recognising a crisis
DESCRIPTION
Delivered in 2011TRANSCRIPT
Kaleidoscope Yorkshire
Recognising a CrisisRecognising a Crisis
ObjectivesObjectives
• Defining what we mean by ‘crisis’• Recognise different types of crises• Examine what we mean by ‘mental health
crisis’ in more detail• Explore the typical stages of a crisis• Consider a personal crisis of our own with
regard to the above• Examine some case studies• Consider aspects of supporting someone
in crisis• Examine what services might be available
What is a crisis?What is a crisis?• A brief psychological response
to severe stress (Rosen, 1998)• A situation in which you are
confronted with circumstances outside your usual life experience and outside of your control
• An emotional state where someone requires urgent help (MIND )
Is there a difference Is there a difference between a crisis and an between a crisis and an
emergency?emergency?• EMERGENCY – A life-
threatening situation demanding an immediate response.
• CRISIS - Often not immediately life-threatening
Crisis, stress, mental Crisis, stress, mental health, they are the same health, they are the same
things, right?things, right?
• Adjustment Disorder
• Stress
Types of CrisisTypes of CrisisDevelopmentalDevelopmental
ComplexComplexSituationalSituational
• Developmental – Life changes and transitions.
• Situational – Cultural maybe, social and specific
• Complex – Not part of our our everyday experience,
much harder to overcome.
Developmental
• Becoming an adult
• Starting, forming, keeping relationships
• Becoming old
• Dying
SituationalSituational• Loss job, unemployment
• Loss of income or home
• Accident
• Burglary
• Grief and loss
• Loss of relationship (e.g. divorce)
ComplexComplex• Trauma
• Mental Illness
Mental Health CrisisMental Health Crisis• Acute
• Non acute
Crisis PhasesCrisis Phases• 3 Typical Phases
Impact
RecoveryAftermath
Rosen, 1998
What about you?What about you?
Some Typical ResponsesSome Typical Responses
• IMPACTIMPACT• Physical – Heart rate,
breathing, sweating, nausea• Emotional – Excitement,
fear, confusion, denial, shock, euphoria
• Behavioural – Hyperactivity, immobility, anger
Cont….Cont….• AFTERMATHAFTERMATH
• Physical – Fatigue, no energy, sleep, pain
• Emotional - Depression, guilt, anger, mood, shame
• Behavioural – Avoidance, inefficiency, random activity
Cont…..Cont…..• RECOVERYRECOVERY• Physical – Energy, sleep,
appetite• Emotional – Stability,
pleasure, interest, improved thinking
• Behavioural – Socialising, goal directed activity, hope
Can experiencing a crisis be Can experiencing a crisis be positive?positive?
• Yes or No?
Kaleidoscope YorkshireKaleidoscope YorkshireMental Health Crisis LineMental Health Crisis Line
How would you deal with How would you deal with someone having a crisissomeone having a crisis
• Talk about observable behaviour• Assess for suicide or self harm• Non judgmental • Give reassurance and information• Encourage self support and help• Allowing the tension• Personal strengths• Goals for intervention
Other supportive ideasOther supportive ideas
• Spend more time
• Promote ownership
• Doing things
• Privacy
• Help facing reality
Support ServicesSupport Services• Professional services• GP• CMHT• Crisis Resolution • A & E / Casualty• NHS Direct• Crisis lines • Internet resources
The Mental Health ActThe Mental Health Act