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Health Crisis Intervention
Why?If you were one day, to go to the doctor and find out that you
have a serious illness, how would you feel? Now, say you had a hard year, you barely made enough money to make ends meet, and you find out that you have this illness. What would you do? How do you think you’d be able to cope? Do you think you’d be worried? Do you think you’d be able to handle things rationally, take care of everyday tasks, and still be able to heal, and be open with your friends and family?
TERMINAL VS. CHRONIC
Hepatitis B
Cancers
Pancreatic
Lung
Leukemia
Pulmonary Fibrosis
Lyme disease
Epilepsy
Parkinson's
Schizophrenia
Diabetes
Diseases
HIV/AIDS It is estimated that more than one million
people are living with HIV in the USA and that more than half a million have died after developing AIDS.
In 2007 there were 599,819 people living with a diagnosis of HIV infection. However, the total number of people living with an HIV infection in the U.S. is thought to be around 1.1 million
PRE-CRISIS Depression
Family Problems
Financial Difficulties
Stress (unusually high levels)
Who’s Effected?
daughter
father
mother
friend
victim
husband
spouse
aunt
uncle
Family friends
Getting HelpActively seeks help
Seeks information
Expresses feelings openly
Makes effort to cope
Willing to work with a professional
The Victim
The victim will usually display some verbal and nonverbal cues as to what or how they feel.
VERBAL
Whispering
Yelling
Language
anger
fear
NON-VERBAL
Biting lips- anxious
Rubbing their eyes- anxious
Empty look- sad or in shock
Furrowed brow- anger
Talking through pursed lips- anger
Darting eyes, wide eyes- anxious
Rocking themselves- acutely in shock
CULTURAL DIFFERENCES
ASIAN AMERICAN
Rigid traditional family roles and structure
Formal, problem focused counseling, not feeling focused
Instead of focusing on talking about the individual, talk in terms of helping the family unit.
MEXICAN AMERICAN FAMILIES
Language barriers
Negative acculturation
Enmeshed family structure
Strong Catholic religious focus
Different levels of acclimation among multi-generational family systems
AFRICAN AMERICAN FAMILIES
Distrust of the mainstream institutions
Group with the most salient differences from the mainstream group
SKILLS NEEDED Active listening- listening to what
isn’t being said
Look for consistency in their nonverbal and verbal behaviors.
Eye contact
Never ask why
Metaphor describing the process of questioning
Types of questions: open vs closed ended Open ended- what, when, who, where,
how Closed ended shuts the conversation
down
Seek victim’s meaning of words/phrases
Paraphrasing- let the victim know you understand what they’ve say
Clarification “Can you tell me what that means to you?”
Reflection of feelings
Summarization
WITH TREATMENT
Improvement occurs with the cognitive reconstructing, drawing, on past successes and strengths
“One step at a time approach”, short term decision making is empowering
The patient can learn to cope, thrive and build on their relationships and live life to itsfullest.
WITHOUT TREATMENT
Patient might eventually learn to cope, with help of friends and family
Patient may not learn to cope properly and start tobecome depressed.
Conclusion
Crisis Intervention can help a lot of people to properly cope after being diagnosed with
chronic or terminal illness.
Crisis Intervention is for those who cannot cope with their diagnosis, and need help to do so.