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CRISIS

Published on Nov 21, 2015

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1.

CRISIS

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2.

As long as a person can

the event is not a crisis
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3.

Any event can precipitate crisis

  • Depends on
  • perceptions
  • coping skills
  • available support
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4.

CRISIS

  • Don't know what to do
  • Px solving ineffective
  • Willing to try new skills
  • Opportunity for new growth
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5.

Threat to Homeostasis
imbalance in
magnitude of problem
resources available

Photo by saxarocks
6.

ACTIVE CRISIS STATE
Short duration
4 - 6 weeks
imbalance results in confusion & disorganization

Photo by vampa_
7.

Inability to cope-Crisis ensues

  • People can adapt
  • People can gain add'l skills
  • Decompensate to lower LOF
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8.

Factors that influence crisis outcomes

previous problem solving experience
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9.

Factors that influence crisis outcomes

perception of problem
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10.

Factors that influence crisis outcomes

amount of help or hindrance from significant others
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11.

Factors that influence crisis outcomes

Member of vulnerable population
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12.

Factors that influence crisis outcomes

time since the last crisis
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13.

Factors that influence crisis outcomes

Sense of mastery
Photo by Nathan O'Nions
14.

Factors that influence crisis outcomes

Resilience
Photo by Toby Barazzuol
15.

Risk Factors
that predict
adverse outcomes
natural and
human caused disasters
FEMALES

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16.

Risk Factors

MINORITY ETHNICITY

17.

Risk factors

Lower socioeconomic status
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18.

Problematic
predisaster functioning and personality

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19.

Phases of Crisis

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20.

1st Phase: Increased anxiety
Use familiar mechanisms to cope
If mechanisms work - no crisis

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21.

2nd Phase: Increased anxiety
FAILURE of coping mechanisms

Photo by Kevin Gebhardt
22.

3rd Phase:
Reach out for help

Photo by Helmuts Guigo
23.

4th Phase: Feel like 'I am going crazy'

  • Inner resources/support inadequate
  • Precipitating event not resolved
  • Intolerable anxiety & stress
  • Short attention span, apprehensive
  • Looks for reasons the trauma occurred
Photo by Kevin N. Murphy
24.

Types of Crisis

25.

Maturational

Transitional periods at every stage of life
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26.

Situational

loss of established support/threatens self image
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27.

Adventitious

External event - trauma and disruption
Photo by Jordi Payà Canals
28.

Crisis Intervention

FOCUSES on PROBLEM/STRESSOR that PRECIPITATED CRISIS
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29.

GOAL

  • Assist people
  • Resolve the immediate problem
  • Regain emotional equilibrium
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30.

Role of Intervener

  • Actively helps client solve current problem
  • Does not take over unless at risk
  • Recognizes people can help themselves with assistance
  • Engages in a partnership
Photo by aestheticsofcrisis
31.

Intervener helps with

  • analyzing stressful event
  • expressing feelings w/o probing
  • exploring ways to deal w/ stress & anxiety
  • problem solving, identifying actions & strategies
  • seeking support: family/friends/community resources
Photo by eschipul
32.

Intervener also helps with

  • averting possible future crises 
  • evaluating the post crisis status
  • validating feelings
  • reinforcing strengths
  • reinforcing protective factors & resilience
Photo by eschipul
33.

CRISIS GROUPS

Help members regain/improve functioning & problem solving
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34.

Families in Crisis

Photo by Natesh Ramasamy
35.

Intervener:

  • identifies family member experiencing crisis
  • identifies needs for safety and security
  • aids family in identifying strategies to reduce symptoms
  • assesses family resources and additional social resources
  • teaches about crisis and its resolution
Photo by Range of Light
36.

Assessing Support Systems

  • Trust? Best friend? Close family?
  • Faith/spirituality
  • Identify post-crisis support system
Photo by pengel122
37.

Assessing Support Systems

  • Trust? Best friend? Close family?
  • Faith/spirituality
  • Identify post-crisis support system
Photo by pengel122
38.

NURSES

  • Aid in communicating with significant others
  • Discuss interdependence as healthy
  • Role model asking for help
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39.

NURSES

  • encourage open expression of feelings
  • recognize changing thoughts can change feelings
  • teach progressive relaxation, exercise, sleep hygiene
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