Professional Documents
Culture Documents
Ebook Ebook PDF Crisis Intervention Strategies 7Th Edition All Chapter PDF Docx Kindle
Ebook Ebook PDF Crisis Intervention Strategies 7Th Edition All Chapter PDF Docx Kindle
Ebook Ebook PDF Crisis Intervention Strategies 7Th Edition All Chapter PDF Docx Kindle
Index 712
Copyright 2012 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
Contents
PART I B
asic Training: Crisis The Contextual-Ecological Model 18
Psychological First Aid 19
Intervention Theory The ACT Model 20
and Application 1 Eclectic Crisis Intervention Theory 20
CHAPTER 1
Characteristics of Effective Crisis Workers 21
Life Experiences 21
Approaching Crisis Intervention . . . . . . . . . . . . . . . . . 3
Personal Characteristics 22
A Brief History of Crisis Intervention 3
Rewards 23
Grassroots Movements 4
The Importance of Volunteerism 5 Summary 23
The Need for Institutionalism 5 References 24
The Media and the Societal Impetus
for Crisis Intervention 6 CHAPTER 2
The Case Against Too Much “Helping” 7 Culturally Effective Helping . . . . . . . . . . . . . . . . . . . . 28
Definitions of Crisis 7 Multicultural Perspectives in Crisis Intervention 28
Individual Crisis Definitions 7 Culturally Biased Assumptions 29
Behavioral Emergencies 8 Universal Versus Focused Views 30
Systemic Crisis Definitions 8 Working on the Individualist/Collectivist–
Metastasizing Crisis 9 High/Low Context Continuum 30
Characteristics of Crisis 10 Emic Versus Etic Models of Multiculturalism 32
Transcrisis States 11 Awareness of Both Ecology and Multicultural
Transcrisis Differentiated From Posttraumatic Competencies 35
Stress Disorder 11 Shortcomings of a Multiculturalist Approach
Transcrisis Points 12 to Crisis Intervention 36
Theories of Crisis Culturally Effective Helping 38
and Crisis Intervention 13 Positive Aspects of an Effective Multicultural
Basic Crisis Intervention Theory 13 Counselor 39
Expanded Crisis Theory 14 When in Rome, Italy . . . or Georgia 40
Applied Crisis Theory 16 Language Barriers 40
Crisis Intervention Models 17 Religion and Spirituality 40
The Equilibrium Model 17 Support Systems 42
The Cognitive Model 17 Occupation as a Cultural Barrier 42
The Psychosocial Transition Model 18 Geographic Locale as a Cultural Barrier 43
The Developmental-Ecological Model 18 The Dilemma of Local Consultation 44
vii
Copyright 2012 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
viii Contents
Copyright 2012 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
Contents ix
Copyright 2012 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
x Contents
Copyright 2012 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
Contents xi
Sociocultural Determinants of Substance Abuse 350 Personal Loss: Bereavement and Grief . . . . . . . . . . 414
Alcohol: Number One Abused Substance 351 Terms Critical to Understanding Loss 416
Copyright 2012 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
xii Contents
Copyright 2012 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
Contents xiii
C hapter 1 6
System Overview 655
Microsystem 656
Human Services Workers in Crisis:
Mesosystem 656
Burnout, Vicarious Traumatization, Exosystem 659
and Compassion Fatigue. . . . . . . . . . . . . . . . . . . . 612 Macrosystem 659
Helping Professionals: Prime Candidates 612 Chronosystem 660
Defining Burnout 613 Defining Principles of a Crisis Intervention
Dynamics of Burnout 614 Ecosystem 664
Cornerstones of Burnout 614 National Crisis Response Teams 665
Research on Burnout Dynamics 615 Vertically and Horizontally Integrated Local
Myths That Engender Burnout 616 Emergency Management Systems 668
Symptoms of Burnout 617 Mental Health Components of Local EMAs 673
Levels of Burnout 617 What Happened With Katrina? 674
Stages of Burnout 617 Psychological First Aid and Psychosocial Support
as Applied to Disaster Survivors 676
Worker–Client Relationships 619
When More Than PFA Is Needed 676
Countertransference 619
The Current State of Affairs 677
Secondary Traumatic Stress/Vicarious
Traumatization/Compassion Fatigue 620 The People of Disasters: Responders and Survivors 678
Compassion Satisfaction 621 Crisis Workers at the Disaster 678
Thoughts of a Mental Health Worker on Katrina
The Culpability of Organizations 621
One Year Later 679
Self-Recognition of Burnout 622 Lessons I Learned From Katrina 681
Intervention Strategies 622 Case Study of the Benefield Family 683
Assessment 623
Focus on the Worker 696
Intervention Through Training 624
Debriefing 696
Intervention With the Organization 624
Debriefing Emergency Workers 697
Self-Care 629
Debriefing Crisis Workers 699
Private Practitioners and Burnout 629
Final Thoughts 702
Intervention With the Individual: A Case Study 630
Summary 702
Epilogue: Cross-Cultural Comparisons 639
References 703
Summary 640
References 640 Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 712
Copyright 2012 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
Preface
Purpose of the Book ventive measures for their psychological health as they
The primary purpose of this book is to present applied are for their physical health.
