2. A crisis is a period of time that a person
struggles coping.
Each person is individual and we are
unaware of the history.
The clients become emotionally
distraught.
There is a up and a down
3. :
For each person the definition of what
constitutes a crisis is often times
different.
Individualization may also influence how
we respond to a crisis in another
4. Patients lack skills to process their stress
appropriately.
Due to substance use they have missed key
points in life and have not learned to reason
the situation.
They may feel threatened, they react and not
act in a healthy manner.
We must approach lightly.
5. “I”- Identify a crisis
“D”- Decide on a plan of action
“E”- Execute the plan of action
“A”- After the crisis; Debrief
6. A crisis situation will be seen in two
forms;
Verbally
Physically
A crisis situation will usually develop over
time.
Being aware is the most significant factor
in managing a crisis.
7. Factors influencing a crisis:
Surroundings
Other people-Even us!
The need to save face (self-esteem)
Fear
Attention Seeking
Displaced Anger
Other psychological/physiological causes
8. A crisis develops over time. It will grow
through stages;
Unease: A change in a persons normal
demeanor.
Defensive: The crisis takes on a verbal
form.
Acting out: The crisis takes on a
physical form.
Stabilization: The finalization of the
crisis.
9. A crisis is an effort to communicate.
Communication comes in many forms;
Verbal- being able to use words to
communicate
Para-verbal- Volume pace of words
being spoken unexplained laughter.
Non-verbal-Body language , hand
gestures no words spoken
These communication forms will help
identify a crisis.
10. How we say, what we say?
Percent
Body
Tone
Words
55 %38%
7%
11. Verbal communication indicative of a
crisis'- e information seeking or defiance
Arguing- wanting to engage you in a
disagreement
Yelling- use of profanity and loud
voice
Threats- if you do not leave me alone
I will --------!!
12. Para-verbal communication evidencing a
crisis:
Modulation; inflections in their voice.
Strength; whether they are speaking
softly or loudly.
Rhythm; how fast they say what they
say.
13. Non-verbal communication indicating a
crisis situation:
Body posture
Clenched hands, crossed arms
Movements
Stomping around, tapping hands or feet
Facial expression
Glaring, clenched jaw
14. Based upon the individual’s crisis level, staff
will need to determine the appropriate
response.
Verbally
Physically
Both of these will require different
approaches!
15. In the verbal stage of a crisis we need
to respond to each presenting level;
Questioning----- Answer the question!
Arguing----- Don’t argue, get help!
Defiance---- Get help and support!
Yelling---- Get help and support!
Threats---- Take all threats seriously,
get help!
16. In the “Acting Out” stage of a crisis, staff
must exercise caution;
Keep yourself safe-maintain distance
Do not touch someone who is acting out
Remain calm
Remove other patients from the area
Do not “reset” the clock
17. Debrief: S.N.A.P.
“S”-Summarize the events of the crisis
“N”-Note the events in writing
“A”-Assess the staff and patient response
to the crisis
“P”-Prep for future events
18. In an effort to best help our
patients , we must be aware
of their demeanor, mood and
behavior.
