crisis intervention certification

14 Essential Tools for Professional Crisis Interventionists

Posted on by Joseph Gerard

Crisis training for emergency response professionals is critical to better save lives and give appropriate response to the situationWritten by Veronica Turner.

Professional crisis interventionists are the unsung heroes, the knights in shining armor who step in when life throws a wrench in the works.

In a world that can change in the blink of an eye (lesson learned from COVID-19), these professionals have their work cut out for them. They need to be ready for anything, from emotional meltdowns to biohazard nightmares.

This guide will take you on a tour of the essential tools and resources that every crisis interventionist should have in their toolkit. From the physical tools that help in managing emergencies to the skills and resources that underpin their practice, we’ve got it all covered.

Who Exactly Are Professional Crisis Interventionists?

Professional crisis interventionists are a versatile team of specialized individuals, armed with the knowledge and skills needed to tackle emergencies. Picture them as savvy conductors enabling the harmony of calm amidst the discord of crisis.

These experts come equipped with a plethora of skills, from psychological savvy to the acute ability to assess and de-escalate volatile situations swiftly.

Often hailing from backgrounds in social work, psychology, or emergency services, they stand as the steady heartbeats amid pandemonium. Their roles may vary – some might guide individuals through mental health crises, while others coordinate responses to natural disasters.

Regardless of the crisis, these professionals bring unwavering hope and resilience, connecting individuals and resources to sail through even the stormiest of times. With compassion at their core and pragmatic strategies in their toolbox, interventionists transform chaos into tranquility, crafting trails toward safety and hope amidst the darkest of circumstances.

Four Essential Tools for Professional Crisis Interventionists

Crisis intervention is a high-pressure field where the right tools can be game-changers. Let’s delve into these pivotal tools that allow interventionists to work their magic.

  1. Communication Devices

In the digital age, communication is king. Trusty smartphones or radios are the lifelines for interventionists, connecting them with teammates, emergency services, and vital resources.

These gadgets ensure smooth information flow, facilitating rapid decisions in crucial moments. They also serve as vital documentation tools, capturing evidence, and managing follow-ups. It’s like a trustworthy courier, ensuring vital messages reach their destination promptly and clearly.

  1. Personal Protective Equipment (PPE)

To knights, it’s armor. To interventionists, it’s PPE. When charging into bio-hazardous environments or dealing with violent individuals, PPE is the interventionist’s armor, shielding them as they face the frontlines of the crisis.

The PPE ensemble can include gloves, masks, goggles, and protective clothing. They provide a protective wall, freeing the interventionists to focus on the prevailing crisis without concern for their safety.

Mastery of PPE usage extends beyond wearing the gear; it also involves knowing how to use it correctly and efficiently.

  1. First Aid Kits

Life is full of surprises, and in crisis scenarios, a first aid kit can indeed be a life-saver. Often, interventionists find themselves in situations demanding immediate medical attention, and a well-stocked first aid kit can be a powerful ally.

Brimming with essentials such as bandages, antiseptic, pain relievers, and more, these kits enable interventionists to handle minor injuries and stabilize individuals until professional medical help arrives.

But the first aid kit is more than just a box of medical supplies. It’s a beacon of hope, a silent promise of help when needed.

  1. De-escalation Techniques

Words can be powerful tools when tensions run high. De-escalation techniques are the verbal artillery interventionists use to diffuse tense scenarios and restore peace.

These techniques masterfully employ active listening, empathy, and articulate communication to diminish stress and anxiety.

Imagine a situation teetering on the edge of meltdown. With their verbal skills, an interventionist can gently steer them back to a state of balance. It’s like watching a skilled conductor seamlessly bring harmony to disharmony.

De-escalation techniques are an art, honed through continuous learning and experience. They truly exemplify the interventionist’s ability to connect on a human level.

Five Resources for Professional Crisis Interventionists

Professional crisis interventionists rely on key resources to enhance their skills, ensure effective support, and stay informed in the ever-evolving field of mental health care.

  1. Suicide Cleanup Services

Occasionally, those in the field of crisis intervention are confronted by the painful residues of human despair. In the wake of suicides or traumatic events, suicide cleanup services emerge as an invisible helping hand, restoring affected areas to safety and sanitation.

Staffed by experts in handling biohazards and other risks, these services embrace a stance of respect and compassion, allowing our brave interventionists to focus on providing human support, freeing them from the worry of physical cleanup.

Viewed in this light, suicide cleanup services become a key link in the chain of responsibility, bringing practical aid at difficult times.

  1. Crisis Hotlines

Crisis hotlines, like the National Suicide Prevention Lifeline (U.S.) or the Crisis Call Center, exist as a beacon for those lost in a sea of distress, delivering instant aid and guidance. These lifelines are often the first port of call recommended by interventionists seeking additional resources.

Manned by skilled professionals who possess both a kind ear and practical wisdom, these hotlines are a 24/7 cornerstone of support. When the world seems pitch black, a hotline call can light a candle of hope, mapping a route to safety and healing.

  1. Peer Support Networks

Peer support networks are the collective heart of those who have walked similar paths, providing a nurturing environment for open sharing and healing. These networks offer interventionists a wellspring of wisdom, which they can share with those in their care.

Participating in a peer support network can also be a journey of personal growth and self-nourishment for interventionists. By forging connections with comrades in the field, they gain fresh viewpoints and comprehensive strategies for their practice.

Embodying the strength of unity, these networks remind interventionists that they are not solitary warriors in their quest.

  1. Professional Associations

Professional associations serve as a guiding compass for crisis interventionists, unfolding a treasure chest of resources, and opportunities.

These organizations offer gateways to vital training, research, and networking opportunities, helping interventionists stay informed and connected.

Membership serves as a navigation tool, shepherding interventionists through the labyrinth of their career, providing a sense of belonging and an oath to uphold the highest standards of service.

  1. Continuing Education Programs

The realm of crisis intervention is ever-fluid, and keeping pace with its streams is crucial. Continuing Education Programs are the fountains of knowledge that quench interventionists’ thirst to expand their skills and stay prepared to tackle new challenges.

These programs cover a broad field, from groundbreaking improvements in mental health care to inventive intervention strategies. By partaking in continuous learning, interventionists demonstrate their pledge to lifelong intellectual growth and professional development.

In a field where the chips are always down, continuing education is a life raft, empowering interventionists to deliver the finest care and support.

Five Skills Every Professional Crisis Interventionist Must Possess

Navigating turbulent situations requires expertise. Here are five essential skills every crisis interventionist must excel in to effectively support individuals in distress.

  1. Empathy and Compassion

Grappling with individuals at their most vulnerable, crisis interventionists must learn to join them in their emotional arena, extending understanding and support without judgment.

Empathy paints a picture of the world through their lens, fostering trust and rapport. Compassion fuels the drive to extend warmth with sheer sincerity.

These qualities form the backbone of effective crisis intervention, enabling professionals to sow seeds of positive change in their wards’ lives.

  1. Communication Skills

Communication, the bedrock of successful crisis intervention, should flow clearly and persuasively, ensuring the message hits home.

Interventionists must master the art of listening, catching hidden cues that disclose the needs and fears of those they assist. This skill enables personalized and effective guidance.

Robust communication skills are a powerful weapon, fortifying relationships, and spurring positive outcomes.

  1. Problem-Solving Abilities

The world of crisis intervention is a puzzle box – no two challenges are identical. Interventionists must be quick on their feet, analyzing complex conundrums and crafting creative solutions.

Problem-solving is a dance of critical thinking, resourcefulness, and adaptability, requiring swift and knowledgeable reactions to unexpected situations. This skill is indispensable for sailing the unpredictable waters of crisis work, assuring an effective response to any storm.

  1. Resilience and Self-Care

The emotional rollercoaster of crisis intervention necessitates formidable resilience and self-care. Interventionists must find equilibrium amidst the tempests of their profession while fostering their well-being.

Resilience emboldens interventionists to rebound from stumbles and stay true to their path. Self-care practices like mindfulness, exercise, and peer support, provide a stabilizing anchor, preventing burnout.

  1. Cultural Competence

In our colorful world, cultural competence is a must-have skill. Interventionists need to perceive and respect the cultural tapestries of those they aid, making their approach sensitive and inclusive.

Cultural competence is a lesson in self-awareness, communication adaptability, and openness to learning. It enables interventionists to forge trust with individuals from different cultural landscapes, nurturing positive interactions.

Parting Thoughts

As a crisis interventionist, you are the guiding force that soothes troubled minds, providing thoughtful support and care. The resources and skills discussed are your allies in this noble journey. Embrace them to amplify your impact.

For those keen on broadening their horizons further, make use of professional associations and continuing education programs. Whether you’re a seasoned pro or a rookie, remember, every day offers a new learning opportunity in the profound world of crisis intervention.

References

  1. What is a Crisis Intervention Specialist – Virginia Commonwealth University (https://onlinesocialwork.vcu.edu/blog/crisis-intervention-specialist/)
  2. Crisis Intervention Specialist: Essential Skills and Training – AIHCP (https://aihcp.net/2024/07/15/crisis-intervention-specialist-essential-skills-and-training/#🙂
  3. Crisis Intervention Resources – Spondylitis.org (https://spondylitis.org/resources-support/support-resources/crisis-intervention-resources/)

 

Author Bio: Veronica Turner is a health and lifestyle writer with over 10 years of experience. She creates compelling content on nutrition, fitness, mental health, and overall wellness.

 

 

Please also review AIHCP’s Crisis Intervention Certification programs and see if it meets your academic and professional goals.  These programs are online and independent study and open to qualified professionals seeking a four year certification

Crisis Intervention and the ABC Model

Posted on by Mark Moran

Crisis intervention is an important part of mental health services that seeks to help and stabilize people during times of serious emotional distress. When individuals face intense challenges, the need for quick and effective help becomes very important, as prompt support can change the outcome of a crisis. The ABC Model of crisis intervention provides a clear structure for professionals to understand and meet the immediate needs of those in crisis. This model involves three steps: A (Achieving contact), B (Boiling down the problem), and C (Coping). Each step is meant to help clarify the client’s situation and empower them to take back control. By using the ABC Model, professionals can assess the urgency of their client’s emotional distress and use strategies that build resilience and encourage positive coping methods, which can lead to better mental health results.

Crisis Intervention Specialists utilize the ABC model to help individuals find orientation after crisis

Please also review AIHCP’s Crisis Intervention Specialist Certification.

A.    Definition of crisis intervention

Crisis intervention is an important process meant to help people who are having severe emotional and psychological issues, so they can find their balance again. This method usually includes looking at the situation, understanding immediate needs, and checking available resources to provide support. Professionals use various techniques that fit the person’s needs, creating a feeling of safety and empowerment when times are tough. Since crises upset personal balance, quick intervention is important to prevent lasting psychological damage. The success of crisis intervention can be significant; it not only eases immediate pain but also lays the groundwork for further healing and strength. By using structured methods like the ABC model, professionals can assess the issue, find coping strategies, and help individuals move toward positive solutions. Ultimately, grasping the meaning and range of crisis intervention highlights its importance in maintaining mental health and improving quality of life during difficult situations.

B.    Importance of effective crisis intervention

During crises, the ability to act well can greatly affect both personal well-being and the stability of society. The need for quick response during crises is highlighted by the rise in childhood challenges impacting mental health, which can cause long-lasting harmful effects if not quickly addressed. The American Academy of Pediatrics notes that having safe, stable, and nurturing relationships (SSNRs) helps reduce toxic stress in children, promoting resilience and better coping with future challenges (Andrew S. Garner et al., 2021). In workplaces, especially in the hospitality sector, good crisis intervention is important for keeping employees safe and meeting health standards. Research shows that a clear psychological plan can improve compliance and protect both staff and the community during emergencies (Xiaowen Hu et al., 2020). Ultimately, effective crisis intervention is key to changing individual paths and building healthier, more resilient communities.

C.    Overview of the ABC model

The ABC model is an important framework in crisis help, focusing on a clear method to meet emotional and psychological needs during tough times. This model has three main parts: Activating Event, Beliefs, and Consequences. First, an activating event causes emotional reactions, which leads people to think about their beliefs regarding the situation. This belief system greatly affects the emotional and behavioral outcomes that come next. Knowing this link helps professionals help individuals change their thoughts for better coping methods. Also, using the ABC model in crisis help is vital, particularly in fields like hospitality, where following health and safety rules is very important. For instance, a study shows that good communication and management can lead to employees really following safety rules, demonstrating how the ABC model can improve how organizations handle crises ((Xiaowen Hu et al., 2020)).

II.  Understanding the ABC Model

In crisis help, the ABC Model gives a clear way to meet urgent needs and build strength. This model focuses on three main parts: feelings, actions, and thoughts that people have during a crisis. Knowing these parts helps workers to improve conversation, respond to feelings, and spot unhelpful behaviors that slow down recovery. For example, the use of artificial intelligence and large data sets to find and track the mental effects of crises is similar to how health markers show health levels in medicine. This shows that an in-depth understanding matters in both fields. By using new technologies, mental health workers can improve their responses, focusing on emotions and choices. In the end, using the ABC Model helps with quick crisis fixes and gives people tools for long-term coping, highlighting its important role in modern therapy.

A.    Explanation of the ABC model components

The ABC Model of crisis intervention has three main parts: Affection, Behavior, and Cognition. Affection means showing emotional support to people in crisis, creating a safe and understanding space for open talks. This emotional bond is important because it helps set the stage for the next steps in intervention. Behavior involves what both the person in crisis and the helper do; it looks at harmful actions that might make things worse and supports healthier choices. Lastly, cognition is about helping the person change how they think and see the crisis, which builds resilience and promotes positive problem-solving approaches. This complete method not only deals with current issues but also gives people skills for managing themselves in the future, with the goal of restoring their sense of control and well-being. All these parts together build a solid framework for good crisis intervention.

