Crisis Intervention Workers

Running head: CRISIS INTERVENTION WORKERS 1

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CRISIS INTERVENTION WORKERS 2

Crisis Intervention Workers

The use of the Roberts’ seven stage model is essential in a theoretical framework since

it builds on the principle of crisis theory. Some of its stages are sequential while some overlap

providing a targeted approach that stabilizes, resolves and interprets the situation presented to

a crisis worker. First, the model advocates for the assessment of the bio psychosocial setup of

the patient with an inclusion of any threat they may pose. Second, making a psychological

contact with the patient is integral if any change is to be made or any developments are to be

achieved as a result of the interaction. Third, the crisis worker determines the major problems

facing the patient followed by an exploration of strategies that can be used to resolve the

crisis. Subsequently, an action plan is developed with by the crisis worker that ensures that

normal functioning is restored in the patient. Finally, follow up sessions are encouraged to

assess the progress of the patient.

Cassandra appears to be afflicted by a sadistic personality disorder which is mental

illness involving sadism. Essentially, the patient derives pleasure by causing other people to

feel pain or by inflicting it on themselves (HxBenefit Team, 2013). Cassandra has expressed

the need to hurt a family member, has attempted suicide multiple times and smiles when

talking about negative deeds that she has done. The crisis worker may attempt to change the

behavioral patterns and belief systems of the patient. However, referral to an appropriate

medical facility is advised since the process may take time. Other ways that the workers might

help is through either group therapy or behavior modification therapy which offers help in

changing the personality traits and coping mechanisms of the patient.

Cassandra has described her father as being an alcoholic with her brother as well

struggling with a heroin addiction. This pattern shows a chemical dependency within her

family serving as a cause for the physical abuse that she saw her mother being put through.

Additionally, her grandfather as well abused her mother perhaps indicating the passing down

of the chemical dependency from one generation to another. Cassandra’s behavior could be as

CRISIS INTERVENTION WORKERS 3

a result of both chemical dependency and the environment she grew in as she is tempted to

inflict pain on others simply to quell her amusements. The same actions that she experienced

growing up such as being physically abused by her father have molded and shaped her beliefs

about human interactions as an adult. Therefore, these factors could have served as a trigger

for the physical abuse that she engaged with her boyfriend to the point of almost killing him.

Endophenotypes have been identified in the medical community as contributors to

alcoholic dependency. Children of alcoholic parents are approximated to be placed at a higher

risk to fall into the same patterns due to a generic disposition towards drugs. These genes

affect the personality characteristics of a person which subsequently result in a similar pattern

of behaviors ranging from an impaired ability to learn from past mistakes and impulsivity.

The alpha 2 gene which exists on chromosome 4 and the GABA A receptor has as well been

singled out as potential causes of substance dependence. Additionally, the dopamine receptor

D2 on chromosome 2 significantly has polymorphisms that alter behavior significantly.

Therefore, genes have an undeniable effect on chemical dependency and can be passed down

from generation to generation. Cassandra’s mental health issues may stem from both

environmental concerns and health reasons.

Some of the ethical issues border on confidentiality especially when dealing with a

case about a patient with homicidal tendencies. Furthermore, boundary issues may influence

the decisions made by the case worker since their own personal beliefs may alter the general

approach used by crisis workers when handling patients with such symptoms. In handling the

homicidal idealization of the patient, it is imperative that the root cause of these thoughts be

identified then subsequently explored with the patient. The presence of the police officers

largely impairs the ability of the interview in being confidential since they are not sworn by

oath to protect their client’s privacy. The best way to negate that error would be to ask them to

wait outside but ensure that the patient is secured properly so as not to cause damage to

herself or others.

CRISIS INTERVENTION WORKERS 4

For this case, a crisis worker has to be patient enough to persevere the details that the

client refuses to divulge. Additionally, courage is essential since Cassandra has proven to be

physically violent. Therefore, in order to have a fruitful session, the crisis worker should be

bold enough to sit in the same room with the patient and not veer from their task. Finally, an

open mindedness is required that is not hindered by religious obligations. This goes to ensure

that any homicidal revelations met are not immediately bombarded by religious morals but

rather, the intervention model is followed carefully. Other information required would be the

previous suicide attempts made by the client and this information would be gotten through

attaining the proper permission from court and requesting the necessary documents from the

previous facilities that Cassandra was placed in. However, proper training and obedience to

orders given by the police officers serve as the only defense to the escalation in behavior from

the patient.

CRISIS INTERVENTION WORKERS 5

References

HxBenefit Team. (2013). Sadistic Personality Disorder - Hxbenefit.com - Recent Health

Articles. Hxbenefit.com - Recent Health Articles. Retrieved 13 June 2017, from

https://www.hxbenefit.com/sadistic-personality-disorder.html

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