4 hour verbal crisis de escalation

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This course provides training and CEUs for addicitons counselors and LPCs working in Addictions, Mental Health and Co-Occurring Disorders will help counselors, social workers, marriage and family therapists, alcohol and drug counselors and addictions professionals get continuing education and certification training to aid them in providing services guided by best practices. AllCEUs is approved by the california Association of Alcohol and Drug Abuse Counselors (CAADAC), NAADAC, the Association for Addictions Professionals, the Alcohol and Drug Abuse Counseling Board of Georgia (ADACB-GA), the National Board for Certified Counselors (NBCC) and most states.

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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 />

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