Chapter 1 Basic Concepts of Crisis
Intervention
Brief Introduction Crisis Intervention
Considered a Crisis if:
1. A precipitation event
2. a perception of the event that leads to distress
3. Diminshed functioning when the distress is not alleviated by coping
mechanisms and other resources
James and Gilliland: A crisis is: a perception or experiencing of an event or
situation as an intolerable difficulty that exceeds the persons current resource
and coping mechanisms.
A persons perception of an event can be influenced by
-resources
-coping mechanisms
-support system
Crisis Intervention Theory
Reubin Hill (1949) Account for the families resources, perceptions and
previous experience with crises.
Caplan and Lindemann (1944) - credited as pioneers in the field of crisis
intervention
,common clinical features
-somatic distress
-feelings of guilt
-hostility
-disorganization
-behavioral changes
-preoccupation with images of the deceases
Adaptational Theory
James & Gilliland 2017
depicts a person's crisis as being sustained through maladaptive behaviors,
negative thoughts, and destructive defense mechanisms
Crisis domains, What are the 4 crisis domains according the the crisis
theory ?
Developmental Crisis - unexpected events
Situational Crisis - job loss, terrorist attack etc.
Existential Crisis
Ecosystemic Crisis - natural or human caused events that affect individual and
family, schools, communities etc.
Crisis Counselor, What is important for a Crisis Counselor
, Tasks must be taken to make sure the counselor understands the crisis, so
that the client can return to precrisis or baseline as safely, quickly and
efficiently as possible.
Task Model, What is the Task Model of Crisis Ass. and Intervention ?
Jackson-Cherry
-Safety and stabiliazation
-bio-psycho-social-spiritual elements
-clarification of the problem
-coping skills, resources and supports
Assessment Task 1
Address safety, stabilization and risk
- risk assessment should be the first step in the assesemtn and the main goal
for the counselor.
*Asses for lethality, provide emotionally safe environment, make sure
counselor is competent and able to address the present crisis intervention
*A client has to be stabilized enough to progress through the intervention
tasks
Assessment Task 2
Follow a Holistic Bio-psycho-social-spiritual approach
-medical assessment
-mental health assessment may come about from medical assessment
Intervention
Brief Introduction Crisis Intervention
Considered a Crisis if:
1. A precipitation event
2. a perception of the event that leads to distress
3. Diminshed functioning when the distress is not alleviated by coping
mechanisms and other resources
James and Gilliland: A crisis is: a perception or experiencing of an event or
situation as an intolerable difficulty that exceeds the persons current resource
and coping mechanisms.
A persons perception of an event can be influenced by
-resources
-coping mechanisms
-support system
Crisis Intervention Theory
Reubin Hill (1949) Account for the families resources, perceptions and
previous experience with crises.
Caplan and Lindemann (1944) - credited as pioneers in the field of crisis
intervention
,common clinical features
-somatic distress
-feelings of guilt
-hostility
-disorganization
-behavioral changes
-preoccupation with images of the deceases
Adaptational Theory
James & Gilliland 2017
depicts a person's crisis as being sustained through maladaptive behaviors,
negative thoughts, and destructive defense mechanisms
Crisis domains, What are the 4 crisis domains according the the crisis
theory ?
Developmental Crisis - unexpected events
Situational Crisis - job loss, terrorist attack etc.
Existential Crisis
Ecosystemic Crisis - natural or human caused events that affect individual and
family, schools, communities etc.
Crisis Counselor, What is important for a Crisis Counselor
, Tasks must be taken to make sure the counselor understands the crisis, so
that the client can return to precrisis or baseline as safely, quickly and
efficiently as possible.
Task Model, What is the Task Model of Crisis Ass. and Intervention ?
Jackson-Cherry
-Safety and stabiliazation
-bio-psycho-social-spiritual elements
-clarification of the problem
-coping skills, resources and supports
Assessment Task 1
Address safety, stabilization and risk
- risk assessment should be the first step in the assesemtn and the main goal
for the counselor.
*Asses for lethality, provide emotionally safe environment, make sure
counselor is competent and able to address the present crisis intervention
*A client has to be stabilized enough to progress through the intervention
tasks
Assessment Task 2
Follow a Holistic Bio-psycho-social-spiritual approach
-medical assessment
-mental health assessment may come about from medical assessment
