UNIT 10 HSC LO1 Cambridge Technical Level 3
Your SlideShare is downloading.
×
Check these out next
More Related Content
Slideshows for you (18)
Similar to Crisis Management presentation (20)
More from Stacie Otey Scott (9)
Recently uploaded (20)
Crisis Management presentation
- 1. Crisis Management: Suicidality, Homicidality & CPS Dr. SOS Executive Director of Community Wellness at The Mount
- 2. What is a crisis? A condition of instability or danger, as in a social, economic, political, or international affairs leading to a decisive change; a dramatic emotional or circumstantial upheaval in a person’s life (dictionary.com)
- 3. Who determines if a situation is a crisis? The person who experiences it May feel ill-equipped/ill-prepared to manage it
- 4. Crisis we are most concerned about... Suicidal and homicidal threats Child Protective Service concerns
- 5. Ideations vs Declarations Ideations I would be better off dead. I just want to die. Declarations I’m going to kill myself. When I see him, I’m going to kill him.
- 6. Assessing for Suicidality & Homicidality History - previous attempts Intent - how certain is the person that this is something they actually intend to do Plan - has the person devised a specific plan to follow through with their intent to harm Access - does the person have access to materials to follow through with the plan
- 7. So you say you’re going to kill him...& you mean it! Foreseeable victim Name Reasonable Identity Duty to Warn Breach of confidentiality Warn intended victim(s)
- 8. How do we warn? Disclose the limits of confidentiality Inform of duty to warn Determine if other protective services need to be contacted Contact Executive Leadership Document your interactions and responses
- 9. I think she’s suicidal... Willingness to act or motivation to die Reasons for wanting to die Preparation to act Prep and rehearsal behaviors
- 10. I think she’s suicidal... Capability to act Previous attempt or self harm behavior Experience of trauma Barriers to act Reasons for living Faith beliefs
- 11. I think she’s suicidal... Subjective intent What she says Objective intent What she is doing or planning on doing Hopelessness
- 12. Risk Factors Biopsychosocial Mental disorders (mood disorders, anxiety disorders) Alcohol and other substance use disorders Impulsive/aggressive tendencies Physical illness Family history
- 13. Risk Factors Environmental Job/financial loss Relational or social loss Easy access to lethal means Local clusters of suicides (contagious influence)
- 14. Risk Factors Social-cultural Lack of social support Stigma associated with help-seeking behavior Barriers to accessing health care Certain cultural/religious beliefs Exposure to others who have died by suicide
- 15. Risk Factors Demographic American Indian/Alaska Natives; White Male 15 - 24 y.o. Divorced (men)
- 16. He is suicidal...now what? Priority: Keep him safe Remind him of the limits of confidentiality (if applicable) Try to get him to agree to getting help (asap) Do NOT leave him alone
- 17. He is suicidal...now what? Suggest he contact a doctor or go to the hospital immediately Contact a family member or other supportive person who can meet him and take him to the hospital Call the community services board and they can assess and set up supportive resources
- 18. He is suicidal...now what? Call 911 (if needed) Contact Executive Leadership Document your interaction
- 19. Somethings to keep in mind... Most suicidal people want to live Some suicidal people are determined to end their lives We are limited in what we can do We are not personally responsible for what someone else is determined to do Remember the power of PRAYER
- 20. Child Protective Services
- 21. Mandatory Reporters Virginia Law Enforcement Teachers Health/Mental Health Care Social Workers ME or Coroners Child Care Providers Clergy (privilege)
- 22. Privileged Communications Clergy (Virginia) Have the right to maintain confidential communications between professionals and their congregants The requirement to report shall not apply to any regular minister, priest, rabbi, imam, or duly accredited practitioner of any religious organization or denomination usually referred to as a church
- 23. Mandatory Reporters North Carolina Everyone is a mandatory reporter...if you suspect child abuse, you “shall” report
- 24. Reporting Requirements Virginia Can be anonymous (would prefer name) Reporter confidentiality maintained (unless suspected false report) North Carolina Must include name, address, telephone number of reporter Reporter confidentiality maintained
- 25. CPS vs Criminal Report We are only required to report to CPS A CPS issue exists if... Abuse perpetrated by an individual serving in the role as a care giver at the time of the abuse Criminal issue exists if... Abuse perpetrated by a non care-giver
- 26. If you suspect child abuse... Assess the level of danger for the child and do the following in the order most appropriate based on safety concerns for the child Notify parent/guardian Encourage parent/guardian to contact CPS
- 27. If you suspect child abuse... Advise parent/guardian of your mandate to report to CPS If parent/guardian is suspected abuser, determine if environment is safe enough for child to return home - start process of reporting to CPS so they can start investigation
- 28. If you suspect child abuse... If you are concerned the environment is not safe enough for the child to return home and he/she is imminent danger - call 911. Attempt to alert your Ministry Leader or Executive Leadership prior to involving authorities when at all possible Definitely notify Executive Leadership in all cases - especially those involving the authorities
- 29. If you suspect child abuse... Create a detailed report Remember...you are not responsible for determining if abuse occurred or not...you are responsible for reporting suspected abuse and CPS will investigate accordingly
- 30. Helpful information to report to CPS... Name, address, and phone number of child and parent(s)/guardian Child’s birth date or age, gender, race Nature and extent of the abuse or neglect Names and ages of other persons, if known, who reside with the child Persons/alternatives available to the child to provide protection Info regarding the suspected abuser
- 31. National Child Abuse & Neglect Hotlines 7 Days a week/24 hours per day 1.800.552.7096 (VA Child Abuse Hotline) 1.800.442.4453 (National Child Abuse Hotline) 1.800.354.5437 (NC Committee for Prevention of Child Abuse)
- 32. Questions or Comments
