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Calming the Storm: Responding to Crisis in Your Community Charles Beard Resident Director Campus Advantage

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Training dealing with Crisis Intervention

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  • 1.Calming the Storm:Responding to Crisis in Your Community
    Charles Beard
    Resident Director
    Campus Advantage

2. Format of Training
This training will be delivered via this PowerPoint
The PowerPoint will contain the appropriate information
The slides will also direct you to the appropriate materials
This training is intended to take 3-4 hours.You may split up the training or complete it in one sitting as long as you cover all the material.
You will have a one on one at midterm with the Resident Director and will be tested on your knowledge of the material contained in this training session
3. Goal
The goal of this training program is to provide you with the knowledge, skills, and abilities to confront and diffuse crisis situations that you may encounter in your community
The specific crises that will be discussed are sexual assault and suicide prevention
4. Learning Objectives
Participants will be able to define crisis intervention with 100% accuracy after completing this session
Participants will be able to define a crisis with 100% accuracy after completing this session
Participants will be able to identify common causes of a crisis with 100% accuracy after completing this session
Participants will be able to identify the steps involved in crisis response with 90% accuracy after completing this session
Participants will be able to implement Campus Advantage reporting procedures with 90% accuracy after completing this session
5. What is Crisis?
Event that causes a sudden loss of someones ability to use appropriate problem-solving and coping skills
Can involve life-threating situations
3 Parts to a Crisis
Stressful Situation
Difficulty with Coping
Timing of the Intervention
6. What Causes a Crisis?
7. Crises We Will Discuss
Sexual Assault
Suicide
8. What is Crisis Intervention?
The methods used to offer immediate, short-term help to individuals who experience an event that produces emotional, mental, physical, and behavioral distress or problems (Encyclopedia of Mental Disorders)
9. Purpose of Crisis Intervention
Reduce intensity of individuals emotional, physical, mental, and behavioral reactions to crisis
Help individual return to functional level before crisis
10. How to Intervene
Define the Problem
Try to perceive the crisis from the victims perception
Ensure Safety
Minimize the risk factor
Do you need to get the client to a safe location such as your office?
Provide Support
Let the resident know that you care
Show compassion and empathy
11. How to Intervene
Examine Alternatives
Explore people, coping mechanisms, and thinking patterns that provide relief from the current situation
Make a Plan
The plan should identify additional persons, groups, or referral services that can be contacted for immediate support
Obtain a Commitment
Ensure that the resident will commit to the plan
How will you follow up with the resident to ensure they go to X resource?
If a threat to health and safety is present, call 911 immediately
12. Reporting
Campus Advantage Policy Gives the Following Guidelines for Reporting an Incident
Level 1- Incidents that require site level management but typically not corporate level involvement. Local law enforcement may also be involved. These include incidents such as roommate conflict, noise disturbance, vandalism, alcohol use or drug use.
Level 2- Incidents that require both site level management and regional corporate level involvement. These include incidents such as drug dealing, theft or burglary, injury and threats to injure self or others.
Level 3- Incidents that require site level management, full corporate involvement and owner notification. These include significant property loss, assault, fire, home intrusion, suicide attempt and death.
13. Reporting
Campus Advantage policy requires that an incident report be completed and submitted to the Resident Director and General Manager as soon as the crisis intervention is over
Review the Incident Reporting Policy on your Policy and Procedures Portal
14. LSU CARE TeamA General Resource
CARE stands for Communicate, Assess, Respond, and Refer
CARE is managed by the Office of Student Advocacy and Accountability under the direction of the CARE team manager
CARE Team consists of representatives from LSU Residential Life, Disability Services, LSU Police, the Dean of Students, and Mental Health
15. What the CARE Team Does
Assist students in identifying appropriate university resources
Listens to students and helps identify issues and concern
Assist students in understanding issues and identifying workable solutions
Any faculty, staff, or student can refer a student to the CARE team
That means you!
16. Things to do before proceeding
Read How to Intervene in a Crisis Situation
http://www.ehow.com/how_2138570_intervene-crisis-situation.html
Read Who Ya Going to Call?
http://www.reslife.net/html/crisis_0401a.html
Pretend that you just finished a crisis intervention for a situation of your choice.Fill out an incident report and send it to the Resident Director.
