Crisis intervention strategies chapter 1

TRANSCRISIS STATES• Crisis is usually time limited, • but may become a series of recurring moments... TRANSCRISIS POSTTRAUMATIC STRESS DISORDER• May not have anything to do with PTSD •

Chapter 1 – Approaching Crisis Intervention

• that exceeds the person’s

• current resources and coping mechanisms.

WITHOUT RELIEF CAN CAUSE….

• severe affective,

• behavioral, and

• cognitive malfunctioning

CHARACTERISTICS OF CRISIS

1 Danger and/or Opportunity

• Danger – causing one to be overwhelmed

• Serious pathology

• Opportunity – induces one to seek help

• Intervention

THREE WAYS TO REACT

1. Cope and develop strength

2. Survive, block, and remain haunted

3. Break down

CHARACTERISTICS OF CRISIS

3 Seeds of Growth and Change

• Threshold for change

CHARACTERISTICS OF CRISIS

4 No Quick Fixes

• Brief therapy can help, but may be temporary

• Quick fixes can “mask” the pain

CHARACTERISTICS OF CRISIS

5 Forces choice and decision

• To do something (positive)

• Or not (negative)

TRANSCRISIS STATES

• Crisis is usually time limited,

• but may become a series of recurring

moments

• May last a life time

• Triggers can occur

• Roller coaster

• Unfinished business

• Defensive repression (requiring intervention)

TRANSCRISIS POSTTRAUMATIC STRESS DISORDER

• May not have anything to

do with PTSD

• Many personality or anxiety

disorders can represent

transcrisis states

• Trauma, personality,

substance abuse,

psychosis or stress

• Because of chronic kinds of

thinking, feeling, and acting

• “Normal” people, but

always “at risk”

• Identifiable anxiety disorder

• Specific criteria for

diagnosis

• Extremely traumatic event

• Can cause transcrisis

states

TRANSCRISIS POINTS

• Client with new developmental stage progression

• Disequlibrium

• Occur frequently in transcrisis states

• Within the therapeutic intervention

• Not predictable

• Not regular

• Not linear

• May cause additional crisis intervention

• Can be benchmarks for growth

BASIC CRISIS INTERVENTION THEORY

BASIC CRISIS THEORY BRIEF THERAPY

EXPANDED CRISIS THEORY

• Psychoanalytic Theory (unconscious/early fixations)

• Systems Theory (inter-relational/interdependence)

• Ecosystems Theory (environmental interrelatedness)

• Adaptational Theory (maladaptive coping behaviors)

• Interpersonal Theory (enhancing self-confidence)

• Chaos Theory (disorganization yields organization)

• Developmental Theory (unresolved life stages)

APPLIED CRISIS THEORY (4 DOMAINS)

1. Developmental Crises (normal flow of life)

2. Situational Crises (un-forcasted, random,

CRISIS INTERVENTION MODELS

Basis for many intervention strategies and

methodologies.

ECLECTIC CRISIS INTERVENTION THEORY

• Selecting and integrating valid approaches

• Not being bound to any one approach

• Part skill and part intuition

CHARACTERISTICS OF EFFECTIVE CRISIS WORKERS

• Life experiences (maturity vs baggage)

• Poise (remaining calm and stable)

• Creativity and Flexibility (taking risks with

divergent thinking)

• Energy and Resiliency (organized action and

able to bounce back)

• Quick Mental Reflexes (time is critical)