Crisis Intervention Models - ABC and SAFER-R

What does A stand for in ABC?

Achieving Rapport

What does B stand for in ABC?

Boiling down the problem

What does C stand for in ABC?

Coping

What does S stand for in SAFER-R

Stabilise

What does A stand for in SAFER-R

Acknowledge

What does F stand for in SAFER-R

Facilitate Understanding

What does E stand for in SAFER-R

Effective Coping

What does R stand for in SAFER-R

Recovery

What does the second R stand for in SAFER-R

Referral

What does A involve in ABC?

Achieving rapport:

1. Establish safety at all levels

2. Use interpersonal skills to establish appropriate rapport for engagement with the problem

What does B involve in ABC?

Boiling down the problem:

1. Listening to how client feels about problem (not for too long as you want to intervene)

2. Identifying the precipitating event

3. Identify how it affects the different domains of their life

4. Gently reframe thinking if and when appropriate

What does C involve in ABC?

Coping:

1. Identify strengths and resources that can be used

2. Create a plan for moving forward

3. Refer as appropriate

What does S stand for in SAFER-R?

Stabilise:

1. Safety

2. Basic needs

What does A stand for in SAFER-R?

Acknowledge:

1. Identify and understand what is happening (not why)

What does F stand for in SAFER-R?

Facilitate Understanding:

1. Normalise as appropriate

2. Depersonalise - the problem is the problem, this is not because of individual shortcomings etc

What does E stand for in SAFER-R?

Encourage Effective Coping:

1. Identify strengths, resources etc which may assist in coping with the situation

What do the 2 R’s stand for in SAFER-R?

Recovery and Referral:

1. Judge whether the client is safe to be left alone

2. Come up with a plan for the future and the immediate situation

3. Refer as appropriate