therapeutic counseling in general, and crisis interven-
The Case for an Applied Viewpoint
tion in particular, in a way that effectively describes
The materials and techniques we promote in this book
actual strategies to alleviate the crisis. In our experi-
come from two sources: first, the authors’ own experi-
ence, most clients who enter counseling or psychother-
ences in teaching and counseling in crisis situations, and
apy do so because of some sort of crisis in their lives.
second, interviews with people who are currently in the
Although “preventive” counseling is the ideal, personal
trenches, successfully performing counseling and crisis
crisis generally provides the impetus that impels real
intervention. We have obtained input from many differ-
clients into contact with a helping person. This book
ent individuals in the helping professions, whose daily
provides a perspective that puts you into the crisis situ-
and nightly work is dealing directly with human dilem-
ation as it is occurring, enabling you to experience what
mas, and have related their views to the best of current
crisis workers are experiencing as they operate.
theory and practice from the professional literature.
Through many hours of dialogue, these experts have pro-
Rationale vided the most contemporary strategies and techniques
The Primacy of Crisis Intervention in use in their particular fields. They have also reviewed
The two Chinese characters embedded on the front the content of each crisis category and have provided
cover of the book and at the beginning of each chap- much helpful commentary and critique of the ecology
ter symbolize both “danger” and “opportunity.” Those and etiology, tactics and procedures, terminology, and
two elements are the essence of crisis—the human di- developmental stages of the specific crises with which
lemma that is common to all cultures. We believe that they work. Therefore, what you read in the case-handling
practically all counseling is initiated as crisis interven- strategies comes directly from the horse’s mouth.
tion. As much as the helping professions would prefer Where controversies exist in regard to treatment
otherwise, people tend either to avoid presenting their modalities, this text attempts to present as many
problems to a helper until those problems have grown perspectives as possible. Dr. Gilliland has been dead
to crisis proportions, or to become ensconced in situ- for 10 years, so if you encounter problems with the tac-
ational dilemmas that wind up in unforeseen crises. tics and techniques presented in the current edition,
Our ideal objective, as human service workers, is to es- the fault is undoubtedly in Dr. James’s rendition of the
tablish primary prevention programs so effective that current research and therapeutic modalities.
crisis intervention will seldom be needed. However, it The authors have endeavored to incorporate, syn-
appears that people will not be as quick to adopt pre- thesize, and integrate the case-handling strategies of
xiv
Copyright 2012 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
Preface xv
the resource people in a comprehensive, fluid, and dy- view of the situation or problem as you read about cri-
namic way that will provide crisis workers with a basic sis workers attempting to grapple with heart- and gut-
set of tenets about effective crisis intervention. This wrenching problems.
book is not about long-term therapy or theory. Nor is Finally, because of a virtually unlimited supply of
it a volume dealing with crisis from only one theoreti- different crisis situations, we have had to make tough
cal perspective, such as a psychoanalytic approach or a decisions about what kinds of problems to illustrate in
behavioral system. The book incorporates a wide diver- the most generic and comprehensive way so as to reach
sity of therapeutic modalities and reflects our eclectic the broadest possible audience. We understand and em-
approach to crisis intervention. pathize very deeply with readers who may have suffered
Specific crises demand specific interventions that terrible crises that are not mentioned in this book and
span the whole continuum of therapeutic strategies. who are puzzled, chagrined, and angry that we have not
The strategies presented in this book shouldn’t be con- given space and time to the particular crisis that they
strued as the only ones available for a particular crisis. have suffered through. For that we apologize. The space
They are offered as “best bets” based on what current available means that we simply cannot include all situ-
research and practice indicate is appropriate and appli- ations. However, what we would like you to do, rather
cable. Yet these strategies may not be appropriate for all than rail at our callous treatment in ignoring your par-
practitioners with all clients in all situations. ticular dilemma, is to imagine how the strategies and
Good crisis intervention, as well as good therapy of techniques you are reading about might apply to the
any other kind, is a serious professional activity that particular crisis you have experienced. We hope that
calls for creativity and the ability to adapt to changing what we say about those crises will help you come to un-
conditions of the therapeutic moment. To that extent, derstand the dynamics of your own crisis a bit better.
