Crisis Intervention Strategies Flashcards

During a psychiatric crisis, a case manager uses the ABC model. What does 'B' stand for?

Answer: Beliefs and cognitive appraisal

In the ABC model of crisis intervention, 'B' refers to the individual's beliefs and cognitive appraisal of the precipitating event.

A client in crisis states, 'No one can help me.' This is best understood as which type of cognitive distortion?

Answer: Overgeneralization

Overgeneralization involves drawing broad negative conclusions from a single event or limited experience.

Which de-escalation technique involves reflecting the emotional content of a client's statement back to them?

Answer: Empathic validation

Empathic validation involves reflecting the client's feelings to demonstrate understanding and reduce emotional intensity.

A case manager is assessing lethality after a client discloses suicidal ideation. Which factor most significantly increases immediate risk?

Answer: Ideation with a specific plan and access to means

A specific plan combined with access to lethal means is the strongest predictor of imminent suicidal risk.

The 'stabilization' phase of crisis intervention primarily aims to:

Answer: Restore the client to pre-crisis equilibrium

Stabilization focuses on reducing acute distress and returning the client to a functional baseline, not resolving underlying issues.

When a client in crisis refuses all intervention, the case manager's first priority should be to:

Answer: Maintain engagement and continue to assess safety

Maintaining therapeutic engagement while continuously assessing safety is the priority before escalating to involuntary measures.

Which model emphasizes that crises occur when a person's coping mechanisms are overwhelmed by a stressful event?

Answer: Caplan's equilibrium model

Gerald Caplan's equilibrium model defines crisis as a state of disequilibrium when usual coping methods fail.