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Crisis Intervention
Mid-term
46
Social Work
Undergraduate 1
02/18/2013

Additional Social Work Flashcards

 


 

Cards

Term
Crisis as danger?
Definition

No help - lower level of functioning.

or

No help - nonfunctioning level

 

could lead to suicide, homicide, psychosis

Term
Crisis as opportunity?
Definition

Help - higher level of functioning leads to:

Growth, insight, coping

Term
Curvilinear model of anxiety as motivator for change?
Definition

Low anxiety: low motivation

 

Moderate anxiety: highest level of motivation for performance

 

High anxiety: overwhelmed. paralysis.

Term
What's a crisis?
Definition

Precipitating event.

>

Perception.

>

Subjective distress.

>

Lowered functioning (when coping fails).

Term
What is a developmental crisis?
Definition

Occurs as one is going through lifestyle stages.

 

ie: Birth of a first child, menopause, etc.

Term
Situational crisis?
Definition

May occur as a result of an uncommon event.

 

ie: assault, divorce, illness, death of a loved one, robbery, etc.

Term
Cognitive key?
Definition
The client's perception of the precipitating event that led to the crisis. This must be identified by the worker before he/she can help the client to make changes in order to increase functioning.
Term
Social resources?
Definition
Family, friends, co-workers.
Term
What does it mean to be crisis prone?
Definition
When a person fails to grow from a crisis experience, but instead uses only their ego strength to deal with a crisis. In this case, their ego strength will be weakened.
Term
Coping methods.
Definition

The processes that a person uses to handle crisis/stress while continuing to function.

ie: thoughts, emotions, and behaviours.

Term
Functioning level.
Definition
How the client/person behaves emotionally, socially, and through work/school.
Term
Material resources?
Definition
Resources such as money, food, housing, clothing, etc. Basic needs that can be a factor in how well a person handles a crisis.
Term
Personal resources.
Definition
Ego strength, physical health, and intelligence.
Term
Precipitating event.
Definition
An event that can trigger anxiety or a crisis.
Term
Situational crisis?
Definition
An unexpected traumatic event that can impair a person's ability to function.
Term
Subjective distress.
Definition
Feelings of pain and discomfort experienced by a person in crisis.
Term
ABC model of crisis intervention.
Definition

A: Establish and develop rapport with the client. Use attentive behaviour: eye contact and listening.

 

B: Identify the problem and the precipitating event. Explore meanings/perceptions. Discuss.

Identify distress. (how is it affecting you?)

Identify impairments. (behavioural, social, work/school)

 

C: Coping. Explore the client's current coping skills.

Encourage new behaviours.

 

Term
Attending behaviour?
Definition
Active listening, showing presence with eye contact, etc.
Term
Close-ended questions.
Definition
Questions that can be answered with a "yes", "no", or other one-word answer.
Term
Open-ended questions.
Definition
Questions usually begin with "how" or "what", and encourage client to answer more fully than a close-ended question.
Term
Paraphrasing?
Definition
The worker will restate in their own words what the client relays to he/she. It's an attending skill.
Term
Support statements?
Definition
Validating statements showing that the worker empathizes with the client in their situation.
Term
Danger to others.
Definition
Client is deemed to be a threat to others. Worker must break confidentiality agreement and report their concerns to others.
Term
Involuntary hospitalization.
Definition
If a client is a danger to themselves or to others, they may be hospitalized against their will.
Term
No-suicide contract.
Definition
A written or verbal contract between client and worker in which the client agrees not to harm themselves without first consulting the worker. There may be a time limit on this, ie: "I agree not to harm myself between now and when I see you for my next appointment."
Term
Suicidal ideation.
Definition
The thought process involved in considering the act of suicide.
Term
Suicide assessment.
Definition
A series of questions asked of the client by the worker to determine risk factors including: does the client have a plan, do they have the means, what is the reasoning for wanting to do it, etc.
Term
Brief therapy.
Definition
Aimed at changing old behaviour patterns rather just focusing on the crisis currently being presented.
Term
Existential theory.
Definition
Using anxiety as motivation to change, the worker focuses on the client's choices for the present and future and their accepting responsibility for them.
Term
Humanistic approach.
Definition
Worker uses a personal approach and basic attending skills with the client to encourage growth.
Term
Psychoanalytic theory.
Definition
This puts forth the idea that we have only a limited amount of psychic energy to deal with the stresses of life, and therefore must procede slowly in making changes with the client.
Term
Strategic family therapy.
Definition
A therapy that treats the entire family when one or more of its members is affected by a crisis.
Term
Structural family therapy.
Definition
Maps the relationships and patterns within a family and focuses on changes and adjustments necessary to "join" the family.
Term
Wellesley Project.
Definition
The first attempt at organizing and introducing crisis intervention into a community. By Caplan and Lindemann.
Term
Systems theory.
Definition
Assuming that a family is a self-regulated system, any member of the family that is conflicted will influence the other members to behave and cope in an opposing manner.
Term
Cognitive approaches.
Definition
Focuses on the client's perceptions and thoughts and how these work in a crisis.
Term
Runaway.
Definition
A family member in a state of crisis. Used in family systems theory.
Term
Burnout and potential results.
Definition
Emotional and physical exhaustion in the workplace. Can result in negativity towards self, the job, and clients.
Term
Secondary traumatic stress.
Definition
Dealing with crisis on a daily basis can result in the worker becoming depressed, developing learned helplessness, and becoming stressed.
Term
Gravely disabled.
Definition
A person who is suffering from a severe mental illness such that they are unable to care for themselves. They may require hospitalization.
Term
Informed consent.
Definition
Permission given by the client to the worker for treatment.
Term
Dual relationship.
Definition
A client/worker relationship outside the bounds of the professional. ie: sexual, business, or social.
Term
Exceptions to confidentiality.
Definition
If a client is in danger of harming themselves or others or if the workers files are subpoenaed by the courts.
Term
Countertransference.
Definition
When a worker transfers his/her unresolved personal feelings in a session with a client.
Term
What are the three dimensions of burnout?
Definition

Exhaustion

 

Cynicysm

 

Ineffectiveness

Term

Myths about suicide?

Definition

Talking about suicide will give someone the idea to do it.

 

Someone who talks about suicide is only looking for attention.

 

A suicidal person clearly wants to die.

 

A person who is unsuccessful in an attempt will not try again.

 

A suicidal person will show no warning signs.

 

 

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