Crisis Intervention
Brief therapeutic approach which is ameliorative rather than curative of acute psychiatric emergencies. Used in contexts such as emergency rooms of psychiatric or general hospitals, or in the home or place of crisis occurrence, this treatment approach focuses on interpersonal and intrapsychic factors and environmental modification. (APA Thesaurus of Psychological Index Terms, 7th ed)
Emergency Services, Psychiatric
Psychological debriefing for road traffic accident victims. Three-year follow-up of a randomised controlled trial. (1/129)
BACKGROUND: Psychological debriefing is widely used for trauma victims but there is uncertainty about its efficacy. We have previously reported a randomised controlled trial which concluded that at 4 months it was ineffective. AIMS: To evaluate the 3-year outcome in a randomised controlled trial of debriefing for consecutive subjects admitted to hospital following a road traffic accident. METHOD: Patients were assessed in hospital by the Impact of Event Scale (IES), Brief Symptom Inventory (BSI) and questionnaire and re-assessed at 3 months and 3 years. The intervention was psychological debriefing as recommended and described in the literature. RESULTS: The intervention group had a significantly worse outcome at 3 years in terms of general psychiatric symptoms (BSI), travel anxiety when being a passenger, pain, physical problems, overall level of functioning, and financial problems. Patients who initially had high intrusion and avoidance symptoms (IES) remained symptomatic if they had received the intervention, but recovered if they did not receive the intervention. CONCLUSIONS: Psychological debriefing is ineffective and has adverse long-term effects. It is not an appropriate treatment for trauma victims. (+info)Randomised controlled trial of midwife led debriefing to reduce maternal depression after operative childbirth. (2/129)
OBJECTIVE: To assess the effectiveness of a midwife led debriefing session during the postpartum hospital stay in reducing the prevalence of maternal depression at six months postpartum among women giving birth by caesarean section, forceps, or vacuum extraction. DESIGN: Randomised controlled trial. SETTING: Large maternity teaching hospital in Melbourne, Australia. PARTICIPANTS: 1041 women who had given birth by caesarean section (n= 624) or with the use of forceps (n= 353) or vacuum extraction (n= 64). MAIN OUTCOME MEASURES: Maternal depression (score >/=13 on the Edinburgh postnatal depression scale) and overall health status (comparison of mean scores on SF-36 subscales) measured by postal questionnaire at six months postpartum. RESULTS: 917 (88%) of the women recruited responded to the outcome questionnaire. More women allocated to debriefing scored as depressed six months after birth than women allocated to usual postpartum care (81 (17%) v 65 (14%)), although this difference was not significant (odds ratio=1.24, 95% confidence interval 0.87 to 1.77). They were also more likely to report that depression had been a problem for them since the birth, but the difference was not significant (123 (28%) v 94 (22%); odds ratio=1. 37, 1.00 to 1.86). Women allocated to debriefing had poorer health status on seven of the eight SF-36 subscales, although the difference was significant only for role functioning (emotional): mean scores 73.32 v 78.98, t= -2.31, 95% confidence interval -10.48 to -0.84). CONCLUSIONS: Midwife led debriefing after operative birth is ineffective in reducing maternal morbidity at six months postpartum. The possibility that debriefing contributed to emotional health problems for some women cannot be excluded. (+info)A special courage: dealing with the Paddington rail crash. (3/129)
Supporting traumatized employees requires special skills and techniques if it is to be effective. Unfortunately, there is little to inform or guide organizations on how this should be achieved. The present controversy over the use of trauma management systems and debriefing has not been helpful in informing organizations on the best way to take care of employees who become traumatized during the course of their work. This paper looks at how Sainsbury's Supermarkets Ltd managed traumatization through the activation of its Violence at Work policy and procedures, and finally presents the results of an evaluation exercise that was undertaken following the Paddington rail crash. (+info)Effects of a coping intervention on patients with rheumatic diseases: results of a randomized controlled trial. (4/129)
OBJECTIVE: To test the effects (on coping, social interactions, loneliness, functional health status, and life satisfaction) of an intervention aimed at teaching people with rheumatic diseases to cope actively with their problems. METHODS: A total of 168 patients with chronic rheumatic disorders affecting the joints were randomly assigned to a coping intervention group, a mutual support control group, or a waiting list control group. Measurements were by self-report questionnaires. RESULTS: Post-intervention measurements showed that the coping intervention increased action-directed coping and functional health status, but these effects did not persist up to 6-months followup. In patients who attended at least half of the 10 sessions, the coping intervention contributed to decreased loneliness at post-intervention and to improvements in social interactions and life satisfaction at 6-months followup. CONCLUSION: Teaching patients with rheumatic diseases to cope actively with their problems had positive impacts. Consequently it is recommended that the coping intervention be incorporated into regular care. Maintenance sessions are advisable. (+info)The World Trade Center attack. Lessons for all aspects of health care. (5/129)
