Seven-Stage Crisis Intervention Model (R-Sscim)

Front 1

Identify the 7 stages of intervention.

Back 1

1. Crisis assessment
2. Establish rapport
3. Identify major problems
4. Explore feelings and emotions
5. Generate and explore alternatives
6. Develop and implement an action plan
7. Follow up

Front 2

A thorough crisis assessment includes evaluation of

Back 2

1. Lethality
2. Immediate medical and psychosocial needs
3. Risk/protective factors

Front 3

Quickly and effectively establish rapport by conveying

Back 3

Respect, genuineness, and acceptance

Front 4

Identifying and prioritizing major problems includes

Back 4

1. Identifying precipitating events and nature of client's reactions
2. Evaluating lethality and previous coping methods

Front 5

The exploring feelings and emotions stage includes

Back 5

1. Having client's tell their stories and express feelings
2. Identifying underlying maladaptive beliefs
3. Considering behavior options
4. Restoring emotional balance

Front 6

Client may sign a no-suicide or no-violence contract, consider hospitalization, and identify adaptive coping mechanisms and sources of support during this stage

Back 6

Generate and explore alternatives

Front 7

In order to develop and implement an action plan, clients should demonstrate that they

Back 7

Understand what led to the crisis, understand the meaning of the crisis, and have replaced maladaptive beliefs with more adaptive ones.

Front 8

This stage ends with resolution of the crisis

Back 8

Develop and implement an action plan

Front 9

A follow up plan should include

Back 9

A follow up session on the one-month or one-year anniversary of the precipitating event or periodic booster sessions as needed.

Front 10

True or False: Client's overall satisfaction with treatment is not a part of post-crisis evaluation.

Back 10

False.