crisis intervention specialist certification

Crisis Counseling Vs Traditional Counseling Settings

Posted on by Mark Moran

Obviously crisis counseling is sometimes on the scene of the event.  It is emotional first aid that attempts to restore equilibrium and mobility to the person.  It is short term in its plan and it briefs the individual and carries through necessary tasks to help the person return to pre-crisis state.  It also looks to help the person find orientation and resources to help avoid future crisis and find resolution to what caused the crisis reaction.

Crisis specialists who arrive on scene have an entirely different approach to counseling than long term counselors in mental health

In this blog, we will look at crisis counseling in settings where intake occurs and how counselors work to help individuals leave the state of crisis.  In these cases, the individual is brought in by the police, or rescue and the person requires mental care until able to be released.  These types of counseling sessions differ greatly from traditional counseling settings.  They still are not long term but they do look to alleviate crisis as much as any work on the scene itself.  In addition to reviewing these types of crisis counseling settings, we will look at the efforts to better concert the police with mental health professionals in ensuring mutual safety of first responders and those in crisis.

Please also review AIHCP’s Crisis Intervention Specialist Program, as well as its Substance Abuse Specialist Program for qualified professionals in Human Services and first response.

Crisis Counseling in Facilities

Many mental health community centers are equipped to handle walk-ins, police escorted individuals in crisis, family admitted or social service recommended cases (James, 2017, p. 100).  Like the crisis specialist in the field and on the scene, these professionals provide the same type of de-escalation model to help the person find equilibrium and mobility.  They can also keep the person a few days if necessary and later coordinate with case managers to ensure the person receives continued observation, medication, or future counseling.  Some facilities are 24 hour facilities, while others have emergency call centers beyond the regular hours (James, 2017, p. 102).

Upon entry into a facility, a person is assessed across the range of the triage scale to determine if someone is mildly or severely impaired.  For more severe cases, a senior technician is called upon to help the person.  Crisis specialists will also try to receive a case history of the person to better determine the onset of crisis.  If mental pathology is present, a psychiatrist may be called to better meet the needs of the person (James, 2017, p. 100).   James also references that those who face more severe mental fragmentation will be committed until safe to self and others (2017, p. 100).

The initial intake interview is a key process where questions and basic crisis intervention tasks can be completed.  If the person is appraised negatively with a high level of lethality as well as drug use, then the person will need to stay longer.  The clinician or team following the intake interview, prepares a disposition that describes the case as well as suggestions for treatment.  In some cases, the facility will supply the person with a psychological anchor.  This refers to a professional who will serve as their case worker, advocate or contact person (James, 2017, p. 101).  In some cases, the individual will need short term disposition which meets the immediate physical needs of food, water or shelter.  The Department of Family Services plays a big role with social workers to ensure the proper government entities meet the needs of the person.  However, sometimes, long term disposition occur where the person needs long term care plan which includes counseling abd  medication to help the person deal with future issues and crisis (James, 2017, p. 101).

Crisis and Short Term Vs Counseling and Long Term Cases

Since crisis is about mental and emotional first aid that looks to stop emotional bleeding, its goals and procedures to reach those goals differ greatly from long term counseling and cases.  James lists numerous differences between these two types of mental health models.  In regards to the initial tasks themselves, there is a large difference.  Crisis counseling looks to ensure client safety and assess lethality initially, while long term looks to prevent future problems.  Where crisis counselors look in the first task to form a bond with the person in crisis, long term counselors look to correct issues with sound and tested evidence based treatments.  Where crisis counselors help the person define the immediate problem, long term counselors help provide systematic support for that problem.  Where crisis counselors provides support to help calm the person in crisis, long term counselors help facilitate growth in the healing process.  Where crisis counselors look to help those in crisis see alternate options and develop a plan, long term counselors look to re-educate and help clients express and clarify emotions.  Where crisis counselors resolve with commitment to plan and follow up, long term care counselor continue treatment with resolving issues, accepting realities, reorganizing attitudes and working on maximizing intellectual resources to deal with issues (2017, p. 98).

