Advanced Crisis Intervention Part II Presentation by: Jane Dwyer, MSW, LCSW Advanced Crisis Intervention Contemporary approaches for the journey of transforming trauma by regaining emotional and cognitive control 1. Explain the psychodynamics of trauma 2. Define Rape-Related PTSD 3. Recall Core Communication Skills Individual Diagnosis and resulting outcomes can be affected by the following: • Ego strength • Resilience • Victimization History • Previous mental health disorders • Coping style Disorders associated with traumatic coping responses: Posttraumatic Stress Depression/Mood Disorders Addiction/Substance Abuse Narcissistic Personality Disorder Obsessive Compulsive Disorder Borderline Personality Disorder Dissociative Disorders Mechanisms for controlling Pain Memory organization, storage, and retrieval The effects of physiological activity on traumatic processing Disassociation S P L I T T I N G Denial Arousal Self-fragmentation Defensive Mechanisms • • • • • • • Individual counseling Pharmacological Family therapy Group therapy/Peer support Spiritual counseling Expressive arts Twelve Step Groups Rape-Related Post-Traumatic Stress Disorder (RR-PTSD) Symptoms • • • • Re-experiencing the trauma (Recurring thoughts) Social Withdrawal (Numbing) Avoidance behaviors and actions Increased physiological arousal characteristics (Hyperarousal) Attending Behavior Reflecting Feeling Interpreting Effective Questioning Communicating feeling and immediacy Enlisting cooperation Reflecting Content Confronting Information giving Selfdisclosing James, R.K., Gilliland, B. E.,(2013) Crisis Intervention Strategies. Belmont, California: Brooks/Cole. (7th edition) Brown, S., (2007) Counseling Victims of Violence. Alameda, CA: Hunter House Publications. (2nd edition) Echterling, L.G., Presbury, H.H., & McKee, J.E. (2006) Crisis Intervention: Promoting resilience and resolution in troubled times. Upper Saddle River, NJ: Pearson. Evans, D., Hearn, M., Uhlemann, M., Ivey,A. (2011) Essential Interviewing: A programmed approach to effective communication. Belmony, CA: Brooks/Cole. (8thedition) McKay, M., Davis, M., Fanning, P. Thoughts & feelings: taking control of your moods and life. Oakland, CA. New Harbinger Publications. (4th Edition) Myer, R., (2001) Assessment for Crisis Intervention: A triage assessment model. Belmont, CA: Wadswoth/Thomas Learning. • Life After Trauma Workbook: http://ucenickiparlament.weebly.com/uploads/9/2/4/7/9247538/life_after_trauma__prirucnik.pdf • Sexual Violence Interventions: http://www.vawnet.org/sexual-violence/intervention.php • CBT Worksheets for PTSD: http://www.psychologytools.org/ptsd.html • Trauma Healing Exercise: http://www.new-synapse.com/aps/wordpress/?p=187 • Broken Bowl Project: http://christabrennan.wordpress.com/2013/03/08/the-broken-bowl-project/ • Coping Skills Toolbox: http://thefatgrackle.tumblr.com/post/45987684417 • Trauma Masks: http://creativesocialworker.tumblr.com/post/66721624148/trauma-masks-in-this-activity-theclients-create • Crystal Ball activity: http://www.art-feels.com/post/42511853048/task-2-crystal-ball-create-a-crystal-ball • Boundaries activity: http://arttherapydirectives.blogspot.com/2012/07/boundary-drawings.html • 53 Art Therapy Blogs: http://stuartcline.wordpress.com/2013/11/09/52-art-therapy-blogs-you-do-not-want-to-miss/ • 100 art therapy exercises: http://stuartcline.wordpress.com/2013/09/27/100-art-therapy-exercises-to-make-yourmind-body-and-spirit-sing/ • Focus Card: http://www.createmixedmedia.com/blogs/creative-insights/creative-insights-karen-wallace-3