The attack on the World Trade Center had the potential to overwhelm New York's health services. Sadly, however, the predicted thousands of treatable patients failed to materialize. Horror and sadness has now been replaced by anger, fear, and the determination to be better prepared next time. This determination not only exists in politics but also in health care, and as with all attempts to enforce change there needs to be a period of collecting opinions and data. This article introduces nine reviews in Critical Care offering varied health care perspectives of the events of 11 September 2001 from people who were there and from experts in disaster management. (+info)The World Trade Center attack. Helping the helpers: the role of critical incident stress management. (6/129)
Healthcare and prehospital workers involved in disaster response are susceptible to a variety of stress-related psychological and physical sequelae. Critical incident stress management, of which critical incident stress debriefing is a component, can mitigate the response to these stressors. Critical incident stress debriefing is a peer-driven, therapist-guided, structured, group intervention designed to accelerate the recovery of personnel. The attack on the World Trade Center, and the impact it may have on rescue, prehospital, and healthcare workers, should urge us to incorporate critical incident stress management into disaster management plans. (+info)The World Trade Center attack. Lessons for disaster management. (7/129)
As the largest, and one of the most eclectic, urban center in the United States, New York City felt the need to develop an Office of Emergency Management to coordinate communications and direct resources in the event of a mass disaster. Practice drills were then carried out to assess and improve disaster preparedness. The day of 11 September 2001 began with the unimaginable. As events unfolded, previous plans based on drills were found not to address the unique issues faced and new plans rapidly evolved out of necessity. Heroic actions were commonplace. Much can be learned from the events of 11 September 2001. Natural and unnatural disasters will happen again, so it is critical that these lessons be learned. Proper preparation will undoubtedly save lives and resources. (+info)Telephone intervention with family caregivers of stroke survivors after rehabilitation. (8/129)
BACKGROUND AND PURPOSE: Social problem-solving therapy shows promise as an intervention to improve the well-being of family caregivers. There is some evidence that training in problem solving may be effectively delivered by telephone. The purpose of this study was to quantify the impact of social problem-solving telephone partnerships on primary family caregiver outcomes after stroke survivors are discharged home from a rehabilitation facility. METHODS: Using a randomized 3-group repeated-measures experimental design, 74 stroke survivors with an admitting diagnosis of ischemic stroke and their primary family caregivers were entered into the study. The intervention consisted of an initial 3-hour home visit between a trained nurse and the family caregiver within 1 week after discharge to begin problem-solving skill training. This initial session was followed by weekly (the first month) and biweekly (the second and third month) telephone contacts. RESULTS: Compared with the sham intervention and control groups, family caregivers who participated in the social problem-solving telephone partnership intervention group had better problem-solving skills; greater caregiver preparedness; less depression; and significant improvement in measures of vitality, social functioning, mental health, and role limitations related to emotional problems. There were no significant differences among the groups in caregiver burden. Satisfaction with healthcare services decreased over time in the control group while remaining comparable in the intervention and sham intervention groups. CONCLUSION: These results indicate that problem-solving training may be useful for family caregivers of stroke survivors after discharge from rehabilitative facilities. (+info)
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The governments motion to support military intervention in Syria is defeated by 285 to 272 votes - a seismic moment for David ... MPs had been recalled early from summer recess to debate and vote, after an escalation of the Syria crisis on 21 August which ... Cameron loses Syria vote, no UK military intervention. The governments motion to support military intervention in Syria is ... Following the vote, Ed Miliband said: "Military intervention is now off the agenda for Britain. There would have been nothing ...
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Pathways volunteers join our team of staff advocates in providing crisis intervention and emotional support to women, children ... 17 for volunteers interested in advocating for women and children in crisis. Prospective volunteers need only attend one of the ... Want to answer our 24-hour crisis line or work at the shelter? ...