crisis intervention at times is more art than science
and is not always prescriptive. Therefore, we caution Basic Relationship Skills. The listening and responding
you that there are no clear-cut prescriptions or simple skills described in Chapter 4 are critical to everything
cause-and-effect answers in this book. else the worker does in crisis intervention. Yet on cur-
sory inspection these techniques and concepts may seem
The Case for an Experiential Viewpoint at best simplistic and at worst inane. They do not appear
The fact that no single theory or strategy applies to every to fix anything because they are not “fixing” skills. What
crisis situation is particularly problematic to those who they do is give the crisis worker a firm basis of operation
are looking for simple, concrete answers to resolve the from which to explore clearly the dilemma the client is
client problems they will face. If you are just beginning facing. Basic listening and responding skills are the pre-
your career in the human services, we hope that while requisites for all other therapeutic modalities.
reading and trying out activities in this book you will Our experience has shown us over and over that stu-
suspend your judgment for a while and be open to the dents and trainees who scoff at and dismiss these basic
experience as you read about crisis workers attempting relationship skills are the ones who invariably have the
to implement theory into practice. most trouble meeting the experiential requirements of
our courses and workshop training sessions. We feel
Moral Dilemmas. An issue that permeates many of the very strongly about this particular point and thus ask
topics covered in this book concerns the emotions they you to read Chapter 4, The Tools of the Trade, with an
generate and the beliefs about what is morally “right” open mind. Students and veterans who operate in a cli-
and what is morally “wrong” that pervade those topics. ent-centered mode may find some of what we propose
People have been willing to go to prison or die because to be pretty close to heresy, because a lot of these tools
of the strong beliefs they hold about many of these top- are directive and judgmental regarding the action to
ics. Where such moral issues and beliefs abound, we be taken—particularly when client safety is concerned.
have attempted to deal with them in as even-handed a Again we ask you to suspend judgment and give these
manner as possible. This book is not about the moral- tools a good tryout in this new venture.
ity of the issues covered, but rather about what seems
to work best for the people who are experiencing the Role Play. If this volume is used as a structured learn-
dilemma. We ask you to read the book with that view ing experience, the case studies in each chapter are
in mind and, at least for a while, suspend your moral a valuable resource for experiential learning. So are
Copyright 2012 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
xvi Preface
the exercises your instructor will give you, as are the with verbiage. We did it because the field of crisis in-
videos. It is essential that you observe effective crisis tervention keeps expanding rapidly, as does the knowl-
intervention models at work and then follow up by edge base. Therefore, you need to know the “stuff” to
actually practicing and enacting the procedures you do your job effectively. If you just watch the PowerPoint
have observed. Intensive and extensive role play is an presentations or the video clips, you might get enough
excellent skill builder. A critical component of train- knowledge to pass your instructor’s tests. However, you
ing is not just talking about problems but practicing won’t know enough to help your client or yourself when
the skills of handling them as well. Talking about a you get in a tight spot. So read, read, read.
problem is fine, but attempting to handle a live situ- Finally, if you are never, ever going to be a crisis
ation enables the trainee to get involved in the busi- interventionist, but you are a “consumer,” this book
ness of calming, defusing, managing, controlling, and can still be very useful. Sad to say, but just through
motivating clients. Role play is one of the best ways living, you are going to encounter a lot of the crises
of practicing what is preached, and it prepares human in this book that are going to afflict you, your loved
services workers for developing creative ways to deal ones, your friends, your workplace, and the ecosystem
with the variety of contingencies they may face. Role in which you live. This book can give you the basic
play gives human services workers the chance to find knowledge to deal with the crisis or know when it’s
out what works and doesn’t work for them in the safety time to get help.
of a training situation and affords their fellow students
and trainees an opportunity to give them valuable Organization of the Book
feedback.
