Hybrid Model of Crisis Intervention Case Study

Hybrid Model of Crisis hitch boldness deliberateFrances RouletThe assignment (3-4 pages)Provide an analysis of the crisis depicted in the lineament Study in this weeks Learning Resources.Explain how you would apply the Hybrid Model to the crisis in the Case Study.Integrate Maslows model into your evaluation and explain how you did so.In 1972 a armament infantryman flew home al peerless from Vietnam. When he arrived in his hometown, San Antonio, TX, no one was there to greet him. His return was not communicated to his family, and his wife was at thrash in the whitethornors office while his six-year-old daughter and 10-year-old word of honor were at tame. Feeling confused and without family, friends, or military support, he took a bus to a nearby stop and walked the preserveder of the way home. He searched out two guns in his home and asked his neighbor if he could sop up her car. He then left to pick up his children at school and walked into the school firing at faculty an d students. Several teachers and students were gunned down. He give his two children, took them, and left for the San Antonio whitethornors office to find his wife. At that time he left his children in the car, re-loaded his guns, and went into his wifes office, once more firing his guns and appargonntly killing some(prenominal) individuals including a number of council persons, law officers, and the mayor.You are a Professor of Counselor Education and Supervision at a university in San Antonio, TX. Apply the Six-Step Model of Crisis Intervention for responding in this community.Case field of operations resume.Analysis.In the Case Vignette no 1, the soldier had been deployed certify to his hometown in San Antonio, Texas. Hoge, Lesikar, Guevara, Lange, Brundage, Engel, Orman, Messer (2002) explained that researches conducted after military conflicts, deployment strainors and exposing soldiers to combat were con casered pretends factors of mental health problems, including post-traumatic stress dis put up, PSTD, major depression, substance abuse, impairment in mixer functioning and in the ability to work and the increase use of health care services.In this case, although there is insufficient information slightly the infantry soldier and, we do not know if he faced directly combat, this soldier and dowery of his comrades were unfastened to danger, injuries and death on a daily basis. Although not everyone exposed to violence or traumatic events may develop posttraumatic stress dis coordinate, factors, such as, the volume of the trauma and proximity to the circumstances can increase the propensity of underdeveloped the disorder (Phillips, LeardMann, Gumbs Smith, 2010).According to Phillips, LeardMann, Gumbs Smith (2010) when a person is exposed to combat, and arrive constant threats of death or envision to it, serious injury or witness to it become significant risk factors for screening positive for postdeployment PTSD among soldiers as well as, violence exposures prior entering the infantry.Hoge, Castro, Messer, McGurk, Cotting, Koffman (2004) explained that soldiers and marines presented new intrusion PTSD after returning from combat several months later. These investigators explained that in their study a 7.6% was revealed with prob satisfactory new onset PTSD. In the Case Vignette No. 1, he definitely was presenting new onset symptoms for PTSD because he felt confused, alone without support and no communication. There is a fortune that he might have been impacted and presented symptoms of PTSD in the first place macrocosm deployed to Vietnam, and returned traumatized with his experience in Vietnam.The infantry soldier of this case, was impacted, and presented symptoms of PTSD apparently forrader cosmos deployed to Vietnam, and returned even more traumatized with his Vietnam experience. These resembling investigators explained that one study was conducted before the military operation with Iraq and Afghanist an and they discovered that a 6 of all US military service personnel on active traffic sure treatment for mental disorders each year (Hoge, Castro, Messer, McGurk, Cotting, Koffman, 2004).Based on my analysis, this case has greater risk for developing a combat related mental disorder, not to mention criminal charges for put uping and killing innocent people. And, at his return, he found out that there was no communication was through before his arrival, no family members to receive. Phillips, LeardMann, Gumbs Smith (2010) explained that when a person is exposed to combat, and, have constant threat of death or witness to it, serious injury or witness to it become significant risk factors for screening positive for post-deployment PTSD.Hybrid Model to the crisis in the Case StudyTRIAGE ASSESSMENT FORM CRISIS INTERVENTION CRISIS EVENT.Identify and describe soon the crisis blotThe identified male is a Vietnam infantry soldier rushed in emergency during morning hours. There were direct witness to several traumatic events and victims of a shooting. Some of these traumatic events wereThe lost of coworkers, friends and neighbors of the community.The impact of an extreme trashy noise impacting their physical cosmos.AFFECTIVE DOMAINIdentify and describe briefly the affect that is present. (If more than one affect is experienced, rate with 1 creation primary, 2 secondary, 3 tertiary.)No. 1. Feeling of fear and anxiety The victims remain with a high level of fear that could be badly hurt or killed. After being a direct witness to the hale event of shooting and seeing people he knew from the community and how they were locomote and dispersing. The victims may present a possibility of not being equal to remember details of how they managed to escape from the traumatic event.No. 2. Feeling of being confused Feeling confused of what happened or not being able to comprehend the traumatic event.No. 2. Feeling of immoral Feeling guilty of running away from the ev ent when they could of religious serviceed a neighbor, friend or co-worker.No. 2. Feeling anguished when speaking of the traumatized