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HotlineCoronavirus crisisAdvocacyCounselingMilitary interventionShelterMobile Crisis InterventionHumanitarianEmotional supportSuicide PreventionOrganizationsAftermathAssessmentTeamPracticesResponseIndividualDomestic violenceProgramSyriaDistressSkillsVolunteersIncludeCenterDevelopUrgentFamilyProgrammeTopicsWorkGovernmentPeopleCouncilManagement
Hotline3
- Care Lodge operates a 24/7 Crisis Hotline and Emergency Shelter. (carelodge.com)
- Please call the Crisis Hotline for more information on times and dates for support groups. (womenshelters.org)
- From May 1 through December 31, 2020 when the Hotline began tracking information on referrals and services provided to victims, hotline advocates made 2,001 contacts with victims to provide emotional support and crisis intervention. (or.us)
Coronavirus crisis2
- Natural gas prices in Asia fell to a record low in the second quarter of last year as the coronavirus crisis spread, but they have surged more than 1,000% since July . (business-news.pro)
- Member States of the EU and the U.K. are announcing massive support packages for companies affected by the coronavirus crisis. (concurrences.com)
Advocacy2
- Trevor also operates an education program with resources for youth-serving adults and organizations, an advocacy department fighting for pro-LGBTQ legislation and against anti-LGBTQ rhetoric/policy positions, and a research team to discover the most effective means to help young LGBTQ people in crisis and end suicide. (pyrrha.com)
- CAHOOTS provides immediate stabilization in case of urgent medical need or psychological crisis, assessment, information, referral, advocacy & (in some cases) transportation to the next step in treatment. (kboo.com)
Counseling4
- These grants are used by states to provide emergency shelter, crisis intervention, counseling and other services to crime victims. (senate.gov)
- Through the CVF's Victim Assistance Grants, states are able to provide emergency shelter, crisis intervention, counseling and other services to crime victims. (senate.gov)
- Crisis response and crisis counseling are designed to help individuals cope with the stress or event they experienced and mitigate the threat of posttraumatic stress, critical incident stress and personal crises on the individual. (essaypross.com)
- The complete guide to crisis & trauma counseling: What to do and say when it matters most! (essaypross.com)
Military intervention3
- The government's motion to support military intervention in Syria is defeated by 285 to 272 votes - a seismic moment for David Cameron's leadership and Britain's role in the world. (channel4.com)
- Following the vote, Ed Miliband said: "Military intervention is now off the agenda for Britain. (channel4.com)
- Resolving the Venezuela Crisis: Is There a Case for Outside Military Intervention? (quillette.com)
Shelter4
- The local authorities illegally emptied a winterized shelter in Bira: despite interventions by the national authorities, the camp was not reopened at the local level, leaving migrants homeless for the winter in Lipa. (fiacat.org)
- Want to answer our 24-hour crisis line or work at the shelter? (makeitmissoula.com)
- Care Lodge provides emergency safe shelter and crisis intervention for individuals fleeing domestic violence. (carelodge.com)
- A trained advocate is on-call to assist you in a moment of crisis and transport you to shelter if needed. (womenshelters.org)
Mobile Crisis Intervention1
- CAHOOTS or Crisis Assistance Helping Out On The Streets, provides mobile crisis intervention 24/7 in the Eugene-Springfield Metro area. (kboo.com)
Humanitarian3
- In Bosnia and Herzegovina, the Commissioner notes a humanitarian and governance crisis. (fiacat.org)
- The Commissioner stressed that the immediate priority is to save lives and prevent a humanitarian crisis from turning into a disaster. (fiacat.org)
- Imperialists' "humanitarian" intervention got rid of the past Iraqi regime, but has not made the lives of ordinary Iraqis better. (socialist.ca)
Emotional support1
- Pathways volunteers join our team of staff advocates in providing crisis intervention and emotional support to women, children and men survivors of domestic and sexual violence. (makeitmissoula.com)
Suicide Prevention2
- The Trevor Project is the world's largest suicide prevention and crisis intervention organization for lesbian, gay, bisexual, transgender, queer & questioning (LGBTQ) young people. (pyrrha.com)
- The Trevor Project offers a suite of 24/7 crisis intervention and suicide prevention programs, including TrevorLifeline, TrevorText, and TrevorChat as well as the world's largest safe space social networking site for LGBTQ youth, TrevorSpace. (pyrrha.com)
Organizations2
- Organizations caught off guard by crises often pay the price in long-term damage that is not only financial but also damaging to reputations and customer perceptions. (coachthemind.com)
- Organizations that have utilized Just Add Power's multipurpose room include the Homeless Leadership Alliance of Pinellas and Directions for Living, which has used the space to provide Crisis Intervention Team (CIT) training. (commercialintegrator.com)
Aftermath1
- It has been nine years since the American invasion of Iraq, but the Iraqi civilians still suffer from the aftermath of intervention. (socialist.ca)
Assessment1
- This programme starts by looking at the decisions that have to be made as a situation deteriorates and the assessment of whether a crisis is actually occurring or going to occur. (coachthemind.com)
Team4
- Crisis Intervention Team (CIT). (beforetheyfall.org)
