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What are various treatment options? Treat the underlying cause. What is the best setting or location to treat this medical condition? Do on-the-spot treatment as described. Shift to ER or ICU after the on-the-spot treatment. |
| Ways to Overcome Crisis |
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Do all case scenarios of crisis need hospitalization?
Can an unjustified hospitalization lead to further harms? Should a crisis be diagnosed and treated by a medical doctor or a counselor? |
| Crisis Help |
| Crisis Counseling |
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What is Crisis and Emergency Care? Who Provides Crisis Intervention? What is Crisis Counseling? What should you advise people in crisis? |
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Questions to consider prior to engaging in a counseling relationship 1. Am I the appropriate person to counsel this client? 2. Do I have the time to do it? 3. 4. Where will the counseling take place? 5. What time frame am I going to be working in? How can you go about assisting someone who is in a crisis situation if you are dealing with the situation for the first time? 1. Establish contact with the person by introducing yourself and offering to assist them; 2. If at all possible remove the person from the stressful situation; 3. Limit their exposure to sights, sounds and smells; 4. Protect them from by-standers and the media; 5. Provide the person with adequate food and fluids but avoid foods which contain alcohol, caffeine or those rich in salt, sugar or fat; 6. If at any time you have to leave the distressed person, have someone else stay with her or him; 7. Inquire from the person what happened, how they are doing and allow them to talk about their experiences, concerns and feelings; 8. Explore with the client what the crisis means to them and why they think it happened. Assess their strengths and their needs; 9. Reassure the person that their reaction is a normal one and that most people recover from stress reactions; 10. Discuss possible solutions to the existing problem(s) and encourage the use of effective coping skills; 11. Assist the person to make decisions if necessary; 12. Restore the person to independent functioning and make provision for him/her to be followed up or assist him/her in obtaining acute care; 13. Terminate the intervention. Stress Management in Disasters 74 In more protracted crisis interventions, the principles of the intervention remain the same: (a) To establish rapport with the person in crisis; (b) To explore in detail the events that led up to the crisis and the significance of the crisis; (c) To identify the maladaptive responses which the crisis triggered; (d) To come up with and examine more adaptive alternative responses; (e) To decide on a plan of action which resolves the crisis and restores the affected person to independent functioning; (f) To review what happened so as to facilitate learning and growth; (g) Termination of the intervention. Cautions Below are some “don’ts” to bear in mind when dealing with persons in crisis: (1) Don’t probe a person in crisis to the point where she or he feels under attack; (2) Don’t criticize or embarrass persons in crisis; (3) Don’t “preach” to such persons; (4) Don’t become overly analytical; (5) Never question beyond the point where “closure” can be attained; (6) Don’t become impatient and/or appear rushed; (7) Don’t draw unnecessary attention to the person in crisis; (8) Don’t say the opposite of what you mean; (9) Don’t trivialize threats of suicide or homicide; (10) Don’t become over-involved to the point where you feel overwhelmed. |