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Strengths and weaknesses of crisis intervention
Strengths and weaknesses of crisis intervention
Why crisis intervention is important
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This brief essay will examine more closely the topics of disaster, PTSD, and psychological first aid. Disasters in the in this context come in two forms. Natural (earthquake, hurricane, floods, volcanic eruptions, tidal waves, drought or any other form of disaster not created by man) and man-made (war, rape, abuse or any other traumatic event created by a human and projected onto another human). Each of these events listed above both natural and man-made have the potential to produce Acute Stress Disorder and Posttraumatic Stress Disorder. The question ultimately becomes whether or not utilizing the principles of psychological first aid can prevent or mitigate the severity of either or both of these disorders. It is important to identify what psychological first aid is. “Psychological first aid describes a humane, supportive response to a fellow human being who is suffering and who may need support. Psychological first aid involves the following themes (World Health Organization, 2011): - providing practical care and support, which does not intrude; - assessing needs and concerns; - helping people to address basic needs …show more content…
The most interesting fact garnered from the reading was psychological first aid being utilized as an alternative to “psychological debriefing” which has been found to be ineffective. In contrast, psychological first aid involves factors that seem to be most helpful to people’s long-term recovery (according to various studies and the consensus of many crisis helpers). These include (World Health Organization, 2011): feeling safe, connected to others, calm and hopeful, having access to social, physical and emotional support; and feeling able to help themselves, as individuals and
Post traumatic stress disorder (PTSD) is a mental health condition, similar to an anxiety disorder, that is triggered by trauma and other extremely stressful circumstances. Throughout the book, Junger talks about PTSD in a wide range:from PTSD rates in natural disaster victims to PTSD rates in veterans. The latter is explained on a deeper perspective. While Junger gave many examples of why PTSD rates in America were so high, the most captivating was:
Conner, Michael G. “Coping and Surviving Violent and Traumatic Events.” Crisis Counseling. 24 Aug 2011. Web.
Natural disaster can be traumatic events that have a huge impact on the mental health of communities often resulting in an increase in mental health needs that don’t get met. In 2005, one of the worst natural disasters in U.S. History, Hurricane Katrina, hit the states of Louisiana and Mississippi affecting 90,000 square miles. In addition to the 2000 people killed and million displaced as a result of the Hurricane, a significant number of people, according to multiple studies, suffered and continue to suffer from mental health issues including stress, anxiety, depression and PTSD. After the Hurricane, communities were both physically and emotionally devastated leaving individuals without loved ones, homes, belongings or jobs (Rhodes, J., Chan, C., Paxson, C., Rouse, C. E., Waters, M. and Fussell, E., 2010. p. 238). The Gulf Coast, whose mental health system had been obliterated by the Hurricane, was in desperation of mental health services in order to prevent chaos and initiate recovery immediately. The U.S. government did not provide sufficient services; thus, illustrating how the affected communities’ mental health needs weren’t being met and continue to not be met today. The survivors of Hurricane Katrina did not receive sufficient mental health services due to lack of government action and lack of programs with the capacity to assist large numbers of people which resulted in the individuals and communities affected to endure homelessness, poverty, and mental health issues even till this day.
This paper will highlight and examine “survivors coping” from the text “Crisis Intervention: Promoting Resilience and Resolution In Troubled Times” by Echterling, Presbury, and McKee in relation to the effectiveness of crisis intervention.
The article under review is Posttraumatic Stress Disorder in the DSM-5: Controversy, Change, and Conceptual Considerations by Anushka Pai, Alina M. Suris, and Carol S. North in Behavioral Sciences. Posttraumatic Stress Disorder (PTSD) is a mental health problem that some people develop after experiencing or witnessing a life-threatening event, like combat, a natural disaster, a car accident, or sexual assault (U.S. Department VA, 2007). PTSD can happen to anyone and many factors can increase the possibility of developing PTSD that are not under the person’s own control. Symptoms of PTSD usually will start soon after the traumatic event but may not appear for months or years later. There are four types of symptoms of PTSD but may show in different
Post-Traumatic Stress Disorder, also known as PTSD, is an anxiety disorder that can develop after a traumatic event (Riley). A more in depth definition of the disorder is given by Doctor’s Nancy Piotrowski and Lillian Range, “A maladaptive condition resulting from exposure to events beyond the realm of normal human experience and characterized by persistent difficulties involving emotional numbing, intense fear, helplessness, horror, re-experiencing of trauma, avoidance, and arousal.” People who suffer from this disease have been a part of or seen an upsetting event that haunts them after the event, and sometimes the rest of their lives. There are nicknames for this disorder such as “shell shock”, “combat neurosis”, and “battle fatigue” (Piotrowski and Range). “Battle fatigue” and “combat neurosis” refer to soldiers who have been overseas and seen disturbing scenes that cause them anxiety they will continue to have when they remember their time spent in war. It is common for a lot of soldiers to be diagnosed with PTSD when returning from battle. Throughout the history of wars American soldiers have been involved in, each war had a different nickname for what is now PTSD (Pitman et al. 769). At first, PTSD was recognized and diagnosed as a personality disorder until after the Vietnam Veterans brought more attention to the disorder, and in 1980 it became a recognized anxiety disorder (Piotrowski and Range). There is not one lone cause of PTSD, and symptoms can vary from hallucinations to detachment of friends and family, making a diagnosis more difficult than normal. To treat and in hopes to prevent those who have this disorder, the doctor may suggest different types of therapy and also prescribe medication to help subside the sympt...
