Crisis Intervention Model
Hybrid Model of Crisis Intervention
The video clip that our team reviewed was about a counselor whom had a session with a client after she lost custody of her child. This paper will discuss the hybrid model of crisis intervention, examples of how each facet of the hybrid model of crisis intervention is illustrated and the listening skills the counselor exhibited. The hybrid model consists of seven tasks. The counselor displayed great listening skills. The hybrid model of crisis intervention consists of seven tasks. The first task is predispositioning, engaging, or initial contact with the person in crisis (James & Gilliland, 2013). The second task is exploring the problem. The problem the client is having needs to be understand by the …show more content…
crisis worker, along with how the problem effects the client’s current environment. The third task is providing support. The crisis worker finds ways to help the client from ways that have worked in the past and possible ways that could be used in the future.
The fourth task is examining alternatives. The crisis worker decides what the best way to deescalate the situation is for the client without causing further issues. The fifth task is making plans. The crisis worker comes up with a plan to help the client. A plan that is understood and reasonable for both the crisis worker and the client. The sixth task is obtaining commitment. The crisis worker develops a plan and the client agrees to the plan verbally or in writing. The seventh task is the follow-up. The crisis worker will follow-up with the client to make sure the client is safe and that the plan they developed is working.
The seven task of the hybrid model of crisis intervention are not always followed in order. Depending on the situation, a crisis worker may start with task four, which is examining alternatives. A crisis worker will not always have the information for the second task, exploring the problem, or for task one, having contact with the person in crisis (James & Gilliland, 2013).
Listening skills are a very important factor in determining how a counseling session will go. In the video, the counselors showed a lot of great listening skills, such as open ended questions. “Open ended questions are questions that do not require a plain yes or no answer”, but more of an explanation to get the client to open up. (James & Gilliland, 2013). For example,
“Was it hot today?” would require a “Yes” or “No”, and the client could stop there.
That is an example of a dead end question. Open ended questions usually start with a “how” or “what”. In the video, one of the counselors asks, “How is your relationship with her?” This requires the client to give an explanation on their relationship. Another listening skill the counselors possessed was restatement and summary clarification. This is important because, “By restating what the client is saying in the crisis worker’s own words, the crisis worker can gain agreement from the client on what the client is attempting to say, feel, think, and do.” (James & Gilliland,
2013). The counselors in the video showed this by saying statements that started with, “So what
I am hearing is…” or when the counselor stated “So now you’re afraid she is throwing you under the bus.” To which the client agreed. This is important because it gives validation and understanding to the client. The client is made to feel as though she is being heard appropriately, along with the understanding that the counselor is understanding exactly what the client is attempting to say.
Stage I: Psychosocial and Lethality …show more content…
Assessment During an assessment, the crisis worker must be fast but diligent, at the very least; the evaluation must involve the client’s “environmental supports and stressors, medical needs and medications, current use of drugs and alcoholic, and internal and external coping methods and resources.” There is one method for determining the “emotional, cognitive, and behavioral aspects of a crisis reaction” that is very functional and quick, and it is called the triage assessment model. The counselor did a lot of parroting of the conversation. She used a lot of open ended questions. The counselor tried to use reasoning and suggested that the mother have a meeting with the counselor that was calling her. The mother was irritated because she thought the person that was calling her, wanted to take the student away from her. There was actually neglect because the mother did not get out of bed to take her daughter to school. She allowed other kids to give her a ride. The counselor did ask her “What would make things better?” To which the mother replied that she just did not want to lose her daughter.
The counselor asked if she (the mother) would write a letter to the person calling her. The counselor suggested that she could help the mother write the letter and change the wording to sound better by rephrasing some of the statements. This mother is complaining about the school counselor calling her home to check on her daughter. The school is concerned because of her missing school. The mother does not feel she is neglecting her, but it is the mother’s fault because she sometimes does not get out of bed to take her to
school. Using owning or “I” statements is probably more important in crisis intervention than in other kinds of therapy because of the directive stance the crisis worker often has to take with clients who are immobile and in disequilibrium. It is further important in creating a direct bond between client and worker. The counselor did ask her what would make things better. The mother replied that she just did not want to lose her daughter. The counselor asked if she (the mother) would write a letter to the person calling her. The counselor suggested that she could help the mother write the letter and change the wording to sound better by rephrasing some of the statements.
In conclusion the counselor in the video clip assisted the client in moving forward and taking the next steps in her life to learn acceptance. The client and the counselor discussed a plan to create a letter and begin healing. When counselors use open ended questions it opens the door for the client to express more feelings and talk more about the situation so the counselor is able to understand. This also creates a rapport with the client. They begin opening up and the counselor is able to make suggestions and provide resources to fit their needs.
References
Eaton, Y., & Ertl, B. (2000). The comprehensive crisis intervention model of Community Integration, Inc. Crisis Services. In A. R. Roberts (Ed.), Crisis intervention handbook: Assessment, treatment, and research(2nd ed., pp. 373–387). New York: Oxford University Press.
James, R.K., & Gilliland, B.E. (2013). Crisis intervention strategies (7th ed.). Belmont, CA: Brooks/Cole Cengage Learning.
Myer, R. A., Williams, R. C., Ottens, A. J., & Schmidt, A. E. (1992). Crisis assessments: A three-dimensional model for triage. Journal of Mental Health Counseling, 14, 137–148.
