mh ch 9 and 10

are crises acute or chronic

acute

phase one of crisis development

exposure to stressor

phase two of crisis development

can't fix the stressor, anxiety increases

phase three of crisis development

call on all internal and external resources to solve the problem

phase four of crisis development

no resolution, uh oh! major disorganization occurs

three factors of whether or not you experience a crisis

1. individual perception

2. availability of situational supports

3. availability of adequate coping mechanisms

dispositional crisis

acute response to an external situational stressor

crisis of anticipated life transitions

normal life cycle transition creates a feeling of lack of control, ANTICIPATION

crisis resulting from traumatic stress

caused by unexpected external stressor like getting robbed or something

maturational/developmental crisis

caused by failed attempts to master developmental tasks associated with normal life transitions, ADAPTATION

crisis reflecting psychopathology

triggered by preexisting psychopathology like anxiety and schizophrenia

psychiatric emergency

crisis so bad that individual is rendered incompetent or unable to assume personal responsibility for behaviro

IVE HAD IT elements of psychiatric emergency

Impasse

Victim or Violence

Emergency

Helplessness or Hopelessness

Agitation or Apathy

Despair and Disorganization

Incapacitation

Terror

3 factors in identifying extent of risks

past history of violence, client diagnosis, current behaviors

number one crisis NANDA

risk for self directed or other directed violence

what approach should you use for intervention in a crisis

reality oriented approach

traumatic bereavement

caused by sudden unexpected losses resulting from traumatic events

4 major dimensions of recovery

health

home

purpose

community

tidal model

person centered, focused on individuals personal story, TALK THROUGH IT

wellness recovery action plan (WRAP)

steps to monitor and manage distressing symptoms, others can help listen and develop self care plan

WRAP steps

develop wellness toolbox, daily maintenance list, understand triggers, crisis plannibg

psychological recovery model 4 components

hope

responsibility

self and identity

meaning and purpose

5 stages of psychological recovery model

moratorium

awareness

preparation

rebuilding

growth