Crisis Management
Crisis Situations
(define, +2 types) - correct answer ✔* New, Unpredictable obstacles
* Seem insurmountable and psychologically paralyzing
2 Types:
- Situational - Accidental, unexpected
- Developmental - Transition/movement from one developmental stage to
another
Crisis Intervention
(3 Components) - correct answer ✔a. Set of Clinical TECHNIQUES
b. SOCIAL MOVEMENT in response to tragedy (need for "collective
response")
c. Systematic Efforts to Augment and Individual's Resources
Crises
(goals, focus, role of Tx, indications, avg length) - correct answer ✔GOALS
OF tx - resolution of immediate crisis
FOCUS OF tx - Restoration to pre-C level of functioning
ROLE OF Tx - Active participant, directive
INDICATIONS - Sudden loss of ability to cope
AVG LENGTH - 1-6 sessions
Crisis
(4 Components) - correct answer ✔a. Precipitating event occurs
,b. Perception of Event -> Subjective Distress
c. Normal Coping Mech's Fail
d. Clt Fx'g at lower level (social, relational, job) than b4
CRISIS STATE - time-limited, sequential stages
Goals of Crisis Intervention
(7 goals) - correct answer ✔1. Provide Support
2. Reduce Lethality
3. Decrease Clt's Symptoms
4. ID causes of crisis & plan for resolution
5. Develop alternative, more adaptive, coping responses
6. Provide links to resources
7. Restore to pre-crisis or higher Level of Fx'g
Characteristics of Person in Crisis
(4 Char's) - correct answer ✔1. EMOTIONAL SHOCK - denial, numbness,
mind "blank," dissociation
2. IMPAIRED JUDGMENT - inability to think rationally, integrate new
information
3. POWERLESSNESS - hopelessness, "dead end" feeling
4. INTENSE NEED FOR IMMEDIATE ACTION - even while they may feel
immobilized
Myer's Triage Assessment Model
(3 Responses in Crisis) - correct answer ✔1. AFFECTIVE - anger/hostility,
anxiety/fear, sadness/melancholy
, 2. COGNITIVE - immobility, avoidance, approach
3. BEHAVIORAL - Transgression (present), Threat (future), Loss (past)
Caplan's Stages of Crisis
(4 Stage Model) - correct answer ✔1. Victim confronted by precipitating
event found threatening -> STRESS, CONFUSION, bewilderment ->
HABITUAL PROBLEM-SOLVING
2. ^'d TENSION, DISORGANIZATION - usual coping ineffective ->
HELPLESSNESS -> no rational problem-solving -> physical complaints, fear,
anxiety, exhaustion -> TRIAL & ERROR PROBLEM SOLVING (seek help
stage)
3. ^'d TENSION -> attempts to MOBILIZE COPING & the crisis may be
resolved -> Pre-Crisis Level Fx'g
4. If Crisis not resolved - USE OF MALADAPTIVE/ INEFFECTIVE Techniques
-> mayhaps MAJOR PERSONALITY DISORGANIZATION, PATHOLOGY
Tasks of Crisis Resolution
(4 tasks) - correct answer ✔1. Physical Survival
2. Expression of Feelings
3. Cognitive Mastery
4. Behavioral/Interpersonal Adjustments
PHASES & THERAPIST CONSIDERATIONS
in Crisis Intervention
(3 Phases) - correct answer ✔1. In-Crisis Protocol
- Tx takes action to de-escalate, arrive at safe resolution
a. Ensuring Safety
b. Shifting Counseling Priorities
Crisis Situations
(define, +2 types) - correct answer ✔* New, Unpredictable obstacles
* Seem insurmountable and psychologically paralyzing
2 Types:
- Situational - Accidental, unexpected
- Developmental - Transition/movement from one developmental stage to
another
Crisis Intervention
(3 Components) - correct answer ✔a. Set of Clinical TECHNIQUES
b. SOCIAL MOVEMENT in response to tragedy (need for "collective
response")
c. Systematic Efforts to Augment and Individual's Resources
Crises
(goals, focus, role of Tx, indications, avg length) - correct answer ✔GOALS
OF tx - resolution of immediate crisis
FOCUS OF tx - Restoration to pre-C level of functioning
ROLE OF Tx - Active participant, directive
INDICATIONS - Sudden loss of ability to cope
AVG LENGTH - 1-6 sessions
Crisis
(4 Components) - correct answer ✔a. Precipitating event occurs
,b. Perception of Event -> Subjective Distress
c. Normal Coping Mech's Fail
d. Clt Fx'g at lower level (social, relational, job) than b4
CRISIS STATE - time-limited, sequential stages
Goals of Crisis Intervention
(7 goals) - correct answer ✔1. Provide Support
2. Reduce Lethality
3. Decrease Clt's Symptoms
4. ID causes of crisis & plan for resolution
5. Develop alternative, more adaptive, coping responses
6. Provide links to resources
7. Restore to pre-crisis or higher Level of Fx'g
Characteristics of Person in Crisis
(4 Char's) - correct answer ✔1. EMOTIONAL SHOCK - denial, numbness,
mind "blank," dissociation
2. IMPAIRED JUDGMENT - inability to think rationally, integrate new
information
3. POWERLESSNESS - hopelessness, "dead end" feeling
4. INTENSE NEED FOR IMMEDIATE ACTION - even while they may feel
immobilized
Myer's Triage Assessment Model
(3 Responses in Crisis) - correct answer ✔1. AFFECTIVE - anger/hostility,
anxiety/fear, sadness/melancholy
, 2. COGNITIVE - immobility, avoidance, approach
3. BEHAVIORAL - Transgression (present), Threat (future), Loss (past)
Caplan's Stages of Crisis
(4 Stage Model) - correct answer ✔1. Victim confronted by precipitating
event found threatening -> STRESS, CONFUSION, bewilderment ->
HABITUAL PROBLEM-SOLVING
2. ^'d TENSION, DISORGANIZATION - usual coping ineffective ->
HELPLESSNESS -> no rational problem-solving -> physical complaints, fear,
anxiety, exhaustion -> TRIAL & ERROR PROBLEM SOLVING (seek help
stage)
3. ^'d TENSION -> attempts to MOBILIZE COPING & the crisis may be
resolved -> Pre-Crisis Level Fx'g
4. If Crisis not resolved - USE OF MALADAPTIVE/ INEFFECTIVE Techniques
-> mayhaps MAJOR PERSONALITY DISORGANIZATION, PATHOLOGY
Tasks of Crisis Resolution
(4 tasks) - correct answer ✔1. Physical Survival
2. Expression of Feelings
3. Cognitive Mastery
4. Behavioral/Interpersonal Adjustments
PHASES & THERAPIST CONSIDERATIONS
in Crisis Intervention
(3 Phases) - correct answer ✔1. In-Crisis Protocol
- Tx takes action to de-escalate, arrive at safe resolution
a. Ensuring Safety
b. Shifting Counseling Priorities
