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ASSESSMENT IN CRISIS INTERVENTION - Coggle Diagram

- - - - Do people typically show this kind of affect in situations such as this?
  - - - What would you have to do now to get back on top of the situation?
      - Is there anyone who, if you contacted them right now, would be supportive to you in this crisis?
  - - - To what extent, if any, does the client appear to be rationalizing, exaggerating, or believing part-truths or rumors to exacerbate the crisis?
      - How long has the client been engaged in crisis thinking?
- - - - No impairment, low impairment, minimal impairment, moderate impairment, marked impairment, severe impairment (image)
      - Affective severity scale
        
        Frustration of needs is often the precursor of other negative emotions, thoughts, and behaviors that plunge the client further into crisis.
        
        Aggression is always a consequence of frustration
        
        Clients may manifest these emotions both verbally and nonverbally.
        
        The crisis worker needs to be aware of incongruencies between what the client is saying, how the client is saying it (voice tone, inflection, and decibel level), and what the client’s body language says.
      - Behavioral severity scale
        
        once the crisis goes beyond the client’s capacity to cope in a meaningful and purposeful manner we would say that the client is immobilized in a continuous loop no matter how proactive they may seem to be.
        
        At the severe impairment maladaptive behavior often takes on a lethal aspect in regard to either the client or others.
      - Cognitive severity scale
        
        Thinking plays in emotions and behavior
        
        the client’s cognitive processes typically perceive the event in terms of transgression, threat, loss.
        
        The client may generate maladaptive cognitions about intrapersonal, interpersonal, or environmental stimuli.
        
        Transgression, threat, or loss may be perceived in relation to:
        
        physical needs such as food, shelter, and safety
        
        "I am hungry, cold, and don’t know how much longer I can stand it on top of this roof"
        
        psychological needs such as self-concept, emotional stability, and identity
        
        "I screwed up by not listening and preparing for the hurricane.”
        
        relationship needs such as family, friends, coworkers, and community support
        
        "Where is my family? Have they survived?"
        
        Moral spiritual needs such as integrity and values
        
        "How could God have done this to us?"
        
        Transgression is the cognition that something bad is happening in the present moment
        
        Threat is the cognition that something bad will occur,
        
        Loss is the cognition that something bad has occurred
  - - - high 20s almost always mean that some degree of lethality is involved, whether it is premeditated or clients are simply so out of control that they cannot stay out of harm’s way.
- - - - Has the client run out of gas, or can the client make it over a small hill?