- What is a crisis?
- Event is perceived as a threat, danger or loss
- Coping strategies are overwhelmed and insufficient
- Person is in a state of disequilibrium
- There is a window of opportunity to intervene
- Opportunity for growth
- What are the types of crises?
- Situational – specific incidents (dumped by boyfriend, fail a test, busted for possession)
- Developmental – developmental tasks produce a crisis. If prior developmental tasks have not been completed successfully, future tasks can produce crises
- Environmental – different from situational crises because they affect groups of people (human disasters, political disasters, economic, natural disasters)
- Existential – escalating inner conflicts related to issues of purpose in life, responsibility, independence, freedom and commitment (teen angst, midlife crisis, spiritual crisis)
- Compound or Transcrisis – crisis reaction due to multiple partially unresolved prior crises
- Dilation-Constriction Continuum Model
- The dilation-constriction continuum assesses a person's affect, behavior & cognitions related to the crisis.
- It can be used to assess where the person is on the continuum of dilation & constriction & try to bring the person back to center if they’re at extremes
Worker response: focus on specific feelings, work w/ cognitive material
Holding in feelings
Worker response: facilitate emotional expression
Excessive behavior, acting out
Worker response: reality oriented & problem solving
Paralyzed, immobile, withdrawn
Worker response: stimulate movement, help ct do for themselves
Disorganized, chaotic, confused
Worker response: clarification, specifics, problem identification
Preoccupied w/ solutions, ruminative, obsessive
Worker response: id alternatives & workable solutions
Edited to add: Upon listening to the social work podcast on crisis intervention, I realized that this post is essentially a summary of that podcast. You can listen to that podcast here: http://socialworkpodcast.blogspot.com/2007/01/crisis-intervention-and-suicide.html
Since Jonathan, the host of the social work podcast, is so kind as to include on his blog a properly formatted APA reference, here that is as well.
Singer, J. B. (Host). (2007, January 29). Crisis intervention and suicide assessment: Part 1 - history and assessment [Episode 3]. Social Work Podcast. Podcast retrieved October 1, 2011, from http://socialworkpodcast.com/2007/01/crisis-intervention-and-suicide.html