1 De-escalating During Crisis Interviewing Noncitizen Battered Women National Immigrant Family Violence Institute Nationalities Service Center February.

Slides:



Advertisements
Similar presentations
Building A Safe Workplace: Preventing Workplace Violence.
Advertisements

SCHOOL PSYCHOLOGISTS Helping children achieve their best. In school. At home. In life. National Association of School Psychologists.
1 Chapter 9 Supporting Supporting Inter-Act, 13 th Edition Inter-Act, 13 th Edition.
Professional BoundariesProfessional Boundaries A. Christine Furman MMHS Director of Acute Care Services.
Preventing and Overcoming Abuse (4:03) Click here to launch video Click here to download print activity.
An introduction to Child Protection and Safeguarding
Healthy Relationships
Elder Abuse at End of Life
De-escalation Techniques
Department of Health and Human Services Centers for Disease Control and Prevention National Institute for Occupational Safety and Health Caring for Yourself.
The Extent, Nature, and Consequences of Intimate Partner Violence Beth Chaney Texas A&M University.
Crisis Interventioin.
THE NEW FACE OF BULLYING School Bus Driver Inservice.
Crisis Intervention. Characteristics of a Crisis Time limited: Generally lasting no more than six weeks. Time limited: Generally lasting no more than.
THE NEW FACE OF BULLYING School Bus Driver Inservice.
PRESENTED FOR: Southern State Community College North Coast Polytechnic Institute Strategies for Prevention …rather than Reaction Conflict Resolution;
BELL WORK Why do you think people who are abused are afraid to get help?
Section 12: Crisis Intervention UCLA. Give me some examples Form groups of 4-6. Agree on 3 examples of crises faced by your staff What made these crises.
Identifying and Dealing with Violence In The Workplace “The best protection is knowledge and awareness.” Brought to you by : The Housing Security Crime.
Respect aging Respect Aging: Preventing Violence against Older Persons 1. RECOGNITION 2. PREVENTION 3. INTERVENTION Violence Prevention Initiative.
Finding Your Resilience When dealing with Burnout, Compassion Fatigue and Vicarious Trauma.
© Jane Katz, J & Z Consulting Ltd.. Resistance or Reluctance? ERA Conference 2004 (and the story of our trip to Japan) Jane Katz, M.A., R.C.C.
VIOLENCE PREVENTION AND INTERVENTION PROGRAM (VPIP) TECHNIQUES TO PREVENT DATING VIOLENCE I. Indicators of Perpetrators and Victims of Dating Violence.
W. Scott Lewis, JD Partner, The National Center for Higher Education Risk Management Assoc. General Counsel, Saint Mary’s College ©2010:
What is MindSet? It is a training curriculum that is efficient and effective in creating and maintaining the safest possible environment, both emotionally.
Suicide Awareness and Prevention
Crisis Management for Paramedics Week 1 Fundamentals of Communication & Therapeutic Approach Fundamentals of Communication & Therapeutic Approach Concepts.
Kaitlin Kalna Darwal Senior Staff Attorney.  It will be important to familiarize yourself with signs of trauma and understand how it may manifest itself.
Is there something YOU Should’ve …DONE She thought he was the one: He Wanted to spend ever second with her She thought he LOVED her This Should’ve…
Principles of Communication and Counseling. Topic 75: Principles of Communication and Counseling Learning Objectives Explain the applications of counseling.
Non-verbal messages Posture Open/closed stance Facial expression Eye contact Gestures /active listening Personal space.
Verbal De-escalation Strategies Kathy Huppe Sara Dilday.
BEHAVIOURAL DE-ESCALATION
Families may require outside assistance to deal with serious problems.
DEPRESSION/ SUICIDE. Also known as major depression, clinical depression or major depressive disorder Depression is a medical illness that causes a constant.
1 Suicide Awareness. 2 Overview  The AF and Suicide Prevention  Suicide Trend  AF Study Findings  Knowledge and Beliefs  Warning Signs  Common Characteristics.
Post- Traumatic Stress Disorder
COUNSELING SERVICES Center For Student Success Yelena Sardaryan, MPH, MA.
Viol_oh5/02/00 1 Building A Safe Workplace: Preventing Workplace Violence Employee Training Cooperatively Developed By and The Commonwealth of Pennsylvania.
ABUSE AND ANGER MANAGEMENT. * DOMESTIC Any act of violence involving family members, can be emotional, sexual, or physical * EMOTIONAL Pattern of behavior.
What do you think of when you hear the term, workplace violence?
Professional intervention and support from friends and family can often help prevent suicide.
 The mental of physical tension you feel when faced with changes  Natural part of living  Affect everyone at some point  Signs of stress  Anxiety.
Dealing With Difficult Relationships Lesson 6-9 Bell Ringer.
Getting Help with Troublesome Feelings. Skills for developing Good Emotional Health Communicating emotions appropriately. Developing healthy, supportive.
ANNUAL COMPULSORY EDUCATION RESIDENT AGGRESSION Revised April 2013.
CHAPTER FOUR ISSUES RELATED TO ASSESSMENT AND PLANNING The Practice of Generalist Social Work (2 nd ed.)
Crisis Communication Durante Advantage Training Robert (Sonny) McMahon.
Objective: Students will identify the warning signs of dating violence and understand how they can protect themselves
Lauren LaFayette. “As many as 275 million children worldwide are exposed to violence in the home” There is a common link between domestic violence and.
INTERPERSONAL SKILL C HAPTER 3 Lecturer : Mpho Mlombo.
Chapter 9 – Suicide Assessment
Working with Survivors of Trauma
Study for your Quick Check
Psychological First Aid for Children
Lisa Thompson-Gibson, M.A.
Suicide Prevention (1:36)
Family Preservation Services
BEHAVIOURAL DE-ESCALATION
Crisis Intervention.
Suicide Awareness Overview October 5, 2016 Lebanon Road Elementary Ms
Family Life Education 6th Grade
Keeping Cool When Angry – Keeping Control in Conflict!
North Carolina Interventions NCI
Suicide Prevention (1:36)
Section 2.3 Expressing Your Emotions Objectives
Chapter 22 Crisis Elsevier items and derived items © 2006 by Elsevier Inc. All rights reserved.
Section 2.3 Expressing Your Emotions Objectives
The Ontario Domestic Violence Death Review Committee (DVDRC)
Crisis Intervention By Dr. Humera Siddique.
Presentation transcript:

1 De-escalating During Crisis Interviewing Noncitizen Battered Women National Immigrant Family Violence Institute Nationalities Service Center February 2010

2 Crisis definition A short period of social, emotional and/or physical distress that temporarily impairs a person’s ability to cope; and places it out of control. Hint: Trust your instincts. If you are not sure if it’s a crisis, then treat it as if it is a crisis.

3 Our Focus Preventing a crisis Dealing with persons who are in crisis  Identify warning signs  Strategies to avoid a crisis  Interventions

4 Risk Factors Victim of family violence Victim of persecution Fear of future persecution Torture experiences War trauma Trauma in refugee camps

5 Risk Factors Linguistic differences Ethnic, racial, national, or religious minority Poverty Fear Unrealistic expectations Suicide as coping mechanism

6 Types of Trauma Type I Trauma  A single traumatic event such as fire, bombing, school shooting, or single crime episode Type II Trauma  Repeated, prolonged trauma, such as extensive child physical or sexual abuse, domestic violence, poverty, crime infested environments, war zones

7 Prior to the interview Phone contact with client Address confidentiality concerns Inform client about specific security measures in building Provide list of required documents Arrange interpreter Confirm client’s comfort with gender of attorney and/or interpreter

8 Greeting the client Be aware of cultural norms (e.g. hand shaking, eye contact, physical contact)

9 The Interview Confidential setting Permission to close the door Clarify expectations, explain process and define length of meeting Explain will be asking about trauma event Ask one question at a time Assure client of breaks as needed Explain that client can skip questions

10 During the interview If client is crying, let him or her cry Apologize for asking questions that cause so much pain Empathize with what they have suffered Ask if they want to move on to another topic, take a break or stop for the day Be aware that inconsistencies in narrative may be related to effects of the trauma If client continues to be emotionally distressed, take a break and/or reschedule Suggest speaking with a counselor

11 At the end of the interview Acknowledge how difficult it was and how client managed to get through Focus on the “here and now” Inform them of future process

12 Identify warning signs Behavioral Signs  Increased anxiety  Depression, shame and/or guilt  Anger and/or hostility Physical Signs  Heavy breathing  Eyes blinking  Redness, sweating  Posture, tone of voice, facial expression

13 Lethality and Safety Don’t be afraid to ask the person directly, “Are you considering hurting yourself?” Use direct and specific questions about suicide: “Are you planning to kill yourself?”, “How are you going to kill yourself?” Ask about drinking or use of illegal drugs If threat appears real and not just threat to obtain services, contact local crisis hotline Make sure senior staff is involved

14 Explore and Assess Past Coping Attempts Reinforce adaptive coping strategies Investigate avenues for continuing support Social support network

15 De-escalation Techniques By-Pass and Broken Record (attempt to decrease emotional contagion and increase cognitive linkage)  Deliver message without reactive or reflective emotion, while ignoring any verbal abuse  Use short words and short sentences  Use positive language  Repeat message

16 De-escalation Techniques (cont’d) Interfere with the emotional experience  Divert or refocus the person’s attention Interfere with the cognitive experience  Problem solve and clarification/reinterpretation Direct appeals  To consider personal relationships, uphold social and institutional expectations Interfere with environmental stimuli  Decrease/increase stimuli, or restructure environment

17 Additional tips Be aware of your own emotional, physical, and cognitive state Know what works to help de-escalate your anxiety Know when you need help Know when you may be escalating the crisis and need to remove yourself

18 Debrief When the situation is no longer threatening, debrief with client to strengthen his/her ability to think about what happened Link the emotional experience to the event to allow the individual to learn new skills and provide opportunity for growth Make an organizational commitment to debrief every crisis in order to strengthen agency’s ability to address these situations