Those admitted into crisis centers are facing affective, behavioral and cognitive issues that are preventing proper emotional balance and coping. These facilities face different types of intake individuals who face acute crisis

Crisis intervention specialists utilize diagnosis via the triage method looking at the affective, behavioral and cognitive issues on the spot and face to face, while long term counselors work with a detailed case history as well as observation throughout a period of time with most patients not experiencing a state of acute crisis.  Where crisis specialists treat acute trauma and help to stabilize, long term counselors look at the underlying causes for issues over an extended period of time.  Where a crisis specialist’s plan is to meet the immediate physical and emotional needs to stabilize a person, a long term counselor’s plan is a comprehensive effort that covers time and numerous personal and social environments that looks to help alleviate a non acute issue. (James, 2017, p. 98). Hence crisis intervention specialists deal with individuals who are affectively in an impaired state, cognitively unable to think logically and behaviorally out of control and pose a threat to themselves and others, while a long term counselor deals with individuals not in impairment emotionally and is able to think and socially behave (James, 2017, p. 99). This means that crisis professionals whether on the scene, or in a facility helping a person in crisis are working at a mental emergency level where decisions and observations must be quicker and plans may need be adjusted quickly due to safety issues (James, 2017, p. 99)

Types of Issues with Crisis

Obviously dealing with those in crisis requires quick thinking and assessment but it also entails dealing with individuals who are a lethal threat to self and others, as well as many times on multiple types of drugs.  Crisis professionals deal with chronic mental illness, acute interpersonal problems due to relationships and other social factors, and combinations of both (James, 2017, p. 97).  While long term care counselors deal with these type of issues, usually the person is not actually intoxicated, or in a state of mania, or suicidal with gun in hand during a session.  Many crisis counselors deal with an array of acute issues that include those who are constantly in a transcrisis state that can be activated at any moment.  Those facing multiple stressors or anxiety or depression can easily fall into a state of acute crisis in these cases.  In addition to transcrisis, many individuals in chronic crisis will face regression and fall back into old issues that led to crisis.  Others may face issues with possible termination of future sessions with counselor since the counselor has become an anchor (James, 2017, p. 108).  In addition to dealing with those in transcrisis, many counselors deal with individuals with addiction issues and psychotic breaks with reality.  One common type of malady that corresponds with crisis in Borderline Personality Disorder.  This disorder prevents the person from past trauma to achieve stable moods from hour to hour, day to day or month to month.  They can erupt into anger or sadness over minor things they perceive as slights.  Many are also impulsive, self destructive, confused with goals, unable to maintain self esteem, possess suicidal ideation, and have destructive choices in relationships (James, 2017, p. 111). Obviously this type of disorder is a chaotic recipe for crisis calls for the police and later mental health intervention.

These types of issues can lead to big problems with counselors and those in crisis as well as those who offer long term counseling.  It can lead an array of issues where the client is suicidal, deals with abuse, or problems with finances or the law, as well as one who frequently misinterprets a therapist’s statements, reacts strongly to advice, fears resistance and follow through of treatments, as well as transgressing professional boundaries with calls and insults (James, 2017, p. 111).   James points out that when dealing with individuals in chronic crisis or facing other mental maladies, one needs to set ground rules that apply for everyone.  Sessions need to start and end on time. Sessions need to be void of threats.  Everyone speaks for oneself and is fully heard.  Everyone faces all issues discussed and does not have the option to abruptly leave.  The session will not include gaslighting or avoiding the subject.  No one is to arrive drunk or intoxicated.  The crisis counselor or counselor will not take sides.  Time will be respected outside the office and the needs of other clients will not be dismissed for another’s immediate demands (James, 2017, p. 114).  Obviously dealing with those that face multiple issues and chronic crisis is a heavy task.  It involves professionalism, boundaries and sometimes a place to vent for the counselor afterwards.

Crisis Facilities and Law Enforcement

Since the closing of mental asylums in 1963, law enforcement and prisons have picked up the slack of dealing with those in mental crisis.  This has led to many unfortunate incidents of police shootings, or police brutality cases.  While most police officers and law enforcement are good people, the job of dealing with those in mental crisis is exhausting and can trigger a sane individual into actions not normal for fear of safety of self or frustration.  Most police historically have dealt with criminals in the true sense.  Upon apprehending of a thief, the thief understands to drop the weapon or the stop.  Unfortunately in heated situations of mental crisis, people sometimes cannot emotionally understand or comprehend orders.  Due to equilibrium and immobility of a person in crisis, an officer has to show constraint and avoid authoritative and aggressive commands or he/she may escalate the situation.   Some officers are not able to handle this type of mental health interaction but modern policing requires it.  As more and more unfortunate death by cop whether intentional or intentional occurs, the more police need trained in crisis intervention and de-escalation.  Police officers who cannot handle this adjustment either need to find a new profession or soon risk the chance of ending up in prison, sued, or fired themselves.

