Crisis Intervention
Promoting Resilience & Resolution
Presented by: Dr. Dawn-Elise Snipes
Executive Director, AllCEUs
AllCEUs.com Unlimited CEUs and Specialty Certifications $59
By Lennis G. Echterling et al.
Objectives
 Resilience and Transcendence
 Crisis Resolution: The Change Process
 Making Contact: The Power of Connecting
 Making Meaning: Transforming a Crisis
Narrative
 Managing Emotional Arousal
 Envisioning Possibilities: Creative Coping
 Crisis Intervention with families
Resilience and Transcendence
 Crisis is a point of threat and opportunity (-/+)
 Six facets of crisis experience (BASICS)
 Behavioral
 Affective (Emotional)
 Somatic
 Interpersonal
 Cognitive
 Spiritual
Crime victim | Death of a Loved One | Natural Disaster |
Secondary Trauma by Media in Children
Resilience and Transcendence
 Validation of the experience is crucial (LUVE)
 Listen
 Understand
 Validate
 Explore client strengths
Crime victim | Death of a Loved One | Natural Disaster |
Secondary Trauma by Media in Children
Crisis Resolution: The Change Process
 Chaos Theory
 Chaotic systems are predictable for a while and then
'appear' to become random.
 Each point in a chaotic system is close to other points
with significantly different future paths. An arbitrarily
small change of the current path may lead to
significantly different future behavior.
Crisis Resolution: The Change Process
 Complexity Theory
 Emphasizes interactions and the accompanying feedback
loops that constantly change systems.
 Systems are unpredictable, they are also constrained by
order-generating rules (Reward principle)
 Individual behaviors and choices are more important than
executive plans in an organization.
 Focus on self-organization instead of management control.
 Use small changes and interventions
 Encourage conflict and change
 This may seem to push the person to an unstable situation,
but the person actually can gain improvements from the
healthy edge of chaos (Comfort zone)
The Change Process: 3 Principles
Large changes result from small changes
 Change can begin suddenly and resolve
rapidly (Microsoft Updates)
 Change is a complete reordering. Something new
emerges and noting is ever the same
Solution vs. Resolution
 Solutions are largely outside yourself
 Stronger security
 Behavior alterations (Preparation/prevention)
 Resolutions are internal events
 Alteration in mood
 Shift in thinking
 Change of heart
Crime victim | Death of a Loved One | Natural Disaster
Making Contact: The Power of Connecting
 Reconnecting
 Social supports are a powerful buffer
 Connecting to others is a fundamental human need
 Humans are hardwired to help each other
 Humans develop empathy even before verbal skills
Making Contact: The Power of Connecting
 Receiving support
 Use reaching out questions
 Provide encouragement
Acknowledge the crisis experience
Make positive observations
Be tentative rather than authoritative, owning your
impressions
Highlight the survivor in crisis
Invite the person to talk (or not) about the experience
Making Meaning: Transforming a Crisis
 Crisis can shatter people’s assumptions about the
world
 Basic Assumptins
The world is benevolent
The world is meaningful and predictable
The self is worthy / Life is fair
 As humans, we need to create meaning
Crime victim | Death of a Loved One | Natural Disaster |
Secondary Trauma by Media in Children
Making Meaning: Transforming a Crisis
 Telling the Story
 Survivors often have slightly different accounts of the
crisis each time they tell it
 Changing recollections are the result of trying to find
meaning and resolve crisis
 Help clients rectify discrepancies by pointing out
positive change or evidence of strength
 Listen for the hero in the tragedy
Crime victim | Death of a Loved One | Natural Disaster |
Secondary Trauma by Media in Children
Narrative
 The narrative can be used to help people explore the
bigger picture
 The narrative can be continued into a positive resolution
 The narrative can be explored in terms of focus and
character development (what role did others play or could
they play)
 Ask making meaning questions
 What have you discovered about yourself?
 What sense do you make of this?
 What do you see as the purpose for this?
 What keeps you going through this difficult time?
