Calming the Storm:Responding to Crisis in Your Community

Charles BeardResident DirectorCampus Advantage

Format of Training

This training will be delivered via this PowerPoint The PowerPoint will contain the appropriate information The slides will also direct you to the appropriate

materials This training is intended to take 3-4 hours. You may

split up the training or complete it in one sitting as long as you cover all the material.

You will have a one on one at midterm with the Resident Director and will be tested on your knowledge of the material contained in this training session

Goal

The goal of this training program is to provide you with the knowledge, skills, and abilities to confront and diffuse crisis situations that you may encounter in your community The specific crises that will be discussed

are sexual assault and suicide prevention

Learning Objectives

Participants will be able to define crisis intervention with 100% accuracy after completing this session

Participants will be able to define a crisis with 100% accuracy after completing this session

Participants will be able to identify common causes of a crisis with 100% accuracy after completing this session

Participants will be able to identify the steps involved in crisis response with 90% accuracy after completing this session

Participants will be able to implement Campus Advantage reporting procedures with 90% accuracy after completing this session

What is Crisis?

Event that causes a sudden loss of someone’s ability to use appropriate problem-solving and coping skills

Can involve life-threating situations 3 Parts to a Crisis

Stressful Situation Difficulty with Coping Timing of the Intervention

What Causes a Crisis?

Crisis

Family Situations

Economic Situations

Community

Situations

Significant Life

Events

Natural Elements

Crises We Will Discuss

Sexual Assault Suicide

What is Crisis Intervention?

“The methods used to offer immediate, short-term help to individuals who experience an event that produces emotional, mental, physical, and behavioral distress or problems” (Encyclopedia of Mental Disorders)

Purpose of Crisis Intervention

Reduce intensity of individual’s emotional, physical, mental, and behavioral reactions to crisis

Help individual return to functional level before crisis

How to Intervene

Define the Problem Try to perceive the crisis from the

victim’s perception Ensure Safety▪ Minimize the risk factor▪ Do you need to get the client to a safe

location such as your office? Provide Support▪ Let the resident know that you care ▪ Show compassion and empathy

How to Intervene

Examine Alternatives Explore people, coping mechanisms, and thinking

patterns that provide relief from the current situation Make a Plan

The plan should identify additional persons, groups, or referral services that can be contacted for immediate support

Obtain a Commitment Ensure that the resident will commit to the plan How will you follow up with the resident to ensure they

go to X resource? If a threat to health and safety is present, call

911 immediately

Reporting

Campus Advantage Policy Gives the Following Guidelines for Reporting an Incident Level 1- Incidents that require site level management but typically

not corporate level involvement. Local law enforcement may also be involved. These include incidents such as roommate conflict, noise disturbance, vandalism, alcohol use or drug use.

Level 2- Incidents that require both site level management and regional corporate level involvement. These include incidents such as drug dealing, theft or burglary, injury and threats to injure self or others.

Level 3- Incidents that require site level management, full corporate involvement and owner notification. These include significant property loss, assault, fire, home intrusion, suicide attempt and death.

Reporting

Campus Advantage policy requires that an incident report be completed and submitted to the Resident Director and General Manager as soon as the crisis intervention is over

Review the Incident Reporting Policy on your Policy and Procedures Portal

LSU CARE TeamA General Resource

CARE stands for Communicate, Assess, Respond, and Refer

CARE is managed by the Office of Student Advocacy and Accountability under the direction of the CARE team manager

CARE Team consists of representatives from LSU Residential Life, Disability Services, LSU Police, the Dean of Students, and Mental Health

What the CARE Team Does Assist students in identifying

appropriate university resources Listens to students and helps identify

issues and concern Assist students in understanding issues

and identifying workable solutions Any faculty, staff, or student can refer

a student to the CARE team That means you!

Things to do before proceeding Read How to Intervene in a Crisis Situation

http://www.ehow.com/how_2138570_intervene-crisis-situation.html

Read Who Ya Going to Call? http://www.reslife.net/html/crisis_0401a.html

Pretend that you just finished a crisis intervention for a situation of your choice. Fill out an incident report and send it to the Resident Director. This is not a graded activity but will help the

Resident Director determine what specific training you may need

Section 2 Learning Objectives Students will be able to define Sexual Assault with 100%

accuracy after completing this training session Students will be able to define the different types of sexual

assault as outlined by Louisiana law with 80% accuracy after completing this training session

Students will be able to identify the common reactions to sexual assault with 90% accuracy after completing this training session

Students will be able to confront and communicate with sexual assault victims with 80% accuracy at the completion of this training session

Students will be able to identify sexual assault resources with 100% accuracy after completing this training session

Students will be able to recite victim’s rights and the effects of the Clery Act with 100% accuracy at the completion of this training session

Sexual Assault

Watch the Video Linked Below:

http://www.youtube.com/watch?v=30TKSFLfY-w&feature=feedf

Sexual Assault Defined

A sexual assault has been committed when an individual engages in sexual activity without the explicit consent of the other individual involved

Sexual activity is any touching of a sexual or other intimate part of a person for the purpose of gratifying sexual desire of either party. This includes coerced touching of the actor by the victim as well as the touching of the victim by the actor, whether directly or through clothing.