Part I, Basic Training
A major problem in role play is the perception of
Part I of the book introduces the basic concepts of crisis
standing up in a class or workshop and risking making
intervention. It comprises Chapters 1, 2, 3, 4, 5, and 6.
a complete fool of oneself. We want to assure you that in
our classes and training sessions we don’t expect perfec- Chapter 1, Approaching Crisis Intervention. Chapter 1
tion. If our students and trainees were perfect at crisis contains the basic rationale and the theoretical and
intervention, they wouldn’t be taking instruction from conceptual information needed for understanding
us in the first place! Therefore, put your inhibitions on applied crisis intervention.
the shelf for a while and become engaged in the role
Chapter 2, Culturally Effective Helping. Chapter 2
plays as if the situations were real, live, and happening
is concerned with how crisis and culture interact.
right now. Further, be willing and able to accept critical
Dealing effectively with people from diverse back-
comments from your peers, supervisors, or instructors.
grounds who are undergoing a crisis or have survived
Your ego may be bruised a bit in the process, but that’s
a disaster mandates an understanding of and sensitiv-
far better than waiting until you are confronted with an
ity to multicultural issues. “Social locations” for both
out-of-control client before you think about what you
worker and client play a major role in crisis interven-
are going to do. Over and over, our students report that
tion work.
this component of instruction was the most profitable
to them and was also the most fun! Chapter 3, The Intervention and Assessment Models.
Give the exercises that go with each chapter your Chapter 3 introduces the new task model for crisis in-
best effort, process them with fellow students or train- tervention as well as the triage assessment system for
ees, and see what fits best with your own feelings, rapidly assessing the severity of the crisis in a multidi-
thoughts, and behaviors. Many times our students and mensional way.
trainees attempt to imitate us. Although it is gratifying
Chapter 4, The Tools of the Trade. Chapter 4 provides
to see students or trainees attempting to be “Dr. J.,” it
a conceptual as well as a skill-building model of crisis
is generally an exercise in futility for them. What they
intervention that applies to all crisis categories. It de-
need to do is view us critically as we model the proce-
scribes listening and relationship skills, strategies, and
dures and then incorporate their own style and person-
practical guidelines for initial intervention in all types
hood into the procedures. We urge you to do the same.
of crises.
More “Stuff.” Some of these chapters are really long. We Chapter 5, Crisis Case Handling. Chapter 5 presents an
didn’t put all that “stuff” in there to beat you to death overview of how crises are handled. Long-term therapy
Copyright 2012 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
Preface xvii
is compared with crisis intervention. Different venues In addition to examining the immediate aftermath of
where crisis intervention operates are explored to give sexual assault on both children and adults, this chapter
an overview of the general tactics and strategies that also examines adult survivors of sexual/physical abuse
are used. experienced in childhood.
Chapter 6, Telephone and Online Crisis Counseling. The Chapter 10, Partner Violence. Chapter 10 deals with a
majority of crisis intervention is now done on the tele- crisis that many people in domestic relationships face:
phone. The wave of the future for crisis counseling will being treated violently by their partners. This chapter
most likely be the Internet. This chapter explores the is- provides strategies to help people who are suffering
sues and techniques that are involved in these two me- abuse in any kind of domestic relationship. The chapter
diums of communication. also deals with emerging treatment techniques for the
batterers.
Part II, Handling Specific Crises:
Chapter 11, Chemical Dependency: The Crisis of Ad-
Going Into the Trenches
diction. Chapter 11 deals with one of the most press-
Part II (Chapters 7 through 13) addresses a variety of
ing issues of our day, addiction to substances. Because
important types of crises. Each chapter in Part II de-
chemical addiction is such a pervasive scourge on our
scribes the background and dynamics of the particu-
society, no human services worker in the public arena
lar crisis type to provide a basic grasp of the driving
can escape dealing with its effects. Crises of codepen-
forces behind the dilemma. Although some theory
dency and the long-term effects of substance abuse that
is presented to highlight the therapeutic modalities
create crises in the lives of adult children of addicts are
used, comprehensive theoretical systems are beyond
also examined in this chapter.
the scope of this book. For sources of that informa-
tion, turn to the reference section at the end of each Chapter 12, Personal Loss: Bereavement and Grief.
chapter. Chapter 12 presents a type of crisis that every person
In Part II we provide scripts from real interventions, will sooner or later face: personal loss. Even though
highlighted by explanations as to why the crisis work- the phenomenon of loss has been with us as long as the
ers did what they did. Techniques and cases are used to human species has existed, many people in our contem-
support live tryout, experiencing, and processing of the porary culture are poorly prepared and ill-equipped to
cases and issues in each chapter. deal with it. This chapter provides models and strate-
gies for coping with unresolved grief. It uses ultimate
Chapter 7, Posttraumatic Stress Disorder. Posttraumatic
loss—death—to examine a variety of problems associ-
stress disorder (PTSD) is the linchpin chapter of this
ated with termination of relationships, both for the cli-
section. Many of the chapters that follow deal with
ent and for the crisis worker.
