1. CRISIS Management Inside and Out: A mental Health perspective
Catherine Jantzen, LMHC
August 26, 2016

2. Crisis!

3. Mental Health Needs following a crisis
Be heard
Be connected
Search for meaning
Develop new identity
Acknowledge changed world
Receive empathy

4. Responding to Mental Health Needs
“Don’t just do something, stand there.”
“The first thing to do in an emergency is nothing.”
24-72 hours
How to address
See yourself

5. Responding to Mental Health Needs (cont)
Non-verbals
Position
Barriers
Posture
Movement
Eye contact
Normalize vs validate (thoughts/feelings/behavior)
Listen with stillness
No advice
Respond to requests for information

6. Responding to Mental Health Needs (cont)
Encourage telling the story, not story-telling (gossip)
Trustworthiness

7. Signs of Stress/Overload following a crisis
Physical
Hyper-vigilance
Flat affect
Self harm - punishment, relief
Tearfulness
Changes in work patterns
Appetite disturbance
Sleep disturbance
Stomach issues
Dizziness, rapid breathing
Headaches
Substance abuse

8. Signs of Stress/Overload following a crisis (cont)
Mental (Thinking)
Dwelling/Rumination
Self-blame
Confusion
Thoughts of suicide/homicide

9. Signs of Stress/Overload following a crisis (cont)
Emotional (Feelings)
Sadness
Irritability
Guilt
Numbness
Fear
Anhedonia
Anxiety
Hopeless
Helpless
Worthless

10. Signs of Stress/Overload following a crisis (cont)
Social/Spiritual (Relationships)
Social isolation
Excessive talking (pressured speech)
Silence
Argumentative
Unusual expressions of anger
Direct threats
Veiled threats
Conditional threats

11. Responsibility to the community
Need to document
Need to report
Suicidal comments/behavior
Homicidal comments/behavior
SUSPICION of sexual abuse (minors)
Violence
Threats
Level of reaction
ITHOOI
Respond
“Staff the case”
Refer

12. Taking care “Listen to the Whisper or wait for the brick”
Physical
Eat well
Sleep hygiene
Hydration
Exercise
Retreat
Get outside-NDD
Relaxation
Journal/letter writing

13. Taking care (cont) “Listen to the Whisper or wait for the brick”
Massage
Prayer and other spiritual disciplines
Ongoing support
Laugh
Play
Listen (sing, dance) to music
Positive/truthful self-talk
Help others

14. Licensed Mental Health Counselor
Catherine Jantzen
Licensed Mental Health Counselor
6334 Constitution Drive
Fort Wayne, IN 46804
(260)