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CRISIS Management Inside and Out: A mental Health perspective
Catherine Jantzen, LMHC August 26, 2016
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Crisis!
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Mental Health Needs following a crisis
Be heard Be connected Search for meaning Develop new identity Acknowledge changed world Receive empathy
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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
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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
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Responding to Mental Health Needs (cont)
Encourage telling the story, not story-telling (gossip) Trustworthiness
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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
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Signs of Stress/Overload following a crisis (cont)
Mental (Thinking) Dwelling/Rumination Self-blame Confusion Thoughts of suicide/homicide
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Signs of Stress/Overload following a crisis (cont)
Emotional (Feelings) Sadness Irritability Guilt Numbness Fear Anhedonia Anxiety Hopeless Helpless Worthless
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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
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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
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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
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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
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Licensed Mental Health Counselor
Catherine Jantzen Licensed Mental Health Counselor 6334 Constitution Drive Fort Wayne, IN 46804 (260)
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