Crisis intervention ppt

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Power Points for EMS Education

Crisis intervention ppt

  1. 1. Barry Kidd 2010 1 CRISISCRISIS INTERVENTIONINTERVENTION
  2. 2. Barry Kidd 2010 2 DEFINITION A crisis is an overwhelming reaction to a threatening situation in which a person’s usual problem solving strategies fail to resolve the situation resulting in a state of disequilibrium.
  3. 3. Barry Kidd 2010 3 TYPES OF CRISISTYPES OF CRISIS  Developmental (Maturational) Crisis-Developmental (Maturational) Crisis- predicted times of stress in everyone’s lifepredicted times of stress in everyone’s life which occurs in response to a transitionwhich occurs in response to a transition from one stage to another in the life cycle.from one stage to another in the life cycle.
  4. 4. Barry Kidd 2010 4 TYPES OF CRISISTYPES OF CRISIS (Continuation(Continuation))  Situational Crisis- occurs in response to aSituational Crisis- occurs in response to a sudden unexpected event in a person’ssudden unexpected event in a person’s life. The critical life events revolve aroundlife. The critical life events revolve around experiences of grief and loss. Forexperiences of grief and loss. For example loss of a job, divorce, abortion,example loss of a job, divorce, abortion, death of a love one, severe physical ordeath of a love one, severe physical or mental illness, etc.mental illness, etc.
  5. 5. Barry Kidd 2010 5 TYPES OF CRISISTYPES OF CRISIS (Continuation)(Continuation)  Adventitious Crisis- are not part ofAdventitious Crisis- are not part of everyday life. They are unplanned andeveryday life. They are unplanned and accidental resulting in traumaticaccidental resulting in traumatic experiences. Such as…experiences. Such as…  Natural disasters.. hurricanes, flood, fire,Natural disasters.. hurricanes, flood, fire, earthquake, etc…earthquake, etc…  National disasters.. war, riots, etc…National disasters.. war, riots, etc…  Crime of violence.. Child abuse, rape,Crime of violence.. Child abuse, rape, assault, bombing in crowded areas, etc…assault, bombing in crowded areas, etc…
  6. 6. Barry Kidd 2010 6 CRISIS INTERVENTIONCRISIS INTERVENTION GENERAL OVERVIEWGENERAL OVERVIEW Crisis….Crisis….  Occurs in everyoneOccurs in everyone  Not necessarily pathological, mayNot necessarily pathological, may encourage growth and changeencourage growth and change  Time limited to a brief period, 4-6 weeksTime limited to a brief period, 4-6 weeks except deathexcept death  A person’s perception determines theA person’s perception determines the crisiscrisis
  7. 7. Barry Kidd 2010 7 CRISIS INTERVENTIONCRISIS INTERVENTION BALANCING FACTORSBALANCING FACTORS Crisis- good outcomeCrisis- good outcome 1.1. Perception of eventPerception of event realisticrealistic 2.2. Situational supportSituational support adequateadequate 3.3. Coping mechanismCoping mechanism adequateadequate No crisisNo crisis Crisis- developmentCrisis- development 1.1. Perception of eventPerception of event distorteddistorted 2.2. Situational supportSituational support inadequateinadequate 3.3. Coping mechanismsCoping mechanisms inadequateinadequate CrisisCrisis
  8. 8. Barry Kidd 2010 8 PHASES OF CRISISPHASES OF CRISIS STRESS ANXIETY USUAL COPING MECHANISMS INEFFECTIVE TRIAL & ERROR SOLUTIONS SEVERE ANXIETY PERSONALITY DISORGANIZATION (CRISIS) OR NEW PROBLEM- SOLVING SOLUTIONS AND SUPPORT ANXIETY PRE-CRISIS LEVEL OF FUNCTIONING
  9. 9. Barry Kidd 2010 9 CRISIS INTERVENTIONCRISIS INTERVENTION ASSESSMENTASSESSMENT a.a. Perception of event: What happened that promptedPerception of event: What happened that prompted you to seek help?; How are you feeling now?; etc.you to seek help?; How are you feeling now?; etc. b.b. Coping mechanisms: Suicidal?; Plans?; What helpsCoping mechanisms: Suicidal?; Plans?; What helps you feel better?; etc.you feel better?; etc. c.c. Support systems: With whom do you live with?;Support systems: With whom do you live with?; Who is available to help you?; Who is mostWho is available to help you?; Who is most helpful?; etchelpful?; etc d.d. Mental status, previous historyMental status, previous history e.e. Identify client’s strengthsIdentify client’s strengths f.f. Self-assessment: EMR’s feelingsSelf-assessment: EMR’s feelings
  10. 10. Barry Kidd 2010 10 CRISIS INTERVENTIONCRISIS INTERVENTION EMR Diagnosis:EMR Diagnosis: 1.1. Risk self directed violenceRisk self directed violence 2.2. Chronic low self esteemChronic low self esteem 3.3. HopelessnessHopelessness 4.4. PowerlessnessPowerlessness 5.5. Severe/Panic levels of anxietySevere/Panic levels of anxiety 6.6. Disturbed thought processDisturbed thought process 7.7. Sleep deprivationSleep deprivation
  11. 11. Barry Kidd 2010 11 CRISIS INTERVENTIONCRISIS INTERVENTION Planning and outcome identificationPlanning and outcome identification 1.1. Assist the patient in setting realistic goals toAssist the patient in setting realistic goals to return to the pre-crisis level of functioningreturn to the pre-crisis level of functioning 2.2. Establish desired outcome criteria for theEstablish desired outcome criteria for the patient using the problem solving approach.patient using the problem solving approach.
  12. 12. Barry Kidd 2010 12 CRISIS INTERVENTIONCRISIS INTERVENTION ImplementationImplementation 1.1. Assess for any suicidal/ homicidal thoughts or plans.Assess for any suicidal/ homicidal thoughts or plans. 2.2. Take initial steps to make the patient feel safe andTake initial steps to make the patient feel safe and lower anxiety.lower anxiety. 3.3. Safety- intervene to prevent violence- suicide/ angry,Safety- intervene to prevent violence- suicide/ angry, aggressive patient.aggressive patient. 4.4. Listen attentively and encourage the patient to discussListen attentively and encourage the patient to discuss the crisis situation. Facilitate the verbalization ofthe crisis situation. Facilitate the verbalization of thoughts and feelings.thoughts and feelings. 5.5. Creative and directive approach needed. Initially theCreative and directive approach needed. Initially the EMR/or other health care persons may make phoneEMR/or other health care persons may make phone calls (arrange baby-sitters, find shelters, contact socialcalls (arrange baby-sitters, find shelters, contact social workers, etc.)workers, etc.)
  13. 13. Barry Kidd 2010 13 CRISIS INTERVENTION Con’tCRISIS INTERVENTION Con’t 6.6. Use problem solving approach.Use problem solving approach. 7.7. Identify needed social support (with patient’s input) andIdentify needed social support (with patient’s input) and mobilize the most needed first.mobilize the most needed first. 8.8. Identify and work to increase needed coping skillsIdentify and work to increase needed coping skills (problem solving, relaxation, assertiveness, job(problem solving, relaxation, assertiveness, job training, newborn care, self-esteem).training, newborn care, self-esteem). 9.9. Plan with patient interventions that are acceptable toPlan with patient interventions that are acceptable to both.both. 10.10. Evaluate plan and instruct patient with alternative planEvaluate plan and instruct patient with alternative plan if needed.if needed.
  14. 14. Barry Kidd 2010 14 QUESTIONSQUESTIONS
  15. 15. Barry Kidd 2010 15

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