events.No. 2. Feeling sad.No. 3. ire feelings completely repressed.Affective Severity surpassCircle the number that virtually closely corresponds with knobs reception to crisis.1 2 3 4 5 6 7 8 9 10Moderate constipation 7Affect may be incongruent with situation.Extended periods of intense negative moods.Mood is experienced noticeably more intensely than situation warrants.Affects may be obviously incongruent with situation.behavioural DOMAINIdentify and describe briefly which behavior is currently being used. (If more than one behavior is utilized, rate with 1 being primary, 2 secondary, 3 tertiary.)APPROACHDirect witness to several traumatic events, such as the scene of bodies of people round the victims. The tendency of the victims is running as far as they can from the traumatic and noxious event.AVOIDANCEVictims may not loss to debar meet ing new friends in order to develop and maintain a social circle. And, also may avoid having the opportunity of a new relationship.IMMOBILITYThe victims may constantly be re-experiencing the traumatic event of Vietnam. Their spontaneous memories of the traumatic events, recurrent dreams about the mornings where he was exploded the attacks, that killed several people and injured others were rushed that same morning. They might present flashbacks of the dramatic and traumatic events of the morning. The victims explained especially when they turn around to see what had happened. And, they see others being abused and terrorized. They immediately remember the traumatic event and they keep seeing more people dead. Then, they begins feeling panicky and non trustful from all people that surrounds them. They present a prolonged distress.behavioural Severity ScaleCircle the number that most closely corresponds with clients reaction to crisis.1 2 3 4 5 6 7 8 9 10Moderate Impairment 7Behavior s are maladaptive but not immediately destructive.Behaviors are difficult to control even with repeated requests.Behavior is becoming a threat to self or others and increasingly difficult to control.Ability to accomplish tasks necessary for daily functioning may be noticeably compromised.cognitive DOMAINIdentify if a transgression, threat, or loss has occurred in the spare-time activity areas and describe briefly. (If more than one cognitive response occurs, rate with 1 being primary, 2 secondary, 3 tertiaryPHYSICAL (food, water, safety, shelter, etc.) During the escape from the shooting, and although they do not recall how they managed to escape or how they managed to get to the opposite side of the affected area, they suffered deprivation of safety and medical and psychological attention for several minutes. According to Gilliland (2013) the transgression, threat, loss or the three may be perceive as an association to whatever the person physical needs are.___1___ transgressio n ___1____THREAT ___1____LOSSPSYCHOLOGICAL (self-concept, emotional well being, identity, etc.) They present a persistent and reprobate sense of confusion or guiltiness of not able to help others. They may present arousal when presenting sleep disturbance, hyper-vigilance during the following weeks.___1___ TRANSGRESSION ___1____THREAT ___1____LOSS friendly RELATIONSHIPS (family, friends, co-workers, etc.) Some of the victims may have lost friends, family members, and neighbors when they were forced to run for their lives in order to continue living after the traumatic event suffered. They may markedly diminished interest in activities, such as their social life and interpersonal relationships. Gilliland (2013) explains that the disturbance, regardless of its triggers causes clinical significant distress and at times impairment in her social interactions and capacity to work.___1___ TRANSGRESSION ___1____THREAT ___1____LOSSmoral/SPIRITUAL (personal integrity, values, belief system, etc.) They might questioned their spiritual believes, or may want to see a representative of their religious community in order to feel reassure their spiritual believes___1___ TRANSGRESSION ___1____THREAT ____1___LOSSCognitive Severity ScaleCircle the number that most closely corresponds with clients reaction to crisis.1 2 3 4 5 6 7 8 9 10Moderate Impairment 7 clients perception and interpretation of crisis event may differ in some respects with reality of situation. Intrusive thoughts of crisis event with limited control. enigma solving and end-making abilities adversely affected by obsessiveness, self-doubt, confusion. Client experiences recurrent difficulties with problem-solving and decision making abilities. Problem-solving and decision making abilities minimally affected. Clients perception and interpretation of crisis event substantially match with reality of situation.DOMAIN badness SCALE SUMMARYAffective 7 Cognitive 7 behavioral 7 Total 21Developmental Ecologic al Assessment Approach. lay out of Psychosocial Development.In this particular case, the developmental psychosocial stages of all the victims were working class adults in their working environment and during normal working hours. And, school students in an primeval morning studying period hours of a regular weekday.ReferencesHoge, C., W., Castro, C., A., Messer, S., C., McGurk, D., Cotting, D. I. Koffman, R., L. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. New England Journal of Medicine, 351(1) 13-22.Hoge, C., W., Lesikar, S., E., Guevara, R., Lange, J., Brundage, J., F., Engel, C., C., Orman, D., T. Messer, S., C. (2002). Mental Disorders among US military personnel in the 1990s Association with high levels of health care utilization and early military attrition. American Journal Psychiatry, 159 1576-1583.James, R. Gilliland, B. (2013). Crisis Intervention Strategies. (7th Edition). Belmont, CA Brooks/Cole, Cengage Learning.Philli ps, C. J., LeardMann, C. A., Gumbs, G. R., Smith, B. (2010). Risk factors for posttraumatic stress disorder among deployed US male marines. BMC Psychiatry, 10(1) 52.Vogt, D. S., Tanner, L. R. (2007). Risk and resilience factors for posttraumatic stress symptomatology in Gulf War I veterans. Journal of Traumatic Stress, 20(1) 27-38.