by orlando cuadrado, msw and michael smith · orlando cuadrado, msw and michael smith . goal...
TRANSCRIPT
![Page 1: By Orlando Cuadrado, MSW and Michael Smith · Orlando Cuadrado, MSW and Michael Smith . Goal Develop skills in working effectively and safely in stressful and potentially dangerous](https://reader034.vdocuments.site/reader034/viewer/2022050209/5f5be1026d6ed566ea71954e/html5/thumbnails/1.jpg)
By Orlando Cuadrado, MSW
and Michael Smith
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Goal
Develop skills in working effectively and safely in stressful and potentially dangerous situations
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Objectives:
• Identify potential safety issues
• Recognize three levels of awareness necessary when working in potentially dangerous situations
• Relate the four phases of crisis
• Develop skills to utilize in crisis situations
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Objectives:
• Relate some techniques utilized to avoid dog bites
• Describe the process of reporting a safety incident
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Do you see what I See?
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Reality Check
Workers that practice good casework skills can diffuse most
crises and deliver services without jeopardizing the worker or the
client’s safety
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Values
• Strength Based
• Dignity
• Respect
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Crisis Intervention Theory: Dealing with potentially dangerous people
• What is crisis? • Behaviorally- a change in the order, equilibrium, or the status quo.
• Dynamically- we need to understand that some clients have never learned or developed effective, rational, or constructive coping skills.
* This means a crisis is more likely to escalate
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3 Levels of Awareness
1. Self-Awareness • What am I feeling? • Be selective about personal
disclosures • What are their overall needs,
and; • What is the best response I can
give?
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3 Levels of Awareness
• Should you wear jewelry?
• Should you wear high heels?
• Should you carry a purse?
• Should I “buddy up”?
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3 Levels of Awareness
• Transference
The reproduction of positive or negative feelings that were at one time associated with another person or a past experience that are now (unconsciously ) transferred to a new individual (typically someone who is in charge or an authority figure).
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3 Levels of Awareness
• Counter-Transference
The same dynamic only in reverse, it occurs in the authority figure towards the client.
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3 Levels of Awareness
2. Environmental Awareness Before you leave the office you should fill out a
field safety form: • Name and address of clients you are visiting • The specific directions you are taking • Rural setting • Estimated time of arrival and departure • The nature of your visit • Your cell number
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3 Levels of Awareness
• Is it a high crime area?
• If there are any safety concerns with the neighborhood plan early a.m. appointments.
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3 Levels of Awareness
When selecting a car to use in the field… • Is it in good driving condition? • Does it have enough gas? • The license plate and make, model, color
of the vehicle you are driving • Place any valuables out of sight. • Park in well lit visible areas. • Don’t get out of the car if you don’t feel
safe.
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3 Levels of Awareness
3. Client Awareness Is this case high risk? • History of violence (DV,etc.) • Substance abuse history • Guns in the home • Past criminal history • Mental illness • Possible removal
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3 Levels of Awareness
In the field…..
• Establish the goal of the visit
• Keep a clear path to the exit door
• Avoid the clients bedroom unless absolutely necessary
• Always respect their personal space
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3 Levels of Awareness
Four different levels of space:
1. Intimate space- 0 to 1 arm
2. Personal space- 1 to 2 arm
3. Social space- 4 to 12 feet
4. Public space- 12 feet and more
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3 Levels of Awareness
• Lice
• Communicable diseases/illnesses
• Dogs
• Sexual threat and innuendo
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Canine
Considerations
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Canine Considerations
Dogs bite!
Getting Bit Hurts! Any dog can bite! Look for signs of a dog
before entering the yard Don’t surprise a dog….
whistle, tap, call out
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Canine Approach Techniques
Take off Sunglasses
Stand Still – Let the Dog Approach
Stand Sideways
Speak Softly
Don’t Stare at the Dogs Eyes
Observe the Dogs “Body Language”
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Canine Protection Techniques
Don’t Turn Your Back
Use Firm Commands
Give the Dog Something
Other Than Your Hand to
Bite
Don’t Run…….
(unless you think you can win the race!)
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Defense Against Dog Attack
Maintain Self-Defense Stance
Yell
Shield Your Neck & Face
Feed the Dog Your Notebook
Vulnerable Parts of a Dog…..
(nose, throat, chest & ribs)
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Anxiety Phase
• Autonomic Body Responses
• Speech
• Motor Activity
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Anxiety Phase
• Worker Skills During This Phase – Culture
– Empathy
– Building rapport
– Active listening
– Be Supportive
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Verbal/Non-verbal Communication
• Tone
• Volume
• Cadence
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CRISIS INTERVENTION TECHNIQUES
• Identify yourself and agency • Explain your reason for being
there • Explain your responsibility to
investigate • Inform the parents of their rights • Let the clients know you
understand their feelings
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Defensive Phase
They are beginning to lose control.
• Focus on feelings and behavior.
• Process Messages differently
• Your affective delivery is more important than the content
• They begin “pushing buttons”
• They challenge your authority
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Defensive Phase
Investigator takes control of the potentially escalating situation by setting limits
• S.O.D.A.S.
• Proxemics
• Kinesics
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Defensive Phase
Personal Space Boundary Factors
• Culture
• Size
• Relationship
• Gender
• History
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CRISIS INTERVENTION TECHNIQUES
• Project a calm assured feeling that you will see the situation through to a peaceful end no matter what happens
• Don’t continue to push the client for specific answers, if the questions tend to increase anger
• Don’t corner the client physically or psychologically
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CRISIS INTERVENTION TECHNIQUES
DON’T…..
Appear afraid or unsure of yourself
Appear bossy, arrogant, nor assume an “I don’t give a damn” attitude
Don’t become defensive
Don’t take clients anger as a personal attack
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Aggression Phase
The stage in which the person will discharge their tension.
Worker Skills During This Phase • Observation
– Is there a dramatic change in behavior?
– Hyperactivity?
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Aggression Phase
– Shortness of breath
– Posture, clenching of jaw or fists
– Fixed stare
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Aggression Phase
• Terminating the interview – Get away ASAP
– Take actions to ensure your safety (Discuss policy)
– Terminate in a way that will not embarrass the client
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Tension Reduction Phase
Characterized by a noticeable decrease in the tension level.
Intervention Strategies:
• Process the incident
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Video Exercise
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When should I bring the Five-O?
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