problems that may be precursors of PTSD or, alter-
nately, may represent its manifestations. Chapter 13, Crises in Schools. Schools have become a
focal point for the violence perpetrated by gangs and
Chapter 8, Crisis of Lethality. Chapter 8 focuses on
disenfranchised and socially isolated children and ado-
strategies that crisis workers need in working with peo-
lescents. This chapter examines crises as they impact
ple who are manifesting lethal behavior. Suicidal and
schools from preschool through higher education. It
homicidal ideation flows through many other problems
considers what crisis workers need to do in assessing,
that assail people the human service worker is likely to
screening, and working with the potentially violent
confront, and is a consideration for all providers of cri-
individual student who is estranged from the social
sis intervention services in regard to the safety of both
mainstream of the school. It also deals with what the
those clients and the interventionists.
crisis worker needs to know in dealing with a problem
Chapter 9, Sexual Assault. Chapter 9 address a soci- that has become endemic in youth—suicide. The chap-
etal crisis that practically every human services worker ter describes what goes into making up a crisis response
will eventually encounter—clients who have either team for a school building and a school system, and
experienced or been affected by sexual assault. Sexu- how such teams respond when a crisis occurs. Finally,
ally assaulted clientele are a special population because some of the legal and ethical ramifications of dealing
of the negative moral and social connotations associ- with minors who are contemplating or have engaged in
ated with the dehumanizing acts perpetrated on them. acts of violence are considered.
Copyright 2012 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
xviii Preface
Part III, On the Home Front: Crisis in the interpretations than with focusing on practical matters
Human Services Workplace of how to respond in crisis situations, in order to give
Part III (Chapters 14 through 16) concentrates on the you an understanding of some of the general types of
problems of crisis workers themselves and their em- crises you will face and the basic skills you will need to
ploying institutions. do something about them.
Chapter 14, Violent Behavior in Institutions. Chapter 14 New to the Seventh Edition
tackles the little publicized, and badly neglected, type • New videos, available on DVD and through
of crisis that workers in many institutions face daily: CourseMate (both available for packaging with
violent behavior within the walls of the institution. the text), correlate with the text and demonstrate
Regardless of the organizational setting in which they crisis intervention techniques, enabling students
are employed, workers will find in this chapter useful not only to understand the theoretical underpin-
concepts and practical strategies that they and the in- nings of crisis intervention but also to apply them
stitution can put to immediate use with agitated and in crisis situations, thus learning how the theories
potentially assaultive clients. play out in crisis scenarios.
Chapter 15, Crisis/Hostage Negotiation. Chapter 15 • This updated edition includes references to semi-
presents another issue that human services workers pay nal historical works as well as new research.
little attention to, until it happens to them. The taking • Chapter 1, Approaching Crisis Intervention, now
of hostages has become well-publicized through terror- includes an expanded history of crisis intervention.
ism and other acts of violence. However, many hostage • Chapter 2, Culturally Effective Helping, contains
takings occur within the confines of human services extensive new material, in particular the use of
work settings. This chapter provides basic crisis nego- Brown’s social location theory as it applies to cri-
tiation strategies and survival techniques that may en- sis. Videos developed for the text include a live
able a human services worker to contain and survive a scenario using the new theory.
hostage situation. • The discussion of basic intervention skills is now
divided into two chapters in order to make the
Chapter 16, Human Services Workers in Crisis: Burnout, content easier for students to manage. Chapter 3,
Vicarious Traumatization, and Compassion Fatigue. The Intervention and Assessment Models, presents
Chapter 16 is about you and all human services work- the new hybrid task/step crisis intervention model
ers who are in the helping professions. No worker is and an expanded version of the Triage Assessment
immune to stress, burnout, and the crises that go with Form. Chapter 4, The Tools of the Trade, covers the
human services work. This fact is particularly true in basic techniques used in crisis intervention.
crisis work. This chapter should prove valuable for any • The discussion of case handling in Chapter 5, Cri-
worker anywhere whose work environment is frenetic sis Case Handling, has been updated, with more
and filled with crisis intervention or whose personality coverage of borderline personality disorders and
tends to generate compulsive behavior, perfectionism, legal changes that affect how crisis intervention
or other stressors that may lead to burnout. clients may be handled.
