Beaver County Single Point of Accountability

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Beaver CountySingle Point of Accountability

• Crisis Response
• Protocol

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SPA Crisis Response

• What is a Crisis
• Crisis Intervention
• Goals
• How to Respond
• Proactive Intervention / Community Intervention

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What is a Crisis?

• The term 'CRISIS' has its roots in a Greek word
  meaning 'decision', or more broadly speaking, 'a
  turning point'.
• "A crisis occurs when a person faces an obstacle
  to important life goals that is for a time
  insurmountable through the use of her/his
  customary methods of problem solving.
• A person in crisis, at that particular time, is
  unable to rely on their familiar coping
  mechanisms and is faced with an acute sense of
  disequilibrium and disorientation.
• The stress of a crisis upsets the balance between
  thoughts, feelings and behavior.

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What is a Crisis? (contd)

• The consumer is identifying that they need to be
  hospitalized psychiatrically.
• He/she cannot, or will not, accept other possible
  alternatives or solutions (e.g. relaxation
  techniques, crisis counseling etc).
• The he/she is verbalizing intent to harm self or
  others or is displaying an inability to care for
  self.
• He/she is acting out in the community
• Consumer, family, or residential staff, etc. are
  in need of assistance (or feel hospitalization is
  necessary).

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Crisis Intervention

• Fundamental Task
• Restore the confidence of an individual in their
  coping abilities, as well as to provide the
  possibility of new coping mechanisms.
• Intervention techniques are to be face-to-face if
  hospitalization is being considered as an option.
  
• SPA must educate residential staff on how to help
  the person deescalate, or deal with their
  symptomology and redirect behaviors.

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Crisis Intervention Goals

• The goals of a crisis intervention relate to the
  immediate crisis situation
• Reduction in disequilibria or relief of symptoms
  of crisis
• Restoration to pre-crisis level of functioning
• Some understanding of the relevant precipitating
  events
• Identification of remedial measures for the
  person and/or family through community resources
• Connecting the current situation with past life
  experiences and conflicts
• Initiating new modes of thinking, perceiving, and
  feeling, and developing new adaptive and coping
  responses which are useful beyond the immediate
  crisis situation, leading to an emancipated
  maturation and empowerment.

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Crisis Intervention How to respond

• In addition to being nonjudgmental, flexible,
  objective, supportive and empowering, the
  following are considered to be essential
  requisites to enable an individual to journey
  from a vulnerable crisis state to equilibrium and
  empowerment
• Ability to create trust via confidentiality and
  honesty
• Ability to listen in an attentive manner
• Provide the individual with the opportunity to
  communicate by talking less
• Being attentive to verbal and nonverbal cues
• Pleasant, interested intonation of voice
• Maintaining good eye contact, posture and
  appropriate social distance if in a face-to-face
  situation
• Listening for feelings, hearing what is said and
  not said, focusing on what person is feeling
• Remaining undistracted, open, honest, sincere
• Being free of prejudice and abstaining from
  stereotyping
• Asking open-ended questions
• Giving feedback and receiving feedback whenever
  possible if the person is prepared to hear
• Asking permission, never acting on assumptions
• Checking out sensitive cross-cultural factors
• Being aware of one's own prejudices

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Community Intervention/Proactive Prevention

• Providers should contact SPA staff in the event
  of a crisis.
• Community intervention is preferred whenever
  imminent danger to the person or others is not a
  concern, rather than sending someone directly to
  the Emergency Department, which prompts
  admission.
• Blended Case Managers will respond to the
  provider and the person in crisis, assessing for
  imminent danger, and then enhance the efforts of
  the formal crisis response team.
• CTT/FACT staff will proactively respond to the
  crisis in the community rather than waiting to
  meet a client in the Emergency Department.
• SPA staff are also expected to accompany formal
  system crisis responders, such as mobile crisis,
  and respond to emergent crisis requests within
  one (1) hour on average in the community
  (includes mobile crisis, as well as CTT, FACT,
  Blended CM, etc.).
• SPA staff should follow up on a crisis response
  after any crisis intervention to prevent further
  decompensation of the individual.
• Community Intervention and Proactive Prevention
  expectations and procedures are reinforced by
  Beaver County provider contract language.

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THANK YOU
You have completed the Crisis Response protocol.
Please insert the following link into your web
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competency   https//www.surveymonkey.com/s/SPA-C
risis_Response You can also find this
information at www.BC-Systemofcare.org In the
SPA section.