Managing Emotional Arousal
 People in crisis experience
 Distressful emotions: Fear, anger, grief
 Positive emotions: Resolve, courage, compassion, hope
Highlight the positive
 Handling Distress
 Catharsis is not necessary
 Expression is…
 Arousing Resolve
 Performance quality is curvilinear proportion to
emotional arousal
Taking Action
 Envisioning Possibilities
 Explore goals
 Create goals that are positive
 Create a goal statement… “When you achieve this…”
 Use scaling…. Getting from 1 to 10 (1 is the crisis)
 Creative Coping
 Examine current behaviors in terms of creative coping
 Educate about common behavioral changes in response
to stress/crisis
 Using Resources
Tools
 Refer to the acute crisis in the past tense
 Describe resolution and coping in the present
 Special case: Flashbacks and nightmares
 Have been/were vs. are…. You have been having flashbacks
 Before you …what are you doing…
 Transform crisis metaphors
 I feel trapped…. “And when you begin to escape from the
trap, what is the first thing you will be doing?”
 I feel overwhelmed. “When you decide to start sharing some
of this load with someone else, to whom will you turn, and
what will you want them to do?”
Tools cont…
 Reframing
 Situational context (global vs specific)
 Temporal context (Stable/ongoing vs. changeable/time-
limited)
 Normalize negative cognitions
 Enhancing emotions of resolve
 Look for exceptions to the distress
 Daily inventories
 Narratives
 Ask presumptive questions of resolve…”When things
improve…”
 Reflect emotions of resolve
Tools cont…
 Moving On
 As you begin to resolve this painful time in your life,
how your life be different?
 When you leave here, what is the first thing you see
yourself doing?
 What do you see as your next step?
Finding the Pony
 Parents tried to teach their son that life wasn’t
fair by making him shovel a room full of manure
 Parent’s returned at the end of the day to pick up
the child.
 What happened???
Families and Couples in Crisis
 When one member of the system is in crisis, it
impacts the entire system
 Families and couples may face developmental
crises
 Family members need to learn LUVE skills
 Listen
 Understand
 Validate
 Enhance resolve
Summary
 Resilience and Transcendence
 Crisis Resolution: The Change Process
 Making Contact: The Power of Connecting
 Making Meaning: Transforming a Crisis Narrative
 Managing Emotional Arousal
 Envisioning Possibilities
 Creative Coping

Crisis Intervention Promoting Resilience

  • 1.
    Crisis Intervention Promoting Resilience& Resolution Presented by: Dr. Dawn-Elise Snipes Executive Director, AllCEUs AllCEUs.com Unlimited CEUs and Specialty Certifications $59 By Lennis G. Echterling et al.
  • 2.
    Objectives  Resilience andTranscendence  Crisis Resolution: The Change Process  Making Contact: The Power of Connecting  Making Meaning: Transforming a Crisis Narrative  Managing Emotional Arousal  Envisioning Possibilities: Creative Coping  Crisis Intervention with families
  • 3.
    Resilience and Transcendence Crisis is a point of threat and opportunity (-/+)  Six facets of crisis experience (BASICS)  Behavioral  Affective (Emotional)  Somatic  Interpersonal  Cognitive  Spiritual Crime victim | Death of a Loved One | Natural Disaster | Secondary Trauma by Media in Children
  • 4.
    Resilience and Transcendence Validation of the experience is crucial (LUVE)  Listen  Understand  Validate  Explore client strengths Crime victim | Death of a Loved One | Natural Disaster | Secondary Trauma by Media in Children
  • 5.
    Crisis Resolution: TheChange Process  Chaos Theory  Chaotic systems are predictable for a while and then 'appear' to become random.  Each point in a chaotic system is close to other points with significantly different future paths. An arbitrarily small change of the current path may lead to significantly different future behavior.
  • 6.
    Crisis Resolution: TheChange Process  Complexity Theory  Emphasizes interactions and the accompanying feedback loops that constantly change systems.  Systems are unpredictable, they are also constrained by order-generating rules (Reward principle)  Individual behaviors and choices are more important than executive plans in an organization.  Focus on self-organization instead of management control.  Use small changes and interventions  Encourage conflict and change  This may seem to push the person to an unstable situation, but the person actually can gain improvements from the healthy edge of chaos (Comfort zone)
  • 7.
    The Change Process:3 Principles Large changes result from small changes  Change can begin suddenly and resolve rapidly (Microsoft Updates)  Change is a complete reordering. Something new emerges and noting is ever the same
  • 8.
