cultural Competence<br />Copyright AllCEUs.com 2011. Unlimited CEUs $99 per year<br />
  10. 10. Verbal Crisis Deescalation<br />Define the problem<br />Listen to identify the person’s orientation <br />Feelings or solutions<br />Visual, auditory, kinesthetic<br />Empathize to see the problem as the client does<br />Ask open-ended questions<br />Pay attention to verbal and nonverbal messages<br />Copyright AllCEUs.com 2011. Unlimited CEUs $99 per year<br />
  11. 11. Assess (ABCs)<br />Affective state <br />Behavioral Functioning<br />Cognitive Functioning<br />Severity of the crisis<br />SI/HI Intent<br />Plan (Method, Date/Time)<br />Means<br />Future Plans<br />Putting affairs in order<br />VCD cont…<br />Copyright AllCEUs.com 2011. Unlimited CEUs $99 per year<br />
  12. 12. VCD cont…<br />Ensure client and personal safety<br />Physical<br />Remove the client from the situation (if possible)<br />Inform client you want to help, but it is hard for you to focus while… Propose solution that does not take away his power.<br />Maintain an environment free of hazards (scissors, letter openers, heavy objects)<br />Always maintain a clear path to the door<br />Do not meet with clients in isolation<br />Psychological<br />Remove bystanders (an audience also adds fuel)<br />Reframe the situation with client not being “bad.”<br />Copyright AllCEUs.com 2011. Unlimited CEUs $99 per year<br />
  13. 13. Provide Support<br />Thinking Words<br />You are…<br />Stuck<br />At your wits end<br />Out of options<br />Out of control<br />Feeling words<br />You feel…<br />Overwhelmed<br />Helpless<br />Hopeless<br />VCD Cont…<br />Copyright AllCEUs.com 2011. Unlimited CEUs $99 per year<br />
  14. 14. Seeing<br />I see that…<br />You look like…<br />Hearing<br />I hear that…<br />You sound…<br />Doing<br />You want…<br />You regret….<br />VCD Support cont…<br />Copyright AllCEUs.com 2011. Unlimited CEUs $99 per year<br />
  15. 15. Acting<br />Acknowledge the situation and/or the client’s feelings<br />Seek help from the client in understanding what is going on<br />Tell me what is going on<br />Ask open ended questions<br />Own your feelings<br />Be aware of transference and counter-transference reactions<br />VCD cont…<br />Copyright AllCEUs.com 2011. Unlimited CEUs $99 per year<br />
  16. 16. Convey understanding<br />Don’t say “I understand”<br />Provide positive reinforcement for behaviors<br />Avoid value judgments<br />Set limits and do not tolerate controlling or aggressive behavior<br />VCD cont…<br />Copyright AllCEUs.com 2011. Unlimited CEUs $99 per year<br />
  17. 17. Reduce tunnel vision or increase focus<br />Examine Alternatives<br />Supports<br />Coping Mechanisms<br />Thinking Patterns<br />Promote Mobilization<br />Make plans<br />Implement Order<br />Obtain commitment with assertion statements<br />I need you to…<br />VCD cont…<br />Copyright AllCEUs.com 2011. Unlimited CEUs $99 per year<br />
  18. 18. Please read the following book<br />Client Safety and Crisis Intervention<br />Further Reading<br />Copyright AllCEUs.com 2011. Unlimited CEUs $99 per year<br />
  19. 19. Change causes crisis<br />Crisis is a state of extreme anxiety<br />It is important to “hear” the client<br />Help the client <br />Re-establish equilibrium<br />Identify environmental and social supports<br />Develop a plan<br />Take action<br />Summary<br />Copyright AllCEUs.com 2011. Unlimited CEUs $99 per year<br />
  20. 20. When in crisis, clients may act out against themselves or others<br />Ensure your office and common areas are free from potential weapons<br />Develop a safety plan for<br />Your exit<br />Removing bystanders/other staff<br />Aiding clients<br />Never make promises you cannot keep<br />Summary cont…<br />Copyright AllCEUs.com 2011. Unlimited CEUs $99 per year<br />

×