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Training dealing with Crisis Intervention

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Beard c,pp1

  1. 1. Calming the Storm:Responding to Crisis in Your Community<br />Charles Beard<br />Resident Director<br />Campus Advantage<br />
  2. 2. Format of Training<br />This training will be delivered via this PowerPoint<br />The PowerPoint will contain the appropriate information<br />The slides will also direct you to the appropriate materials<br />This training is intended to take 3-4 hours. You may split up the training or complete it in one sitting as long as you cover all the material.<br />You will have a one on one at midterm with the Resident Director and will be tested on your knowledge of the material contained in this training session<br />
  3. 3. Goal<br />The goal of this training program is to provide you with the knowledge, skills, and abilities to confront and diffuse crisis situations that you may encounter in your community<br />The specific crises that will be discussed are sexual assault and suicide prevention <br />
  4. 4. Learning Objectives<br />Participants will be able to define crisis intervention with 100% accuracy after completing this session <br />Participants will be able to define a crisis with 100% accuracy after completing this session <br />Participants will be able to identify common causes of a crisis with 100% accuracy after completing this session <br />Participants will be able to identify the steps involved in crisis response with 90% accuracy after completing this session<br />Participants will be able to implement Campus Advantage reporting procedures with 90% accuracy after completing this session<br />
  5. 5. What is Crisis?<br />Event that causes a sudden loss of someone’s ability to use appropriate problem-solving and coping skills<br />Can involve life-threating situations<br />3 Parts to a Crisis<br />Stressful Situation<br />Difficulty with Coping<br />Timing of the Intervention<br />
  6. 6. What Causes a Crisis?<br />
  7. 7. Crises We Will Discuss<br />Sexual Assault<br />Suicide <br />
  8. 8. What is Crisis Intervention?<br />“The methods used to offer immediate, short-term help to individuals who experience an event that produces emotional, mental, physical, and behavioral distress or problems” (Encyclopedia of Mental Disorders) <br />
  9. 9. Purpose of Crisis Intervention<br />Reduce intensity of individual’s emotional, physical, mental, and behavioral reactions to crisis <br />Help individual return to functional level before crisis <br />
  10. 10. How to Intervene <br />Define the Problem <br />Try to perceive the crisis from the victim’s perception <br />Ensure Safety<br />Minimize the risk factor<br />Do you need to get the client to a safe location such as your office?<br />Provide Support<br />Let the resident know that you care <br />Show compassion and empathy <br />
  11. 11. How to Intervene<br />Examine Alternatives<br />Explore people, coping mechanisms, and thinking patterns that provide relief from the current situation<br />Make a Plan<br />The plan should identify additional persons, groups, or referral services that can be contacted for immediate support<br />Obtain a Commitment<br />Ensure that the resident will commit to the plan<br />How will you follow up with the resident to ensure they go to X resource?<br />If a threat to health and safety is present, call 911 immediately <br />
  12. 12. Reporting<br />Campus Advantage Policy Gives the Following Guidelines for Reporting an Incident<br />Level 1- Incidents that require site level management but typically not corporate level involvement. Local law enforcement may also be involved. These include incidents such as roommate conflict, noise disturbance, vandalism, alcohol use or drug use.<br />Level 2- Incidents that require both site level management and regional corporate level involvement. These include incidents such as drug dealing, theft or burglary, injury and threats to injure self or others.<br />Level 3- Incidents that require site level management, full corporate involvement and owner notification. These include significant property loss, assault, fire, home intrusion, suicide attempt and death. <br />
  13. 13. Reporting<br />Campus Advantage policy requires that an incident report be completed and submitted to the Resident Director and General Manager as soon as the crisis intervention is over<br />Review the Incident Reporting Policy on your Policy and Procedures Portal <br />
  14. 14. LSU CARE TeamA General Resource<br />CARE stands for Communicate, Assess, Respond, and Refer<br />CARE is managed by the Office of Student Advocacy and Accountability under the direction of the CARE team manager <br />CARE Team consists of representatives from LSU Residential Life, Disability Services, LSU Police, the Dean of Students, and Mental Health<br />
  15. 15. What the CARE Team Does<br />Assist students in identifying appropriate university resources<br />Listens to students and helps identify issues and concern<br />Assist students in understanding issues and identifying workable solutions <br />Any faculty, staff, or student can refer a student to the CARE team<br />That means you! <br />