B.    Historical development of the ABC model

The ABC model’s history is important to know for its use in crisis help. It started in the 1970s by Albert Ellis and was later changed by people like Gerald Caplan, who focused on a methodical way to handle psychological crises. This model aimed to provide quick assistance to those in distress, concentrating on using resources and ways to cope. Over the years, the model has changed a lot, with its main ideas being updated to include new research and methods. For example, with climate change making mental health risks worse, there is a greater need for thorough plans that combine risk evaluation with crisis help, similar to what is proposed in studies of financial stability and sustainability (Simon Dikau et al., 2021). Additionally, the use of technology and data-driven strategies, as seen in responses to recent pandemics, shows that the ABC model remains important for addressing modern crises effectively (Israel Edem Agbehadji et al., 2020).

C.    Application of the ABC model in crisis situations

In crisis intervention, the ABC model is a key structure for grasping and addressing the needs of people in tough situations. This model focuses on three parts: Activating events, Beliefs, and Consequences, which help professionals respond to crises. For example, during the COVID-19 pandemic, health emergencies brought enormous stress and uncertainty, making the ABC model very useful. When hospitality workers faced health risks and operational issues, knowing their beliefs about safety protocols helped improve their compliance with these protocols ((Xiaowen Hu et al., 2020)). Likewise, stakeholders used advanced computing methods to predict and handle crises well, showing how belief systems are important for responses. Overall, the ABC model not only gives a clear method for crisis intervention but also builds resilience in challenging times, highlighting its importance in modern crisis management ((Israel Edem Agbehadji et al., 2020)).

III.             Phases of Crisis Intervention

Crisis specialists help individuals through the phases of crisis until at a pre crisis level

The crisis intervention process happens in separate steps, each important for dealing with the individual’s immediate issues and helping them recover. The first step focuses on figuring out the crisis, where the helper identifies what is happening and how serious it is. This step gives important details and makes sure the intervention is suited to the person’s specific situation. After this assessment, the next step is about building trust and creating a supportive space. This part is essential, as it helps the individual feel comfortable to communicate and be more open to the process. In the end, the intervention results in creating and putting into action a specific plan aimed at solving the crisis and encouraging long-term stability. By carefully going through these steps, crisis responders can really enhance results and support individuals in taking back control of their lives, highlighting the key ideas of the ABC model of crisis intervention.  These steps show how crucial a structured method is in crisis intervention. For example, as seen in healthcare studies, knowing patient histories and building trust are critical for effective help (Mitchell S.V. Elkind et al., 2020). Likewise, research from clinical studies shows that systematically evaluating patient needs can lead to meaningful improvements in health results, especially when dealing with crises (George W. Sledge et al., 2019).

A.    Assessment of the crisis situation

In dealing with a crisis situation, doing a full assessment is very important for good intervention. The first step is to find out the urgent needs and problems faced by people or groups affected by the crisis. For example, during the COVID-19 pandemic, the sudden school closures harmed more than one billion learners, causing major learning interruptions and access issues ((Edeh Michael Onyema et al., 2020)). This crisis not only slowed down learning but made existing inequalities worse, showing the need for specific responses. In health crises, advanced breast cancer (ABC) also brings big management challenges, with many patients facing a poor prognosis ((Fátima Cardoso et al., 2018)). Understanding these details helps practitioners focus on solutions that deal with both immediate and root issues, making sure that the responses are not just immediate but also aim to deal with the unique problems caused by the crisis in a lasting way. Therefore, a complete assessment is key to any good crisis intervention plan.

B.    Development of a crisis intervention plan

A complete crisis intervention plan is important for handling and reducing crises in different areas like healthcare, business, or communities. This plan should start with a careful look at the situation, figuring out the main causes of the crisis and checking the resources available for help. This step includes looking at market conditions and reviewing internal abilities, similar to anti-crisis financial management ideas that focus on prevention and managing risk (I. Zaichko et al., 2024). After the assessment, the plan should set out clear goals, using the ABC model to make interventions clear and often relying on evidence-based practices to shape the response. Since crises can grow quickly, acting promptly is vital, along with ongoing monitoring and feedback loops to adjust plans as needed. The end goal is not only to fix current problems but to build resilience, making sure organizations can learn from the crisis and set up systems to avoid future issues (Rifat Zahan et al., 2024).

C.    Implementation of intervention strategies

To make interventions work well, a clear and organized method must be used that looks at what each person in crisis needs. Using frameworks like the ABC model of crisis intervention—Assessment, Building rapport, and Coping strategies—can help professionals plan their actions. For example, during the COVID-19 pandemic, many families reported more stress in parenting and a drop in mental health, with two out of five parents showing signs of major depression (40.0%). This points to the need for focused support systems ((Shawna J. Lee et al., 2020)). By recognizing this situation, interventions can be adjusted to improve how parents manage stress while also looking after children’s emotional health. Additionally, teamwork among different professionals from various areas, as shown by researchers in global health, highlights the need to bring together diverse viewpoints in crisis intervention strategies ((Thomas Unger et al., 2020)). This all-encompassing method leads to better long-term results for people in crisis.

IV.            Effectiveness of the ABC Model in Crisis Intervention

In looking at how well the ABC Model works in crisis intervention, it is important to think about how it has a clear way to deal with immediate emotional and psychological needs. The ABC Model stands for Achieving Contact, Boiling the Problem Down, and Coping. It effectively helps practitioners set up a safe place for people who are having a tough time. This model focuses on understanding the specific situation of the crisis, which helps in creating a response that fits. For example, the ongoing issues from global crises like the COVID-19 pandemic have greatly affected mental health and access to resources. The ABC Model shows it can adapt to these complicated situations, focusing on communication and practical solutions (Edeh Michael Onyema et al., 2020). Additionally, as situations change, using technology in interventions allows for a wider reach and more involvement, showing the model’s relevance in today’s world, which is often unstable. This is similar to what is seen in Alzheimer’s disease, where early help can lessen long-lasting suffering (Michael DeTure et al., 2019).

Crisis Intervention Specialists are able to help others through crisis via the ABC Model

A.    Case studies demonstrating the ABC model’s success

Many case studies show how well the ABC model works in crisis intervention, proving it gives organized help in tough situations. A notable example is a case with COVID-19 patients, where the model improved communication and understanding of patients’ emotional and mental needs during the pandemic chaos (Israel Edem Agbehadji et al., 2020). In this case, clinicians used the ABC model to look at the triggers, actions, and results related to patients’ experiences, which led to specific interventions that enhanced patient cooperation and overall health. Moreover, another study pointed out how this model effectively dealt with the long-term impacts of COVID-19, emphasizing the need for ongoing support and adjustment to patients’ changing needs (Chen Chen et al., 2020). These results not only highlight the flexibility of the ABC model but also confirm its key role in providing caring, effective crisis intervention in different situations.

B.    Comparison with other crisis intervention models

When assessing how well the ABC model of crisis intervention works, it’s important to compare it to other well-known models like Psychological First Aid (PFA) and the Crisis Development Model (CDM). The ABC model focuses on looking at a person’s feelings, actions, and thoughts to help stabilize a crisis. In contrast, the PFA model puts more emphasis on providing emotional support and ensuring safety right after a traumatic event. This approach aims to give practical help while promoting a sense of connection and normal life. The CDM, on the other hand, highlights the importance of understanding how people behave in a crisis, providing a clear way to predict and manage situations as they escalate. These models showcase various methods for handling crisis intervention, yet the ABC model stands out for its focus on evaluating and addressing emotional and thinking processes. As seen in discussions about stress in parents and the well-being of children in crisis situations, knowing about different intervention models can improve practitioners’ ability to work effectively in various scenarios (Shawna J. Lee et al., 2020)(Chen Chen et al., 2020).

C.    Limitations and challenges of the ABC model

The ABC model is a basic framework in crisis intervention, but it has limits and problems. A major issue is that the model depends on how individuals in crisis are judged, which can lead to different views on what they need. This can be a big problem for people with serious mental health issues, like during the COVID-19 pandemic, when rising parental anxiety and depression changed how children’s wellbeing was seen (Shawna J. Lee et al., 2020). Moreover, the model might miss external factors that add to someone’s crisis, like economic difficulties, making intervention less effective. Recent research shows that there is a need for broader approaches that use new technologies, such as artificial intelligence and big data, to better spot and predict crises. These technologies could help fix some of the ABC model’s shortcomings (Israel Edem Agbehadji et al., 2020). If the model does not change, it may struggle to deal with the complicated nature of real-life crises.

V.  Conclusion

Please also review AIHCP’s Crisis Intervention Specialist Program

In summary, handling crises well is very important for dealing with the complex problems that come up in tough situations. The ABC model is a method that helps professionals look at, react to, and aid in recovery for people who are in distress. This model not only considers the urgent emotional and psychological needs of individuals but also includes key plans for long-term health. The recent disruptions in many fields due to the COVID-19 pandemic, such as the negative impacts on education and the hospitality industry noted in studies, show that quick and informed responses are essential ((Xiaowen Hu et al., 2020); (Edeh Michael Onyema et al., 2020)). Putting strong crisis plans and clear safety measures in place creates workplaces that encourage compliance and flexibility among employees and other stakeholders. Therefore, by using models like ABC, professionals can handle crises better, ensuring that those affected get the help they need to regain their balance and return to normal.

A.    Summary of key points discussed

When looking at crisis intervention, especially using the ABC model, several key discussions highlight its role in providing psychological support. The model focuses on how lab medicine and psychological tests have changed over time, enabling professionals to better address the pre- and post-intervention stages, which are often prone to mistakes (cite33). This change stresses the need for careful focus on assessment and intervention processes to ensure a well-informed approach to client care. Moreover, the guidelines for engaging with individuals with disabilities stress the importance of fairness and respect in assessment methods, fostering a more inclusive approach that improves intervention results (cite34). In summary, these points together confirm the ABC model’s position as an organized approach in crisis situations, promoting a thorough and caring method for intervention that emphasizes client well-being and informed choices.

B.    Future implications for crisis intervention practices

As society deals with challenges from global crises, it is important to look at and improve crisis intervention methods. The results related to the COVID-19 pandemic show a key future need: organizations must create a space that encourages strict adherence to health and safety rules among workers, which is especially important in fields like hospitality that depend on in-person interactions (Xiaowen Hu et al., 2020). Moreover, the education system’s experiences during the pandemic indicate that being able to adapt to technology will be essential for handling crises, which highlights the need for strong digital systems and training for teachers and students to enable effective distance learning (Edeh Michael Onyema et al., 2020). These points suggest that future crisis intervention methods should be adaptable, combining technology and mental preparedness to ensure resilience against unexpected issues. By focusing on these areas, organizations can better equip themselves for upcoming crises, protecting their employees and the communities they support.

C.    Final thoughts on the importance of the ABC model in crisis situations

In crisis intervention, the ABC model is an important framework that aids professionals in how they respond. It focuses on three steps: Achieving contact, Boiling down the problem, and Co-constructing a plan. This model offers a clear method that helps during confusing times. It helps interventionists build a connection quickly while understanding key parts of a person’s crisis, making sure the response fits their specific needs. Additionally, the ABC model encourages teamwork between the helper and the person in crisis, fostering a feeling of control and empowerment. The strength of this model lies in its organized approach and its ability to adapt, which makes it a crucial tool for dealing with the complex emotions and behaviors people face in difficult times.

Please also review AIHCP’s Crisis Intervention Specialist Program and see if it meets your academic and professional goals.  The program is online and independent study and open to qualified professionals within human services, first responses, healthcare and chaplaincy.

References:

  • Gregory C. Chow (2018). China’s economic transformation. ANU Press eBooks. https://doi.org/10.22459/cyrd.07.2018.06
  • Siân Robinson, Jean‐Yves Reginster, René Rizzoli, Sarah Shaw, J. A. Kanis, Ivan Bautmans, Heike A. Bischoff‐Ferrari, Olivier Bruyère, Matteo Cesari, Bess Dawson‐Hughes, R Fielding, Jean‐Marc Kaufman, Francesco Landi, Vincenzo Malafarina, Yves Rolland, Luc J. C. van Loon, Bruno Vellas, Marjolein Visser, Cyrus Cooper, Nasser M. Al‐Daghri, Sophie Allepaerts, Jürgen M. Bauer, Maria Luisa Brandi, Tommy Cederholm, Antonio Cherubini, Alfonso J. Cruz‐Jentoft, Alessandro Laviano, Stefania Maggi, Eugène McCloskey, Jean Pétermans, Ronenn Roubenoff, Ricardo Rueda (2017). Does nutrition play a role in the prevention and management of sarcopenia?. Volume(37), 1121-1132. Clinical Nutrition. https://doi.org/10.1016/j.clnu.2017.08.016
  • Rifat Zahan, Nathaniel D. Osgood, Rebecca Plouffe, Heather Orpana (2024). A Dynamic Model of Opioid Overdose Deaths in Canada during the Co-Occurring Opioid Overdose Crisis and COVID-19 Pandemic. Volume(21). International Journal of Environmental Research and Public Health. https://www.semanticscholar.org/paper/d489c619f3c73aded47165d20f01b5b1989d0827
  • I. Zaichko, Dmytro Riznyk, Nataliya Pavlenko (2024). ANTI-CRISIS FINANCE MANAGEMENT: STRATEGIES AND TOOLS FOR OVERCOME CRISIS SITUATIONS. Black Sea Economic Studies. https://www.semanticscholar.org/paper/8690bbc425fe17479a3d7ee8b877100bbb8b6a1b
  • Andrew S. Garner, Michael W. Yogman (2021). Preventing Childhood Toxic Stress: Partnering With Families and Communities to Promote Relational Health. Volume(148). PEDIATRICS. https://doi.org/10.1542/peds.2021-052582
  • Xiaowen Hu, Hongmin Yan, Tristan Casey, Chia‐Huei Wu (2020). Creating a safe haven during the crisis: How organizations can achieve deep compliance with COVID-19 safety measures in the hospitality industry. Volume(92), 102662-102662. International Journal of Hospitality Management. https://doi.org/10.1016/j.ijhm.2020.102662
  • Israel Edem Agbehadji, Bankole Awuzie, A.B. Ngowi, Richard Millham (2020). Review of Big Data Analytics, Artificial Intelligence and Nature-Inspired Computing Models towards Accurate Detection of COVID-19 Pandemic Cases and Contact Tracing. Volume(17), 5330-5330. International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph17155330
  • Christoph B. Messner, Vadim Demichev, Daniel Wendisch, Laura Michalick, Matthew White, Anja Freiwald, Kathrin Textoris‐Taube, Spyros I. Vernardis, Anna-Sophia Egger, Marco Kreidl, Daniela Ludwig, Christiane Kilian, Federica Agostini, Aleksej Zelezniak, Charlotte Thibeault, Moritz Pfeiffer, Stefan Hippenstiel, Andreas C. Hocke, Christof von Kalle, Archie Campbell, Caroline Hayward, David J. Porteous, Riccardo E. Marioni, Claudia Langenberg, Kathryn S. Lilley, Wolfgang M. Kuebler, Michael Mülleder, Christian Drosten, Norbert Suttorp, Martin Witzenrath, Florian Kurth, Leif Erik Sander, Markus Ralser (2020). Ultra-High-Throughput Clinical Proteomics Reveals Classifiers of COVID-19 Infection. Volume(11), 11-24.e4. Cell Systems. https://doi.org/10.1016/j.cels.2020.05.012
  • Simon Dikau, Ulrich Volz (2021). Central bank mandates, sustainability objectives and the promotion of green finance. Volume(184), 107022-107022. Ecological Economics. https://doi.org/10.1016/j.ecolecon.2021.107022
  • Shawna J. Lee, Kaitlin P. Ward, Olivia D. Chang, Kasey M. Downing (2020). Parenting activities and the transition to home-based education during the COVID-19 pandemic. Volume(122), 105585-105585. Children and Youth Services Review. https://doi.org/10.1016/j.childyouth.2020.105585
  • Fátima Cardoso, Elżbieta Senkus, A. Costa, Efthymios Papadopoulos, Matti Aapro, Fabrice André, Nadia Harbeck, B. Aguilar Lopez, C.H. Barrios, Jonas Bergh, Laura Biganzoli, C.B. Boers-Doets, Maria João Cardoso, L.A. Carey, Javier Cortés, Giuseppe Curigliano, Véronique Dièras, Nagi S. El Saghir, Alexandru Eniu, Lesley Fallowfield, P.A. Francis, Karen A. Gelmon, S. Johnston, Bella Kaufman, Smruti Koppikar, I.E. Krop, Musa Mayer, Gertrude Nakigudde, B.V. Offersen, Shinji Ohno, Olivia Pagani, Shani Paluch–Shimon, Frédérique Penault‐Llorca, Aleix Prat, H.S. Rugo, G. W. Sledge, Danielle Spence, Christoph Thomssen, D.A. Vorobiof, B. Xu, Larry Norton, E.P. Winer (2018). 4th ESO–ESMO International Consensus Guidelines for Advanced Breast Cancer (ABC 4). Volume(29), 1634-1657. Annals of Oncology. https://doi.org/10.1093/annonc/mdy192
  • W. Lance Bennett, Steven Livingston (2018). The disinformation order: Disruptive communication and the decline of democratic institutions. Volume(33), 122-139. European Journal of Communication. https://doi.org/10.1177/0267323118760317
  • M. Salinas, Ruth Torreblanca, Eduardo Sanchez, Á. Blasco, E. Flores, M. López-Garrigós (2024). Managing laboratory test ordering: a challenge in the new laboratory medicine model. Volume(5), 236 – 247. Advances in Laboratory Medicine. https://www.semanticscholar.org/paper/a5dd0d0722afcacf512037d9c343fd25edc144e0
  • S. Hanson, S. Bruyere, Anjali J. Forber-Pratt, Jennifer Reesman, Connie Sung (2023). Guidelines for assessment and intervention with persons with disabilities: An executive summary.. The American psychologist. https://www.semanticscholar.org/paper/d3a1e4c332d60d9f3da674a049416520e2a7da67
  • Edeh Michael Onyema, Chika Eucharia Nwafor, Faith Ayobamidele Obafemi, Shuvro Sen, Fyneface Grace Atonye, Aabha Sharma, Alhuseen Omar Alsayed (2020). Impact of Coronavirus Pandemic on Education. Journal of Education and Practice. https://doi.org/10.7176/jep/11-13-12
  • Michael DeTure, Dennis W. Dickson (2019). The neuropathological diagnosis of Alzheimer’s disease. Volume(14). Molecular Neurodegeneration. https://doi.org/10.1186/s13024-019-0333-5
  • Mitchell S.V. Elkind, Robert A. Harrington, Ivor J. Benjamin (2020). The Role of the American Heart Association in the Global COVID-19 Pandemic. Volume(141). Circulation. https://doi.org/10.1161/circulationaha.120.046749
  • George W. Sledge, Masakazu Toi, Patrick Neven, Joohyuk Sohn, Kenichi Inoue, Xavier Pivot, Olga Burdaeva, Meena Okera, Norikazu Masuda, Peter A. Kaufman, Han Koh, Eva‐Maria Grischke, Pierfranco Conté, Yi Lu, Susana Barriga, Karla Hurt, Martin Frenzel, Stephen Johnston, Antonio Llombart‐Cussac (2019). The Effect of Abemaciclib Plus Fulvestrant on Overall Survival in Hormone Receptor–Positive, ERBB2-Negative Breast Cancer That Progressed on Endocrine Therapy—MONARCH 2. Volume(6), 116-116. JAMA Oncology. https://doi.org/10.1001/jamaoncol.2019.4782
  • Chen Chen, Guiju Gao, Yanli Xu, Lin Pu, Li Wang, Liming Wang, Wenling Wang, Yangzi Song, Meiling Chen, Linghang Wang, Fengting Yu, Siyuan Yang, Yunxia Tang, Li Zhao, Huijuan Wang, Yajie Wang, Hui Zeng, Fujie Zhang (2020). SARS-CoV-2–Positive Sputum and Feces After Conversion of Pharyngeal Samples in Patients With COVID-19. Volume(172), 832-834. Annals of Internal Medicine. https://doi.org/10.7326/m20-0991
  • Thomas Unger, Claudio Borghi, Fadi J. Charchar, Nadia Khan, Neil R Poulter, Dorairaj Prabhakaran, Agustín J. Ramiréz, Markus P. Schlaich, George S. Stergiou, Maciej Tomaszewski, Richard D. Wainford, Bryan Williams, Aletta E. Schutte (2020). 2020 International Society of Hypertension global hypertension practice guidelines. Volume(38), 982-1004. Journal of Hypertension. https://doi.org/10.1097/hjh.0000000000002453

Crisis Intervention and Assessment of Those in Crisis

Posted on by Mark Moran

Those in crisis require different kinds of counseling than those in short and long term care counseling.  Those in crisis have emotional and mental wounds that are intensely bleeding from within leading to sometimes lethal and dangerous decision making.  Individuals feel lost and without purpose with no light at the end of the tunnel.  Hence those in crisis lose cognitive and mental capabilities to make safe and logical decisions.  This requires on site mental first aid and de-escalation.  Those in EMT, police, FEMA, as well as chaplains and social workers who work with law enforcement approach those in crisis as mental first responders.  One does not know what to expect and the job can definitely be dangerous due to the unexpected behavior of those in crisis.  Individuals trained in crisis hence provide emotional and mental first aid and look to stabilize individuals from a mental and emotional way.  This blog will look at the basic steps of Crisis Intervention and the role of assessing individuals in crisis.

Crisis Intervention professionals assess and implement plans to stabilize the person in crisis

Please also review AIHCP’s Crisis Intervention Specialist Certification and see if it meets your academic and professional goals

Hybrid Model of Crisis Intervention and Steps

Various models of Crisis Intervention look to examine the best psychological way to understand the state of crisis and how to help an individual reach pre-crisis state.  Crisis professionals all agree that those in crisis experience disequilibrium  as opposed to equilibrium and immobility as opposed to mobility (James, 2017, p. 48).  Disequilibrium refers to lack of emotional stability, balance or poise within an individual (James, 2017, p.48) and immobility refers to the state of a being that is unable to autonomously change or cope or respond to different moods, feelings needs, conditions that require adaptation (James, 2017. p. 48).  Hence it is the duty and vocation of the crisis professional to help individuals again find balance and ability to cope with the crisis inducing situation.  The crisis professional is not again present to help resolve the issues causing the crisis itself but only present to help the person again find ability to cope with the situation in the heat of the moment.  The crisis professional can then guide the person to appropriate resources and support to face the problems that created the conditions for crisis to occur.  This involves various steps and procedures to help a person in crisis stabilize and find balance again.  However, James warns that those in crisis are ones to follow steps but in reality are far more chaotic.  With this in mind, these steps serve as a checklist or guidebook that can be adapted, or repeated, or reused as necessary within the process until the person again finds state of mind.

The Hybrid Model serves as a way for crisis professionals to help de-escalate the situation and help a person find pre-crisis state through seven steps.  The first step is predispositioning/engaging and initiating contact (James, 2017, p. 50).  This essential task sets the table and emotional response between anyone in crisis, whether one is facing little impairment or facing extreme emotional impairment.  This step involves the crisis professional introducing him/herself and attempting to form some type of bond or understanding.   When a person is in intense crisis, approach is key.  An aggressive approach can turn the person to self harm or harm of others or also increase agitation within the mind.  Trained police officers who approach someone in a mental breakdown who approach with more calmness and articulation are far better able to de-escalate as opposed to officers who approach as angry, aggressive or authoritarian.  Many times, police escalate the situation of a person in crisis by challenging, commanding, or threatening.  A person in crisis will not respond logically or calmly to these types of approaches.  The best way is to introduce oneself calmly without threatening (James, 2017, p. 50).  Within this initiation of contact, police or crisis professionals should attempt to learn the name of the person and also clarify one’s intentions in what the person in crisis should expect to happen next.  Calm, clear and precise articulation can help break the ice and begin the process of de-escalation as opposed to making the situation worst.

The second task involves exploring the problem.  This involves understanding the problem from the current context of the individual in crisis (James, 2017, p. 51).  Key to helping and understanding requires core listening skills that encompass empathy and genuineness (James, 2017, p. 51).  In this way,  the crisis specialist examines the situation as a detective.  H/she not only assesses the person (which we will review in the second part of the blog), but he/she also looks for clues about the current problem and addresses the person’s issue as how he/she is experiencing it.  If a person is experiencing a breakdown, the crisis professional will discuss why the person is upset and reinforce understanding of why the situation is bad but also why it can be fixed.  In addition to the person, the crisis professional will also see all the other issues surrounding the current issue, such as interpersonal issues, or other environmental issues and understanding how they fuel the current crisis.

The third task involves providing support.  The crisis specialist, police or chaplain on the scene can provide support via continued empathetic dialogue.  This includes letting the person know he/she is not alone and that the crisis specialist is a person who cares about he or she and that the crisis professional is present to help the person receive the support necessary (James, 2017, p. 52).  This type of reassurance can help a person find some stability.  Many individuals facing natural disasters will need those simply initial words of support to help them find some peace and calm after being completely overwhelmed.  The crisis professional can supply psychological support, logistical support which leads the person to basic survival needs, such as food or water or shelter, social support which includes activating and discovering family, friends, coworkers or church, and information support which can include resources the person can access to find help (James, 2017, p. 53).   Sometimes a person in crisis will need to be reassured that there is support before he/she will accept help from someone or leave a potentially dangerous situation.  A crisis professional can help alleviate the hopelessness by asking and promising the help one needs.  Of course, safety is a huge concern during these discussions.  When weapons or erratic behavior exist, crisis specialists are at risk.  Whether its a violent person in the street, a person threatening to shoot oneself with a gun in hand, the crisis specialist needs to assess, utilize the proper safety guidelines and also the backup present when hoping to diffuse and talk to individuals in a state of crisis.

The fourth task involves helping the person find alternatives to the current mode of thinking (James, 2017, p. 54).  Sometimes rational ideas or different ways of viewing a crisis can help a person find some logic or some hope in finding pre-crisis state.  This involves asking about situational supports the client has had in the past involving family or friends who can help, as well as offering coping mechanisms that include actions, behaviors or resources that can help the client in the temporary crisis.   In addition, offering positive reframing of the current and temporary situation can help the client or person in crisis think more clearly.  A crisis professional can offer a variety of solutions or alternative to the one in crisis to view the situation differently (James, 2017, p. 54).   This ultimately involves a serious examination of the person’s realistic options within the current crisis situation.

Crisis Intervention counselors and specialists on scene look to help the person find emotional balance and mobility to cope with the short term problem through a series of tasks

The fifth task is to create a plan.  Usually these plans are short goal but they offer order in the chaos for the person in crisis.  The crisis professional offers certain ways of proceeding forward and meeting immediate and short term needs of the person.  This type of grounding helps the person find some anchor in the chaos and that there are plans available to escape the crisis.  This is important for individuals who may have lost a home to hurricane or a person who lost his or her job, or a person who is going through a divorce and lost his or her children. The crisis professional helps the person find order and some control (James, 2017. p. 55).  The person should feel part of the plan and have autonomy within it.

The sixth and seventh tasks involve obtaining commitment on part of the person to follow through on the plan and then following up with the client within a few hours, or even days to ensure the person is still on the right path (James, 2017, p. 55-57).  Commitment shows the person understands and comprehends the plan and also gives the person a sense of empowerment.  Follow up is key to ensure the person still understands the plan and is meeting with the necessary agencies or persons to permit the plan to blossom.   This also shows that the crisis professional cares and wants the person to be able to find permanent success following a crisis.  This is important for anyone who lost a job or home and needs to contact certain groups, as well as those who were suicidal are committing to the plan of getting the help they need.