This is not a graded activity but will help the Resident Director determine what specific training you may need
17. Section 2 Learning Objectives
Students will be able to define Sexual Assault with 100% accuracy after completing this training session
Students will be able to define the different types of sexual assault as outlined by Louisiana law with 80% accuracy after completing this training session
Students will be able to identify the common reactions to sexual assault with 90% accuracy after completing this training session
Students will be able to confront and communicate with sexual assault victims with 80% accuracy at the completion of this training session
Students will be able to identify sexual assault resources with 100% accuracy after completing this training session
Students will be able to recite victims rights and the effects of the Clery Act with 100% accuracy at the completion of this training session
18. Sexual Assault
Watch the Video Linked Below:
http://www.youtube.com/watch?v=30TKSFLfY-w&feature=feedf
19. Sexual Assault Defined
A sexual assault has been committed when an individual engages in sexual activity without the explicit consent of the other individual involved
Sexual activity is any touching of a sexual or other intimate part of a person for the purpose of gratifying sexual desire of either party. This includes coerced touching of the actor by the victim as well as the touching of the victim by the actor, whether directly or through clothing.
(Sarah Lawrence College, 2010)
20. Types of Sexual Assault Defined In Louisiana
For Each Item, Read the Website Listed Below the item
Aggravated Rape (LSA-R.S. 14:42)
http://www.babcockpartners.com/resources/statutes/louisiana-aggravated-rape-law
Forcible Rape
Included in previous reading of LSA-R.S. 14:42
Simple Rape (R.S. 14:43)
http://www.babcockpartners.com/resources/statutes/louisiana-simple-rape-law
21. Types of Sexual Assault Continued
Sexual Battery (R.S. 14:43.1)
http://www.babcockpartners.com/resources/statutes/louisiana-sexual-battery-law
Second Degree Sexual Battery (R.S. 14:43.2)
http://law.justia.com/codes/louisiana/2009/rs/title14/rs14-43.2.html
Intentional Exposure to the AIDS Virus (R.S. 14:43.5)
http://law.justia.com/codes/louisiana/2009/rs/title14/rs14-43.5.html
Sexual Assault Using a Controlled or Dangerous Substance (Date Rape) (R.S.40:969D)
http://law.justia.com/codes/louisiana/2006/48/98883.html
22. Statistics
Estimated that 20-25% of women will experience a completed rape or attempted rape during their college career
1 in 10 reported sexual assault victims are males
Over 50% of sexual assaults go unreported
Over 50% of campus sexual assaults are associated with alcohol consumption
70% of sexual assault victims knew their attacker
23. Common Reactions to Sexual Assault
Fear and Anxiety
This may happen when the victim remembers the assault or can be triggered spontaneously
Re-experiencing the trauma
This can occur through flashbacks or nightmares
Increased Arousal
Victims may feel jumpy, jittery, shaky, easily startled, and have trouble concentrating and sleeping
Can lead to impatience and irritability
Avoidance
Victims may avoid situations reminding them of the sexual assault
24. Reactions Continued
Anger
Victims may be angry with others not just the attacker
Feelings of Guilt and Shame
Many victims blame themselves or fear blame from others
Depression
Victim may feel down, sad, hopeless and full of despair
Self Image
Victim may have trouble trusting others
More negative view of the world
25. Confronting Sexual Assault Victims
You may not know a resident is a victim until you talk to them
Be aware of the Reactions listed in the previous two slides
Talk to residents who are exhibiting those reactions or whose behavior and attitude have dramatically changed
26. When Sexual Assault is Identified
Provide Emotional Support for the Victim
Provide a safe environment
Assure the victim it was not his/her fault
Do not try to force the victim to do anything.Phrase crisis intervention steps as questions
It is important for survivors to make their own decisions as a way to regain control
27. Having the Conversation
You cannot guarantee confidentiality but only privacy
You must call the Resident Director if a sexual assault occurs
Ask the victim if he/she would like to talk to the police
A sexual assault victim is not required to call the police
28. The Conversation Continued
Ask the victim if he/she would like to seek medical attention
Ask the victim when and where the sexual assault occurred
Let the victim know you have to call the Resident Director
Let the victim know the Resident Director is a trained Sexual Assault Victims Advocate (SAVA)
29. More About the Conversation
While waiting for the Resident Director, ask the victim if he/she would like to speak to someone at the PHONE or the Rape Crisis Center
The victim does not have to give his/her name to the person on the phone at either service
The PHONE is a free confidential crisis intervention center that can be called at any time
Explain to the victim the services offered by SAVA and the Rape Crisis Center
See Upcoming Slides
The Resident Director will take over the intervention once he arrives
If the Resident Director is unavailable call the General Manager
30. SAVA
Trained Faculty, Staff, or Graduate Assistant
Can Assist the victim with:
Filing a police report
Obtaining medical care
Assistance with the University Accountability Process
Assistance with Housing Relocation
Academic Assistance/Accommodations
Referrals to Appropriate Services and Resources
A list of all SAVAs can be obtained by going to:
http://www.shc.lsu.edu/index.php?page=sass_savacontacts