  16. 16. Things to do before proceeding<br />Read How to Intervene in a Crisis Situation<br /><br />Read Who Ya Going to Call?<br /><br />Pretend that you just finished a crisis intervention for a situation of your choice. Fill out an incident report and send it to the Resident Director. <br />This is not a graded activity but will help the Resident Director determine what specific training you may need<br />
  17. 17. Section 2 Learning Objectives<br />Students will be able to define Sexual Assault with 100% accuracy after completing this training session<br />Students will be able to define the different types of sexual assault as outlined by Louisiana law with 80% accuracy after completing this training session<br />Students will be able to identify the common reactions to sexual assault with 90% accuracy after completing this training session<br />Students will be able to confront and communicate with sexual assault victims with 80% accuracy at the completion of this training session<br />Students will be able to identify sexual assault resources with 100% accuracy after completing this training session<br />Students will be able to recite victim’s rights and the effects of the Clery Act with 100% accuracy at the completion of this training session<br />
  18. 18. Sexual Assault<br />Watch the Video Linked Below:<br /><br />
  19. 19. Sexual Assault Defined<br />A sexual assault has been committed when an individual engages in sexual activity without the explicit consent of the other individual involved<br />Sexual activity is any touching of a sexual or other intimate part of a person for the purpose of gratifying sexual desire of either party. This includes coerced touching of the actor by the victim as well as the touching of the victim by the actor, whether directly or through clothing.<br />(Sarah Lawrence College, 2010)<br />
  20. 20. Types of Sexual Assault Defined In Louisiana<br />For Each Item, Read the Website Listed Below the item<br />Aggravated Rape (LSA-R.S. 14:42)<br /><br />Forcible Rape<br />Included in previous reading of LSA-R.S. 14:42<br />Simple Rape (R.S. 14:43) <br /><br />
  21. 21. Types of Sexual Assault Continued<br />Sexual Battery (R.S. 14:43.1) <br /><br />Second Degree Sexual Battery (R.S. 14:43.2)<br /><br />Intentional Exposure to the AIDS Virus (R.S. 14:43.5) <br /><br />Sexual Assault Using a Controlled or Dangerous Substance (“Date Rape”) (R.S.40:969D)<br /><br />
  22. 22. Statistics <br />Estimated that 20-25% of women will experience a completed rape or attempted rape during their college career<br />1 in 10 reported sexual assault victims are males<br />Over 50% of sexual assaults go unreported<br />Over 50% of campus sexual assaults are associated with alcohol consumption<br />70% of sexual assault victims knew their attacker<br />
  23. 23. Common Reactions to Sexual Assault<br />Fear and Anxiety <br />This may happen when the victim remembers the assault or can be triggered spontaneously <br />Re-experiencing the trauma <br />This can occur through flashbacks or nightmares<br />Increased Arousal<br />Victims may feel jumpy, jittery, shaky, easily startled, and have trouble concentrating and sleeping<br />Can lead to impatience and irritability <br />Avoidance<br />Victims may avoid situations reminding them of the sexual assault <br />
  24. 24. Reactions Continued<br />Anger<br />Victims may be angry with others not just the attacker <br />Feelings of Guilt and Shame<br />Many victims blame themselves or fear blame from others<br />Depression<br />Victim may feel down, sad, hopeless and full of despair <br />Self Image<br />Victim may have trouble trusting others <br />More negative view of the world<br />
  25. 25. Confronting Sexual Assault Victims<br />You may not know a resident is a victim until you talk to them<br />Be aware of the Reactions listed in the previous two slides<br />Talk to residents who are exhibiting those reactions or whose behavior and attitude have dramatically changed<br />
  26. 26. When Sexual Assault is Identified<br />Provide Emotional Support for the Victim<br />Provide a safe environment <br />Assure the victim it was not his/her fault<br />Do not try to force the victim to do anything. Phrase crisis intervention steps as questions <br />It is important for survivors to make their own decisions as a way to regain control <br />
  27. 27. Having the Conversation<br />You cannot guarantee confidentiality but only privacy <br />You must call the Resident Director if a sexual assault occurs <br />Ask the victim if he/she would like to talk to the police<br />A sexual assault victim is not required to call the police <br />
  28. 28. The Conversation Continued…<br />Ask the victim if he/she would like to seek medical attention <br />Ask the victim when and where the sexual assault occurred<br />Let the victim know you have to call the Resident Director <br />Let the victim know the Resident Director is a trained Sexual Assault Victims Advocate (SAVA) <br />