Police are responding more and more to crisis calls than merely criminal calls. They need to be trained in how to help individuals face crisis to avoid future fatalities

James mentioned the change in policing from instrumental crimes to more expressive crimes where officers are required to adjust their approach in dealing with the person in crisis (2017, p. 102).  James illustrated one of the first joint task teams of law enforcement and mental health and crisis centers with the Memphis Police Department in 1987 (James, 2017. p. 103).   The Crisis Intervention Team or CIT was designed to train police when dealing with those in crisis as well as to coordinate with mental facilities instead of prisons.  James pointed out that the model was not just about training police but also to help create better coordination with the mental health community and consumer advocates promoting mental health awareness (2017, p. 104).  James pointed out that the program covered 40 hours of CIT training that covered cultural awareness of mental illness, substance abuse, developmental disabilities, treatment strategies and mental health resources, patient and legal rights in crisis intervention, suicide intervention, use of mobile crisis teams, education on psychotic meditations and effects, verbal defusing and de-escalating techniques and education on borderline personality disorder and other mental issues (2017, P. 105).

According to James, the program has been a success and a model for other law enforcement agencies in other communities and cities.  Within its first 16 months of operation in 1987 to 1988, Memphis CIT trained officers responded to 5, 831 mental disturbance calls, transported 3, 424 cases to proper mental health facilities without patient fatality (2017, p. 106).   In the 20 and more years since, more calls are received to the hotline differentiating crime and mental crisis and there has been a reduction in the use of force and more individuals being sent to mental facilities instead of jail (James, 2017, p. 106).

This is an important issue and the success shows that modern policing can meet the needs of mental crisis.  Some departments also receive additional aid from social workers, chaplains and other crisis professionals on calls related to mental disturbance.  This does not mean that danger and risk exists both for the person in crisis as well as the first responders but it does reduce the chance for unnecessary and tragic fatality.  This should be an issue every person cares about because anyone can become a victim of crisis and police when called need to be able to de-escalate and not escalate.

Conclusion

Crisis intervention care is not for the faint of heart.  It requires quick thinking and decisions which need to be adjusted on the fly as danger and possible death loom with every call.  Crisis cases whether on scene or in a facility deal with acute crisis.  Individuals are facing dis equilibrium and immobility.  They are affected emotionally, behaviorally and cognitively.  This leads to a different type of response than long term care.  Crisis counselors understand the different nature of their calling and profession. In addition, mental health facilities, the public, and police are all beginning to incorporate better crisis response to negate police brutality or illegal shootings of those in crisis.  This involves understanding that modern policing is more about arresting bad guys but also helping sick people find balance and the proper treatment.

Please also review AIHCP’s Crisis Intervention and Substance Abuse Specialist Programs

Please also review AIHCP’s Crisis Intervention Specialist Certification as well as its Substance Abuse Specialist Certification.  Both programs are online and independent study with mentorship as needed.  The program is open to qualified professionals in law enforcement, healthcare, mental health, human services and chaplaincy.

 

 

 

 

 

 

 

 

Source

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

Additional Resources

Crisis Centers by State and U.S. Territory.  Access here

Crisis Text Line. Access here

If You or Someone You Know is in Crisis and Needs Immediate Help.  National Institute of Mental Health.  Access here

National Hotline for Mental Health Crises and Suicide Prevention.  NAMI.  Access here

988 Suicide & Crisis Lifeline. Mental Health America.  Access here

Tich, B. (2023). “What Works in De-Escalation Training”. National Institute of Justice. Access here

Zeller, S. & Kircher, E.  (2020).  “Understanding Crisis Services: What They Are and When to Access Them”. Psychiatric Times.  Access here

 

 

 

 

 

Crisis Intervention and Suicide Prevention

Posted on by Dominick Flarey

Suicide occurs primarily due to a unhealthy mental state of mind.  Most individuals are truly victims of their own hands.  Due to intense trauma, crisis, or over bearing chronic depression, the unhealthy state can lead to suicide.  There are signs and remarks that can be red flags for counselors, friends or family.  There are a variety of assessments that review a person’s intent, plan and ability to carry it out as well.  These tools are all extremely valuable in identifying higher risk individuals who express suicidal ideation.

