Crisis Skills
What is the first priority when someone is experiencing a mental health crisis?
Safety
Ensuring the client is able to stay safe for now
What communication skill involves giving your full attention to the person speaking
Active Listening
A client has not been to Stride or been seen their Centerstone provider in 17 days. This cl is also on the SPP. You interact with that cl today. What is a must to complete before the end of your session?
Screeners and verify the cl has an upcoming appointment scheduled with their team.
"Tell me more about what was happening when you began feeling this way"
What is the above an example of?
Time of the day when suddenly everyone needs something...
shift change/when I'm leaving
Name one technique used to help de-escalate an agitated client
Active listening
Validation
Calm Tone
Offering Choices
What is reflective listening?
Reflecting a persons words/feelings back to demonstrate understanding
True or False
A client presented with SI with plan and intent. This client is also heavily using substances. The client is determined to enter CRC as they have heard good things about the program. The first thing we should do is call CRC to get a prescreen completed and try to get the client into SUD treatment.
False.
We should establish safety first, address the SI.
This can look like completing safety plans, direct admissions. If we the client goes into a facility we can coordinate with CRC admission staff to contact the facility for discharge planning.
What is the difference between a hallucination and delusion?
Hallucination is a perception without external stimuli, a delusion is a fixed false belief
One thing that seems to disappear if you bring them in, and leave it out on your desk
Pens
A Client is yelling, pacing, and becoming increasingly agitated. Name 2 things you should avoid doing
Argue with them
Match their tone
Crowd them
Threaten
Excessive questioning
Force them to leave because they are not conversing
Give an example of an open-ended question you could ask a client that says "Nobody care's about me"
What makes you feel like nobody cares?
Can you tell me more about that?
What does each letter of CALM stand for?
C-Counseling
A-Access
L-Lethal
M-Means
How often can a Crisis Assessment be completed?
*for double points*
What can lead to more than one crisis assessment in this amount of time?
30 days
Significant increase in existing crisis or a new crisis
The phrase from a supervisior (5 words total) that make every staff immediately mentally review everything they have ever done.
"Can I talk to you?"
You notice a coworker becoming increasingly frustrated with a client. What is one way you could step in and support them, without undermining them in front of the client?
Offer assistance
provide supportive handoff
request them to help with something-privately ask if they would like to take a moment to step away
What stage of change is it called where an individual does not yet recognize/acknowledge that a problem exists or change is needed?
Precontemplation
Instead of saying "thats not my job/client", a team oriented response would look like...
How can I help?
What do you need help with?
In MI, this refers to statements that indicate a person is considering, wanting, or preparing for change.
Change talk
What is the ONE thing you do not want to say while you are at work?
It's quiet here today.
We've been so slow.