Verbal Crisis De-Escalation with Dr. Dawn-Elise Snipes
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- เผยแพร่เมื่อ 4 ก.ค. 2024
- Unlimited CEUs available for $59 allceus.com
Verbal Crisis De-Escalation with Dr. Dawn-Elise Snipes
#crisisintervention #deescalation #verbaljudo
Verbal Crisis De-Escalation training CEUs for Licensed Professional Counselors (LPC) and Licensed Mental Health Counselors (LMHC) by AllCEUs and Dr. Dawn-Elise Snipes
Definition of Crisis
People are facing an untenable obstacle to life goals
People's life cycles are significantly disrupted
AND
The person has no response to deal with a situation
Characteristics of Crisis
Presence of opportunity and danger
Change causes crisis and crisis causes change
Increasing anxiety can lead to violent reactions
Complicated
Generally does not have one simple cause
Precipitating events may impact many different areas of life
No Panaceas or Quick Fixes
May provide temporary, immediate relief
Ensure they do not make problem worse
Necessity of Choice
Making a choice requires action
Choosing not to act is a still a choice
Types of Crisis
Developmental
Normal or abnormal events causing dramatic change in physical, cognitive or social development
Situational Crisis
Existential Crisis
Anxieties arising from questions of purpose, responsibility, independence, commitment
Ecosystemic Crisis
Disaster
Important Points
Danger and Opportunity
Time limited, but may be recurring
Complex
Life experiences of workers enhances their effectiveness
Crisis causes people to make choices
There is no one "normal" range of behaviors
Verbal Crisis Deescalation
Define the problem
Listen to identify the person's orientation
Feelings or solutions
Visual, auditory, kinesthetic
Empathize to see the problem as the client does
Ask open-ended questions
Pay attention to verbal and nonverbal messages
VCD cont...
Assess (ABCs)
Affective state
Behavioral Functioning
Cognitive Functioning
Severity of the crisis
SI/HI Intent
Plan (Method, Date/Time)
Means
Future Plans
Putting affairs in order
Ensure client and personal safety
Physical
Remove the client from the situation (if possible)
Inform client you want to help, but it is hard for you to focus while... Propose solution that does not take away his power.
Maintain an environment free of hazards (scissors, letter openers, heavy objects)
Always maintain a clear path to the door
Do not meet with clients in isolation
Psychological
Remove bystanders (an audience also adds fuel)
Reframe the situation with client not being "bad."
You feel...
Acting
Acknowledge the situation and/or the client's feelings
Seek help from the client in understanding what is going on
Tell me what is going on
Ask open ended questions
Own your feelings
Be aware of transference and counter-transference reactions
VCD cont...
Convey understanding
Don't say "I understand"
Provide positive reinforcement for behaviors
Avoid value judgments
Set limits and do not tolerate controlling or aggressive behavior
VCD cont...
Reduce tunnel vision or increase focus
Examine Alternatives
Supports
Coping Mechanisms
Thinking Patterns
Promote Mobilization
Make plans
Implement Order
Obtain commitment with assertion statements
I need you to...
Further Reading
Please read the following book
Client Safety and Crisis Intervention
Summary
Change causes crisis
Crisis is a state of extreme anxiety
It is important to "hear" the client
Help the client
Re-establish equilibrium
Identify environmental and social supports
Develop a plan
Take action
Summary cont...
When in crisis, clients may act out against themselves or others
Ensure your office and common areas are free from potential weapons
Develop a safety plan for
Your exit
Removing bystanders/other staff
Aiding clients
Never make promises you cannot keep
Chapters:
00:00:00 - Defining Crisis and the Six Basic Fears that Can Cause It
00:02:57 - Crisis, Change, and Coping Skills
00:05:44 - Helping People in Crisis: Empowering Clients to Take Action
00:08:50 - Types of Crises and their Impact on Individuals and Ecosystems
00:11:56 - Helping People in Crisis with Cognitive Intervention
00:14:50 - Crisis Intervention Techniques
00:17:54 - Understanding and Intervening in Crisis States
00:20:54 - Life Experiences in Crisis Management
00:24:22 - Cultural Sensitivity in Problem Solving and Crisis Management
00:27:27 - The Value of Independence and Dependence, and the Importance of Accommodating Clients' Needs
00:30:30 - The Importance of Listening to the Client's Orientation and Reacting Appropriately
00:33:38 - Understanding Different Learning Styles in Counseling
00:36:41 - Tips for communicating with someone in crisis
00:39:36 - Approaching Clients in Crisis Situations
00:42:45 - Providing Support in Crisis Situations
00:46:07 - How to Handle Crisis Situations with Emotional Awareness and Transference Consideration
00:49:06 - De-escalating crisis situations with clients
00:52:07 - Techniques for Crisis Intervention
00:55:07 - Building Rapport and Developing a Crisis Plan
00:58:07 - Dealing with Clients in Crisis
Is it just me or is there anyone else here who just loves lectures like this? She presented this so so well. You can tell she's really trained on public speaking. So cool
My grandfather is a rockstar from the dawn of the psychopharmacology movement back in the mid 1950s and his career in mental health working for the US govt. ended in the 90s with his retirement. Not only do I look like him when he was younger, I also share his passion for mental health. I could discuss it for hours. It's amazing to learn from other professionals and I just love it.
Several of the presentations have watched recently had comments disabled so... i would like to thank you many, many times for validating why my life has been so uphill, thankyouthankyou for your work.
Thanks for watching!
Thank you Dr. Dawn! - SMART Recovery Oregon
Thanks for watching!
Thank you! SMART Recovery Conn.
Thank you so much!
I am on a mobile crisis response team. Had a lot of training, still this was an amazing learning experience.
Your presentations are always so informative and organized.
Looking forward for more on responding to crisis
Thanks for watching! Wishing you peace, health, and, happiness.
Thank-you. Your channel is amazing and super underrated. Wow. I feel lucky to have come across your channel.
Thanks for watching.
Very good lecture on crisis intervention! I enjoyed this. Thank you.
Thanks for watching!
So good for mental health nurses
Thanks for watching!
Thank you for this :) I will be using this for sure!
Thanks for watching!
Wow old school-ish, and have kept on track for so many years with all the clinical expertise? Great job, execptional. Could sound critical, but always with angle of how to choose and how to watch for danger. Great adivce!!!
Ty. :)
Hi there, thank you so much for sharing. So many good tips for my case management study. :)
I am grateful to be of help and I appreciate you watching the video. What did you find most useful from it? Other videos you might be interested in can be found at th-cam.com/users/DocSnipessearch?query=crisis
How do you identify protective factors and stressors in the initial visit? How do you track whether or not the protective factors have diminished over time and the root causes for those issues? How do you track whether or not stressors have increased over time and the root causes for those issues?
To identify the factors, it is imperative that you do a focused assessment that specifically inquires about them. Here is a new-ish video I did on risk and protective factors and suicidality.
Pretty relevant in 2021 👍
True. Thanks for watching.
You are a great teacher,can I get certificate from this?
Thank you for your kind words and for watching the video. Yes, you can get a certificate for this at allceus.com
You can contact support@allceus.com to find out more
How many treatment plans are typical for one client? In what circumstance would you have to amend or write numerous modifications for a treatment plan? In what circumstance would you have to write numerous treatment plans for one client?
Generally I have 2-3 "problems" that are addressed in each treatment plan. The plan gets reviewed weekly and updated as needed for 90 days. After that I do a reassessment of all the things that were accomplished, where the client wants to go next and we create a new treatment plan.
God bless you and your family and friends forever in Jesus name
Jesus Christ is the Lord 🙏
Acts 2:38