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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

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