Part IV, No Man’s Land • Chapter 6, Telephone and Online Crisis Counsel-
ing, now offers much more discussion of Internet
Part IV focuses on an ecosystem view of crisis and cri-
and telehealth applications.
sis intervention. It also provides an up-close-and-per-
• The coverage of PTSD in Chapter 7, Posttraumatic
sonal picture of the crisis workers who operate at the
Stress Disorder, has been substantively updated
scene of a disaster.
and enhanced, with new content on the new
Chapter 17, Disaster Response. Chapter 17 explores the military wellness programs as well as the use of
theoretical basis and operating paradigm for large-scale traumagrams.
disasters. It also describes a variety of crisis workers as • Chapter 8, Crisis of Lethality, has updated and ex-
they respond to a natural disaster, both how they take panded coverage of both assessment and interven-
care of survivors and how they take care of themselves. tion strategies for lethal clients.
In summary, we have been less concerned with intel- • Case material in Chapter 9, Sexual Assault, has
lectualizing, philosophizing, or providing theoretical been refined to better illuminate issues in all three
Copyright 2012 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
Preface xix
segments discussed in the chapter: adult sexual adaptation, borderline personality disorder, domes-
assault, adult survivor of childhood sexual assault, tic violence, psychological autopsy, alcohol addiction,
and child assault. critical incident stress debriefing, PTSD, rape, adult
• Chapter 10, Partner Violence, has expanded com- survivor of childhood sexual assault, violent students,
mentary on shelters and community models of burnout, survivors of disaster, and suicide. Instructors
intervention. can package the DVD with the student textbooks at
• Chapter 11, Chemical Dependency, has expanded the bookstore when placing their textbook order. If the
coverage of behavioral treatment models and how DVD did not come packaged with this text, it can be
they are used in inpatient and outpatient programs. purchased separately at www.cengagebrain.com.
• Chapter 12, Personal Loss, has undergone major
changes. The former stage models have largely been CourseMate Website for Crisis Intervention
supplanted by process-oriented models such as the Strategies, Seventh Edition
dual process and adaptive models of grieving. The CourseMate website includes a suite of student re-
• Chapter 13, Crises in Schools, now includes more sources such as quizzes, activities, an eBook, and ex-
on bullying and cyberbullying, as well as conta- emplar videos developed to accompany this text. These
gion suicide. video clips demonstrate various crisis intervention sce-
• Chapter 14, Violent Behavior in Institutions, has narios through the use of role play by Dr. James and
expanded coverage on treatment of workers who his students. Included scenarios address job loss, child
have been the victims of assault. neglect, cultural adaptation, borderline personality dis-
• Chapter 15, Crisis/Hostage Negotiation, intro- order, domestic violence, psychological autopsy, alco-
duces the SAFE and REACT models that are cur- hol addiction, critical incident stress debriefing, PTSD,
rently being used in hostage negotiation. rape, adult survivor of childhood sexual assault, violent
• Chapter 16, Human Services Workers in Crisis, students, burnout, survivors of disaster, and suicide.
which addresses burnout among human services Instructors can package a printed access code with the
workers, now includes expanded coverage of com- student textbooks at the bookstore when placing their
passion fatigue and compassion satisfaction. textbook order. If the printed access code did not come
• Chapter 17, Disaster Response, provides more his- packaged with this text, instant access can be pur-
torical background on disaster response systems chased separately at www.cengagebrain.com.
and how they have grown. New communications
and planning techniques are discussed, along Instructor’s Ancillaries
with the role of psychological first aid in disaster Online Instructor’s Manual
workers’ responses to survivors. The instructor’s manual includes classroom exercises,
role plays, and case studies, as well as practice test
questions.
Student Ancillaries
DVD for Crisis Intervention Strategies Online Test Bank
Video clips demonstrate various crisis intervention sce- The Online Test Bank contains true/false, multiple-
narios through the use of role play by Dr. James and his choice, and short essay questions with page number
students. Included scenarios address job loss, cultural text references.
Copyright 2012 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
Acknowledgments
In writing a book that covers so many diverse areas of appreciate them deeply and have stood in awe and ad-
the human condition, it would be extremely presumptu- miration in regard to how many of them have gone on
ous of us to rely solely on our own expertise and theories to excel in this field.
of truth, beauty, and goodness to propose crisis inter- A special thanks to Emily Meadows, doctoral stu-
vention techniques as the one true path of enlighten- dent and counselor at Memphis Catholic High/Middle
ment to dealing with crises. We decided that the only School, for her excellent work in creating the online
realistic way to present the most current, reliable, and practice quizzes and PowerPoint presentations. You
practical techniques of crisis intervention would be to might want to thank Emily yourself because you are
go straight to the people who do this work day in and going to find those are really helpful in learning the
day out. They are not “big names,” but rather people material and maybe even in getting an A.