  29. 29. More About the Conversation<br />While waiting for the Resident Director, ask the victim if he/she would like to speak to someone at the PHONE or the Rape Crisis Center <br />The victim does not have to give his/her name to the person on the phone at either service <br />The PHONE is a free confidential crisis intervention center that can be called at any time<br />Explain to the victim the services offered by SAVA and the Rape Crisis Center<br />See Upcoming Slides<br />The Resident Director will take over the intervention once he arrives <br />If the Resident Director is unavailable call the General Manager<br />
  30. 30. SAVA<br />Trained Faculty, Staff, or Graduate Assistant <br />Can Assist the victim with:<br />Filing a police report<br />Obtaining medical care<br />Assistance with the University Accountability Process<br />Assistance with Housing Relocation <br />Academic Assistance/Accommodations<br />Referrals to Appropriate Services and Resources<br />A list of all SAVAs can be obtained by going to:<br /><br />
  31. 31. Rape Crisis Center<br />225-383-7273<br />24 Hour Hotline<br />Victims can receive counseling, support, and referrals<br />Can contact a Sexual Assault Nurse Examiner (SANE) to meet the victim at a local hospital for a Sexual Assault Exam (See Next Slide)<br />Can provide an advocate to be with the victim during the exam<br />All Services are Free <br />
  32. 32. SANE<br />A nurse specially trained to conduct a forensic sexual assault examination/evidence collection<br />Exam can take over 2 hours<br />Monday-Friday 8:00am-4:30pm a SANE is available to do exams at the Student Health Center <br />Contact a SAVA to schedule the exam<br />The Rape Crisis Center can arrange an exam 24 hours/7 days a week at local hospitals<br />The exam is a public service and thus is free <br />
  33. 33. The Victim’s Rights<br />A victim DOES NOT have to file a police report<br />Evidence from an exam can be held for thirty days without a police report being filed<br />If a police report is filed, the victim does not have to press charges<br />
  34. 34. Use Your Resources<br />You can call the PHONE or the Rape Crisis Center to get guidance on how to proceed with the intervention<br />You can contact the Resident Director or another SAVA for assistance and guidance <br />You can defer to someone else if you are uncomfortable handling the intervention <br />You can bring another person of the same gender in with you for your protection<br />
  35. 35. The Clery Act<br />Universities must report annual crime statistics under Federal Law (The Clery Act)<br />A SAVA will have to report that a sexual assault to a student did occur<br />BUT ONLY DEMOGRAPHIC INFORMATION SUCH AS GENDER AND AGE IS REPORTED UNLESS THE VICTIM CONSENTS <br />The University will determine if the assault becomes part of the annual report or not <br />The Rape Crisis Center and the PHONE will decide if cases need to be reported that are referred to them <br />
  36. 36. A Few More Instructions<br />Do encourage a victim not to bathe, change clothing, or douching in order to preserve evidence prior to an exam<br />An exam can be done up to seven days following a sexual assault<br />BUT the sooner it is done the more evidence that be collected<br />
  37. 37. Recap of Sexual Assault<br />It is important to know what your state defines as sexual assault and the types of sexual assault<br />It is important that you remain empathetic and non-judgmental during a conversation with a victim <br />Follow the guidelines for the conversation<br />Know your resources such as SAVA and the Rape Crisis Center<br />Know the victims rights <br />
  38. 38. Things to do before proceeding <br />Read the Following Websites:<br /><br /><br /><br />
  39. 39. Suicide <br />This portion of the training session will cover suicide prevention and helping the survivors of a suicide <br />The material from this session could potentially help save someone’s life<br />The material is heavy but necessary <br />
  40. 40. Section 3 Learning Objectives<br />Students will be able to identify the components of the Suicide Risk Assessment with 90% accuracy at the completion of this training session<br />Students will be able to confront suicidal victims with 80% accuracy at the end of this training session<br />Students will be able to implement the proper protocol when a resident is deemed suicidal with 100% accuracy at the completion of this training session<br />Students will be able to assist survivors of suicide with 70% accuracy at the completion of this training session<br />
  41. 41. A Short Video<br />Please Click on the Link Below and Watch the Video <br /><br />
  42. 42. Suicide Statistics (2007)<br />10th Leading Cause of Death<br />3rd Leading Cause of Death for people between 15 and 24 years old<br />34,598 Suicides <br />Approximately 381,000 Attempted Suicides<br />Males complete suicide 3.6 times more than females<br />A failing economy traditionally leads to more suicides annually <br />
  43. 43. Assessing the Risk of Suicide<br />IS PATH WARM is a mnemonic used in Assessing the Risks of Suicide<br />Ideation<br />Substance Abuse<br />Purposelessness<br />Anxiety <br />Trapped<br />Hopelessness <br />Withdrawal<br />Anger<br />Recklessness<br />Mood Change<br />
  44. 44. IS<br />Ideation<br />Talk of wanting to harm oneself <br />Looking for ways to kill oneself<br />Talking or writing about death<br />Substance Abuse<br />Increased alcohol or drug usage<br />
