TAP 21 - SAMHSA Store - Substance Abuse and Mental Health ...

Addiction Counseling Competencies
Competency 86:
Apply crisis prevention and management skills.
Knowledge
uX Differences between crisis prevention,
crisis intervention, and other kinds of
therapeutic intervention.
u Characteristics of a serious crisis and
typical reactions.
u Posttraumatic stress and other relevant
psychiatric conditions.
u Roles played by family and significant
others in the crisis development or
reaction.
u Relationship of crisis to the client’s stage
of change.
u The client’s usual coping strategies.
u Steps to aid in crisis resolution,
including determination of what the
client can do and what the counselor,
family, or significant others in the client
system should do, in accordance with
the Health Insurance Portability and
Accountability Act (HIPAA).
Skills
X
u
u
u
u
u
u
Carrying out steps from crisis prevention
to crisis resolution.
Assessing and engaging the client’s and client’s
system’s strengths and resources.
Assessing for immediate concerns
regarding safety and potential harm to
others.
Possessing the ability to contract for safety.
Making appropriate referrals as necessary.
Assessing and acting on issues of
confidentiality that may be part of a
crisis response.
Assisting the client in expressing emotions
and normalizing feelings.
Attitudes
uX Recognition of crisis as an opportunity
for change.
u Confidence in the midst of crisis.
u Recognition of personal and professional
limitations.
u Recognition of the need to practice crisis
responses, particularly team interventions.
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