Chap 3 Flashcards
(23 cards)
What is an Affective State in crisis intervention?
Often the first sign of disequilibrium, can manifest as overly emotional or withdrawn.
Incongruences among what the client says, how it is said, and non-verbal behaviors.
What is the key question to ask regarding a client’s affective state?
Do people typically show this kind of affect in situations such as this?
What is the time frame for follow-up in crisis intervention?
Minutes, hours, or days.
What should a crisis worker inquire about during follow-up?
The client’s ability to maintain mobility and equilibrium.
What is the purpose of Task 6: Obtaining Commitment?
To ensure the client summarizes the plan and may require written commitment if lethality is involved.
What should a good plan include in Task 5: Planning?
- Identifying resources for immediate support
- Developing coping mechanisms
- Being developed by the client
- Being clear, realistic, behaviorally specific, and immediate.
What are the three key components of Task 4: Examining Alternatives?
- Situational supports
- Coping mechanisms
- Positive thinking patterns.
What types of support should be provided in Task 3: Providing Support?
- Psychological support
- Unconditional positive regard
- Logistical support
- Physical support (food, water, shelter, etc.)
- Education
- Resources
- Social support.
What is the focus of Task 2: Problem Exploration?
Define the problem from the client’s point of view and identify the precipitating event.
What does assessing in crisis intervention allow the worker to evaluate?
- Severity of the situation
- Client’s emotional, behavioral, and cognitive status
- Client’s level of mobility
- Safety (client’s, self, and others)
- Success in deescalating the situation.
What factors impact one’s emotional stability during a crisis?
- The duration of the crisis event
- The degree of emotional stamina
- The ecosystem in which the client resides
- The developmental stage of the client.
What areas can traumatic events impact according to psychobiology related to crisis intervention?
- Release of neurotransmitters
- Central and peripheral sympathetic nervous systems
- Hypothalamic-pituitary-adrenocortical axis.
What is the focus of Behavioral Functioning in crisis intervention?
Focus on psychomotor activities and encourage small concrete actions.
What key questions should be asked regarding a client’s actions in Behavioral Functioning?
- In the past, what actions did you take that helped you get back in control?
- What would you have to do now to get on top of the situation?
How are crisis events typically perceived in the Cognitive State?
- Transgression (present)
- Threat (future)
- Loss (past).
What does the TAF rating system evaluate?
Each domain has a range from 1-10, with total ratings indicating levels of impairment: 3-10 minimal, 11-19 moderate, 20+ severe.
What does Triage Assessment Form (TAF) provide in a crisis situation?
A real-time assessment of the client’s affective, behavioral, and cognitive statuses.
What are the three main domains of triage assessment?
- Affective
- Behavioral
- Cognitive.
What is the focus of Task 1: How to Engage with clients?
- Approach slowly, calmly, and with open body language
- Introduce yourself and ask their name
- Use their name and maintain eye contact.
What is the Default Task in crisis intervention?
Safety.
What does assessing physical and psychological safety involve?
- Ensuring basic needs are met
- Feeling of being safe.
What is the goal of the Hybrid Model of Crisis Intervention?
To integrate linear and systems models for crisis intervention tasks.
What does the Triage Assessment System support the client in gaining?
- Equilibrium
- Mobility
- Autonomy.
