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Crisis Intervention Plan. Enable the individual to:. Prevent a crisis Self-manage a crisis Alleviate a crisis End the crisis . Child/Family Perspective. Key Elements. Crisis Intervention Plan. Key Elements. User-friendly Clear direction Individualized Preventive Real-life situations.

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crisis intervention plan
Crisis Intervention Plan

Enable the individual to:

  • Prevent a crisis
  • Self-manage a crisis
  • Alleviate a crisis
  • End the crisis
key elements

Crisis Intervention Plan

Key Elements
  • User-friendly
  • Clear direction
  • Individualized
  • Preventive
  • Real-life situations
crisis intervention plan4

Key Elements

Crisis Intervention Plan

  • Clear Direction
  • Individualized

User-friendly

  • Preventive
  • Real-life Situations
operational definition

Crisis Intervention Plan

Operational Definition

A collaborative plan that grows with the child’s needs.

collaborative

Crisis Intervention Plan

Operational Definition

Collaborative

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Crisis Intervention Plan

Operational Definition

Growth

slide8

Crisis Intervention Plan

Operational Definition

Child’s Needs

slide9

Crisis Intervention Plan

Planning Process

Strength-Based Perspective

vs.

Problem-Based Perspective

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Crisis Intervention Plan

Planning Process

  • Preparation prior to IDT meeting
  • Use of planning tools
  • Risk Assessment/reassessment
  • Resources
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Crisis Intervention Plan

Planning Process

POSITIVE STRATEGIES

4-STEP PROCESS

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Crisis Intervention Plan

Planning Process

  • Understand why the individual engages in their behavior
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Crisis Intervention Plan

Planning Process

  • Prevent the behavior through social or environmental changes
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Crisis Intervention Plan

Planning Process

3. Replace the behavior with alternative skills that serve the same function for the individual.

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Crisis Intervention Plan

Planning Process

  • Identification, development and utilization of strengths and natural supports
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Crisis Intervention Plan

Contributing Components

  • Setting Events
  • Antecedents
  • Problem Behavior
  • Consequences
  • Function
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Crisis Intervention Plan

Contributing Components

  • Setting Events
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Crisis Intervention Plan

Contributing Components

  • Antecedents
slide19

Crisis Intervention Plan

Contributing Components

  • Problem Behavior
slide20

Crisis Intervention Plan

Contributing Components

  • Consequences
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Crisis Intervention Plan

Contributing Components

  • Function
slide22

Crisis Intervention Plan

Stages and Strategies

  • Preventive Stage
  • Escalation Stage
  • Crisis Stage
  • Calming Stage
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Crisis Intervention Plan

Stages and Strategies

slide24

Crisis Intervention Plan

Examples

  • When I am feeling well, I am (describes himself)
  • When I begin to feel depressed, I feel (like I’m in a rut, tired, irritable, don’t want to talk about sports…)
  • When I am feeling depressed, I want people not to ask me so many questions, like how do you feel? Just be available for me to talk with if I want to.
  • I like to talk with my coach ( ) most often when I am depressed. I will ask permission to stay after school to talk to coach.
  • If I begin get angry or disrespectful, place your hand over your heart, to remind me to be tender and lower my voice.
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Crisis Intervention Plan

Examples

  • Sally gets into serious trouble when she runs away from home. She steals and shoplifts, uses drugs and stays with older men.

If Sally runs away from home:

  • The police will be notified immediately.
  • Her aunt (the person she listens to best) will work with the police to find her and talk to her.
  • When Sally returns, she will be put on 24-hour watch. Someone (family/relatives) will escort her to and from school, and be with her all day. She will be at home or with a parent after school.
  • The family will meet with the case worker and Sally’s therapist to help her learn what to do when she gets the urge to run.
  • If these steps do not work, the team will look for a more secure living arrangement.
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Stage 1: Anxiety

CLIENT BEHAVIOR

Often displayed as increase or change in behavior, or undirected expenditure of energy.

The client’s specific behavioral cues during stage 1 include:

Stage 1: Anxiety

APPROPRIATE STAFF RESPONSE

Early Intervention is key to safely managing behaviors.

The intervention plan for the client during Stage 1 is (include verbal tone, proximity, and specific intervention strategies):

Crisis Intervention Plan

Examples

  • XXX will refuse to follow directives. He will chew on his clothing. He will verbally threaten staff and peers around him.
  • Staff should give XXX space and allow him time to comply with the directives.
  • Specific things to avoid for this client include:
  • Staff should avoid making demands, getting loud, and touching XXX.
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Stage 2: Defensive Hostility

CLIENT BEHAVIOR

Often displayed as verbal barrage or challenge, insult, threats. Individual may need to vent or expend energy.

The client’s typical behavior and patterns during this stage include: 

Stage 2: De-escalation

APPROPRIATE STAFF RESPONSE

The intervention plan for the client during Stage 2 is (include verbal tone, proximity, location, and specific intervention strategies):

Crisis Intervention Plan

Examples

  • Staff need to give XXX time and space to come up with his own appropriate solution.
  • Specific things to avoid for this client include:
  • Staff should avoid confronting.
  • XXX will challenge authority, refuse to listen and refuse to accept possible solutions to the situation.
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Stage 3: Physical Aggression

CLIENT BEHAVIOR

Assault to persons or property. This results in energy expenditure and loss of control.

The client’s typical behaviors and patterns during this stage include:

Stage 3: Therapeutic physical restraint.

APPROPRIATE STAFF RESPONSE

Restraints restricted. 

If Restraints are restricted, then the plan to manage the client’s physical aggression is as follows:

Crisis Intervention Plan

Examples

  • Therapeutic restraint means we “hold” the individual until he has regained rational control. Restraints should not inflict pain upon the individual and should never be used to punish. Intentional infliction of pain is abuse.
  • Restraints limited.
  • If Restraints are limited, then restraints are limited to the following procedures:
  • XXXX will attempt to throw punches at others. He will become physically threatening and aggressive.
  • TCI Therapeutic Restraint
  • Specific information regarding the safe and effective management of the client during this stage includes: 
  • Follow the TCI-specific procedures
  • Specific things to avoid for this client include:
  • Staff should avoid continuing constant redirecting XXXX. He needs enough time to process the directives and make a decision. Once in the time out room, staff should not process with XXXX until he has completed ten minutes of nonverbal time. This allows XXXX to calm down and prepare to process with staff.
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Stage 4: Tension Reduction

CLIENT BEHAVIOR

Client displays the regaining of rational control, emotional reaction to event (guilt, residual anger, etc.)

XXXX will process with staff and be able to regain control of his emotions and behaviors.

Stage 4: Re-establish Rapport

APPROPRIATE STAFF RESPONSE

Staff response during Stage 4: (include proximity, verbal tone).

Staff need to find an appropriate place that is isolated in order to clear the distractions XXXX is easily distracted and is unable to process clearly with staff. Processing with XXXX is very important so he will be able to make the connection of his thoughts, behaviors, and consequences.

Process event using Life Space Interview

Crisis Intervention Plan

Examples

children s mental health waiver
Children’s Mental Health Waiver

Remember!

Listen to the experts!!

Children and Families!!!