USC EMSC PRESENTATION Jacqueline Ashley DSW LCSW MARCH

USC EMSC PRESENTATION Jacqueline Ashley, DSW, LCSW MARCH 3, 2021

Roberts (2005) defines crisis as “A period of psychological disequilibrium, experienced as a result of a hazardous event or situation that constitutes a significant problem that cannot be remedied by using familiar coping strategies” (p. 11) and a crisis reaction as an acute reaction that ”may take various forms, including helplessness, confusion, anxiety, shock, disbelief, and anger” and “may appear to be incoherent, disorganized, agitated, and volatile, or calm, subdued, withdrawn, and apathetic” (p. 12).

Roberts’ Seven-Stage Crisis Intervention Model 7 6 5 4 3 2 1 Establish follow -up plan and agreement Crisis Resolution Develop and formulate an action plan Generate and explore alternatives Deal with feelings and emotions (including active listening and validation) Identify major problems (including the “last straw” or crisis precipitants Establish rapport and rapidly establish relationship Plan and conduct a crisis assessment (including lethality measures)

• • • Self-Care Lifestyle Breathing Emotion Regulation Energy Management Social Connection SELF-CARE & POSITIVE COPING SKILLS

References CPI. (2021, February 20). CPI’s top 10 de-escalation tips. Crisis Prevention Institute. https: //www. crisisprevention. com/CPI/media/Media/download/PDF_DT. pdf Roberts, A. R. (2005). Crisis intervention handbook: Assessment, treatment, and research. (3 rd Ed. ). Oxford University Press.

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