who go methodically about the business of crisis inter- We extend our grateful appreciation to the follow-
vention daily in their respective venues. They work in ing professionals who have served as our editors and
such diverse occupational roles as ministers, police offi- other gophers: Seth Dobrin, Senior Acquisitions Editor;
cers, psychologists, social workers, psychiatrists, nurses, Naomi Dreyer, Assistant Editor; Suzanna Kincaid, Edi-
marriage and family counselors, correction counsel- torial Assistant; Elizabeth Momb, Media Editor; Tami
ors, and school counselors. They work in every kind of Strang, Marketing Program Manager; Rita Jaramillo,
agency and institution that deals with people and their Content Project Manager; Caryl Gorska, Art Director;
dilemmas. They range geographically from across the Judy Inouye, Manufacturing Planner; Dean Dauphi-
United States to across the world. They are an encyclo- nais, Rights Acquisitions Specialist; Anne Draus, pro-
pedia of practical knowledge, and we are deeply in their duction manager at Scratchgravel Publishing Services;
debt for the help, advice, time, interviews, and critiques Greg Draus, illustrator and art wizard; Ashley Lien-
they have provided. This book would not be possible ing, text researcher; and Peggy Tropp, copyeditor. They
without their assistance, and we thank them one and all. have practiced their own crisis intervention skills when
We would also like to thank the students in our cri- we have become oppositionally defiant to written com-
sis intervention classes at the University of Memphis. If ments and suggestions.
you watch the videos that accompany this text, you are Finally, we would certainly like to acknowledge the
going to meet some of them up close and personal— following reviewers for their cogent comments and in-
both as crisis interventionists and as wild and crazy cli- sightful critiques.
ents! You will see that as rookies they are not perfect,
but they are pretty darn good. They had fun making the Seventh Edition:
videos, and we hope you will have as much fun practic- Lorraine Barber, Community College of Philadelphia
ing these skills as they did. We want them to know we Renee Henry, Central Texas College
xx
Copyright 2012 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
Acknowledgments xxi
Stephany Hewitt, Trident Technical College Jan Hockensmith, Olivet Nazarene University
Debra Johnson, Lindenwood University Debbie l. Hogan, Ferrum College
Nicole Williams, Anne Arundel Community College Pearl Jacobs, Sacred Heart University
Jean Keim, University of Arizona South
Sixth Edition:
Bonnie Kendall, Columbia Basin College
Annette Albrecht, Tarleton State University
Larry Kontosh, Florida Atlantic University
Sarah Altman, Southwestern Community College
Alan M. Lavallee, Delaware Technical & Community
Irene Mass Ametrano, Eastern Michigan University
College
Larry Ashley, University of Nevada, Las Vegas
Eric Ling, Mount Olive College
Faye Austin, Springfield College
J. Barry Mascari, Kean University
Ed Barker, Liberty University
Virginia McDermott, University of New Mexico
Ken Bateman, Amberton University
Richard Mizer, Columbia College/Ft. Leonard Wood
Evelyn Biles, Regent University
Christine Mouton, University of Central Florida
John Boal, University of Akron
Jean Nuernberger, Central Missouri State University
Patricia Bromley, University of Wisconsin–Platteville
Suzette Overby, Riverland Community College
Robert M. Burns, Hesser College
Derrick Paladino, University of North Texas
Tommy Caisango, Webster University
Sue Passalacqua, California State University, Fullerton
Nancy G. Calley, University of Detroit Mercy
Debra Pender, Southern Illinois University/Northern
William F. Cavitt, Troy University, Florida Region
Illinois University
Barbara Chandler, University of Alabama
Beth Potter, Anne Arundel Community College
Joseph C. Ciechalski, East Carolina University
Michael Poulakis, University of Indianapolis
Cynthia A. Cook, Saint Louis University
Mary Rogers, Black Hills State University
Carolyn Dallinger, Simpson College
Lori Rudolph, University of New Mexico
Ronald Dickerson, Trident Technical College
Christopher Schanno, Drexel University
Eustace Duffus, Prairie View A&M University
Shanta Sharma, Henderson State University
James Duffy, Springfield College
Debbie Simpler, Belmont University
Kelly Duncan, Northern State University
Jakob Steinberg, Fairleigh Dickinson University
Louis F. Garzarelli, Mount Aloysius College
Darlene Townsend, Northwest Nazarene University
Patricia Harris, Sandhills Community College
Joy S. Whitman, DePaul University
Daphne Henderson, East Tennessee State University
Shannon Wolf, Southwestern Baptist Theological
Pilar Hernandez, San Diego State University
Seminary
James Herndon, Columbia College
Copyright 2012 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
Copyright 2012 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
PA R T I
Basic Training
Crisis Intervention Theory and Application
Part I introduces you to the fundamental concepts, theories, strategies, and skills
needed to understand and conduct effective crisis intervention. Chapter 1 presents a
brief historical overview of the field and introduces the conceptual dimensions of crisis
work. Chapter 2 deals with the ecosystemic and multicultural considerations involved
in providing crisis intervention. Chapter 3 serves as a key to the application of assess-
ment and intervention strategies in crisis intervention. Chapter 4 describes the basic
skills and techniques crisis interventionists use. Chapter 5 explains the major compo-
nents of effective case management in crisis intervention. Chapter 6 discusses two of
the main ways that crisis intervention is delivered—by telephone and Internet.