A similar model is referred to as the Robert Model.  This involves assessment of the situation and person regarding lethality.  Following assessment, involves rapport with the individual as found in the Hybrid model.  Following rapport, identifying the problem and crisis and then exploring the emotions is addressed.  Alternative options and plans are then addressed with follow up.  As one can see, most models share a similar 7 step procedure that involves assessments, making contact, understanding the situation and giving options to de-escalate and help the person return to precrisis state with followup.

Interaction with Those in Crisis

Within the first task of initiating contact, it is crucial to establish trust and a bond with those experiencing crisis.  Whether a person is brought to a mental health facility in a state of crisis, or arriving upon a scene, basic interaction with communication and listening skills are important.  As they are in any counseling, particular ways crisis counselors speak and listen can play a big role in de-escalating a situation.  Open ended questions are important that request descriptions of the situation such as “Please tell me” or “Show me” can help a person open up and communicate the crisis.  In addition open ended questions that focus on plans of the person such as “What will you do?” can help make the person in crisis think.  Expansion questions can help broaden the story by simply stating, “Tell me more” or questions that look to assess the situation.  For most cases, “why” questions should be avoided since they provide opening for illogical defense.  While it may attempt to allow one to understand, it also allows the person to intellectualize and defend why one is doing something that one should not do (James, 2017, p. 74).  Close ended questions are used for more focus and quicker responses.  They can obtain specifics, obtain commitments, and help focus on the issue at hand. Crisis counselors can also apply basic counseling skills that involve restatements of what the person feels as well as summaries of how the person is acting.  Sometimes, restating and summarizing can allow a person in crisis to see the insanity of his/her state of mind.

In crisis, crisis professionals many time utilize owning or owning of feelings (James, 2017, p. 75).    Utilizing “It” statements in what is to be done, or how one feels can help the conversation become more intimate and less confrontational as “we”.  The person in crisis has only the professional to discuss, when “I” is utilized.  Such as examples of ” I understand” . It is important not to falsely understand when one does not. In these cases, one should ask for clarification.  Assertion statements are also useful when telling the individual what you expect and how you want someone to do something for one’s own safety.  In these statements, specific actions are asked in the particular moment with “I” statements.  In addition, it is important to offer positive reinforcement when applicable while working a person through crisis.  Compliment the person who is able to breathe smoothly or who is starting to show control of emotions (James, 2017, p. 77).

In addition to various statements that can help create bonds and trust, as well as de-escalation, counselors need to listen with empathy and genuineness (James, 2017, p. 78).  This involves empathetic listening for clues and acknowledging what the person is saying, but also understanding it while helping to guide the person to better options.  It is not patronizing but serious listening and response to what is being related by the person in crisis.  If the person in crisis understands that the counselor is acknowledging fears and taking what the person feels as serious, then respect can exist and the person in crisis will be more listening to reason and statements from the counselor.  Through this, sometimes, a counselor can help create awareness of the situation during reflection of what the person in crisis is stating.  Sometimes, restating the problem via good listening and offering a clear awareness of the difficult situation can be a great aid for the person.  Sometimes, it is also important to allow the person in crisis to talk.  One needs to allow sometimes for the person to talk, express, swear, curse, rant or mourn before reason can be restored (James, 2017, p. 80). In crisis intervention counseling this is referred to as catharsis.  Ultimately, listening and communicating involves empathy with the client in crisis.  It involves proper attending, verbal communication, reflecting feelings, and utilizing nonverbal cues and silence as a way to show empathy (James, 2017, p. 82).

Throughout the tasks, especially when discussing emotions, alternatives and plans, the crisis specialist needs to also promote expansion of the client’s tunnel vision of the temporary moment and open possibilities.  This helps the client see the overall picture (James, 2017, p. 81).   Sometimes during these phases and tasks, crisis counselors can also help individuals focus on the immediate issue.  Many times individuals in crisis will spiral out of control and discuss multiple stressors that are not present.  The crisis counselor can help partition, decompartmentalize and downsize client’s fears and stressors (James, 2017, p. 81).   In addition, counselors during interaction need to know how to supply guidance and help implement order.  Those in crisis and chaos depending on their level of impairment need direction and guidance.  Finally, crisis counselors need to assure those they are working with that they are safe.  “I” statements that assure safety and meeting of physical needs can help a person in crisis become more secure and open to de-escalation (James, 2017, p. 81).

Again, simplified, the basic ABC’s of Crisis Counseling merely involves achieving a relationship, breaking down the problem and committing to a plan of action.  Identifying what activated the event, understanding the beliefs associated with it and the consequences surrounding it.  This involves helping the person again find mobility and equilibrium throughout that process and utilizing the skills listed above in that process and also understanding the affective, behavioral and cognitive states of the person.

 

Assessment in Crisis Intervention

The tasks in helping a person find balance and mobility again are essential in crisis intervention.  One of the initial observations during the first contact with a person in crisis is assessment of the person.  Crisis Intervention offers a variety of assessment tools and charts to help EMT, police, chaplains and social workers to better able assess a person’s threat to oneself and others.  Most assessment covers affective and emotional states, behavioral states and cognitive states.  It is also important to assess whether a client has been in crisis before or if this is merely an isolated acute situation or if the person is chronic crisis with common re-entry (James, 2017, p. 69).  Chronic, long term and transcrisis can all play roles in the persons limitations on resources and resiliency.

Affective states refer to one’s current mood.  Hence any abnormal or impaired mood can show signs of crisis upon the scene.  A person may seem over emotional  or severely withdrawn.  The behavioral functioning can also be important in assessing.  The crisis professional observes the doing, acting and behavior of the person on scene (James, 2017, p. 58).  Finally the cognitive state of the person in crisis in important in crisis.  The crisis professional reviews the thinking patterns and thoughts of the person in crisis.

These three observations detail the ABC model of affective, behavioral and cognitive states (James, 2017, p.58).   The Triage Assessment system and chart lists a series of questions that look at affective, behavioral and cognitive issues as well as supplying a chart to access severity of crisis (James, 2017. p. 59-64).  A person’s affective state will include observing if the person is on medication or not, under a substance, experiencing psychosis or paranoid or any other mood related or physical appearances.  A person’s behavioral state is ranked based on if the person is defiant, aggressive, reckless, suicidal, or violent.  From a cognitive state, observations include if a person is uncooperative, impulsive, hysterical, confused or unresponsive (James, 2017, p. 60 & 68).

The Affective, Behavioral, and Cognitive scales help assessment with the worst score totaling 30.   Important labels include  no impairment and minimal to low, moderate, marked and severe.  Stable moods are contrasted moods devoid of feeling, behaviors are rated from socially appropriate to behaviors that intensify crisis, and decisions are ranked from considerate of others to decisions that are clear and present danger to self and others (James, 2017, p. 61-62).  Ratings are based off of a 1 to 10 model of each facet of affective, behavioral and cognitive.   Within affective, one rates anger, fear and sadness.  Within behavioral, one rates approach, avoidance and immobility.  Within cognitive, one ranks current transgression, perceived future threat and past reflection on loss.  In addition, there exists observation questions regarding the person that looks at if the person is on or off medication.  Individuals who rate within 3 to 10 total points within assessment are considered minimal impairment and need little direction and can self direct.   Those with ratings of 11-15 require some guidance and direction.  Those with a score of 16 to 19 are indicative of a person losing more and more control of the situation.   Those with scores at 20 are potentially entering into harms way and need intense direction to avoid a lethal range, while those in the upper 20 scores have entered into a lethal range and lethality is present (James, 2017. p. 66).

Conclusion

Please also review AIHCP’s Crisis Intervention Specialist Program and see if it meets your academic and professional goals

Crisis Intervention is a structured response to pure and utter chaos.  It is mental first aid.  While structured it is adaptable and adjustable.  Those who are experienced and talented utilize the core concepts and adjust and adapt in the moment.  The seven tasks to help a person find balance and mobility are key as well as assessing low impairment and high impairment cases within one’s affective, behavioral and cognitive abilities.  Those in crisis intervention whether in police, EMT, social work, mental health, and chaplaincy require empathy, patience and skill to safely deal with those who are harmful to self and others.

Please also review AIHCP’s Crisis Intervention Specialist Program.  Qualified professionals can earn a four year certification to help them within this field.  Whether working at a crisis center or trained professionals on the scene, the certification can help give academic and core information that can aid others attempting to work in this high stress but high rewarding field.  The program is online and independent study with mentorship as needed

 

 

 

Resources

Bengelsdorf, H., Levy, L. E., Emerson, R. L., & Barile, F. A. (1984). A crisis triage rating scale: Brief dispositional assessment of patients at risk for hospitalization. Journal of Nervous and Mental Disease, 172(7), 424–430. Access here

James, R & Gilliand, B. (2017). “Crisis Intervention and Strategies” (8th). Cengage.

Marschall, A. (2023). “How a Crisis Intervention Provides Mental Health Support”. Very Well Mind. Access here

Myer, R. A., Lewis, J. S., & James, R. K. (2013). The introduction of a task model for crisis intervention. Journal of Mental Health Counseling, 35(2), 95–107.  Access here

Roberts, A. & Ottens, A. (2005). “The Seven-Stage Crisis Intervention Model: A Road Map to Goal Attainment, Problem Solving, and Crisis Resolution”. Brief Treatment and Crisis Intervention. Access here

 

 

 

 

 

A Closer Look at Crisis Intervention

Posted on by Mark Moran

Crisis Intervention is a specialty field that is on the battlefield itself.  It is the first aid of those in initial emotional pain and mental disorientation.  It involves emergency workers, fire, police, paramedics, but also trained professionals in social work, chaplaincy and mental health.  These individuals go to the distressed whether the situation is individual or collective at a local or state level.  They meet the emotionally distressed at their home, whether it is due to violent crime, rape, murder, suicide, or sudden death, or to sites where national disasters such as hurricanes have wiped out a person’s home, or to terrorist or shooting sites where communities are left without meaning.  Crisis Intervention Specialists look to help individuals find sanity in the insanity and help equip them with the necessary immediate physical, mental, emotional and spiritual care needed to access and find direction.  They are not long term specialists for trauma but the first mental health responders to crisis itself.

Those in crisis intervention look to stabilize the person and help them regain emotional balance and the ability to cope when things personal or local disaster strikes

Crisis Intervention stems back the very first Suicide phone line in 1906 and the need for it was escalated with the infamous Coconut Grove Nightclub fire of 1942 (James, 2017, p. 3).   The crisis emergency became more apparent with the Community Mental Health Act of 1963 that closed asylums and referred those with mental issues to local mental health services (James, 2017. p. 3-4).  Unfortunately, without observation, most suffering from mental trauma, addiction, or minor mental health became the problem of law enforcement and many now find themselves in prisons.  The constant and sometimes fatal interactions with mentally unstable individuals with police have led to multiple unfortunate deaths which have called for better mental health accountability by society as well as police training in crisis intervention.  With the awakening of post Vietnam PTSD among veterans, addiction, as well as women rights and abuse, the need for crisis intervention grew even more.  Today it is a must in a society with many mental maladies that lead to acute instance of crisis.

AIHCP offers a four year certification for those interested in a Crisis Intervention Specialist Certification

What is Crisis?

Crisis definition while sharing key qualities is defined by many mental health professionals.  According to James there are a variety of instances that constitute crisis.  People can face crisis when obstacle to life goals seems to insurmountable that it leads to despair and disorganization in life.  People can face crisis when a traumatic event occurs that totally usurps one’s life and life narrative.  People face crisis when a person has no response for the problem or immobilizes them and prevents them from moving forward.  People face crisis when fall into anxiety, fear, shock and distress about a disruption in life.  People face crisis a loss of psychological equilibrium and emotional instability and imbalance result.  People face crisis when they enter into an acute emotional situation arising from external sources that one has temporary inability to cope with or deal with.  People face crisis with extraordinary events of disaster and terror or rapidly building stressors that upset the homeostatic balance of the person’s life creating a vulnerable state (2017, p. 9).

James  also gives a more precise definition accumulating the above ideas of crisis.  He refers to crisis  as the “perception or experiencing of an event or situation as intolerable difficulty that exceeds the person’s current resources and coping mechanisms.  Unless the person obtains relief, the crisis has the potential to cause severe affective, behavioral, cognitive malfunctioning up to the point of instigating injurious or lethal behavior to oneself or others (2017, p. 9)”.

Types of Emergencies

Behavioral emergencies when situations escalate to a point of immediate intervention to avoid death or injury (James, 2017. p. 9).  This can include suicide intervention, homicides , lethal situations, abuse, rape, or any type of violent interpersonal behavior.  It can be direct or indirect. Sometimes these emergencies occur due to accidents without intent of injury but injury or life risk occurs.  In other cases, they can be a product of emotional reaction

Another type of emergency is referred to systemic emergencies that affect organizations, communities or nations.  James defines a systemic emergency as a “when a traumatic event occurs such that people, institutions, communities and ecologies are overwhelmed and response systems are unable to effectively contain and control the event in regard to both physical and psychological reactions to it (2017, p.11)”.  These can include natural disasters such as hurricanes, tsunamis, earthquakes or tornadoes, as well as terrorist actions, or public shootings.  Within all crisis is the possible of it spreading.  The term metastasizing crisis is utilized to explain how crisis can outgrow one person and spread to another or how one local crisis can spread to a larger reason.  Crisis Intervention teams and emergency response units look to contain crisis through primary prevention as well as secondary intervention policies to prevent as well as minimize.

