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OVERVIEW

OVERVIEW. NOVA’S CRISIS INTERVENTION MODEL GROUP CRISIS INTERVENTION GCI. CRISIS REACTION. PHYSICAL Immobilization (“frozen fright”) Mobilization (fight, flight, or adapt) Exhaustion (problem of sleep). CRISIS REACTION. EMOTIONAL Shock, Disbelief, Denial, Regression

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OVERVIEW

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  1. OVERVIEW NOVA’S CRISIS INTERVENTION MODEL GROUP CRISIS INTERVENTION GCI

  2. CRISIS REACTION • PHYSICAL Immobilization (“frozen fright”) Mobilization (fight, flight, or adapt) Exhaustion (problem of sleep)

  3. CRISIS REACTION • EMOTIONAL Shock, Disbelief, Denial, Regression Cataclysmic emotions Fear, Anger, Confusion, Frustration, Guilt, Shame, Grief Reconstruction of (new) equilibrium

  4. DIAGRAMMING A DISASTER BY TYPE: Disaster Impact • Step One: Determine the cause of the disaster: natural, human, technological • Step Two: Determine the element involved: earth, wind, fire, water, people • Step Three: Determine issues of concern: sensorial, duration, conceptual

  5. Diagramming a Disaster • Sensorial Involvement Smell Taste Touch Sight Auditory

  6. Diagramming a DisasterChronology • Pre-disaster Equilibrium Previous disaster history Cultural/economic tensions • Warning Characterized by anxiety Disaster subcultures Credible vs. non-credible

  7. Diagramming a Disaster Chronology • Threat Responses vary: emotional problem-solving disengagement or “blunting”

  8. Diagramming a DisasterChronology • Impact Timing may add to sense of unreality Time warp Duration Survival issues Community pre-occupation Low point vs. no low point

  9. Diagramming a DisasterChronology Inventory Disorientation Silence Assessment/triage

  10. Diagramming a DisasterChronology • Rescue • Remedy/Mitigation Disaster euphoria Disillusionment • Adjustment Stages

  11. Diagramming a DisasterSpatial Dimensions • Convergence • Proximity • Remoteness • Geographic Spread

  12. Diagramming a Disaster • Role Dimensions • Assessment of Social Disruption Practical Emotional • Distinguishing Features of Community Tragedy

  13. Elements of Crisis Intervention • Safety and Security • Ventilation and Validation • Prediction and Preparation

  14. Group Crisis Intervention(GCI) Techniques • Purpose: Address large numbers Provide peer validation Provide written validation through scribe Begin repair of community’s social fabric Educate community members Affirm hope for the future

  15. Group Crisis Intervention • Logistics Who and How Many? Where? When? How Long? Setup

  16. Group Crisis InterventionRoles • Lead Facilitator • Support Facilitator – “Scribe” • Other GCI Supporters

  17. NOVA Basic GCI Process • Introduction • Ground Rules • Questions Sensorial, Memories, Prediction and Preparation, Follow-up • Education/Summary

  18. Special IssuesDeath • Emotions: Fear, Anger, Guilt, Shame • Loss • Grief • Death Notification

  19. Special IssuesLong Term Stress • Post-Trauma Character Changes • Trigger Events • Secondary Injuries

  20. Special IssuesSpirituality • Trauma Impacts Faith • Power of Prayer in Crisis • Power of Ritual in Crisis • Ethical Guidelines for Helpers Survivors are Vulnerable Respect Ritual and Practices

  21. Special IssuesCulture • Matrix of Influences • Cultural Action Plan Education Geography, History, Rituals and Routines Entrance into a Different Culture Respect and Good Will

  22. Special IssuesChildren • Developmental Stages • Spasmodic Crisis Reactions • Death Issues • Lack of Denial • Grief • Impact of Parent Loss

  23. Special IssuesElders • Challenges of Aging • Season of Losses • Trauma Shatters Beliefs

  24. Organizing Crisis Response Teams • Goals Assist local caregivers in planning Support local caregivers Train local caregivers Provide crisis intervention

  25. Organizing Crisis Response Teams • Levels of Service • Team Member Roles: HQ Staff, Team Leader, Team Manager, Media Liaison, Others (“Worker Bees”) • Local Host • Flow of Activities

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