Suchergebnisse

A review of the literature on crisis intervention in practice settings supports the view that, when an individual or a family is in a state of crisis, this mode of treatment is often the most effective because crises, if unresolved, leave those persons involved more vulnerable to life's other problems.

This study assesses the efficacy of the treatment approach implemented in the Bern Crisis Intervention Program, where particular emphasis is placed on the remediation of suicide ideation and suicidal behavior, and depression, fear, and phobia are generally considered to be contributing factors. Four questionnaires addressing psychopathology, emotional well-being, social anxiety, and personality were administered prior to and after the treatment of 51 patients over a period of 2 to 3 weeks. The reduction of symptoms contributing to suicidal ideation and behavior was interpreted as indirect evidence of an antisuicidal effect of the program. Significant improvements were found in the psychopathology ratings, with depression and anxiety showing the largest reductions. The impact on personality and social phobia, however, was only moderate, and on average patients still exhibited symptoms after attending the program. This residual symptomatology points to the necessity of introducing a two-step therapy approach of intensive intervention targeted at the precipitating causes of the crisis, augmented by long-term therapy to treat underlying problems.

"This case book is about crises. It is not about trauma or disaster, although certainly crises occur in both. Overlap of the three areas exist, and while crisis intervention is practiced with traumatic events ranging from lethal auto wrecks to natural disasters, it is very different from long-term trauma therapy. Crisis intervention may include assisting someone who is suicidal or homicidal, but also includes non-life threatening situations such as child custody fights, school failure, drug use, and a host of other situational and transient problems (Myer & James, 2007). In contrast, trauma counseling often follows crisis intervention with people who are not able to re-establish a daily routine because the memory of the incident creates an independent schema that affects functioning over a period of time (McFarlane & Yehuda, 1996). That said, there are different types of crises and we will attempt to portray some of those and the ethical issues that may accompany them. Before going further, we want you know that while writing this book, something became clearer to us. Through our experiences, we knew that the application of ethical principles during crisis intervention is awkward at best, and nearly impossible in the worst-case scenario. How do you maintain confidentiality when working in a Red Cross shelter with a person or family whose house has been destroyed by a wildfire? People are walking around, and you are not in a comfortable private office. What does a crisis worker do when someone is unable to make a phone call to get information or much needed resources? How will the client get the assistance that will help restore a sense of control? You, as the crisis worker, may need to make that phone call to help the person. We found that applying ethical principles in crisis intervention is like putting a square peg into a round hole. Not matter what you do; there are gaps. Please don't misunderstand, we are not suggesting that ethical principles do not apply to crisis intervention work. Rather we are attempting to find a way to apply them in a way that makes sense, and we believe the concepts of Relational Cultural Theory (RCT) (Jordan 2018; Miller 1976; Duffey & Haberstroh, 2020) is a framework to fill in those gaps"--

Abstract"Oh, I've been doing crisis intervention for years," is not an unusual remark; such comments are often made, however, by persons with little knowledge or understanding of the specific techniques utilized in a definitive crisis intervention approach.

Summary: The remediation processes in psychosocial crisis intervention were modeled focusing on cognitive orientation. Frequent observations and subsequent process modeling constitute a novel approach to process research and reveal process-outcome associations. A sample of 40 inpatients who were assigned to treatment in a crisis intervention unit was monitored in order to study the process of crisis intervention. The process data consisted of patients' self-ratings of the variables mood, tension, and cognitive orientation, which were assessed three times a day throughout hospitalization (M = 22.6 days). Linear time series models (vector autoregression) of the process data were computed to describe the prototypical dynamic patterns of the sample. Additionally, the outcome of crisis intervention was evaluated by pre-post questionnaires. Linear trends were found pointing to an improvement of mood, a reduction of tension, and an increase of outward cognitive orientation. Time series modeling showed that, on average, outward cognitive orientation preceded improved mood. The time series models partially predicted the treatment effect, notably the outcome domain "reduction of social anxiety," yet did not predict the domain of symptom reduction. In conclusion, crisis intervention should focus on having patients increasingly engage in outward cognitive orientation in order to stabilize mood, reduce anxiety, and activate their resources.