In all of these cases, the presence of danger exists. Things can change quickly and there are no quick fixes  In most of these crises, individuals are faced with choice or no choice.  Many are unable to make a choice without help but choosing to do something shows ability to respond and react.  Whether an individual is negatively effected by a crisis depends on their individual makeup.  Any human being can be victim of a crisis but how one responds depends on interior and exterior characteristics of both the person and the the type of emergency.  Resiliency plays a key role in whether one in crisis events and emergencies will go numb, or emotionally instable and uncapable of response.  Ultimately beyond exterior and interior sources of a person, it is ultimately one’s perception of the crisis that has a stronger influence than the actual event itself (James, 2017, p. 11-12).

 Types of Crisis and Transcrisis States

Within these types of emergencies, there exist numerous types of crisis to the individual.  Individuals can suffer from developmental crisis as a result of change throughout life that produces abnormal responses of crisis.  Such examples can include the birth of a child, college, a midlife crisis, or even aging (James, 2017, p. 18).  In addition to developmental crisis, individuals also face situational crises that are uncommon or extraordinary as to result in inability to respond or cope.  Existential crises are far deeper reaching and reach the core of the person’s belief system.  Finally, ecosystemic crises involve acts of nature, or human causes evils or disasters that affect individuals or communities (James, 2017. p. 18).

Individuals can experience many different types of crises.

While it is the job of the Crisis Intervention Specialist to help individuals again find balance during crisis, sometimes individuals carry baggage of unresolved issues and current stressors can trigger past unresolved trauma.  This is referred to as transcrisis states that can emerge.  These states can also occur due to a variety of mental issues ranging from development and unfilled duties, to repressed trauma,  as well as addiction which can lead one into crisis when faced with other issues.

James  notes however that transcrisis state should not be confused with PTSD which is an identifiable disorder linked to a specific trauma (2017, p. 13). While those with PTSD may be in a transcrisis situation, transcrisis by itself is more vague and due to multiple issues and stressors.  The state is one that is residual and reoccurring and always capable of catching fire with a stressor that overflows the cup of the person’s mental abilities.

Basic Crisis Intervention Theories

Lindermann introduced the first basic concepts of Crisis Intervention with his research from survivors from the Coconut Grove Nightclub fire but he focused more solely on normal grief reactions and adjustments to the loss.  Caplan, later would view the whole of the traumatic event as crisis beyond grief and loss.  Caplan listed the the basic qualities of crisis and adjustment to crisis involving disturbed equilibrium, grief therapy, grief work and restoration of equilibrium (James, 2017, p. 14-15).

Other systems would expand on this basic theory and address certain aspects of psychology of one or more over the other.  This included various systems.  First, psychoanalytic theory applied the idea of expanded crisis theory beyond general systems that surround the person to also include the individual’s subconscious thoughts and past emotional experiences and how they relate to the current crisis (James, 2017, p. 15).   Systems theory instead of looking within the person, emphasized analyzing the interrelationships and interdependence of individuals in crisis or the event and how needs were met within those systems.  Via aid and assistance, one can lessen the crisis to the individual or family (James, 2017, p. 16).  Ecosystems theory places more emphasis on the macrosystem involving the person, family or community and the interrelated  elements and how change to one aspect can lead to disarray for the whole (James, 2017, p. 16).   Adaptational Theory focuses on a persons adaptive or maladaptive coping strategies and how good coping will alleviate the crisis sooner than maladaptive reactions. Hence the focus is on how one copes with the issue in a healthy way (James, 2017, p. 16).  Interpersonal theory focus on internal locus of the person and the ability to reshape and reframe and find optimism.  It is based on empathy and listening as well as the ability to help individuals find confidence that will ultimately defeat the crisis state (James, 2017, p. 17-18).  Finally, Developmental theory analyzes how ones development in life has prepared or not prepared an individual for future crisis (James, 2017, p. 18)

Crisis Intervention Models

The three primary models in crisis intervention are the equilibrium model, the cognitive model and psychosocial transition model.

Different models approach crisis from different angles. Please also review AIHCP’s Crisis Intervention Specialist Certification

The Equilibrium model is based off Caplan and identifies crisis state as an emotional and mental imbalance.  Their abilities to cope and meet the needs of the crisis are overwhelmed and require assistance in finding equilibrium as opposed to disequilibrium.  The goal is to help individuals find balance (James, 2017, p. 19).

The Cognitive model looks to correct faulty thinking in crisis regarding the events surrounding the crisis.   The goal is to help the individual become aware of their faulty thinking, reframe and change their views or beliefs about the situation.  They are very much connected with CBT (James, 2017, p. 19).

The Psychosocial model states that individuals are a product of their genes, social influences and social environment.  When crisis arrives, professionals look to help individuals identify internal behaviors and moods as well external factors which are preventing the individual from utilizing resources or workable alternatives to the crisis at hand (James, 2017, p. 19).

A large part of all models is helping individuals again be able to cope with the problem at hand.  Hence the term Psychological First Aid was coined for crisis intervention (James, 2017, p. 20-21).  Like stopping the bleeding of the wound, crisis intervention specialists, first responders, emergency relief, social workers, and chaplains are trained to help individuals by meeting basic needs so the person can regain pre-crisis state. US Department of Veteran Affairs, among many, list the most important steps in psychological first aid.  Some of these issues also deal with supplying basic safety and security, including shelter and food when necessary as part of basic Maslov needs.  Basic Psychological First Aid includes proper contact and engagement which is non-intrusive and compassionate.  It should include a sense of safety and comfort.  It needs to help stabilize if needed the individual from a mental perspective.  It needs to gather information for the needs of the individual and then giving practical assistance for those needs.  Furthermore, it entails connecting the individual with social supports such as family, friends as well as informing the individual how to cope with stress and help the person continue to function.  Finally, it involves securing for the individual future contacts for aid and help with various services for their particular issue or mental health. (James , 2017, p. 21).

Within this first aid model, the ACT model can play as key guide.  One needs to access the problem and understand the needs of the person, connect the person to social support systems and to identify any traumatic reactions or possible future disorders.

Conclusion

Crisis comes in many forms and is universal to all humanity but different people react differently to crisis.  Some may lose emotional balance and equilibrium and need immediate care.  Those in emergency services, chaplaincy, social work, or disaster relief need to understand the nature of crisis and how to help individuals in the moment regain that emotional equilibrium.  While different crisis range and different models exist to help others, crisis intervention is similar to emotional first aid in that it looks to stop the immediate emotional bleeding and help the person again regain control of the situation and be able to cope.  While this only deals with the first phase of a long recovery, like all emergency and acute situations, it is vital for many to be able to survive the initial blast of crisis at during different times.

Please also review AIHCP’s Crisis Intervention Specialist Program

Please also review AIHCP’s Crisis Intervention Specialist Program and see if it meets your academic and professional goals.  The program is online and independent study with mentorship as needed.  The program is and to qualified professionals seeking a four year certification who work in human services,  mental health and healthcare professionals, social work, chaplaincy, nursing,  emergency call centers, first responders, and disaster relief teams.

Resource

James, R. & Gilliland, B. (2017). Crisis Intervention Strategies (8th)”. Cengage

Additional Resources

Boscarino, J. (2015). “Community Disasters, Psychological Trauma, and Crisis Intervention”. Published in final edited form as: Int J Emerg Ment Health. 2015. National Library of Medicine. Access here

Ford, J. D. (2021). Essential elements of crisis intervention. In J. D. Ford, Crises in the psychotherapy session: Transforming critical moments into turning points (pp. 63–79). American Psychological Association. Access here 

Valeii, K. (2024). “Psychological First Aid: How It’s Used”. Very Well Health.  Access here

Wang, D & Gupta, V. (2023). “Crisis Intervention”. National Library of Medicine. Access here

“What to Do In a Crisis”. NAMI. Access here

 

 

 

Strategizing Post-Injury Career Paths: From Health Crisis to Consulting

Posted on by Joseph Gerard

confident male doctor consulting with a patient inside of his office during the dayWritten by Veronica Turner.

Navigating a career transition can be challenging, especially when you’re recovering from an injury. If you’re a healthcare worker looking to pivot into consulting, the path may seem daunting.

However, with strategic planning and focused effort, this shift can open new opportunities and bring fulfillment. In this guide, we’ll explore 13 steps to help you make a successful transition.

From evaluating your new reality to building an online presence and seeking mentorship, these practical tips will support your journey toward a rewarding consulting career while accommodating your recovery needs.

 

13 Steps to Take if You’re an Injured Healthcare Worker and You Want to Transition into a Consulting Role

Step 1: Evaluate Your New Reality

Adjusting to a post-injury life is no small feat, but it’s a crucial first step in your journey toward consulting. Start by honestly assessing your physical and mental capabilities.

Note any limitations and what tasks you’re still able to perform comfortably. This self-assessment helps create a realistic picture of potential career paths. Speak with healthcare professionals who can offer insights into your recovery timeline and future capabilities.

Accepting where you are now versus where you were before the injury allows for better planning. Integrating this new reality into your career strategy ensures that the goals you set will be achievable and sustainable over time.

Step 2: Seek Medical and Legal Guidance

Transitioning from a healthcare role post-injury involves more than just career adjustments; it requires comprehensive medical and legal guidance.

Prioritize ongoing medical evaluations to ensure your recovery is on track. Consult with specialists who understand your condition, as they can provide advice tailored to your needs.

Simultaneously, seek legal guidance to navigate any potential challenges that may arise from your injury. Know when to call a traumatic brain injury attorney if you’re dealing with a significant head injury. They can help you understand your rights and pursue compensation if necessary.

This holistic approach will provide the support needed for a smoother transition into consulting.

Step 3: Identify Transferable Skills

Transitioning into a consulting role starts with recognizing the valuable skills you’ve honed as a healthcare professional. Begin by cataloging abilities such as problem-solving, critical thinking, and effective communication. These competencies are sought after in the consulting world.

Additionally, consider your experience with patient management, medical knowledge, and navigating complex systems; these can seamlessly translate into consultancy services.

Talk to colleagues who’ve made similar transitions to better understand which skills are most marketable. By pinpointing your transferable skills, you’ll be able to position yourself more effectively and confidently in the consulting arena, paving the way for a successful career shift.

Step 4: Conduct Market Research

Before diving into the consulting world, conducting thorough market research is crucial.

Start by identifying industries where your healthcare experience could be highly beneficial, such as pharmaceuticals, health IT, or hospital management. Look into current trends and demands in these sectors to gauge where your expertise can add the most value.

Also, analyze competitors and understand their service offerings; this will help you carve out a niche for yourself. Connect with industry professionals through online forums and LinkedIn groups to gather firsthand insights. Proper market research will give you a clearer picture of potential opportunities and help tailor your skills to meet market needs effectively.

Step 5: Update Your Resume and LinkedIn Profile

A polished resume and an optimized LinkedIn profile are essential for making a successful transition into consulting. Highlight your transferable skills prominently, focusing on achievements that showcase problem-solving, project management, and leadership abilities.

Tailor your resume to align with the specific requirements of consulting roles you’re interested in. On LinkedIn, update your headline to reflect your new career direction and ensure your summary tells a compelling story about why you’re shifting to consulting.

Include keywords relevant to consultancy to increase visibility in searches. Don’t forget to request endorsements and recommendations from colleagues who can vouch for your expertise and reliability; these can add significant credibility.

Step 6: Gain Certification (if Needed)

Depending on your target consulting niche, obtaining relevant certifications can enormously boost your credibility and marketability. Research which certifications are most respected in the consulting field you’re aiming for.

Options like PMP (Project Management Professional), Lean Six Sigma Black Belt, or specific healthcare management certifications could be valuable additions to your profile.

Enrolling in certification courses demonstrates a commitment to growth and mastery of skills. Many online platforms offer flexible learning suited for individuals transitioning careers.

Completing these certifications not only enhances your resume but also equips you with updated knowledge, giving you a competitive edge in the consulting landscape.

Step 7: Network Within Your Industry

Building a strong network is invaluable when transitioning into consulting. Start by reconnecting with former colleagues and industry peers who can offer advice or refer you. Join professional organizations related to consulting and healthcare to expand your circle further.

Attending industry events, webinars, and conferences – whether virtual or in-person – provides excellent networking channels. Engaging in discussions on social media platforms like LinkedIn groups can also help you stay updated on industry trends and identify job openings.

By fostering these relationships, you’ll not only gain insights but also build a supportive community that can assist you during this career shift.

Step 8: Build an Online Presence

Creating a strong online presence is essential for establishing credibility in the consulting world.

Start by setting up a professional website that showcases your expertise, services, and client testimonials. Consistently publish high-quality content like blog posts, articles, or videos on topics relevant to your field. Participate in online discussions to increase your visibility.

Share your insights through guest posts on established platforms or by hosting webinars. Leveraging social media strategically – especially LinkedIn – can also help you connect with potential clients and collaborators. By becoming an active participant in online communities, you’ll position yourself as a thought leader and attract more opportunities.

Step 9: Consider Freelancing

Freelancing can be an excellent stepping stone as you transition into consulting. It allows you the flexibility to manage your recovery while gaining relevant experience. Start by taking on small projects that align with your expertise and gradually scale up as you build confidence and a client base. Platforms like Upwork or Freelancer can help you find initial projects.

Freelancing also provides an opportunity to test different niches within consulting, helping you identify where your skills are most valuable. This approach not only builds your portfolio but also lets you refine your services without making an immediate full-time commitment.

Step 10: Assess Financial Readiness

Before making the leap into consulting, take a close look at your financial situation to ensure you’re prepared for the transition. Calculate your current living expenses, and factor in any additional costs related to starting your business, such as marketing or certification fees.

It’s wise to have an emergency fund that can support you for several months without steady income. Consider speaking with a financial advisor who can help you create a budget and plan for this career move. Understanding your financial readiness will give you peace of mind and allow you to focus more on building your new consulting career.