(Sarah Lawrence College, 2010)

Types of Sexual Assault Defined In Louisiana

For Each Item, Read the Website Listed Below the item

Aggravated Rape (LSA-R.S. 14:42)▪ http://

www.babcockpartners.com/resources/statutes/louisiana-aggravated-rape-law

Forcible Rape Included in previous reading of LSA-R.S. 14:42

Simple Rape (R.S. 14:43) ▪ http://

www.babcockpartners.com/resources/statutes/louisiana-simple-rape-law

Types of Sexual Assault Continued

Sexual Battery (R.S. 14:43.1) ▪ http://

www.babcockpartners.com/resources/statutes/louisiana-sexual-battery-law

Second Degree Sexual Battery (R.S. 14:43.2) http://

law.justia.com/codes/louisiana/2009/rs/title14/rs14-43.2.html

Intentional Exposure to the AIDS Virus (R.S. 14:43.5) http://

law.justia.com/codes/louisiana/2009/rs/title14/rs14-43.5.html

Sexual Assault Using a Controlled or Dangerous Substance (“Date Rape”) (R.S.40:969D) http://law.justia.com/codes/louisiana/2006/48/98883.html

Statistics

Estimated that 20-25% of women will experience a completed rape or attempted rape during their college career

1 in 10 reported sexual assault victims are males

Over 50% of sexual assaults go unreported Over 50% of campus sexual assaults are

associated with alcohol consumption 70% of sexual assault victims knew their

attacker

Common Reactions to Sexual Assault

Fear and Anxiety This may happen when the victim remembers the

assault or can be triggered spontaneously Re-experiencing the trauma

This can occur through flashbacks or nightmares Increased Arousal

Victims may feel jumpy, jittery, shaky, easily startled, and have trouble concentrating and sleeping

Can lead to impatience and irritability Avoidance

Victims may avoid situations reminding them of the sexual assault

Reactions Continued

Anger Victims may be angry with others not just the

attacker Feelings of Guilt and Shame

Many victims blame themselves or fear blame from others

Depression Victim may feel down, sad, hopeless and full of

despair Self Image

Victim may have trouble trusting others More negative view of the world

Confronting Sexual Assault Victims

You may not know a resident is a victim until you talk to them

Be aware of the Reactions listed in the previous two slides

Talk to residents who are exhibiting those reactions or whose behavior and attitude have dramatically changed

When Sexual Assault is Identified

Provide Emotional Support for the Victim

Provide a safe environment Assure the victim it was not his/her

fault Do not try to force the victim to do

anything. Phrase crisis intervention steps as questions It is important for survivors to make their

own decisions as a way to regain control

Having the Conversation

You cannot guarantee confidentiality but only privacy You must call the Resident Director if a

sexual assault occurs Ask the victim if he/she would like to

talk to the police A sexual assault victim is not required to

call the police

The Conversation Continued…

Ask the victim if he/she would like to seek medical attention

Ask the victim when and where the sexual assault occurred

Let the victim know you have to call the Resident Director Let the victim know the Resident

Director is a trained Sexual Assault Victims Advocate (SAVA)

More About the Conversation While waiting for the Resident Director, ask the victim

if he/she would like to speak to someone at the PHONE or the Rape Crisis Center The victim does not have to give his/her name to the person

on the phone at either service The PHONE is a free confidential crisis intervention center

that can be called at any time Explain to the victim the services offered by SAVA and

the Rape Crisis Center See Upcoming Slides

The Resident Director will take over the intervention once he arrives

If the Resident Director is unavailable call the General Manager

SAVA

Trained Faculty, Staff, or Graduate Assistant Can Assist the victim with:

Filing a police report Obtaining medical care Assistance with the University Accountability

