Verbal Crisis De-Escalation with Dr Dawn-Elise Snipes

Unlimited CEUs available for 59 a http 3A 2F 2Fallceus com a Verbal Crisis De-Escalation training CEUs for Licensed Professional Counselors LPC and Licensed Mental Health Counselors LMHC by AllCEUs and Dr Dawn-Elise Snipes Definition of Crisis People are facing an untenable obstacle to life goals People's life cycles are significantly disrupted AND The person has no response to deal with a situation 6 Basic Fears The unknown Loss of control or power Rejection Isolation Failure Death Characteristics of Crisis Presence of opportunity and danger Change causes crisis and crisis causes change Increasing anxiety can lead to violent reactions Complicated Generally does not have one simple cause Precipitating events may impact many different areas of life No Panaceas or Quick Fixes May provide temporary immediate relief Ensure they do not make problem worse Necessity of Choice Making a choice requires action Choosing not to act is a still a choice Types of Crisis Developmental Normal or abnormal events causing dramatic change in physical cognitive or social development Situational Crisis Existential Crisis Anxieties arising from questions of purpose responsibility independence commitment Ecosystemic Crisis Disaster Models of Crisis Intervention Equilibrium Stabilization Cognitive Gain control by changing thinking REBT Reality Therapy Psychosocial Assess internal and external exacerbating and mitigating factors Choose workable alternatives Important Points Danger and Opportunity Time limited but may be recurring Complex Life experiences of workers enhances their effectiveness Crisis causes people to make choices Cultural Competence There is no one normal range of behaviors Individuals are not necessarily the basic building block of society Problem definitions can be interdisciplinary even if worker is not Language is not always interpreted in the same way The value of independence and dependency varies between people and cultures Not everything can be explained in a linear fashion We must accommodate the client's needs Past history certainly impacts current events Be aware of personal assumptions Verbal Crisis Deescalation Define the problem Listen to identify the person's orientation Feelings or solutions Visual auditory kinesthetic Empathize to see the problem as the client does Ask open-ended questions Pay attention to verbal and nonverbal messages VCD cont Assess ABCs Affective state Behavioral Functioning Cognitive Functioning Severity of the crisis SI HI Intent Plan Method Date Time Means Future Plans Putting affairs in order VCD cont Ensure client and personal safety Physical Remove the client from the situation if possible Inform client you want to help but it is hard for you to focus while Propose solution that does not take away his power Maintain an environment free of hazards scissors letter openers heavy objects Always maintain a clear path to the door Do not meet with clients in isolation Psychological Remove bystanders an audience also adds fuel Reframe the situation with client not being bad VCD Cont Provide Support Thinking Words You are Stuck At your wits end Out of options Out of control Feeling words You feel Overwhelmed Helpless Hopeless VCD Support cont Seeing I see that You look like Hearing I hear that You sound Doing You want You regret VCD cont Acting Acknowledge the situation and or the client's feelings Seek help from the client in understanding what is going on Tell me what is going on Ask open ended questions Own your feelings Be aware of transference and counter-transference reactions VCD cont Convey understanding Don't say I understand Provide positive reinforcement for behaviors Avoid value judgments Set limits and do not tolerate controlling or aggressive behavior VCD cont Reduce tunnel vision or increase focus Examine Alternatives Supports Coping Mechanisms Thinking Patterns Promote Mobilization Make plans Implement Order Obtain commitment with assertion statements I need you to Further Reading Please read the following book Client Safety and Crisis Intervention Summary Change causes crisis Crisis is a state of extreme anxiety It is important to hear the client Help the client Re-establish equilibrium Identify environmental and social supports Develop a plan Take action Summary cont When in crisis clients may act out against themselves or others Ensure your office and common areas are free from potential weapons Develop a safety plan for Your exit Removing bystanders other staff Aiding clients Never make promises you cannot keep

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