Step 11: Hone Your Knowledge

Staying updated with industry trends and advancements is crucial for anyone considering a transition into consulting. Enroll in online courses or attend workshops to deepen your expertise in areas relevant to consultancy.

Reading industry journals, whitepapers, and blogs can keep you informed about the latest trends. Participate in webinars and podcasts to gain insights from seasoned professionals.

This continuous learning not only enhances your skill set but also positions you as an expert who is well-versed in current issues and solutions. By consistently honing your knowledge, you’ll be better equipped to offer valuable advice and maintain a competitive edge.

Step 12: Seek Mentorship

Finding a mentor who has successfully navigated the transition from healthcare to consulting can be invaluable.

A mentor offers guidance, shares experiences, and helps you avoid common pitfalls. Look for mentors through professional networks, industry associations, or online platforms like LinkedIn. Don’t hesitate to reach out and ask for their insights and advice.

A good mentor can provide you with practical tips on building your consultancy business, suggest resources for further learning, and even introduce you to potential clients or collaborators. Having someone to support and advise you during this transition will boost your confidence and help streamline your journey into consulting.

Step 13: Prepare for Interviews

Transitioning into a consulting role means you’ll need to excel in interviews.

Start by researching common interview questions and scenarios specific to consultancy positions. Practice articulating how your healthcare experience is relevant, focusing on problem-solving, analytical skills, and project management.

Prepare case studies that highlight your ability to handle challenging situations effectively. Role-play interview scenarios with friends or mentors to get comfortable with speaking about your skills and achievements confidently. Additionally, tailor your responses to emphasize how your unique background makes you an asset in the consulting world.

Being well-prepared will help you make a strong impression during interviews.

 

These Steps Will Help You Transition Successfully

Embarking on a new career path after an injury may feel overwhelming, but remember, every step you take moves you closer to your goal. With determination and the right strategies, transitioning to a consulting role is not only possible but can also be incredibly fulfilling.

Don’t hesitate to leverage your unique skills and experiences in healthcare; they are valuable assets in the consulting world. Stay proactive, seek support when needed, and keep sharpening your knowledge. Your journey may have its challenges, but it also holds immense potential.

 

Author Bio: Veronica Turner is a health and lifestyle writer with over 10 years of experience. She creates compelling content on nutrition, fitness, mental health, and overall wellness.

 

 

Please also review AIHCP’s  Certification programs and see if it meets your academic and professional goals.  These programs are online and independent study and open to qualified professionals seeking a four year certification

Crisis Intervention Model: Essential Steps for Effective Response

Posted on by Dominick Flarey

By – James M. Katz, BA

A Crisis Intervention Counseling professional Helping a client
In moments of acute stress and upheaval, the deployment of an effective crisis intervention model can mark the difference between escalation and resolution. Within the framework of mental health and emergency response, such models serve as structured approaches for professionals, including members of a crisis intervention team, to provide immediate emotional support and mitigate the impact of the crisis. Recognizing the importance of these models is paramount in addressing a mental health crisis efficiently, ensuring individuals receive the necessary support during their most vulnerable moments.

This article navigates through various crisis intervention models, delving into their structures, methodologies, and applications. From the ABC Model of Crisis Intervention, which lays out a straightforward approach to crisis response, to Roberts’ Seven-Stage Crisis Intervention Model and the newer SAFER-R Model, the discussion extends to Lerner and Shelton’s 10 Step Acute Stress & Trauma Management Protocol. Each model offers unique perspectives and strategies on managing crisis interventions effectively. By exploring these different frameworks, the piece aims to guide professionals in choosing the right model to apply in diverse scenarios, fortifying their crisis intervention and response capabilities.

Key Takeaways

  • Crisis intervention models offer structured approaches for helping individuals in acute distress.
  • Different models, such as the ABC Model, Roberts’ Seven-Stage Model, and SAFER-R, provide unique strategies and frameworks.
  • Training and proper implementation of these models are crucial for their effectiveness in real-world scenarios.
  • Understanding the strengths and limitations of each model helps in selecting the most appropriate intervention for specific situations.
  • Integration of multiple models can enhance the overall effectiveness of crisis intervention efforts.

Understanding Crisis Intervention Models

Definition and Purpose

Crisis intervention is a short-term management technique employed to reduce the risk of long-term damage to individuals experiencing acute mental health crises. These crises can range from the trauma of losing a loved one to the stress of a severe illness. The primary aim is to stabilize the individual, provide immediate support, and prevent potential psychological trauma. By obtaining background information, establishing a relationship, and facilitating understanding and coping strategies, professionals can help individuals return to their mental baseline and avoid lasting harm.

Importance in Mental Health

The role of crisis intervention in mental health cannot be overstated. It serves as a critical response mechanism that can prevent the escalation of a crisis into a more severe mental health condition, such as major depressive disorder. Studies have shown that interventions can lead to reduced hospital return visits and shorter stays, which underscores their effectiveness compared to standard care. Furthermore, community mental health centers and local government agencies often employ crisis intervention teams that play a pivotal role in community support during natural or man-made emergencies, enhancing overall psychiatric outcomes.

These teams are equipped to assess and manage crisis situations promptly, providing essential support and referrals to further mental health resources. Their ability to intervene effectively can be crucial in preventing the development of more severe mental health issues and in supporting individuals in regaining control over their lives.

Types of Crisis Intervention Models

ABC Model

The ABC Model of Crisis Intervention is a streamlined approach that combines various methods from crisis counseling experts. Developed further by Kristi Kanel in 2014, this model focuses on three critical stages: establishing and maintaining rapport (A), identifying the problem (B), and coping (C). It emphasizes building trust with the client, understanding the crisis event and its impact, and developing strategies for coping with the situation.

Roberts’ Seven-Stage Crisis Intervention Model

Albert Roberts developed his Seven-Stage Crisis Intervention Model over many years, drawing on foundational crisis theory work by Caplan, Golan, and Lindeman. Published in 2005,  the model outlines a systematic process starting with a thorough assessment of the client’s emotional, cognitive, and behavioral reactions, rapidly establishing rapport, identifying key problems, exploring feelings, developing alternative coping strategies, implementing an action plan, and concluding with follow-up sessions to ensure the client’s recovery.

SAFER-R Model

The SAFER-R Model, created by Dr. George Everly in 1996,  is structured around the biopsychosocial needs of individuals during a crisis. It includes steps such as Stabilize, Acknowledge, Facilitate understanding, Encourage coping, and Recovery or Referral. This model is particularly noted for addressing immediate health and psychological needs, encouraging effective coping mechanisms, and ensuring social support systems are in place to aid recovery.
Lerner and Shelton’s 10 Step Acute Stress & Trauma Management Protocol

Developed by the American Academy of Experts in Traumatic Stress, Lerner and Shelton’s protocol provides a comprehensive 10-step approach to manage acute stress and trauma. Key steps include assessing safety, understanding the mechanism of injury, evaluating responsiveness, addressing medical needs, and providing support. This protocol is designed to help emergency responders effectively manage traumatic events and support individuals in navigating through trauma.

ABC Model of Crisis Intervention

Establishing Rapport

The initial stage of the ABC Model of Crisis Intervention focuses on developing and maintaining rapport, which is crucial for building a trusting relationship between the counselor and the individual in crisis. Effective rapport is achieved through both physical and emotional connections. Physically, counselors ensure there are no barriers such as tables or chairs between themselves and the individual, maintain solid eye contact, and orient their bodies towards the person, indicating positive regard. Emotionally, establishing safety and comfort involves validating the individual’s feelings, using empathetic statements, and maintaining a calm, even tone of voice. These attending behaviors demonstrate to the client that the counselor is genuinely engaged and listening, which encourages the individual to communicate more openly and freely.

Identifying the Problem

Once rapport is established, the next step involves identifying the problem. This phase is critical as it helps to clarify the nature of the crisis and the individual’s perceptions and emotions related to it. Counselors use a mix of open and closed questions to delve into the underlying issues that have led to the crisis. By understanding the precipitating events and the individual’s emotional responses, counselors can better address the specific needs and concerns of the person. This process includes recognizing any impairments in functioning, such as difficulties at work or school, and assessing the individual’s pre-crisis level of functioning. Ethical considerations are also crucial at this stage, ensuring that issues like potential harm to oneself or others are addressed.

Coping Strategies

The final stage of the ABC Model is focused on coping and adaptation. Here, counselors work with the individual to develop effective coping strategies that can help manage and mitigate the crisis. This involves exploring past coping behaviors to understand what has been effective or ineffective. Counselors encourage the development of new, healthier coping mechanisms and may suggest additional support such as therapy, support groups, or other community resources. The goal is to empower the individual to handle similar situations in the future more effectively and to establish a plan that includes follow-through on the coping strategies discussed. This stage is crucial for helping the individual regain a sense of control and moving towards recovery.

Roberts’ Seven-Stage Crisis Intervention Model

Stages Overview

The Roberts’ Seven-Stage Crisis Intervention Model, developed by Albert Roberts in 1991, is a comprehensive framework used to guide clinicians in systematically addressing and managing crisis situations. The model emphasizes a structured planning and implementation of interventions to ensure effective crisis resolution. It involves the following stages:

1. Plan and Conduct Crisis and Biopsychosocial Assessment: This stage includes assessing the risks of suicide, medical needs, and identifying protection and persistence resources such as family and other support systems.
2. Establish Rapport and Psychological Relationship: Clinicians focus on building trust and acceptance with clients, ensuring a therapeutic relationship is formed without judgment.
3. Identify Dimensions of the Problem or Crisis: Evaluating the issues and challenges faced by the clients, this stage shines a light on potential coping mechanisms.
4. Explore Feelings and Emotions: Active listening and empathetic responses are key to understanding the emotional state of the clients, enhancing the helping process.
5. Explore Alternative Coping Strategies: This involves assessing previously used methods and creatively finding new solutions that suit the client’s situation.
6. Develop an Action Plan: Clinicians work with clients to identify support networks and reference sources that can aid in the execution of the coping strategies.
7. Follow-Up Plan: Planning follow-ups is crucial to evaluate the client’s progress and ensure they are managing the crisis effectively post-intervention.

Implementing Each Stage

Implementation of each stage in the Roberts’ Seven-Stage Crisis Intervention Model requires a careful and tailored approach to each client’s unique situation. Clinicians begin with a thorough biopsychosocial assessment, including lethality measures, to grasp the full scope of the crisis. Establishing a rapid, collaborative relationship is crucial for effective intervention and client comfort.

As they move through the stages, clinicians explore the client’s feelings and the dimensions of their problems, including crisis precipitants or the “last straw” events. This exploration is supported by active listening, validation of the client’s emotions, and an avoidance of victim-blaming.
Generating and exploring alternatives is a collaborative process, where clinicians empower clients to generate their own solutions and provide access to untapped resources. The development of an action plan is a participatory process, ensuring clients are involved in every step and have various options for organizing and recording their plans.

The follow-up stage is flexible but structured, aimed at maintaining client safety and integrating trauma-specific services if necessary. Clinicians remain sensitive to the potential for re-traumatization and ensure that any necessary adjustments to autonomy are transparent and minimal.
By adhering to these stages, clinicians can provide a trauma-informed, effective response to clients in crisis, supporting them in navigating through and ultimately overcoming the crisis.

SAFER-R Model

Principles of the Model

The SAFER-R Model, developed by Dr. George Everly, is rooted in the biopsychosocial model and addresses the immediate needs of individuals in a crisis. This model is designed not as a therapy substitute but as a method for stabilizing and mitigating acute crisis reactions. It is widely recognized for its effectiveness in crisis intervention, especially in fields requiring quick and efficient psychological first aid, such as emergency services and military operations.

Steps to Implement the Model

1. Stabilize: The first step involves ensuring the individual’s basic needs are met. This includes assessing their safety, health status, and immediate physical needs like food or drink to help stabilize their condition.
2. Acknowledge: This step focuses on acknowledging the crisis event and the individual’s reactions to it. It involves listening to the details of the event without judgment and understanding the emotional impact on the individual.
3. Facilitate Understanding: At this stage, the responder helps the individual understand and normalize their reactions to the crisis. This involves encouraging the expression of difficult emotions and providing reassurance as they move towards recovery.
4. Encourage Effective Coping: This involves identifying and reinforcing the individual’s personal coping mechanisms. It also includes discussing physical self-care practices such as diet, hydration, and sleep, alongside exploring available social support to aid in stress reduction and return to normalcy.
5. Recovery or Referral: The final step assesses the individual’s recovery progress and determines the need for further care. If the individual’s condition is not adequately stabilized, referrals to mental health professionals are considered to ensure continued support and care.

By following these steps, practitioners can provide immediate and effective support to individuals experiencing a crisis, helping them navigate through their immediate challenges and commence the recovery process.

Lerner and Shelton’s 10 Step Acute Stress & Trauma Management Protocol

Steps Overview

Lerner and Shelton’s 10 Step Acute Stress & Trauma Management Protocol, developed by the American Academy of Experts in Traumatic Stress, offers a structured approach for emergency responders handling traumatic events. The protocol includes the following steps:

1. Assess for danger/safety of self and others: Ensure the safety of the patient, those around them, and the responder.
2. Consider the mechanism of injury: Determine how the trauma has affected the individual physically or mentally.
3. Evaluate the level of responsiveness: Check if the individual is under the influence of substances or otherwise impaired.
4. Address medical needs: Provide immediate medical care as necessary.
5. Observe and identify: Recognize signs of traumatic stress in the patient.
6. Connect with the individual: Establish rapport and begin to communicate with the patient.
7. Ground the individual: Encourage the patient to discuss the traumatic event and ground their experience in reality.
8. Provide support: Offer empathy and actively listen to the patient’s concerns.
9. Normalize the response: Validate the patient’s reactions to the trauma and reassure them that recovery is possible.
10. Prepare for the future: Help the patient anticipate future challenges and provide referrals for ongoing support.