Suicide is rarely a choice but due to an unstable mental mindset due to crisis, depression, or severe trauma

 

Statistically, men are more likely to commit suicide.  Various demographics vary and differ based on gender, faith, community, social support and individual coping abilities.  It is essential to treat all suicidal threats as serious and take appropriate action to help the person.  Crisis Intervention Specialists help individuals de-escalate from intense crisis and emotional instability in hopes of preventing an individual from making taking one’s own life in a moment of despair, intellectual confusion, and mental imbalance.

The article, “Suicide Prevention Must Expand Beyond Crisis Intervention” by Samoon Ahmad takes a closer look at preventing suicide and helping others cope through the it’s thoughts.  Ahmad states,

“There is no positive spin that one can put on the fact that just under 50,000 Americans chose to end their lives last year. And while there may not be a silver lining in this story, we at least have the epidemiological tools to better understand where more suicides are happening and who is more likely to die by suicide, which may eventually help us understand why the number of suicides is climbing. Though it is a category error to treat suicide as no different than a disease, there are most certainly social factors that are contributing to the rise in suicides, and they are affecting some communities more than others.”

“Suicide Prevention Must Expand Beyond Crisis Intervention”. Ahmad, S. (2023). Psychology Today

To review the entire article, please click here

Commentary

Mental health is a crucial aspect of our overall well-being. It affects how we think, feel, and act, and influences our ability to handle stress, relate to others, and make choices. Unfortunately, mental health issues, including the risk of suicide, are prevalent in our society. Understanding the importance of mental health and gaining knowledge about suicide prevention and crisis intervention is essential for everyone. In this comprehensive guide, we will explore the various aspects of mental health, delve into the understanding of suicide, identify risk factors and warning signs, discuss the role of crisis intervention, effective communication techniques, available resources, ways to support those struggling with mental health issues, and initiatives to promote mental health and well-being in our communities.

 

The Importance of Mental Health Awareness

Mental health awareness is vital for several reasons. First and foremost, it helps to eliminate the stigma surrounding mental health issues. By increasing awareness and promoting open conversations, we can create an environment where individuals feel comfortable seeking help and support. Furthermore, understanding mental health allows us to recognize the signs and symptoms of mental illnesses, providing an opportunity for early intervention and treatment. Mental health awareness also plays a crucial role in suicide prevention, as it enables us to identify individuals who may be at risk and offer them the support they need.

Understanding Suicide and Its Prevalence

Suicide is a tragic and complex issue that affects individuals of all ages, genders, and backgrounds. It is essential to gain a deeper understanding of suicide in order to address this problem effectively. Suicide is often a result of various factors, including mental health conditions, such as depression, anxiety, and substance abuse. It is crucial to recognize that suicidal thoughts and behaviors are not signs of weakness or attention-seeking but rather indications of severe distress and a cry for help. By understanding the underlying causes and risk factors associated with suicide, we can work towards prevention and provide support to those in crisis.

Risk Factors and Warning Signs of Suicide

Identifying the risk factors and warning signs of suicide is crucial in preventing tragic outcomes. Some common risk factors include a history of mental health disorders, previous suicide attempts, family history of suicide, access to lethal means, and social isolation. It is important to note that these risk factors do not necessarily mean that someone will attempt suicide, but they can help us recognize individuals who may be more vulnerable. Additionally, being aware of warning signs, such as talking about suicide, expressing hopelessness or worthlessness, withdrawing from social activities, and giving away belongings, can help us intervene and provide the necessary support.

