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Positive and constructive thinking patterns – New ways of thinking about the client’s situation that can help them reframe.Assessing coping skills is a key part of telephone crisis intervention, which should explore what they did in the past, present, and then future
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Coping mechanisms – “Actions, behaviours or environmental resources” the client can draw on to help get through their situation.Situational Supports – individuals around the client who “might care about what happens to the client”.James identifies three categories of potential alternatives: A client whose coping skills are suspended will have difficulty coming up with options and this is where the crisis worker comes in. In step 4, Examining Alternatives, the client is encouraged to explore potential solutions to what they’re dealing with. Once the client has their basic needs met, the next part of providing support is ensuring the client has enough information to understand their available options for dealing with their situation. This can involve simply talking to the client about what’s going on in their life, taking care of basic needs (e.g. Providing SupportĪfter the client is physically safe and the problem has been adequately defined, the next step is for the crisis worker to accept the client as a person of value and communicate that they care about them. For instance, in an average office, scissors, paper cutters, staplers and three-hole punches can all be used to injure self or others. Removing access to lethal means of suicide as well as other items that can be used to hurt yourself and the client are important. This involves suicide risk assessment, as well as checking homicide risk. The next step is to ensure the safety of the client. The active listening process is important here: open-ended questions and the core factors of empathy, genuineness and positive regard. This part of the process helps establish a connection between yourself and the client. The first step in crisis intervention process is to determine exactly what the problem is. These steps form the foundation of intervening with an individual to help give them a sense of control and help to restore basic coping skills. This model of crisis intervention is from James (2008) who has adapted it from Gilliland (1982). The Six Stage Model of Crisis Intervention The Six Stage Model of Crisis Intervention.
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