HN220: Prevention and Crisis Intervention
Professor Kristy McCan Vukoder
Unit 2 Project: June 19, 2012
A crisis can be a terrible burden on any individual that has or is suffering through one; a crisis can leave a person with a great deal of anxiety and stress. As a crisis intervention worker it is my responsibility to at least try to help those that come into my office. Most that do come to me are going through a crisis of some kind or another and need to work through it. To help them work through their crisis I find that the ABC Model of Crisis Intervention is a great asset. The ABC Model of Crisis Intervention is an effective approach because I can provide temporary immediate relief. A crisis can be difficult to define but there are three essential parts for a worker to look for while working with a client to define if they are in or have been in a crisis. These parts are 1) a precipitating event; 2) a perception of the event that causes subjective distress; and 3) the failure of a person’s usual coping methods which causes a person experiencing the precipitating event to function at a lower level than before the event (Kanel, 2007). I should also make sure to use this three parted definition of a crisis only as guidelines, a crisis should be identified for each client on an individual basis. The reason I find the ABC Model of Crisis Intervention so useful is because it provides me with the guidelines to help the client overcome their crisis. The ABC Model can also be broken down into three stages: (A) Building rapport; (B) Identifying the problem; and (C) Coping (Kanel, 2007). My goal is to help the clients change their perceptions of the crisis and assimilate the precipitating event into their daily lives. By doing so we can ensure that they keep and/ or gain ego strength and eliminate the possibility that they will become crisis prone. Today I will be working with a new client named Jill who has come to me seeking help as so many other clients have. Jill informs me that she works long hours and is tired by the time she gets home. She goes on to say that she is usually too tired for intercourse and that because of her lack of sexual responsiveness her husband gets angry. Jill states that he sometimes gets so angry that he does things to her that provokes fear in her. She is even afraid that her husband will find out that she has come to me today for help. The very first thing I did when Jill came into my office was to start the first stage of the ABC Model of Crisis Intervention. This stage, stage A, is about building rapport and can be considered the foundation of the therapeutic encounter (Kanel, 2007). First off I informed Jill of her confidentiality so that I may start to gain her trust. I need to gain her trust so that I may be able to help her help herself. Once she does start to feel rapport and begin to trust me then she will become more open to me, allowing the interview to proceed. I tried to be careful with my attending skills so that I could convey to Jill that I was actually listening to her and was here for her. I used the SOLER method to manage my nonverbal behavior so that I presented a receptive presence. SOLER refers to: (S) Squaring off; (O) Open posture; (L) Leaning in; (E) Eye contact; (R) Relaxed (Cameron, 2008). By that I mean that I sat Square with Jill while keeping an Open posture and Leaning in slightly; I also kept Eye contact and held a Relaxed natural posture. Using the SOLER method alone is not enough so I also was careful with my facial expressions, hand gestures and other body movements as well. Even after being careful on how I act myself I was also careful to observe Jill’s nonverbal communication. Another main aspect was my listening skill; I listened to everything she said and how she said it. The demonstration of attending, observing and listening skills has an impact on effective reflective verbal responses...