The Role of Crisis Intervention in Suicide Prevention

When diagnosing suicidal thoughts, one goes through a rigorous process of risk assessment and viability of the plan

 

Crisis intervention plays a pivotal role in suicide prevention. When someone is in crisis, immediate action is required to ensure their safety and well-being. Crisis intervention aims to provide support, stabilization, and assistance to individuals who are experiencing acute psychological distress or contemplating suicide. It involves active listening, empathetic communication, and connecting individuals with appropriate resources. Crisis helplines, such as suicide hotlines, provide a valuable service by offering immediate assistance to those in need. Trained crisis intervention professionals can help de-escalate the situation, assess the level of risk, and guide individuals towards appropriate help.

Effective Communication Techniques in Crisis Situations

In crisis situations, effective communication techniques are crucial for providing support and promoting a sense of safety and trust. Active listening, empathy, and non-judgmental attitudes are essential components of effective communication. It is important to create a safe and supportive environment where individuals feel comfortable expressing their emotions and concerns. Reflective listening, paraphrasing, and summarizing can help demonstrate understanding and validate the individual’s experiences. Additionally, using open-ended questions can encourage individuals to share their thoughts and feelings more openly. By employing these techniques, we can foster a connection and provide the necessary support during a crisis.

Resources for Mental Health Support and Crisis Intervention

There are various resources available for mental health support and crisis intervention. National and local helplines, such as suicide hotlines, provide immediate assistance to individuals in crisis. These helplines are staffed by trained professionals who can offer support, guidance, and resources. Additionally, mental health organizations and community clinics often provide counseling services, therapy, and support groups. Online platforms and mobile applications also offer resources and tools for mental health support. It is important to familiarize ourselves with these resources and share them with others to ensure that individuals in need can access the help they require.

How to Support Someone Who May Be Struggling with Mental Health Issues

Supporting someone who may be struggling with mental health issues requires empathy, understanding, and patience. It is crucial to create a safe and non-judgmental environment where individuals feel comfortable discussing their feelings and concerns. Listen actively and without interruption, allowing them to express themselves fully. Avoid offering unsolicited advice or making judgments. Instead, provide reassurance, validate their experiences, and encourage them to seek professional help. Offer to accompany them to appointments or help them research available resources. By being a supportive presence, you can make a significant difference in someone’s life.

Promoting Mental Health and Well-being in Your Community

Promoting mental health and well-being in your community is a collective effort that can have a profound impact on individuals’ lives. Start by raising awareness and reducing the stigma surrounding mental health through educational campaigns and community events. Encourage open conversations about mental health and provide opportunities for individuals to share their experiences. Advocate for mental health resources and support services in your community, such as counseling services, support groups, and crisis helplines. Additionally, promote self-care practices and stress management techniques, such as exercise, mindfulness, and healthy coping mechanisms. By fostering a supportive and inclusive community, you can contribute to the overall mental well-being of those around you.

Mental Health Initiatives and Organizations

Numerous mental health initiatives and organizations are dedicated to raising awareness, providing support, and advocating for mental health. These initiatives work tirelessly to reduce the stigma surrounding mental health, promote access to mental health resources, and support individuals in crisis. Examples of such organizations include the National Alliance on Mental Illness (NAMI), Mental Health America (MHA), American Foundation for Suicide Prevention (AFSP), and Crisis Text Line. These organizations offer resources, educational materials, and platforms for individuals to share their stories. By supporting and engaging with these initiatives, you can contribute to a healthier and more compassionate society.

Conclusion: Taking Action to Support Mental Health and Prevent Suicide

Those in crisis need guidance. Please also review AIHCP’s Crisis Intervention Specialist Certification and see if it meets your goals

 

Understanding the importance of mental health and taking action to support individuals in crisis is crucial for suicide prevention. By increasing mental health awareness, identifying risk factors and warning signs, utilizing effective communication techniques, and providing support, we can make a significant difference in someone’s life. It is essential to familiarize ourselves with available resources and promote mental health initiatives in our communities. By working together, we can create a society that values mental health, provides support to those in need, and prevents the tragedy of suicide.

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 seeking a four year certification in Crisis Intervention.

 

Additional Resources

988 Suicide & Crisis Lifeline.  Access here

Suicide Prevention. CDC. Access here

“Suicide: What to do when someone is thinking about suicide” Mayo Clinic Staff. (2023). Mayo Clinic. Access here

“Suicide Prevention”. (2023). APA. Access here