Application in Crisis Situations

The word Crisis in bold lettering showing the need for Crisis Intervention CounselingIn crisis situations, the protocol provides practical tools to address a wide spectrum of traumatic experiences, from mild to severe. It aims to “jump-start” an individual’s coping and problem-solving abilities, stabilize acute symptoms of traumatic stress, and stimulate healthy, adaptive functioning. The protocol is particularly effective in connecting with emotionally distraught individuals, offering strategies to engage and support them through challenging emotional states.
For instance, emergency responders might use techniques such as Distraction, Disruption, and Diffusion to engage individuals who are displaying intense emotional reactions. These techniques help break through emotional barriers by matching or redirecting the individual’s emotional and physical state, thereby facilitating a more controlled and supportive intervention.

Overall, the Lerner and Shelton’s protocol is designed not only to manage the immediate effects of trauma but also to enhance the long-term well-being of those affected, increasing the likelihood of seeking further mental health intervention if needed.

Choosing the Right Model

When selecting a crisis intervention model, several critical factors should be considered to ensure the chosen approach aligns with both the practitioner’s capabilities and the specific needs of the client.

Factors to Consider

1. Philosophical and Professional Alignment:  Professionals should choose a crisis intervention model that resonates with their personal philosophy and professional style. It’s also vital to consider the requirements and protocols of the organizations they are affiliated with, as these often dictate the specific models and approaches to be employed.
2. Model Suitability and Goals: Each crisis intervention model, from the ABCD Model to Psychological First Aid, aims to stabilize, reduce symptoms, and restore adaptive functioning. Selecting the right model involves understanding the specific goals of each and matching these with the crisis at hand.
3. Client’s Needs and Crisis Type: The nature of the crisis—  whether it is acute, chronic, developmental, or situational—significantly influences the choice of an intervention model. A model that provides immediate problem-solving may be suitable for acute crises, whereas others that offer more emotional support may be better for chronic conditions.
4. Cultural and Contextual Sensitivity: The chosen model must be adaptable to the cultural context and sensitive to the unique circumstances of the client. This includes considering the client’s background, existing support systems, and risk factors.

Tailoring to Individual Needs

The effectiveness of a crisis intervention greatly depends on how well the model is tailored to meet the individual needs of the client. This includes:

1. Assessment of Immediate Needs:  Identifying the immediate needs of the client is crucial. This involves a rapid assessment of their physical and emotional safety and determining the most pressing concerns to address.
2. Building Rapport: Establishing a strong rapport is foundational in crisis intervention. The chosen model should facilitate a connection that makes the client feel understood and supported, enhancing the effectiveness of the intervention.
3. Empowerment and Participation: Engaging clients in the intervention process empowers them and can lead to more effective outcomes. The model should encourage clients to participate actively in developing coping strategies and making decisions about their care.
4. Adaptability and Flexibility: The model must be flexible enough to adapt to the changing dynamics of the crisis. This includes being able to shift strategies as the client’s needs evolve during the intervention process.

By carefully considering these factors and tailoring the intervention to the individual needs of the client, crisis intervention professionals can enhance their effectiveness, leading to better outcomes for those they serve.

Best Practices in Crisis Response

Strategic Crisis Response planning is necessary for developing a comprehensive crisis intervention plan before deployment and providing services. Knowing what sequence of crisis intervention processes to use for which individuals or groups, at what times, and under what circumstances is crucial to all effective early intervention programs. An effective strategic plan identifies and assesses target populations and determines the types of interventions, when to apply the interventions, and the resources required.

Ethical Considerations

Numerous crisis response programs, services, approaches, and methods have been developed to prevent, mitigate, and recover from the natural human stress reactions in the aftermath of tragic events. All crisis intervention modalities have the same goals: to stabilize, reduce symptoms, and return to adaptive functioning or to facilitate access to continued care. Ethical considerations are paramount in ensuring that interventions are both effective and respectful of the individuals’ rights and needs.

Case Management Strategies

Observe the signs and symptoms of distress and use appropriate crisis intervention tactics in response to those symptoms. Differentiate which signs and symptoms of acute stress have the potential for long-term effects and address those. Consider the needs of the individual and tailor crisis intervention to those needs. Time the crisis intervention based on the readiness of the individual rather than the actual passage of time.

Psychological First Aid (PFA)

Basic Elements

Psychological First Aid (PFA) is a supportive intervention designed to help individuals in the immediate aftermath of a disaster or traumatic event. It focuses on providing practical care and support, assessing needs and concerns, and helping people address basic needs. PFA is not about diagnosing or treating mental health conditions but about promoting a sense of safety, calm, and hope.

Use in Disaster Response

PFA is widely used in disaster response scenarios to provide immediate emotional and psychological support to affected individuals. It is designed to be simple and pragmatic, ensuring that responders can offer effective assistance without needing extensive mental health training. The approach is flexible and can be adapted to various cultural contexts and specific disaster situations.

Training and Certification

Training in PFA equips responders with the skills to offer immediate support and identify those who may need more intensive mental health care. Certification programs are available to ensure that individuals are adequately prepared to deliver PFA in crisis situations. These programs often include modules on active listening, empathy, and practical problem-solving skills.

Theories Underpinning Crisis Intervention Models

Crisis intervention is a relatively new field compared to other forms of therapy, and as such, crisis theory is still being developed. Most forms of therapies have an underlying theory based on research that provides a framework for treatment. The crisis intervention models were developed by experts in the field who provide crisis intervention and are based on both their experiences and research. Foundational theories by Caplan, Golan, and Lindemann have significantly influenced modern crisis intervention models. Intervention specialists have begun to make connections between the underlying emotions and circumstances common in crisis intervention, regardless of the type of trauma causing the crisis.

Conclusion

A cartoon character walking a tight rope as the hand of a crisis Intervention Counselor leads them across.
Throughout this discourse on crisis intervention models, we’ve traversed a panoramic landscape of methodologies, from the ABC Model’s structured simplicity to the depth of Roberts’ Seven-Stage Crisis Intervention Model and the biopsychosocial groundedness of the SAFER-R Model, signaling the cornerstones of crisis response. The essence captured within each model illuminates the imperative of tailored interventions, underscoring the diversity and complexity inherent in crisis situations. By distilling these models to their core principles, we’ve aimed to furnish professionals with the insights necessary to navigate the multifaceted realms of crisis intervention, highlighting the quintessential goal: stabilizing, supporting, and steering individuals through their most tumultuous times toward a semblance of their pre-crisis equilibrium.

Significantly, our journey through the various models reiterates the broader implications these methodologies bear on the fields of mental health and emergency response—emphasizing the need for an adept, compassionate, and informed approach to crisis intervention. As we culminate our exploration, the call to action extends beyond the confines of theory into the practical realms where these models find their application. It enjoins professionals to continuously refine their skills, advance their understanding, and remain agile in their methodologies, thus ensuring that individuals in crisis receive not just immediate relief but a pathway to recovery rooted in understanding, empathy, and effective intervention strategies. The commitment to adopting and adapting these models according to individual needs and crisis contexts consequently positions professionals to make a substantive difference in the lives of those they aim to serve.

If you’re a mental health counselor or in the healthcare, Mental healthcare, or emergency service industries and would like to learn more about crisis intervention counseling please consider reviewing the rest of our website. We offer an online Crisis Intervention Counseling program as well as Crisis Intervention Counseling courses for professional CE credits. For more information about our Certification in Crisis Intervention Counseling please visit our program’s webpage here. 

FAQs

What are crisis intervention models?

Crisis intervention models are structured approaches used by counselors to help individuals in crisis. They represent the clinical processes that can be used individually or in combination to meet the needs of a person in crisis.

Why is it important to choose the right crisis intervention model?

Choosing the right crisis intervention model is crucial because it should align with the counselor’s philosophy, personality, and professional style. Additionally, organizations may require specific protocols to ensure that volunteers are properly trained and can work well with other team responders.

What are some examples of crisis intervention models?

Some examples of crisis intervention models include the ABC Model, Roberts’ Seven-Stage Crisis Intervention Model, Lerner and Shelton’s 10-Step Acute Stress & Trauma Management Protocol, the SAFER-R Model, and the ACT Model.

What are the six steps involved in crisis intervention? Crisis intervention consists of six key steps:

• Step One: Define the Problem. This step involves identifying the specific problem that needs to be addressed.
• Step Two: Ensure Safety. The priority in this step is to secure the safety of all individuals involved.
• Step Three: Provide Support. Offering emotional and practical support is crucial at this stage.
• Step Four: Examine Alternatives. This involves exploring different solutions to the problem.
• Step Five: Make a Plan. Develop a clear plan of action to tackle the crisis.
• Step Six: Obtain Commitment. Secure a commitment to the plan from all parties involved.

What are the five phases of the crisis management model? The crisis management model includes five distinct phases:

• Phase 1: Early Warning and Signal Detection. Recognizing the signs that a crisis may be imminent.
• Phase 2: Preparation and Prevention. Taking steps to prepare and prevent the crisis.
• Phase 3: Damage Containment. Efforts to limit the impact and spread of the crisis.
• Phase 4: Recovery. Working towards normalcy and repairing damage.
• Phase 5: Learning and Reflection. Analyzing the crisis to improve future responses.

What are the four stages of crisis response? The response to a crisis can be broken down into four stages:

• Pre-crisis: The phase before the crisis occurs.
• Crisis: The actual occurrence of the crisis.
• Response: Actions taken to deal with the crisis.
• Recovery: Efforts to return to normalcy and learn from the crisis.

What are the three steps of the ABC model of crisis intervention? The ABC model of crisis intervention includes three primary steps:

• A: Developing and maintaining rapport. Establish a connection with the individual in crisis.
• B: Helping the individual identify and process their feelings and perceptions related to the crisis.
• C: Encouraging focus on coping and adaptation strategies. Assist the individual in finding ways to manage and adapt to their situation.

What is Psychological First Aid (PFA)?

Psychological First Aid (PFA) is a crisis intervention model used in disaster response. It aims to reduce initial distress and foster short- and long-term adaptive functioning and coping.

Why is ongoing training important in crisis intervention?

Ongoing training is essential in crisis intervention to ensure that counselors are up-to-date with the latest techniques and best practices. Proper training also ensures that they can effectively implement the chosen crisis intervention models and work well within their organizations.

What is Critical Incident Stress Management (CISM)?

Critical Incident Stress Management (CISM) is a crisis intervention model that focuses on providing support to individuals who have experienced traumatic events. It is often used in organizational settings and has a significant impact on first responders.

Additional Resources:

The Impact of Organizational Culture on Leadership Strategies in Crisis Management. Niña A. Martinez, Et Al. Excellencia: International Multi-Disciplinary Journal of Education (2994-9521), Vol. 1 No. 5 (2023). ARTICLES Published 2023-11-29

Access link here 

Review: Crisis responses for children and young people – a systematic review of effectiveness, experiences and service organisation (CAMH-Crisis). Deborah Edwards, Judith Carrier, Et Al. The Association for Child and Adolescent Mental Health. First published: 14 February 2023

Access link here

Solution Focused Brief Therapy Telemental Health Suicide Intervention. Finlayson, B.T., Jones, E. & Pickens, J.C. Contemp Fam Ther 45, 49–60 (2023).
Access link here

The spatial (in)stability of mental health calls for police service. Jacek Koziarski. (2022). Criminology & Public Policy 22:2, pages 293-322.

Access link here 

 

Emotional Control and Communication in Conflict Resolution

Posted on by Dominick Flarey

Conflict is natural because of disagreement.  Whether the conflict is minor, verbal, or becomes violent, depends on the situation, time and place.  Individually and socially, conflict occurs everyday at different levels.  Whether at work and a disagreement occurs, or at home and an argument ensures, conflict is part of daily life.  Just because conflict and differences exist, does not mean it has to be a bad thing or dangerous thing.  While many conflicts spiral out of control into professional, personal or even social chaos, conflicts do not need to become divisive and destructive forces.  Differences can be discussed, mended and aligned to incorporate benefits for everyone.

Conflict resolution requires emotional control, communication, listening and an ability to understand wants and needs of self and other.

 

However, certain differences can only be mended so far.  Certain differences cannot always make every side happy and certain differences will leave some with some resentment.  It is how one intellectually and emotionally handles a conflict that matters sometime the most.  When wars result or family feuds ensue, then no matter the conclusion, no-one benefits.  Hence it is important to to not only employ good conflict resolution skills but also manage emotions.

Emotions

Emotions can turn an argument or conflict into an aggressive verbal and sometimes physical battle with only impasses.  In this case, when entering into any conflict resolution meeting, or entering into argument or debate, to present oneself with a calm mind.   Anger Management is key.  Focusing on dislikes of other person or group,  lingering on past insults or wrongs, allowing prejudices to warp the intellect and issuing insults can only escalate.  The key is to de-escalate when conflict emerges during discussion.  It is important to identify one’s own triggers, as well as the other individual’s triggers.   Once these are identified, it is easier to avoid and also limit. Avoid being overly defensive or quick to respond if something upsets.  There are good ways to respond to criticism and bad ways.  It is key during conflict resolution to respond well.

Conflict resolution requires emotional control and intellectual reason.

 

Furthermore, one needs to identify tone of voice, body position and movement in regards to dealing with the individual.  How one initially represents oneself can determine the outcome of a discussion.  This is true when arguing with a spouse or friend, debating with another person, crafting a business deal, negotiating a bill, or even responding to an officer at a basic traffic stop. When one insults or past biases are voiced in an aggressive manner, the other person will automatically assume a more defensive position and be far less willing to listen.  Name calling and insulting while dismissing the primary topic is a good way to end any resolution before it ever begins.  Instead be calm and collective and be positive.  Avoid negative sentences and “I” statements, but keep very close to the topic and avoid ad hominem argumentation.   Compliments and acknowledgement of other another side’s view and an appreciation of one’s concerns can open a far more healthy dialogue.

