Crisis Journal 2
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School
Delta State University *
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Course
SOCIAL PSY
Subject
Medicine
Date
Dec 6, 2023
Type
docx
Pages
5
Uploaded by jordanbeeson
Jordan Weatherly Module 2 Journal September 5, 2023
Crisis Assessment and Intervention is an effective brief treatment for community mental health centers, counseling centers, and crisis intervention settings. With the use of Robert’s seven-stage crisis intervention model, can help individuals with the use of assessments and coping methods upon the client's strengths. This module's readings were eye-opening and helpful
to better understand the world of Crisis Intervention. This week’s journal entry discussed Toshi; a
55-year-old Japanese man who lost his spouse in a motor vehicle accident. With Robert’s seven-
stage crisis Intervention model, I will use this information to better support Toshi’s situation and how to support Toshi.
Stage One of Robert’s Crisis Intervention Model is to plan and conduct a thorough biopsychosocial and lethality/imminent (Psychosocial and Lethality Assessment). This stage, meaning the crisis that Toshi is experiencing, this step is important because it is to better understand and evaluate how to proceed and plan for what Toshi needs to do from now on. I will learn how to assess the client supporters, their medical needs, and their current use of drugs/alcohol with their coping methods. Toshi is a Japanese man, I already know his background and needs are different than others and how his culture does things differently with certain things. As of right now, my knowledge of Japanese culture and individuals is very limited, but research on my end can help me and help me better understand where Toshi is at with everything.
Stage Two is Rapidly Establish Rapport – this stage of Robert’s Crisis Intervention Model
is based on the counselor's conditions such as genuineness, respect, and acceptance of the client.
Most and foremost, trust and confidence in the client is huge in counseling. The client and counselor need to build a relationship where there is a trust bond the space is a safe place, and the client feels at ease. With this being said, good eye contact and a nonjudgmental attitude are something a counselor needs to have for the client to feel welcomed and have trust in the counselor. If the counselor is constantly judgmental and makes faces when the client talks, the client isn’t going to open up anymore If they feel judged.
With what Toshi is going through, I would approach him in a calming and respectful way of introduction. With the loss of his spouse, I would offer emotional support while getting to know his needs and assess his body language and how he is handling everything that is going on.
Even during this time and what is going through Toshi’s head, in this stage of Robert’s Crisis model, I would try and have a positive mental attitude and see how Toshi is throughout that process. I would also look back and research his cultural background, as grief and loss are handled differently in different cultures and handled differently in individuals. Stage Three discusses and focuses on the major problems the client is facing and the crisis precipitants. With Toshi not being able to contact his family members, he has no other copying mechanism or support from anyone he knows and feels isolated and alone. In stage Four, Toshi would explore and deal with feelings and emotions. I would help and
be here for Toshi during this time. This section in Robert’s Crisis Intervention Model stated the importance of empathy and how to be comforting during this time towards others. As helping Toshi, I; the crisis worker, rely on the familiar ‘‘active listening’’ skills like paraphrasing and reflecting feelings that Toshi may have during this time (Robert & Ottens, 2005). Stage Five is to explore alternatives, and with Toshi losing his wife he is not looking at the big picture; rather going over what happened and how it happened so fast. I am helping and
encouraging Toshi to re-establish some emotional balance during this time and how to look ahead. At this stage, it could be realistic to get in contact with Toshi’s family and loved ones. This could be found through emergency contacts, cell phones, or hospital resources. Based on the
four other stages, this stage is to act and do the best we can to be there for Toshi. Following along to stage six; implementing an action plan and discussing with Toshi the different
strategies that consist of high-risk crisis modes and suicidal leads. Pisani states in his article; “Reformulating Suicide Risk Formulation: From Prediction to Prevention”, that in the “Prevention- Oriented Risk Formulation”, risk formulation is a concise synthesis of empirically based suicide of a patient's immediate distress, time, and place. With this being concluded into Robert’s stages, I will take action and discuss with Toshi suicide and being at risk due to the situation he is in. Stage Seven/ the last stage is the follow-up stage. This stage is just as important as the other stages above because we need to make sure Toshi is following along with the crisis plan that was made for him and communicate with him how he is doing with losing his wife. In stage five we will need to figure out the best way to keep in contact with Toshi and what works best for him so we can communicate in a way he is comfortable. In the reading it states that counselors working with grieving clients, it is recommended that a follow-up session be scheduled around the anniversary date of the deceased’s death. The anniversary fate of looking a loved one can be just as hard and bring up lots of memories for Toshi and I want to keep him reminded on how to help himself during that time: self-care, favorite activity, favorite memory, etc. With this situation, I felt that I did well and was prepared to help Toshi and give him the resources to help himself during this time. Using Roberts' Seven-Stage Crisis Intervention Model
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and additional material from the readings, I felt that everything was clear on what to do, and I felt that I was given help and assistance on what to do to help my client in crisis.
References
Pisani, A. R., Murrie, D. C., & Silverman, M. M. (2015). Reformulating suicide risk formulation:
From prediction to prevention. Academic Psychiatry
, 40
(4), 623–629. https://doi.org/10.1007/s40596-015-0434-6 Roberts, A. R., & Ottens, A. J. (2005). The Seven-Stage Crisis Intervention Model: A Road Map to Goal Attainment, Problem Solving, and Crisis Resolution. Brief Treatment and Crisis Intervention, 5(4), 329–339.