    Solution vs. Resolution Solutions are largely outside yourself  Stronger security  Behavior alterations (Preparation/prevention)  Resolutions are internal events  Alteration in mood  Shift in thinking  Change of heart Crime victim | Death of a Loved One | Natural Disaster
  • 9.
    Making Contact: ThePower of Connecting  Reconnecting  Social supports are a powerful buffer  Connecting to others is a fundamental human need  Humans are hardwired to help each other  Humans develop empathy even before verbal skills
  • 10.
    Making Contact: ThePower of Connecting  Receiving support  Use reaching out questions  Provide encouragement Acknowledge the crisis experience Make positive observations Be tentative rather than authoritative, owning your impressions Highlight the survivor in crisis Invite the person to talk (or not) about the experience
  • 11.
    Making Meaning: Transforminga Crisis  Crisis can shatter people’s assumptions about the world  Basic Assumptins The world is benevolent The world is meaningful and predictable The self is worthy / Life is fair  As humans, we need to create meaning Crime victim | Death of a Loved One | Natural Disaster | Secondary Trauma by Media in Children
  • 12.
    Making Meaning: Transforminga Crisis  Telling the Story  Survivors often have slightly different accounts of the crisis each time they tell it  Changing recollections are the result of trying to find meaning and resolve crisis  Help clients rectify discrepancies by pointing out positive change or evidence of strength  Listen for the hero in the tragedy Crime victim | Death of a Loved One | Natural Disaster | Secondary Trauma by Media in Children
  • 13.
    Narrative  The narrativecan be used to help people explore the bigger picture  The narrative can be continued into a positive resolution  The narrative can be explored in terms of focus and character development (what role did others play or could they play)  Ask making meaning questions  What have you discovered about yourself?  What sense do you make of this?  What do you see as the purpose for this?  What keeps you going through this difficult time?
  • 14.
    Managing Emotional Arousal People in crisis experience  Distressful emotions: Fear, anger, grief  Positive emotions: Resolve, courage, compassion, hope Highlight the positive  Handling Distress  Catharsis is not necessary  Expression is…  Arousing Resolve  Performance quality is curvilinear proportion to emotional arousal
  • 15.
    Taking Action  EnvisioningPossibilities  Explore goals  Create goals that are positive  Create a goal statement… “When you achieve this…”  Use scaling…. Getting from 1 to 10 (1 is the crisis)  Creative Coping  Examine current behaviors in terms of creative coping  Educate about common behavioral changes in response to stress/crisis  Using Resources
  • 16.
    Tools  Refer tothe acute crisis in the past tense  Describe resolution and coping in the present  Special case: Flashbacks and nightmares  Have been/were vs. are…. You have been having flashbacks  Before you …what are you doing…  Transform crisis metaphors  I feel trapped…. “And when you begin to escape from the trap, what is the first thing you will be doing?”  I feel overwhelmed. “When you decide to start sharing some of this load with someone else, to whom will you turn, and what will you want them to do?”
  • 17.
    Tools cont…  Reframing Situational context (global vs specific)  Temporal context (Stable/ongoing vs. changeable/time- limited)  Normalize negative cognitions  Enhancing emotions of resolve  Look for exceptions to the distress  Daily inventories  Narratives  Ask presumptive questions of resolve…”When things improve…”  Reflect emotions of resolve
  • 18.
    Tools cont…  MovingOn  As you begin to resolve this painful time in your life, how your life be different?  When you leave here, what is the first thing you see yourself doing?  What do you see as your next step?
  • 19.
    Finding the Pony Parents tried to teach their son that life wasn’t fair by making him shovel a room full of manure  Parent’s returned at the end of the day to pick up the child.  What happened???
  • 20.
    Families and Couplesin Crisis  When one member of the system is in crisis, it impacts the entire system  Families and couples may face developmental crises  Family members need to learn LUVE skills  Listen  Understand  Validate  Enhance resolve
  • 21.
    Summary  Resilience andTranscendence  Crisis Resolution: The Change Process  Making Contact: The Power of Connecting  Making Meaning: Transforming a Crisis Narrative  Managing Emotional Arousal  Envisioning Possibilities  Creative Coping