Process Assistance with Housing Relocation Academic Assistance/Accommodations Referrals to Appropriate Services and Resources A list of all SAVAs can be obtained by going to:▪ http://

www.shc.lsu.edu/index.php?page=sass_savacontacts

Rape Crisis Center

225-383-7273 24 Hour Hotline Victims can receive counseling, support,

and referrals Can contact a Sexual Assault Nurse

Examiner (SANE) to meet the victim at a local hospital for a Sexual Assault Exam (See Next Slide) Can provide an advocate to be with the victim

during the exam All Services are Free

SANE

A nurse specially trained to conduct a forensic sexual assault examination/evidence collection Exam can take over 2 hours

Monday-Friday 8:00am-4:30pm a SANE is available to do exams at the Student Health Center Contact a SAVA to schedule the exam

The Rape Crisis Center can arrange an exam 24 hours/7 days a week at local hospitals

The exam is a public service and thus is free

The Victim’s Rights

A victim DOES NOT have to file a police report

Evidence from an exam can be held for thirty days without a police report being filed

If a police report is filed, the victim does not have to press charges

Use Your Resources

You can call the PHONE or the Rape Crisis Center to get guidance on how to proceed with the intervention

You can contact the Resident Director or another SAVA for assistance and guidance

You can defer to someone else if you are uncomfortable handling the intervention

You can bring another person of the same gender in with you for your protection

The Clery Act

Universities must report annual crime statistics under Federal Law (The Clery Act)

A SAVA will have to report that a sexual assault to a student did occur BUT ONLY DEMOGRAPHIC INFORMATION SUCH AS

GENDER AND AGE IS REPORTED UNLESS THE VICTIM CONSENTS

The University will determine if the assault becomes part of the annual report or not

The Rape Crisis Center and the PHONE will decide if cases need to be reported that are referred to them

A Few More Instructions

Do encourage a victim not to bathe, change clothing, or douching in order to preserve evidence prior to an exam

An exam can be done up to seven days following a sexual assault BUT the sooner it is done the more

evidence that be collected

Recap of Sexual Assault

It is important to know what your state defines as sexual assault and the types of sexual assault

It is important that you remain empathetic and non-judgmental during a conversation with a victim

Follow the guidelines for the conversation Know your resources such as SAVA and

the Rape Crisis Center Know the victims rights

Things to do before proceeding

Read the Following Websites: http://

www.shc.lsu.edu/index.php?page=sass_aboutsava

http://www.shc.lsu.edu/index.php?page=sass_aboutsane

http://www.reslife.net/html/tools_0800e.html

Suicide

This portion of the training session will cover suicide prevention and helping the survivors of a suicide

The material from this session could potentially help save someone’s life

The material is heavy but necessary

Section 3 Learning Objectives Students will be able to identify the components of

the Suicide Risk Assessment with 90% accuracy at the completion of this training session

Students will be able to confront suicidal victims with 80% accuracy at the end of this training session

Students will be able to implement the proper protocol when a resident is deemed suicidal with 100% accuracy at the completion of this training session

Students will be able to assist survivors of suicide with 70% accuracy at the completion of this training session

A Short Video

Please Click on the Link Below and Watch the Video

http://www.youtube.com/watch?v=AWSA3MHN3Hs&feature=feedf

Suicide Statistics (2007)

10th Leading Cause of Death 3rd Leading Cause of Death for people

between 15 and 24 years old 34,598 Suicides Approximately 381,000 Attempted

Suicides Males complete suicide 3.6 times

more than females A failing economy traditionally leads

to more suicides annually

Assessing the Risk of Suicide IS PATH WARM is a mnemonic used in Assessing

the Risks of Suicide Ideation Substance Abuse Purposelessness Anxiety Trapped Hopelessness Withdrawal Anger Recklessness Mood Change

IS

Ideation Talk of wanting to harm oneself Looking for ways to kill oneself Talking or writing about death

Substance Abuse Increased alcohol or drug usage

PATH

Purposefulness No reason for living

Anxiety Anxiety, agitation, change in sleeping

habits Trapped

Feeling like there is no way out Hopelessness

No hope

WARM

Withdrawal Withdrawal from friends, family, society

Anger Uncontrolled anger and rage

Recklessness Acting reckless or taking unnecessary

and dangerous risks Mood Change

Dramatic Mood Changes

Response

Like Sexual Assault, suicidal residents might not be identified until you are talking with them possibly about something unrelated

If you notice in conversation or behavior that the resident is showing signs of the risks discussed, intervention needs to happen immediately

Conversation

Ask the resident if he/she plans on hurting him/herself or another person

Ask the resident if he/she is planning on killing him/herself

Ask if the resident has a suicide plan and ask them to elaborate

Ask the resident if anyone else knows YOU WILL NOT CAUSE SOMEONE TO

COMMIT SUICIDE BY ASKING QUESTIONS

Conversation Continued

If the resident answers yes to any questions or exhibits what you consider reasonable risk call the police immediately

Call the Resident Director and/or General Manager AFTER calling the police

Try to get the resident to talk to someone at the PHONE while waiting on the police

Do not under any circumstance, unless threat to your health and safety exist, leave the resident alone until emergency personnel arrive

The resident may be mad that you called the police but you may have just saved their life!