  45. 45. PATH<br />Purposefulness <br />No reason for living <br />Anxiety<br />Anxiety, agitation, change in sleeping habits <br />Trapped<br />Feeling like there is no way out<br />Hopelessness<br />No hope<br />
  46. 46. WARM<br />Withdrawal<br />Withdrawal from friends, family, society<br />Anger<br />Uncontrolled anger and rage <br />Recklessness <br />Acting reckless or taking unnecessary and dangerous risks <br />Mood Change<br />Dramatic Mood Changes <br />
  47. 47. Response<br />Like Sexual Assault, suicidal residents might not be identified until you are talking with them possibly about something unrelated<br />If you notice in conversation or behavior that the resident is showing signs of the risks discussed, intervention needs to happen immediately <br />
  48. 48. Conversation <br />Ask the resident if he/she plans on hurting him/herself or another person<br />Ask the resident if he/she is planning on killing him/herself <br />Ask if the resident has a suicide plan and ask them to elaborate <br />Ask the resident if anyone else knows<br />YOU WILL NOT CAUSE SOMEONE TO COMMIT SUICIDE BY ASKING QUESTIONS<br />
  49. 49. Conversation Continued<br />If the resident answers yes to any questions or exhibits what you consider reasonable risk call the police immediately <br />Call the Resident Director and/or General Manager AFTER calling the police <br />Try to get the resident to talk to someone at the PHONE while waiting on the police <br />Do not under any circumstance, unless threat to your health and safety exist, leave the resident alone until emergency personnel arrive<br />The resident may be mad that you called the police but you may have just saved their life!<br />
  50. 50. When a Suicide Happens<br />Unfortunately, we cannot prevent 100% suicides <br />Follow procedures outlined in the Dead Resident policy on the Policies and Procedures website for dealing with the discovery of a dead body<br />The people who are affected by the suicide are called survivors <br />
  51. 51. Survivors <br />Survivors Include:<br />Family <br />Roommates<br />Neighbors <br />Friends<br />Other Staff Members <br />And the List Goes On<br />
  52. 52. The Mindset of Survivors <br />Grief will immediately set in<br />Feelings such as shock, guilt, disbelief, loneliness, depression, and confusion may occur<br />Survivors struggle with the question of why did the suicide occur<br />
  53. 53. Helping Survivors<br />Listen and be empathetic <br />Use Crisis Intervention skills if necessary <br />Use your resources<br />Make sure survivors know about the PHONE<br />Plan a day for grief counselors to come to the community <br />Talk to the Resident Director and General Manager to set this up<br />Be alert and be ready to respond to any crises caused by the suicide <br />
  54. 54. Conclusion<br />This presentation has went over the basics of crisis intervention<br />You have learned how to handle a crisis involving sexual assault<br />You have learned how to address a situation with a suicidal resident<br />You have learned what survivors of suicide experience <br />
  55. 55. Work Cite <br />American Association of Suicidology. (2008). Suicide in the USA. Retrieved July 13, 2011, from American Association of Suicidology:<br />American Association of Suicidology. (2008). Survivors of Suicide Fact Sheet. Retrieved July 13, 2011, from American Association of Suicidology:<br />Babcock Partners. (2011). List of Common Crimes in Louisiana. Retrieved July 12, 2011, from Babcock Partners:<br />Campus Advantage. (2010). Policy and Procedures Portal. Retrieved July 12, 2011, from Campus Advantage:<br />Crisis Intervention Services. (n.d.). Crisis Intervention Services: Sexual Assault. Retrieved July 14, 2011, from Crisis Intervention Services:<br />East Baton Rouge District Attorney. (2011). Rape Crisis Center. Retrieved July 14, 2011, from Rape Crisis Center:<br />Ehow. (2011). How to Intervene in a Crisis Situation. Retrieved July 12, 2011, from Ehow:<br />Encyclopedia of Mental Disorders. (2011). Crisis Intervention. Retrieved July 12, 2011, from Encyclopedia of Mental Disorders:<br />Goldwater, J. (n.d.). Who YaGonna Call…? A Crisis Management Primer. Retrieved July 12, 2011, from<br />Justia. (2009). 2009 Louisiana Code. Retrieved July 12, 2011, from Justia US Law:<br />Louisiana Foundation Against Sexual Assault. (2009). Sexual Assault Statistics. Retrieved July 12, 2011, from Louisiana Foundation Against Sexual Assault:<br />Louisiana State University. (2011). CARE Team. Retrieved July 12, 2011, from Student Advocacy and Accountability:<br />Louisiana State University. (2011). Sexual Assault Support and Services. Retrieved July 12, 2011, from Louisiana State University:<br />Sexual Assault, Counseling and Education. (n.d.). Sexual Assault and Acquaintance Rape . Retrieved July 14, 2011, from<br />The National Center for Victims of Crime. (2008). Sexual Assault. Retrieved July 14, 2011, from The National Center for Victims of Crime:<br />Washington State Department of Social and Health Sciences. (2011). Crisis Intervention. Retrieved July 1, 2011, from Transforming Lives:<br />