- The aim of the wellness team is to provide crisis intervention and is not counselling service. (confest.org.au)
- Organized by a team of activists in the area including Genocide Intervention Network 2009 Carl Wilkens Fellow, Karine Shnorhokian, as well as Fairleigh Dickinson University faculty Diana Cvitan and Khayti Joshi, student activists Nia Holston and Lindsay Mulford, and several others have been active in promoting the event. (asbarez.com)
- Each team consists of a medic (either a nurse or an Emergency Medical Technician EMT) and a crisis worker with at least several years' experience in the mental health field. (kboo.com)
Practices2
- The CoP leaders will share best practices, frameworks and strategies that can be applied by school teams to promote crisis response and intervention. (aehinst.org)
- Explore how crisis response and intervention practices can be modified to adapt to the current COVID 19 school environment. (aehinst.org)
Response3
- DC School Behavioral Health Community of Practice meeting, Promoting student access to School Behavioral Health supports by building strong crisis response teams. (aehinst.org)
- Learn about national and local resources on crisis response and intervention. (aehinst.org)
- Practice an engagement strategy that can be used to promote building strong crisis response teams. (aehinst.org)
Individual1
- The Trooper spoke with the individual's caregivers and took appropriate action to de-escalate the situation by utilizing Crisis Intervention Training, a program developed by the National Alliance on Mental Illness, that allowed the caregivers to use their training to prevent the individual from harming himself or others," Burnett, Jr., said in a statement. (kxlf.com)
Domestic violence1
- The Sandhills Crisis Intervention Program is committed to the prevention and elimination of domestic violence and sexual assault. (scipogallala.com)
Program2
- The Abuse Intervention Program (AIP) is available for perpetrators of intimate partner abuse. (familycrisisresourcecenter.org)
- Dennis Bosley spoke about the crisis intervention training program at the Topeka Police Department. (interfaithoftopeka.org)
Syria2
- MPs had been recalled early from summer recess to debate and vote, after an escalation of the Syria crisis on 21 August which saw hundreds of people die after a suspected chemical weapons attack. (channel4.com)
- The Russian intervention in Crimea is more direct and dramatic than the one in Syria, with actual troops deployed. (fairobserver.com)
Distress1
- Over 80% of Americans will be exposed to a traumatic event and experience significant distress due to a crisis or critical incident. (essaypross.com)
Skills2
- Develop intervention and case management skills. (csuglobal.edu)
- A crisis typically involves a temporary loss of coping skills, and causes significant impairment in nearly half of those exposed. (essaypross.com)
Volunteers1
- for volunteers interested in advocating for women and children in crisis. (makeitmissoula.com)
Include1
- Current cosponsors of the event include Armenian National Committee of America, Fairleigh Dickinson University, Genocide Intervention Network, New Jersey Coalition Responds to the Crisis in Darfur, Ramsey High School STAND Chapter, Three Generations, and 96 West Café in Allendale. (asbarez.com)
Center2
- Family Crisis Resource Center, Inc. (familycrisisresourcecenter.org)
- Are you familiar with Safehouse Crisis Center, Inc Coffeyville? (womenshelters.org)
Develop2
- But as prevention is better then cure we move onto consider how to develop a prioritised list of the worst things that could happen and then assigning a 'crisis impact value,' based on its potential to cause damage. (coachthemind.com)
- We show how to produce strategies that will reduce the probability of specific crisis's arising and show ways to develop contingencies to limit the impact of a crisis once it occurs. (coachthemind.com)
Urgent1
- Our communities need urgent government action before this crisis becomes irreversible for many communities. (landlordtoday.co.uk)
Family1
- Personal crises, such as death of family member or loss of a job, impact a person?s ability to function in everyday life and affect their relationships with their spouse, family, co-workers, friends and church members. (essaypross.com)
Programme1
- crisis communications deals with the perception of the reality and this programme deals with it all. (coachthemind.com)
Topics1
- Amongst the other topics considered is the analysis-paralysis syndrome that can occur in a crisis. (coachthemind.com)
Work1
- The types of people best suited to work on crisis management teams are looked at and then the media interaction options and techniques are considered. (coachthemind.com)
Government1
- He has also told the website that the Welsh Labour-led government "has stood by and watched as our communities are engulfed by the housing crisis. (landlordtoday.co.uk)
People1
- Other emails from earlier releases indicate that people close to Clinton gave her credit for the Libyan intervention. (antiwar.com)
Council1
- Plaid Cymru demands direct interventions to mitigate the housing crisis, including trebling the Land Transaction tax, changing planning laws to allow councils to impose a cap on the number of second homes, and closing the loophole that allows second homeowners to register their property as a 'business' to avoid paying the council tax premium. (landlordtoday.co.uk)
Management1
- Crisis management is an umbrella term that includes many components from crisis planning and assigning impact values to media communications and assessing the cost of intervention. (coachthemind.com)