31. Rape Crisis Center
225-383-7273
24 Hour Hotline
Victims can receive counseling, support, and referrals
Can contact a Sexual Assault Nurse Examiner (SANE) to meet the victim at a local hospital for a Sexual Assault Exam (See Next Slide)
Can provide an advocate to be with the victim during the exam
All Services are Free
32. SANE
A nurse specially trained to conduct a forensic sexual assault examination/evidence collection
Exam can take over 2 hours
Monday-Friday 8:00am-4:30pm a SANE is available to do exams at the Student Health Center
Contact a SAVA to schedule the exam
The Rape Crisis Center can arrange an exam 24 hours/7 days a week at local hospitals
The exam is a public service and thus is free
33. The Victims Rights
A victim DOES NOT have to file a police report
Evidence from an exam can be held for thirty days without a police report being filed
If a police report is filed, the victim does not have to press charges
34. Use Your Resources
You can call the PHONE or the Rape Crisis Center to get guidance on how to proceed with the intervention
You can contact the Resident Director or another SAVA for assistance and guidance
You can defer to someone else if you are uncomfortable handling the intervention
You can bring another person of the same gender in with you for your protection
35. The Clery Act
Universities must report annual crime statistics under Federal Law (The Clery Act)
A SAVA will have to report that a sexual assault to a student did occur
BUT ONLY DEMOGRAPHIC INFORMATION SUCH AS GENDER AND AGE IS REPORTED UNLESS THE VICTIM CONSENTS
The University will determine if the assault becomes part of the annual report or not
The Rape Crisis Center and the PHONE will decide if cases need to be reported that are referred to them
36. A Few More Instructions
Do encourage a victim not to bathe, change clothing, or douching in order to preserve evidence prior to an exam
An exam can be done up to seven days following a sexual assault
BUT the sooner it is done the more evidence that be collected
37. Recap of Sexual Assault
It is important to know what your state defines as sexual assault and the types of sexual assault
It is important that you remain empathetic and non-judgmental during a conversation with a victim
Follow the guidelines for the conversation
Know your resources such as SAVA and the Rape Crisis Center
Know the victims rights
38. Things to do before proceeding
Read the Following Websites:
http://www.shc.lsu.edu/index.php?page=sass_aboutsava
http://www.shc.lsu.edu/index.php?page=sass_aboutsane
http://www.reslife.net/html/tools_0800e.html
39. Suicide
This portion of the training session will cover suicide prevention and helping the survivors of a suicide
The material from this session could potentially help save someones life
The material is heavy but necessary
40. Section 3 Learning Objectives
Students will be able to identify the components of the Suicide Risk Assessment with 90% accuracy at the completion of this training session
Students will be able to confront suicidal victims with 80% accuracy at the end of this training session
Students will be able to implement the proper protocol when a resident is deemed suicidal with 100% accuracy at the completion of this training session
Students will be able to assist survivors of suicide with 70% accuracy at the completion of this training session
41. A Short Video
Please Click on the Link Below and Watch the Video
http://www.youtube.com/watch?v=AWSA3MHN3Hs&feature=feedf
42. Suicide Statistics (2007)
10th Leading Cause of Death
3rd Leading Cause of Death for people between 15 and 24 years old
34,598 Suicides
Approximately 381,000 Attempted Suicides
Males complete suicide 3.6 times more than females
A failing economy traditionally leads to more suicides annually
43. Assessing the Risk of Suicide
IS PATH WARM is a mnemonic used in Assessing the Risks of Suicide
Ideation
Substance Abuse
Purposelessness
Anxiety
Trapped
Hopelessness
Withdrawal
Anger
Recklessness
Mood Change
44. IS
Ideation
Talk of wanting to harm oneself
Looking for ways to kill oneself
Talking or writing about death
Substance Abuse
Increased alcohol or drug usage
45. PATH
Purposefulness
No reason for living
Anxiety
Anxiety, agitation, change in sleeping habits
Trapped
Feeling like there is no way out
Hopelessness
No hope
46. WARM
Withdrawal
Withdrawal from friends, family, society
Anger
Uncontrolled anger and rage
Recklessness
Acting reckless or taking unnecessary and dangerous risks
Mood Change
Dramatic Mood Changes
47. Response
Like Sexual Assault, suicidal residents might not be identified until you are talking with them possibly about something unrelated
If you notice in conversation or behavior that the resident is showing signs of the risks discussed, intervention needs to happen immediately
48. Conversation
Ask the resident if he/she plans on hurting him/herself or another person
Ask the resident if he/she is planning on killing him/herself
Ask if the resident has a suicide plan and ask them to elaborate
Ask the resident if anyone else knows
YOU WILL NOT CAUSE SOMEONE TO COMMIT SUICIDE BY ASKING QUESTIONS
49. Conversation Continued
If the resident answers yes to any questions or exhibits what you consider reasonable risk call the police immediately
Call the Resident Director and/or General Manager AFTER calling the police
Try to get the resident to talk to someone at the PHONE while waiting on the police
Do not under any circumstance, unless threat to your health and safety exist, leave the resident alone until emergency personnel arrive
The resident may be mad that you called the police but you may have just saved their life!