Copyright 2012 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
Another random document with
no related content on Scribd:
centre of Russia, and on the other to the new northern through
route, which, via Kotlass and Archangel, is this year to bring
the cereals of Siberia to London."
A. H. Ford,
The Warfare of Railways in Asia
(Century, March, 1900).
"Siberia and the Amur lands are rich beyond belief. … This
vast territory, long looked upon as a barren waste, is
destined to be one of the world's richest and most productive
sections. In northern France, wheat ripens in 137 days; in
Siberia, in 107. Even heavy night frosts do not injure the
young seed. Under such conditions, the possibilities of
agriculture are practically unlimited. I may add that oats
require, in Siberia and in the Amur country, only 96 days, and
in the regions of the Yenisei only 107. The frost period lasts
only 97 days in the Irkutsk country. Transbaikalia lies
entirely within the agricultural regions; so, too, almost the
entire territory traversed by the Amur as far north as it
runs. Efforts are being made to obtain along the Amur at least
300,000 square kilometers (115,835 square miles) for the
higher forms of northern agriculture. Climatically, the best
of northern Asia's territory, for planting purposes, is the
Usuri country, which, in spite of its vast tracts of wood and
grazing lands, has 195,000 square kilometers (75,292 square
miles) of arable ground. The building of the Trans-Siberian
Railroad has already added to the Empire's wheat product.
1893, 65,000;
1894, 76,000;
1895, 109,000;
1896, 203,000;
1897, 87,000;
1898, 206,000;
1899, 225,000.
Total, 971,000.
{430}
S.
SAGHALIEN.
Harry de Windt,
The Island of Sakhalin
(Fortnightly Review, May, 1897).
{431}
SALVADOR.
"ARTICLE II.
Germany renounces in favour of Great Britain all her rights
over the Tonga Islands, including Vavau, and over Savage
Island, including the right of establishing a naval station
and coaling station, and the right of extra-territoriality in
the said islands. … She recognizes as falling to Great Britain
those of the Solomon Islands, at present belonging to Germany,
which are situated to the east and southeast of the Island of
Bougainville, which latter shall continue to belong to
Germany, together with the Island of Buka, which forms part of
it. The western portion of the neutral zone in West Africa, as
defined in Article V of the present Convention, shall also
fall to the share of Great Britain. …
"ARTICLE IV.
The arrangement at present existing between Germany and Great
Britain and concerning the right of Germany to freely engage
labourers in the Solomon Islands belonging to Great Britain
shall be equally extended to those of the Solomon Islands
mentioned in Article II, which fall to the share of Great
Britain.
"ARTICLE V.
In the neutral zone the frontier between the German and
English territories shall be formed by the River Daka as far
as the point of its intersection with the 9th degree of north
latitude, thence the frontier shall continue to the north,
leaving Morozugu to Great Britain, and shall be fixed on the
spot by a Mixed Commission of the two Powers, in such manner
that Gambaga and all the territories of Mamprusi shall fall to
Great Britain, and that Yendi and all the territories of Chakosi
shall fall to Germany.
"ARTICLE VI.
Germany is prepared to take into consideration, as much and as
far as possible, the wishes which the Government of Great
Britain may express with regard to the development of the
reciprocal Tariffs in the territories of Togo and of the Gold
Coast.
"ARTICLE VII.
Germany renounces her rights of extra-territoriality in
Zanzibar, but it is at the same time understood that this
renunciation shall not effectively come into force till such
time as the rights of extra-territoriality enjoyed there by
other nations shall be abolished."
{434}
SAN DOMINGO.