Expert answer:Crisis Evaluation Triage Assessment

Expert answer:Practice a crisis evaluation on a fellow student, friend, or family member. Use the below Triage Assessment form to complete your assessment. This does not need to be a real life case, so be creative in your assessment.
wk6_triage_assessment_model.docx

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TRIAGE ASSESSMENT FORM: CRISIS INTERVENTION
8 R.A. Myer, R.C. Williams, A.J. Ottens, & A.E. Schmidt
CRISIS EVENT:
Identify and describe briefly the crisis situation:
AFFECTIVE DOMAIN
Identify and describe briefly the affect that is present. (If more than one affect is experienced, rate them in priority order.)
ANGER/HOSTILITY:
ANXIETY/FEAR:
SADNESS/MELANCHOLY:
__________________________________________________________________________________________________
Affective Severity Scale1
Circle the number that most closely corresponds with client’s reaction to crisis.
1
2
3
4
5
No
Impairment
Minimal
Impairment
Low
Impairment
Stable mood
with normal
variation or
affect appropriate to daily
functioning.
Affect appropriate to
situation. Brief periods
during which negative
mood is experienced
slightly more intensely
than situation warrants.
Emotions are substantially under client
control.
Affect appropriate to
situation, but
increasingly longer
periods during which
negative mood is
experienced slightly
more intensely than
situation warrants.
Client perceives
emotions as being
substantially under
control.
6
7
8
Moderate
Impairment
Affect may be incongruent with situation.
Extended periods of
intense negative moods.
Mood is experienced
noticeably more intensely
than situation warrants.
Lability of effect may be
present. Effort required to
control emotions.
9
Marked
Impairment
Negative affect experienced at markedly
higher level than
situation warrants.
Affects may be
obviously incongruent with situation.
Mood swings, if
occurring, are
pronounced. Onset of
negative moods are
perceived by client as
not being under
volitional control.
Triage Assessment Form: Crisis Intervention
10
Severe
Impairment
Decompensation or
depersonalization
evident.
BEHAVIORAL DOMAIN
Identify and describe briefly which behavior is currently being used. (If more than one behavior is utilized, rate in priority
order)
APPROACH:
AVOIDANCE:
IMMOBILITY:
Behavioral Severity Scale
Circle the number that most closely corresponds with client’ reaction to crisis.
1
2
3
4
5
No
Impairment
Minimal
Impairment
Low
Impairment
Coping behavior
appropriate to
crisis event.
Client performs
those tasks
necessary for
daily functioning.
Occasional utilization of
ineffective coping
behaviors. Client performs those tasks
necessary for daily
functioning, but does so
with noticeable effort.
Occasional utilization
of ineffective coping
behaviors. Client
neglects some tasks
necessary for daily
functioning, performs
others with decreasing
effectiveness.
6
7
Moderate
Impairment
Client displays coping
behaviors that may be
ineffective and maladaptive. Ability to
perform tasks necessary for daily functioning is noticeably
compromised.
8
9
10
Marked
Impairment
Severe
Impairment
Client displays coping
behaviors that are likely
to exacerbate crisis
situation. Ability to
perform tasks necessary
for daily functioning is
markedly absent.
Behavior is erratic,
unpredictable.
Client=s behaviors
are harmful to self
and/or others.
Triage Assessment Form: Crisis Intervention (continued)
COGNITIVE DOMAIN
Identify if a transgression, threat, or loss has occurred in the following areas and describe briefly. (If more than one cognitive
response occurs, rate in priority order.){Transgression=something bad is happening in the present moment; Threat=something
bad will happen; Loss=something bad has occurred.}
PHYSICAL (food, water, safety, shelter, etc.):
TRANSGRESSION
THREAT
LOSS
PSYCHOLOGICAL (self-concept, emotional well being, identity, etc.):
TRANSGRESSION
THREAT
LOSS
SOCIAL RELATIONSHIPS (family, friends, co-workers, etc.):
TRANSGRESSION
THREAT
LOSS
MORAL/SPIRITUAL (personal integrity, values, belief system, etc.):
TRANSGRESSION
THREAT
LOSS
Cognitive Severity Scale
Circle the number that most closely corresponds with clients reaction to crisis.
1
No
Impairment
Concentration
intact. Client
displays normal
problem-solving
and decisionmaking abilities.
Clients perception
and interpretation
of crisis event
match with reality
of situation.
2
3
4
5
6
7
8
9
10
Minimal
Impairment
Low
Impairment
Moderate
Impairment
Marked
Impairment
Severe
Impairment
Clients thought may
drift to crisis event but
focus of thoughts is
under volitional control.
Problem-solving and
decision-making
abilities minimally
affected. Clients
perception and
interpretation of crisis
event substantially
match with reality of
situation.
Occasional disturbance of
concentration. Client
perceives diminished
control over thoughts of
crisis event. Client
experiences recurrent
difficulties with problemsolving and decisionmaking abilities. Clients
per-ception and
interpreta-tion of crisis
event may differ in some
respects with reality of
situation.
Frequent disturbance of
concentration. Intrusive
thoughts of crisis event
with limited control.
Problem solving and
decision-making
abilities adversely
affected by
obsessiveness, selfdoubt, confusion.
Clients perception and
interpretation of crisis
event may differ
noticeably with reality
of situation.
Client plagued by
intrusiveness of thought
regarding crisis event.
The appropriate-ness of
clients problem-solving
and decision-making
abilities likely adversely
affected by
obsessiveness, selfdoubt, confusion.
Clients perception and
interpretation of crisis
event may differ
substantially with reality
of situation.
Gross inability to
concentrate on
anything except crisis
event. Client so
afflicted by
obsessiveness, selfdoubt, confusion that
problem-solving and
decision-making
abilities have shut
down. Clients
perception and
interpretation of crisis
event may differ so
substantially from
reality of situation as
to constitute threat to
clients welfare.
DOMAIN SEVERITY SCALE SUMMARY – Transfer the highest Number when you circled the number that most closely
corresponded with clients reaction to crisis in all 3 of these areas:
Affective
Behavioral
Cognitive
_____
Total
_____
Triage Assessment Form: Crisis Intervention (continued)
Additional Notes:
…
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