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search chapters 8, 9, 10, 11, 19. Access here: https://ebookcentral.proquest.com/lib/empire-ebook…

by | Jun 5, 2022 | Social Work | 0 comments

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search chapters 8, 9, 10, 11, 19. Access here: https://ebookcentral.proquest.com/lib/empire-ebook…
Primer on Critical Incident Stress Management (CISM) Access at https://icisf.org/a-primer-on-critical-incident-stress-management-cism/.
Critical incident stress debriefing: Helpful, harmful, or neither?:JEN. (2019). Journal of Emergency Nursing, 45(6), 611-612. doi:http://dx.doi.org.library.esc.edu/10.1016/j.jen.2019.08.006.
A review of the literature on Critical Incident Stress Debriefing (CISD) as part of best practice recommendations for Critical Incident Stress Management (CISM)
Access at https://www.nzccp.co.nz/assets/Uploads/A-review-of…
The Role of Eye Movement Desensitization and Reprocessing (EMDR) Therapy in Medicine: Addressing the Psychological and Physical Symptoms Stemming from Adverse Life Experiences. Access at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3951033/.
Eye movement desensitization and reprocessing (EMDR) therapy for posttraumatic stress disorder in adults with serious mental illness within forensic and rehabilitation services: a study protocol for a randomized controlled trial. Access at https://pubmed.ncbi.nlm.nih.gov/31753032/.
“This Company Profits off the Most Vulnerable Children in the US”, Vice News Investigative Report – (43:57, the video has inaccurate captions. Download a transcript.)
M4 Content Guide
At this point in the course, we have discussed specific crisis interventions and how to actually apply them to real cases. We have also been rooting the learning in evidence-based interventions. For module 4, we will spend the next few weeks exploring additional and controversial interventions and practices. In addition, we will be exploring and analyzing what happens when evidence-based interventions are not used.
CISM is still considered a more controversial intervention with some evidence indicating it is helpful and other studies indicating it is not. Proponents of CISM (Everly and Mitchell, 1997) believe that it is effective specifically in working with first responders and first-line workers like law enforcement and hospital healthcare workers. Mitchell et al (founders of the CISM system) consider it to be a comprehensive crisis intervention model. While there have been some studies showing the efficacy of CISM, other studies indicate otherwise. Despite this, CISM is still used in first-responder and hospital settings.
Eye movement desensitization and reprocessing (EMDR) is considered an evidence-based intervention for people with PTSD and trauma. An intervention like EMDR generally is utilized during the crisis counseling process once the client is stable. Generally, it is administered by a trained professional as one tool to assist with trauma healing. The counselor will teach the client how to utilize EMDR on their own creating a sense of empowerment and giving the client healthy coping techniques. In general, EMDR utilizes eye movement while reinforcing healing, positive feedback. The client will determine what phrase or words he or she would like to use to reinforce healing. For example, a client who is recovering from a car accident and struggling to drive again may want to use the phrase, “I am calm in a car. I am in control in a car. I am confident in a car.” The client will work with the counselor on moving their eyes from one point in a room to another point while reciting the phrase. This can be practiced by the client outside of counseling sessions giving the control to the client, a key aspect to crisis intervention and counseling. EMDR is generally not used when the client is in an acute crisis state. For example, if someone is in psychosis episode, EMDR would not be appropriate protocol. Rather, EMDR is utilized after equilibrium has been achieved. Further, EMDR is a technique that works for some clients, but not all.
Watch this documentary and investigative report on residential care facilities for youth in crisis. “This Company Profits off the Most Vulnerable Children in the US”, Vice News Investigative Report –
As you watch the documentary and begin answering the questions, consider the importance of evidence-based interventions, accountability, oversight, and hiring and training professionals.
QUESTIONS
Identify the crises the youth are experiencing in this documentary. Discuss how you know the youth are in crisis? What caused the crises?
Compare the unethical and non-scientifically based interventions.
What is the evidence-based interventions? Analyze the difference between ethical practice, evidence-based practice, and non-scientific practice?
Discuss harm caused by treatment models that are not based in evidence.
Is it ever ethical and proper practice to use non-evidence-based interventions? When and why or why not?
What are some steps you would take to ensure accountability?
Are for-profit institutions a good idea? If so, why? If not, why? Be sure to back up your claims.
While some non-evidence-based treatments for crisis intervention are becoming more commonplace, some therapists may be apprehensive about implementing these treatments with people of different age groups, with disabilities or question how to adapt evidence-based protocols to facilitate successful outcomes.

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