When a Suicide Happens

Unfortunately, we cannot prevent 100% suicides

Follow procedures outlined in the Dead Resident policy on the Policies and Procedures website for dealing with the discovery of a dead body

The people who are affected by the suicide are called survivors

Survivors

Survivors Include: Family Roommates Neighbors Friends Other Staff Members And the List Goes On

The Mindset of Survivors

Grief will immediately set in Feelings such as shock, guilt,

disbelief, loneliness, depression, and confusion may occur

Survivors struggle with the question of why did the suicide occur

Helping Survivors

Listen and be empathetic Use Crisis Intervention skills if necessary Use your resources

Make sure survivors know about the PHONE Plan a day for grief counselors to come

to the community Talk to the Resident Director and General

Manager to set this up Be alert and be ready to respond to any

crises caused by the suicide

Conclusion

This presentation has went over the basics of crisis intervention

You have learned how to handle a crisis involving sexual assault

You have learned how to address a situation with a suicidal resident

You have learned what survivors of suicide experience

Work Cite

American Association of Suicidology. (2008). Suicide in the USA. Retrieved July 13, 2011, from American Association of Suicidology: http://www.suicidology.org/c/document_library/get_file?folderId=232&name=DLFE-244.pdf

American Association of Suicidology. (2008). Survivors of Suicide Fact Sheet. Retrieved July 13, 2011, from American Association of Suicidology: http://www.suicidology.org/c/document_library/get_file?folderId=232&name=DLFE-244.pdf

Babcock Partners. (2011). List of Common Crimes in Louisiana. Retrieved July 12, 2011, from Babcock Partners: http://www.babcockpartners.com/resources/statutes

Campus Advantage. (2010). Policy and Procedures Portal. Retrieved July 12, 2011, from Campus Advantage: http://www.campusadv.com/my

Crisis Intervention Services. (n.d.). Crisis Intervention Services: Sexual Assault. Retrieved July 14, 2011, from Crisis Intervention Services: http://www.cismc.org/information/assault.html

East Baton Rouge District Attorney. (2011). Rape Crisis Center. Retrieved July 14, 2011, from Rape Crisis Center: http://www.brrcc.org/

Ehow. (2011). How to Intervene in a Crisis Situation. Retrieved July 12, 2011, from Ehow: http://www.ehow.com/how_2138570_intervene-crisis-situation.html

Encyclopedia of Mental Disorders. (2011). Crisis Intervention. Retrieved July 12, 2011, from Encyclopedia of Mental Disorders: http://www.minddisorders.com/Br-Del/Crisis-intervention.html

Goldwater, J. (n.d.). Who Ya Gonna Call…? A Crisis Management Primer. Retrieved July 12, 2011, from Reslife.net: http://www.reslife.net/html/crisis_0401a.html

Justia. (2009). 2009 Louisiana Code. Retrieved July 12, 2011, from Justia US Law: http://law.justia.com/codes/louisiana/2009/ Louisiana Foundation Against Sexual Assault. (2009). Sexual Assault Statistics. Retrieved July 12, 2011, from Louisiana

Foundation Against Sexual Assault: http://www.lafasa.org/sexual-assault-statistics.html#LA Louisiana State University. (2011). CARE Team. Retrieved July 12, 2011, from Student Advocacy and Accountability:

http://www.lsu.edu/saa Louisiana State University. (2011). Sexual Assault Support and Services. Retrieved July 12, 2011, from Louisiana State

University: http://www.shc.lsu.edu/index.php?page=sass_aboutsava Sexual Assault, Counseling and Education. (n.d.). Sexual Assault and Acquaintance Rape . Retrieved July 14, 2011, from

Reslife.net: http://www.reslife.net/html/tools_0800e.html The National Center for Victims of Crime. (2008). Sexual Assault. Retrieved July 14, 2011, from The National Center for Victims

of Crime: http://www.ncvc.org/ncvc/main.aspx?dbName=DocumentViewer&DocumentID=32369 Washington State Department of Social and Health Sciences. (2011). Crisis Intervention. Retrieved July 1, 2011, from

Transforming Lives: http://www.dshs.wa.gov/manuals/socialservices/sections/CrisisInter.shtml