50. When a Suicide Happens
Unfortunately, we cannot prevent 100% suicides
Follow procedures outlined in the Dead Resident policy on the Policies and Procedures website for dealing with the discovery of a dead body
The people who are affected by the suicide are called survivors
51. Survivors
Survivors Include:
Family
Roommates
Neighbors
Friends
Other Staff Members
And the List Goes On
52. The Mindset of Survivors
Grief will immediately set in
Feelings such as shock, guilt, disbelief, loneliness, depression, and confusion may occur
Survivors struggle with the question of why did the suicide occur
53. Helping Survivors
Listen and be empathetic
Use Crisis Intervention skills if necessary
Use your resources
Make sure survivors know about the PHONE
Plan a day for grief counselors to come to the community
Talk to the Resident Director and General Manager to set this up
Be alert and be ready to respond to any crises caused by the suicide
54. Conclusion
This presentation has went over the basics of crisis intervention
You have learned how to handle a crisis involving sexual assault
You have learned how to address a situation with a suicidal resident
You have learned what survivors of suicide experience
55. Work Cite
American Association of Suicidology. (2008). Suicide in the USA. Retrieved July 13, 2011, from American Association of Suicidology: http://www.suicidology.org/c/document_library/get_file?folderId=232&name=DLFE-244.pdf
American Association of Suicidology. (2008). Survivors of Suicide Fact Sheet. Retrieved July 13, 2011, from American Association of Suicidology: http://www.suicidology.org/c/document_library/get_file?folderId=232&name=DLFE-244.pdf
Babcock Partners. (2011). List of Common Crimes in Louisiana. Retrieved July 12, 2011, from Babcock Partners: http://www.babcockpartners.com/resources/statutes
Campus Advantage. (2010). Policy and Procedures Portal. Retrieved July 12, 2011, from Campus Advantage: http://www.campusadv.com/my
Crisis Intervention Services. (n.d.). Crisis Intervention Services: Sexual Assault. Retrieved July 14, 2011, from Crisis Intervention Services: http://www.cismc.org/information/assault.html
East Baton Rouge District Attorney. (2011). Rape Crisis Center. Retrieved July 14, 2011, from Rape Crisis Center: http://www.brrcc.org/
Ehow. (2011). How to Intervene in a Crisis Situation. Retrieved July 12, 2011, from Ehow: http://www.ehow.com/how_2138570_intervene-crisis-situation.html
Encyclopedia of Mental Disorders. (2011). Crisis Intervention. Retrieved July 12, 2011, from Encyclopedia of Mental Disorders: http://www.minddisorders.com/Br-Del/Crisis-intervention.html
Goldwater, J. (n.d.). Who YaGonna Call? A Crisis Management Primer. Retrieved July 12, 2011, from Reslife.net: http://www.reslife.net/html/crisis_0401a.html
Justia. (2009). 2009 Louisiana Code. Retrieved July 12, 2011, from Justia US Law: http://law.justia.com/codes/louisiana/2009/
Louisiana Foundation Against Sexual Assault. (2009). Sexual Assault Statistics. Retrieved July 12, 2011, from Louisiana Foundation Against Sexual Assault: http://www.lafasa.org/sexual-assault-statistics.html#LA
Louisiana State University. (2011). CARE Team. Retrieved July 12, 2011, from Student Advocacy and Accountability: http://www.lsu.edu/saa
Louisiana State University. (2011). Sexual Assault Support and Services. Retrieved July 12, 2011, from Louisiana State University: http://www.shc.lsu.edu/index.php?page=sass_aboutsava
Sexual Assault, Counseling and Education. (n.d.). Sexual Assault and Acquaintance Rape . Retrieved July 14, 2011, from Reslife.net: http://www.reslife.net/html/tools_0800e.html
The National Center for Victims of Crime. (2008). Sexual Assault. Retrieved July 14, 2011, from The National Center for Victims of Crime: http://www.ncvc.org/ncvc/main.aspx?dbName=DocumentViewer&DocumentID=32369
Washington State Department of Social and Health Sciences. (2011). Crisis Intervention. Retrieved July 1, 2011, from Transforming Lives: http://www.dshs.wa.gov/manuals/socialservices/sections/CrisisInter.shtml