Advanced Crisis Intervention

1
Advanced Crisis Intervention

• Presentation by Jane Dwyer, MSW, LCSW

2
Advanced Crisis Intervention
Contemporary approaches for the journey of
transforming trauma by regaining emotional and
cognitive control
3
Part I Objectives

• Define crisis
• State the principles and characteristics of
  crisis
• Identify personal characteristics of an effective
  crisis intervener
• Describe the Hybrid Model of Crisis Intervention

4
What is a Crisis?

• Crisis is the perception or experiencing of an
  event or situation as an intolerable difficulty
  that exceeds the persons current resources and
  coping mechanisms
• (James Gilliland, 2013).

5
Principles and Characteristics of Crisis
Danger and Opportunity
Seeds of Growth and Change
No Panaceas or Quick Fixes
The Necessity of Choice
Universality and Idiosyncrasy
Resiliency
Perception

• Complicated Symptomology

6

• Only through the experience of trial and
  suffering can the soul be strengthened, vision
  cleared, ambition inspired, and success achieved
  
• Helen Keller

7
Effective Crisis Workers
8
Characteristics of Effective Crisis Workers
Tolerance for ambiguity A calm, neutral
demeanor Tenacity Optimism Adventurousness Flexibi
lity and Creativity
Confidence and Assertiveness Little need to
rescue Capacity for listening Awareness of trauma
indicators Openness to individual crisis
reactions Capacity for information management
9
The Hybrid Model of Crisis Intervention
10
Task 1 Predispositioning/Engaging/ Initiating
Contact

• Establishing psychological Connection
• Clarifying intentions

Task 2 Problem Exploration Defining the Crisis
11
Task 3 Providing Support
Psychological support Logistical support Social
support Informational support

• Task 4 Examining Alternatives

12

• Overarching default task Ensuring Safety

Task 5 Planning in Order to Reestablish
Control - Psychoeducation
Task 6 Obtaining Commitment
Task 7 Follow-Up
13
References

• James, R.K., Gilliland, B. E.,(2013) Crisis
  Intervention Strategies.  Belmont, California
  Brooks/Cole.  (7th edition)
• Brown, S., (2007) Counseling Victims of Violence.
  Alameda, CA Hunter House Publications.  (2nd
  edition)
• Echterling, L.G., Presbury, H.H., McKee, J.E.
  (2006) Crisis Intervention Promoting resilience
  and resolution in troubled times. Upper Saddle
  River, NJ Pearson.
• Evans, D., Hearn, M., Uhlemann, M., Ivey,A.
  (2011) Essential Interviewing A programmed
  approach to effective communication. Belmony, CA
  Brooks/Cole. (8thedition)
• McKay, M., Davis, M., Fanning, P. Thoughts
  feelings taking control of your moods and life.
  Oakland, CA. New Harbinger Publications. (4th
  Edition)
• Myer, R., (2001) Assessment for Crisis
  Intervention A triage assessment model. 
  Belmont, CA Wadswoth/Thomas Learning.

14
References

• Life After Trauma Workbook http//ucenickiparlame
  nt.weebly.com/uploads/9/2/4/7/9247538/life_after_t
  rauma_-_prirucnik.pdf
• Sexual Violence Interventions http//www.vawnet.o
  rg/sexual-violence/intervention.php
• CBT Worksheets for PTSD http//www.psychologytool
  s.org/ptsd.html
• Trauma Healing Exercise http//www.new-synapse.co
  m/aps/wordpress/?p187
• Broken Bowl Project http//christabrennan.wordpre
  ss.com/2013/03/08/the-broken-bowl-project/ 
• Coping Skills Toolbox http//thefatgrackle.tumblr
  .com/post/45987684417
• Trauma Masks http//creativesocialworker.tumblr.c
  om/post/66721624148/trauma-masks-in-this-activity-
  the-clients-create
• Crystal Ball activity http//www.art-feels.com/po
  st/42511853048/task-2-crystal-ball-create-a-crysta
  l-ball
• Boundaries activity http//arttherapydirectives.b
  logspot.com/2012/07/boundary-drawings.html