Crisis

Question 1

3 Characteristics Associated with Crisis

Answer 1

1) Balance between thinking/emotion disturbed
2) Usual coping mechanisms fail
3) Evidence of impairment

Question 2

Crisis Intervention

Answer 2

Temporary, active, supportive

Question 3

Roberts’s 7-Stage Crisis Intervention Model

Answer 3

1) Plan & conduct thorough biopsychosocial, lethality/imminent danger assessment
2) Make psychological contact, rapidly establish rapport

3) Identify major problems precipitating crisis
Why do they need help? Prioritize accordingly. Coping style.

4) Encourage exploration of feelings
5) Generate & explore alternative coping strategies
6) Restore functioning through implementation of action plan –> leads to crisis resolution
7) Plan follow-up, booster sessions

Question 4

Break confidentiality for suicide?

Answer 4

Requires a plan, access to plan, and intent to follow through.

Question 5

Duty to Warn

Answer 5

Tarasoff vs Regents

Always evidence of IMMINENT risk.
If potential of death is NOT imminent (like HIV risk), do not break confidentiality.