The video clip that our team reviewed was about a counselor whom had a session with a client after she lost custody of her child. This paper will discuss the hybrid model of crisis intervention, examples of how each facet of the hybrid model of crisis intervention is illustrated and the listening skills the counselor exhibited. The hybrid model consists of seven tasks. The counselor displayed great listening skills. The hybrid model of crisis intervention consists of seven tasks. The first task is predispositioning, engaging, or initial contact with the person in crisis (James & Gilliland, 2013). The second task is exploring the problem. The problem the client is having needs to be understand by the …show more content…
crisis worker, along with how the problem effects the client’s current environment. The third task is providing support. The crisis worker finds ways to help the client from ways that have worked in the past and possible ways that could be used in the future.
The fourth task is examining alternatives. The crisis worker decides what the best way to deescalate the situation is for the client without causing further issues. The fifth task is making plans. The crisis worker comes up with a plan to help the client. A plan that is understood and reasonable for both the crisis worker and the client. The sixth task is obtaining commitment. The crisis worker develops a plan and the client agrees to the plan verbally or in writing. The seventh task is the follow-up. The crisis worker will follow-up with the client to make sure the client is safe and that the plan they developed is working.
The seven task of the hybrid model of crisis intervention are not always followed in order. Depending on the situation, a crisis worker may start with task four, which is examining alternatives. A crisis worker will not always have the information for the second task, exploring the problem, or for task one, having contact with the person in crisis (James & Gilliland, 2013).
Listening skills are a very important factor in determining how a counseling session will go. In the video, the counselors showed a lot of great listening skills, such as open ended questions. “Open ended questions are questions that do not require a plain yes or no answer”, but more of an explanation to get the client to open up. (James & Gilliland, 2013). For example,
“Was it hot today?” would require a “Yes” or “No”, and the client could stop there.
That is an example of a dead end question. Open ended questions usually start with a “how” or “what”. In the video, one of the counselors asks, “How is your relationship with her?” This requires the client to give an explanation on their relationship. Another listening skill the counselors possessed was restatement and summary clarification. This is important because, “By restating what the client is saying in the crisis worker’s own words, the crisis worker can gain agreement from the client on what the client is attempting to say, feel, think, and do.” (James & Gilliland,
2013). The counselors in the video showed this by saying statements that started with, “So what
I am hearing is…” or when the counselor stated “So now you’re afraid she is throwing you under the bus.” To which the client agreed. This is important because it gives validation and understanding to the client. The client is made to feel as though she is being heard appropriately, along with the understanding that the counselor is understanding exactly what the client is attempting to say.
Stage I: Psychosocial and Lethality …show more content…
Assessment During an assessment, the crisis worker must be fast but diligent, at the very least; the evaluation must involve the client’s “environmental supports and stressors, medical needs and medications, current use of drugs and alcoholic, and internal and external coping methods and resources.” There is one method for determining the “emotional, cognitive, and behavioral aspects of a crisis reaction” that is very functional and quick, and it is called the triage assessment model. The counselor did a lot of parroting of the conversation. She used a lot of open ended questions. The counselor tried to use reasoning and suggested that the mother have a meeting with the counselor that was calling her. The mother was irritated because she thought the person that was calling her, wanted to take the student away from her. There was actually neglect because the mother did not get out of bed to take her daughter to school. She allowed other kids to give her a ride. The counselor did ask her “What would make things better?” To which the mother replied that she just did not want to lose her daughter.
The counselor asked if she (the mother) would write a letter to the person calling her. The counselor suggested that she could help the mother write the letter and change the wording to sound better by rephrasing some of the statements. This mother is complaining about the school counselor calling her home to check on her daughter. The school is concerned because of her missing school. The mother does not feel she is neglecting her, but it is the mother’s fault because she sometimes does not get out of bed to take her to
school. Using owning or “I” statements is probably more important in crisis intervention than in other kinds of therapy because of the directive stance the crisis worker often has to take with clients who are immobile and in disequilibrium. It is further important in creating a direct bond between client and worker. The counselor did ask her what would make things better. The mother replied that she just did not want to lose her daughter. The counselor asked if she (the mother) would write a letter to the person calling her. The counselor suggested that she could help the mother write the letter and change the wording to sound better by rephrasing some of the statements.
In conclusion the counselor in the video clip assisted the client in moving forward and taking the next steps in her life to learn acceptance. The client and the counselor discussed a plan to create a letter and begin healing. When counselors use open ended questions it opens the door for the client to express more feelings and talk more about the situation so the counselor is able to understand. This also creates a rapport with the client. They begin opening up and the counselor is able to make suggestions and provide resources to fit their needs.
References
Eaton, Y., & Ertl, B. (2000). The comprehensive crisis intervention model of Community Integration, Inc. Crisis Services. In A. R. Roberts (Ed.), Crisis intervention handbook: Assessment, treatment, and research(2nd ed., pp. 373–387). New York: Oxford University Press.
James, R.K., & Gilliland, B.E. (2013). Crisis intervention strategies (7th ed.). Belmont, CA: Brooks/Cole Cengage Learning.
Myer, R. A., Williams, R. C., Ottens, A. J., & Schmidt, A. E. (1992). Crisis assessments: A three-dimensional model for triage. Journal of Mental Health Counseling, 14, 137–148.