I have gained great insight into the roles of services that help people going through a crisis. I work as part of primary working team and my role is to help the primary worker and the associate worker in coming up with a treatment plan for our allocated patient. I regularly attend multi-disciplinary care review meetings where we decide and carry out present care needs, plans, and wishes and identify future input and support, goals and any desired future outcomes for our service users. I work with the other members of staff and outside agencies to promote empowerment, individuality, rights as enshrined by the law, personal responsibilities, self-identity and self-esteem. I work as part of a team including an occupational therapist that puts care plans and assessments into action to help people with basic life skills.
Military Pathway (2013) concluded “Military life, especially the stress of deployments or mobilizations, can present challenges to service members and their families that are both unique and difficult”. Hence, it is not surprising that soldiers returning from a stressful war environment often suffer from a psychological condition called Post-Traumatic Stress Disorder. This paper provides a historical perspective of PTSD affecting soldiers, and how this illness has often been ignored. In addition, the this paper examines the cause and diagnosis of the illness, the changes of functional strengths and limitations, the overall effects this disease may have on soldiers and their families, with a conclusion of possible preventative measures and treatment options. All of these findings are backed by extensive research through media, web, and journal references.
Spencer, Susan. “Mental Health First Aid: A Concept Whose Time Has Come.” Worcester Telegram & Gazette [Massachusetts] 15 Jan. 2014: n. pag. NewsBank Special Reports. Web. 7 Apr. 2014.
There are hundreds of different kinds of psychiatric disorders listed in the Diagnostic and Statistical Manual of Mental Disorders, 4th ed. (DSM-IV). One of them is called Post-traumatic stress disorder (PTSD). Based on the research, post-traumatic disorder usually occurs following the experience or witnessing of life-threatening events such as military combat, natural disasters, terrorist incidents, serious accidents, or violent personal assaults like rape (Harvard Women’s Health Watch, 2005). The purpose of this paper is to discuss the risk factors, pathophysiology, clinical manifestation, diagnostic criteria and tests, treatment, prognosis and future research and approaches to treat this psychiatric illness of post-traumatic stress disorder.
With my past social work experience I understand that trauma can affect many people in different ways. Traumatic life experiences can vary with everyone and their way of coping and reacting. I worked a children services for about two years. I have been able to witness the effects of trauma on a lot of the children I worked with. For example, I had to remove 5 children from their mother. Their mother was using meth at the time leaving the oldest child, who was thirteen years old, taking care of the youngest. The mother was in an abusive relationship with their father. The father was very emotionally abusing by threatening the kids and mother. Removing the children from their mother was a traumatic life experience.
Necessary Behavioral Mental Health intervention does not end at the point first responders have successfully contained the actual crisis. The ongoing need for Behavioral Mental Health services will continue for an extended length of time when a traumatic event such as that depicted in the scenario occur. A copious number of individuals will have ...
Every American soldier endured rigorous training to become the soldier they are today, but throughout all this training, there are a few things that a soldier can't simply learn. Training and development is treated as preparation for war situations, and much like ordinary grade school, they are tested to see how well each soldier does in each area (Huerta, 2014). Even after all this organizing and teaching, a soldier's mind is still just as human as it was before seeing action in battle. Once a soldier learns to control every situation imaginable, they are sent overseas to put all their training to use; but simulations can only get you so far. At some point, there is a moment when a soldier will step out of his or her body and truly realize how far from home they are, and that the violence of war is just a way of their new daily life. At this point "a soldier is considered dirty" (Phillips, 2014). Although for a soldier this sounds like a step in the right direction in this particular line of work, it's really a step down a dark path, and part of the soldier will never return. Now American soldiers are haunted by the negative psychological effects resulting in the harsh symptoms of PTSD (Posttraumatic stress disorder) as seen in Jarhead's main character Anthony Swofford.
The ABC model of crisis intervention refers to the conduction of very brief mental health interviews with clients whose functioning level has decreased following a psychosocial stressor also known as a crisis (Kanel, 2007). This method was first introduced by Gerald Caplan and Eric Lindemann in the 1940s, other variations of this model have developed over the years. The ABC model is a 3 step problem-focused approach used to provide temporary and immediate relief that has been known to work best when applied within 4 to 6 weeks of the precipitating event (Kaplan, 2007). The focus of the ABC model is to identify the aspects of a crisis or precipitating event, the client 's perceptions about the event, personal anguish, failed internal coping
Contrary to the similarities of both models, The ABC Model of Crisis Intervention is used as an assessment consisting of three components: A- achieving contact, B-boiling the problem down to basics and C-coping (Kanel, 2010). Kanel (2010) suggest that the ABC Model of Crisis Intervention is designed for a client whose functioning level has decreased following a psychosocial stressor. It’s most effectively applied within 4 to 6 weeks of the crisis. The Seven Task of Assessment consists of the following seven tasks: (1) Initiating Contact, (2) Defining the Crisis, (3) Providing Support, (4) Examining Alternatives, (5) Re-establishing Control, (6) Obtaining Commitment, and (7) the Follow Up (James, 2013). The Seven Task Assessment is a more detailed assessment focusing solely on the difficulties faced by the client due to a severe crisis. It allows for a closer encounter with the client to evaluate the crisis’ severity, their current emotional status, alternative methods, support systems and coping