Communication

Obviously a healthy a dialogue is the purpose.  Each dialogue has an end goal.  To reach the established end goal, involves communication and listening.  When one speaks so loudly above others, one not only alienates oneself from the other side, but also is unable to hear points and counter points. When pointing out strengths and weaknesses of one’s view,  there should be a clear line of respect and time for each side to fully articulate each other’s point of view.  Proper listening and communication is hence a pre-requisite in any negotiation or mediation and is as important as emotional control.

Reactions to Conflict

When dealing with conflict there are a variety of ways to handle it.  The article, “5 Conflict Resolution Strategies: Steps, Benefits and Tips” by Jennifer Herrity points out some key ways some may deal with conflict and its resolution.  She states,

“Conflicts are struggles that can arise during an active disagreement of opinions or interests, so it’s important to understand how to navigate and resolve them. In the workplace, there are many instances in which conflict can happen between coworkers, and when it does, it is important to resolve the situation before it escalates. In this article, we discuss five conflict resolution strategies, how to use them in the workplace and the benefits of conflict resolution…Different people use different methods to resolve conflict, depending on their personalities and preferences. The five most common strategies, known as the (Kenneth) Thomas-(Ralph) Kilmann model,  used to resolve conflicts in the workplace include”

“5 Conflict Resolution Strategies: Steps, Benefits and Tips”. Herrity, J. (2023). Indeed.

To review the entire article, please click here

Individuals when dealing with conflict can avoid the argument completely.  This passive reaction to an argument can lead many unresolved issues and deeper resentment.  Many introverts and passive individuals will flee conflict however instead of arguing or feeling bullied into an issue by a more aggressive personality.  Avoidance may relieve temporary tension but it does not resolve the existing issue.

How to resolve a conflict has many options. Please also review AIHCP’s Anger Management Program

 

Other individuals will actively engage and compete against the other person. They will completely and totally reject the entirety of the other person’s argument and push only for one’s own ideal or solution.  This leads to active hostility and disagreement and also offers no other solution.  Whether in business, politics, or international war, this leads to one eventually exerting power over the other or leaving a totally dissatisfied side which will later re-emerge with similar issues.Other individuals will accommodate the other individual.  This may lead to short term peace but again only presents a lingering issue.  Sometimes accommodation is purposely utilized to resolve short term issues with true sights on longer term venues.

Compromising, like accommodation, also provides a short term solution but usually leads to longer term issues and revisiting to the lasting issue.  Those in compromise though both walk away with a distaste but also a small gain.

Finally, collaboration is the ultimate solution when possible.  In this scenario, all individuals win because they work together towards something better.  Each side realizes the value of the other and combine their forces and ideas towards a greater good.

Character Matters

Understanding the sides of both and avoiding bias is key in conflict resolution. Please also review AIHCP’s Crisis Intervention Certification

 

Individuals must also during any type of negotiation or conflict resolution possess some sort of character and ability to read it in others.  One should be able to analyze one’s own strength and weaknesses and see where one is right or wrong.  One must also understand the type of personality one is dealing with across from them.  What type of temperament, personality and demeanor consists within this individual.  Are they more of an exertive dominant Personality A, or a more passive Personality B?  One should be prepared to know maximum and minimum extremes one will waver, as well as the other, and then make a solid logical and honest agreement.  Keeping one’s word and processing a fair agreement meets with all standards of justice and integrity.  When many nations or individuals break deals, conflict is always unavoidable.  This is why the deal should always be just and not overtly benefiting oneself.  Trouble will only emerge later.  This should be seen as looking out for the future and avoiding unneeded drama in future days.

Conclusion

Personal interaction will always breed conflict because different people have different opinions.  It is important to protect one’s own interests but to also be fair and just. This is accomplished through communication, listening and understanding the person.  It involves anger management and emotional restraint in how one debates another view.  It demands logic, justice and a fair view of oneself.  When these qualities are missing, conflict resolution is moot and conflict itself will emerge.

Please also review AIHCP’s Crisis Intervention, Anger Management and Stress Management Programs.  The programs are online and independent study and open to qualified professionals seeking a four year certification.  Those seeking to help resolve issues and conflicts can easily utilize a Crisis Intervention Certification or Anger Management Certification to their resume and utilize the skills to better apply conflict resolution both personally and professionally whether at home, work, school, politics or at the international level.

Resources

“Conflict Resolution” MTCT. Mind Tools.  Access here

“How to Control Your Emotions During a Difficult Conversation”. Gallo, A. (2017). Harvard Business Review. Access here

“Conflict Resolution Skills”. (2023). HelpGuide.org.  Access here

“14 Conflict Resolution Strategies for the Workplace”. Wilson, C. (2022). Positive Psychology.  Access here

 

 

 

 

The Need for Better Mental Health and Crisis Intervention in Corrections

Posted on by Dominick Flarey

By James M Katz, BA

 

Photo showing a gentleman holding a plate with a circle design with the words Crisis in Blue in the middle of the circle

Crisis intervention in the correctional system is an important and necessary component of providing effective support to individuals going through difficult times. With the current population of inmates coming from a wide variety of backgrounds, it is essential for correctional facilities to have a plan in place that can provide immediate help to those struggling with mental health issues. This post will provide an overview of how crisis intervention works, its importance in maintaining a secure and healthy environment for inmates, as well as the different types of interventions available.

In the modern criminal justice system, corrections officers are responsible for providing a safe and humane environment for inmates. This task can be particularly challenging when faced with individuals in crisis. Crisis intervention team involves using specific strategies to de-escalate a situation, rather than relying solely on physical force. It is important that corrections officers understand the principles of crisis intervention and have the skills to respond appropriately and effectively in any given situation. The field of corrections is highly complex and carries with it a wide range of challenges. With the introduction of crisis intervention practices, correctional facilities have been able to better equip their staff in responding to difficult situations. Crisis intervention training has emerged as an essential tool for managing inmates and disrupting violent behaviors before they escalate out of control. This article below examines how better mental health resources is not only reducing the costs of corrections but improving the lives of potential suspects even before incarceration.

“There’s no doubt that among the ways Cuyahoga County could reduce costs and crises at a crowded, inefficient County Jail sorely in need of expensive renovation or replacement is by reducing the jail population. That can be accomplished through bail reform and more efficient, fairer management of cases. But it also could be achieved by making sure that suspects in need of treatment for mental health or addiction are diverted for appropriate treatment first.

That’s what the Cuyahoga County Diversion Center that opened to great fanfare more than 1 1/2 years ago was for. The center on East 55th Street is operated by Oriana House in conjunction with the Alcohol, Drug & Mental Health Services Board of Cuyahoga County.

“

More needs to be done to divert those in distress to treatment and not just straight to jail: editorial By Editorial Board, Cleveland.com Nov 27, 2022
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Commentary:

What is Crisis intervention?

Crisis Intervention is a form of psychological support or counseling that helps individuals who are in the midst of a crisis. This type of therapy focuses on providing immediate and practical assistance to help individuals restore balance and cope with their current situation. Frequently a crisis intervention team will be deployed in situations such as national emergencies to assist in providing interventions.

The main goal of crisis intervention training is to reduce the level of distress experienced by an individual in order to prevent further psychological harm. A qualified mental health professional works with the individual to identify feelings and behaviors, assess needs, provide resources, develop strategies for coping and problem solving, and assist them in making positive changes. The therapist also provides emotional support and encourages healthy communication between family members or friends if needed.

Crisis intervention can be used for those experiencing any type of traumatic event such as natural disasters, physical or sexual abuse, bereavement or loss, illness or injury.

Benefits of Crisis Intervention Counseling

Crisis counseling is a type of therapy that helps individuals and families manage their responses to difficult life events. It typically takes the form of brief interventions aimed at helping those in crisis regain control, reduce stress, and develop coping strategies for more effective problem-solving. Crisis counselors are trained to identify the signs of an impending crisis, assess its severity, and provide immediate assistance.

The benefits of crisis intervention include improved communication skills, increased self-awareness, enhanced understanding of personal strengths and weaknesses, improved decision making skills in high-stress situations, better problem-solving abilities, increased emotional regulation skills such as anger management or impulse control strategies. In addition to these short term benefits, crisis counseling can also lead to long term positive changes such as decreased anxiety levels and stronger overall mental health.

Challenges of Crisis Intervention

Crisis intervention is an important part of mental health care, and it has its own unique set of challenges. It involves responding to a person who is in crisis – they may be feeling overwhelmed, confused, and out of control. Crisis intervention requires professional expertise to help the individual address their immediate needs and develop a plan for long-term recovery.

The goal of crisis intervention is to quickly assess the situation, identify any underlying causes or triggers, develop coping strategies and problem-solving skills, and ultimately provide support for an individual’s recovery. It can be emotionally challenging for both the counselor and the person in crisis as emotions are often running high. Therefore it is essential that counselors provide compassionate yet professional support during this difficult time. Additionally, counselors must take into account factors such as cultural background or language barriers when determining how best to approach a situation.

Strategies for Effective Crisis Intervention

Crisis intervention can be a difficult task, especially during times of intense emotional distress. Therefore, it is important to know the strategies for effective crisis intervention so that individuals in crisis can receive the help they need. Learning the fundamentals of crisis intervention helps create an environment where individuals are more likely to receive assistance and support.

One effective strategy for crisis intervention is active listening. Active listening involves responding thoughtfully and respectfully to what someone in a state of crisis is saying. It also requires giving them your full attention while they speak and avoiding distractions or passing judgment on their situation. Additionally, it’s important to remain present with them throughout their expression of emotions and feelings without attempting to provide solutions right away. This basic skill of active listening can go a long way towards helping someone who is facing a learning crisis feel heard, understood and accepted in order to begin healing from their experience.

Impact on Corrections System

Photo of the main watch tower at SAN FRANCISCO, USA - November 4: The Alcatraz Island Prison on October 4, 2014 in San Francisco, California. Alcatraz is one of the most infamous prisons in American history.

Crisis intervention has been a key asset to the corrections system in recent years. It has allowed inmates and corrections officers to learn how to better handle crisis situations within the prison environment, while also providing inmates with an outlet for their emotions. Crisis intervention can help inmates better manage their feelings and reactions when faced with difficult situations, instead of resorting to violence or aggression.

Studies have shown that those who receive crisis intervention training are more likely to be successful in navigating learning crises than those who do not receive the training. This is especially true for those who have experienced trauma in their lives prior to being incarcerated. Through crisis intervention training, these individuals can learn strategies for managing difficult emotions and developing constructive ways of responding in high-stakes situations.

Conclusion

In conclusion, a crisis intervention team in the correctional system is an essential element of providing quality healthcare to incarcerated individuals. Crisis intervention has been proven to reduce recidivism, increase mental health stability, and improve overall wellbeing. Correctional systems can benefit from a comprehensive approach which includes both preventive and reactive strategies. It is important that the correctional staff and health professionals work together to ensure that all inmates have access to the resources they need during times of crisis.

Crisis Intervention not only has a huge impact on the criminal justice world but other areas of mental health care as well. If you are a licensed counselor, a mental health professional or perhaps work in a field that deals with crisis every day then maybe you would be interested in our Crisis Intervention Certification program? All of the crisis intervention courses are available online and are on open enrollment. For more information please visit our certification page.

References:

https://en.wikipedia.org/wiki/Crisis_intervention

https://www.ojp.gov/ncjrs/virtual-library/abstracts/correctional-system-introduction

Additional Resources: 

Barriers and Facilitators to Effective Mental Health Care in Correctional Settings. Olivia Kolodziejczak, Samuel Justin Sinclair. Journal of Correctional Health Care.  Jul 1, 2018
Access Here

Mental health screening tools in correctional institutions: a systematic review. Martin, M.S., Colman, I., Simpson, A.I. et al. . BMC Psychiatry 13, 275 (2013).
Access Here 

Improving Mental Health for Inmates. Heather Stringer /www.apa.org/ March 2019, Vol 50, No. 3
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Mental Health of Prisoners: Prevalence, Adverse Outcomes, and Interventions. Seena Fazel, et al. The Lancet Psychiatry, Volume 3, Issue 9, 2016, Pages 871-881, ISSN 2215-0366.
Access Here

Utilizing Crisis Intervention Teams in Prison to Improve Officer Knowledge, Stigmatizing Attitudes, and Perception of Response Options. Canada, K. E., Watson, A. C., & O’kelley, S. (2021). Criminal Justice and Behavior, 48(1), 10–31.
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Crisis Intervention Certification Blog on Crisis Intervention and Arrests

Posted on by Dominick Flarey

With numerous police clashes with citizens it is becoming more apparent that there needs to better mental health crisis training.  Mentally ill individuals need to be apprehended but de-escalation and better trained officers and first responders are essential to the safety of these individuals during arrest.  Crisis Intervention and training is essential to prevent individuals who need medical help from receiving abuse from officers.  Please also review AIHCP’s Crisis Intervention Certification

Crisis training is important during and after arrest in facilities for mentally ill. Please also review AIHCP’s Crisis Intervention Certification

 

The article, “How to Connect People in Crisis to the Care They Need” by Julie Wertheimer looks closer at the issue at hand.  She looks at how better training and after care can help solve the nation’s biggest issues of police brutality as well as issues where mentally ill are left to roam the streets.  She states,

“Meanwhile, county jails and other correctional facilities are ill-equipped to handle the treatment needs of people with behavioral health issues, and incarceration can exacerbate certain mental health disorders. Yet jails are often filled with people whose mental health needs could be better supported elsewhere. A study of Los Angeles County jails, for instance, determined that more than 60% of their population with mental illnesses likely could have been better served by community programs, as opposed to incarceration.”

To read the entire article, please click here

Please also review AIHCP’s Crisis Intervention Certification and see if it meets your academic and professional goals.  The program is online and independent study and open to qualified professionals looking for a four year certification in Crisis Intervention.