Peer Support

Question 1

Definition of Crisis

Answer 1

The general state of anxiety someone experiences when they believe they can not solve a particular problem

Question 2

What IS the first stage of the 3 stage model of crisis intervention

Answer 2

Establish and maintain rapport so the contact will feel safe

Question 3

2nd stage model of crisis intervention

Answer 3

obtain CLARITY on the real issue causing distress to help contact regain control

Question 4

3rd stage model of crisis intervention

Answer 4

help the contact decide what ACTION to take to MANAGE the problem, including the use of outside resources, if needed

Question 5

Statement of Confidentiality

Answer 5

The PSP is confidential. I respect and will safeguard your identity and privacy. While our conversation regarding personal matters is confidential, I will not discuss with you any activity you might be involved in that is illegal or that must be reported to law enforcement officials. As an ICE employee, I am obligated to report criminal activity or serious misconduct. If you wish to discuss issues in a more confidential setting, I can direct you to the EAP.

PSM cannot advocate for others in any official capacity.

PSM don’t solve other people’s problems, and refrain from giving advise. I am trained to help you find your own solution to the problem at hand.”

Question 6

SOLER

Answer 6

Squarely face the contact
Keep an OPEN posture
LEAN forward
maintain EYE contact
be RELAXED

Question 7

What are 3 areas of awareness?

Answer 7

Experiences
Thoughts
Feelings

Question 8

List 5 immediate reactions

Answer 8

Shock
Tunnel vision
Distortion of time, place,   
Detachment
Denial

Question 9

Stage 2 skills

Answer 9

Brief history
advance empathy
Limited self disclosure
open ended questions
concreteness

Question 10

identify the focus of stage 3

Answer 10

now that you’ve had a chance to think about this a little more, i wonder if you could tell me: what is the biggest concern for you right now? what decision needs to be made first?

Question 11

3 styles of developing a plan of action

Answer 11

non-directive (contact has a lists as many solution)
cooperative (work together as a problem solving team)
directive (you tell contact specifically what she should do based on assessment that she is unable to manage the problem.

Question 12

Who can deploy you as a PSM

Answer 12

All of the above (supervisor)

Question 13

short term reactions

Answer 13

Hyper-arousal
Avoidance
R e-experiencing

Question 14

immediate reactions

Answer 14

Shock/disbelief this is happening
Tunnel vision 
Distortion of time, space, and speed
Denial
Detachment (as if viewing the incident from the outside)

Question 15

Human reactions to traumatic events can be broken down into 4 categories

Answer 15

immediate
short-term
delayed
long-term

Question 16

Five phases of grief

Answer 16

Depression
Anger
Bargaining
Acceptance
Denial

Question 17

Grieving Process & Tasks of Mourning

Answer 17

1. Accept the reality of the loss
2. Experience the pain of grief
3. adjust to an environment w/the deceased missing
4. w/d emotional energy and reinvest it in other r’ships

Question 18

Stage 1 tasks

Answer 18

Clarify the PSM role
empathy
respect/genuineness
silence
echo/parrating
paraphrasing

Question 19

Death Notification

Answer 19

Never speculate

Question 20

How can a clinician help you be a better PSM

Answer 20

• develop/implements a self-care plan for local program staff
• serves as a liaison between EAP and the program
• assist in development of program training
• provides consultation and advice regarding the emotional well-being of PSM

Question 21

4 Step Model for Suicide Prevention

Answer 21

1) Ask the hard question - do you want to kill yourself
2) Assess the Lethality (SAD PERSONS)
3) CONNECT - connect with reasons to die then connect wit reasons to live
4) Rate the seriousness of the threat