Deck 5: Crisis Case Handling

Question 1

One of the major,distinctive differences between crisis intervention and long term therapy is the:​

A)radical difference in models of therapy.
B)​radical difference in assessment.
C)use of empathy and unconditional positive regard for the client.
D)the use of psychoeducation while exploring possible solutions.

Answer 1

B

Question 2

Mental illness and emotional disturbance calls make up a large percentage of law enforcement calls that fall under the category of expressive crimes.​

Answer 2

True

Question 3

In initial diagnosis,crisis case handling always attempts a slow,methodical assessment to determine the various antecedent causes of the problem.​

Answer 3

False

Question 4

Long-term therapy models and crisis intervention models incorporate a number of similar components.​

Question 5

About the only people who typically avail themselves of a crisis walk-in facility are the chronic mentally ill who have nowhere else to turn.

Question 6

When clients have been successful in accomplishing their goals in long-term therapy and are ready to terminate,they may suddenly experience profound problems that require the therapist to use crisis intervention techniques.

Question 7

"Borderline Personality Disorder" is so called because people who have it are not really mentally ill,but just emotionally distraught.

Question 8

Mobile crisis teams have now been replaced by CIT officers.

Question 9

Ground rules for therapy with difficult clients should always be used in a passive,accepting way so as to not threaten clients.

Question 10

In defining the problem in crisis intervention,the major focus is on understanding the major personality constructs of the person.

Question 11

Police typically spend about half their time on maintaining order rather than fighting crime.

Question 12

Even when clients successfully work their way through a crisis there may be problems with termination.

Question 13

While crisis case handling and long-term therapy models may have similarities,one major difference in crisis intervention is the emphasis on:​

A)self-actualizing behavior.
B)​comprehensive appraisal.
C)​personality dynamics.
D)the timeline of the client-worker relationship.

Question 14

Community mental health clinics must provide 24-hour service,as mandated by the Community Mental Health Act of 1963.

Question 15

Clients in long term therapy are typically immune from crises.

Question 16

People with personality disorders such as a borderline personality can usually overcome a crisis rather quickly if the worker assumes a compliant,accepting,and nondirective approach.

Question 17

Treatment in crisis intervention is concerned mainly with the immediate,traumatized component of the person.

Question 18

Verbal de-escalation and defusing techniques are major components to teach when training CIT officers.​

Question 19

Crisis clients that use walk-in facilities usually have problems that are not:

A)existential in nature.
B)​chronic mental illness.
C)​acute interpersonal problems in their social environment.
D)a combination of problems.

Question 20

"CIT" in police terminology stands for "Crime Intervention Officer."

Question 21

​Of the following,which is not a major reason for community mental health centers' decrease in service to the chronically mentally ill?

A)Their inability to pay or get insurance coverage by gatekeeping HMOs
B)De-emphasis of these low functioning individuals by the mental health clinics and a move toward more "normal" clients
C)​An inability to find qualified numbers of therapists to staff such clinics for such difficult clients
D)More chronic mentally ill individuals are being returned to the community due to funding cutbacks at state hospitals and prisons.

Question 22

On an initial visit to a mental health clinic,which of the following is not true?​

A)The client is given some down time after everything is done and left to himself or herself.
B)​The worker may be only able to do a visual and verbal assessment.
C)​A person who is having a psychotic break will be asked to voluntarily commit to hospitalization.
D)The worker may have to provide access to physical necessities for short-term living.

Question 23

The police Crisis Intervention Team concept has developed because:​

A)of the Community Mental Health Act of 1963 specifying how and where the mentally ill are treated.
B)​of the lack of qualified mental health professionals.
C)​more police officers are interested in defusing techniques.
D)police officers often encounter people in crisis.

Question 24

In outline form,indicate the differences between long term therapy and crisis intervention.

Question 25

​In long-term therapy,one of the times that there is a major risk of a crisis occurring is:

A)at the start of therapy.
B)​in the middle of therapy.
C)​at the end of therapy.
D)there is no one particular period of therapy that is more likely for a crisis to occur.

Question 26

You are the supervisor of a mobile crisis team in a rural area of the state.You have been invited to help train local law enforcement personnel as first responders for people in crisis.What do you want to include in the training program?

Question 27

The difference between the goal of a long-term therapist and a crisis interventionist would be:​

A)comprehensive personality change versus restoring precrisis functioning.
B)​focusing on cognition and affect as opposed to behavior.
C)​setting long-term goals as opposed to short term goals.
D)not dealing with crisis clients as opposed to dealing with crisis clients.

Question 28

The mobile crisis team operates because:​

A)it is cheaper than maintaining an office.
B)​geriatric or disabled clients may not be able to get to a facility.
C)CIT officers are inadequate to handle really complicated calls.​
D)All of the answers are correct.

Question 29

Crisis Intervention Team police officers are:​

A)trained to deal mainly with instrumental crimes.
B)​a replacement for mobile crisis workers.
C)​trained to respond to expressive acts and maintenance of order calls.
D)a replacement for TAC or SWAT teams.

Question 30

De-escalation and defusing techniques for CIT officers first start with:​

A)keeping clients secure without cornering them.
B)​exploration of the emotional disturbance.
C)​officer and client safety.
D)how one introduces oneself.

Question 31

A new client has just arrived at the community mental health clinic where you function as the crisis worker.She tells you about all of her problems,including a history of mental health treatment and homelessness.What will you tell her about the process of how your clinic will help her?

Question 32

One of the first things a worker should do with long-term clients is:​

A)select compatible clients.
B)​select compatible crisis topics.
C)​get a commitment to a specific plan of action prior to the meeting in an intake session.
D)establish effective ground rules.

Question 33

One of the most difficult,manipulative types of long-term clients to deal with is the ____________ personality disorder client.​

A)borderline
B)​dependent
C)​narcissistic
D)schizotypal

Question 34

A modern,full-service community mental health clinic has several options to handle crisis clients.Such options may be:​

A)mobile crisis teams.
B)​short-term,in-house therapeutic treatment facilities that include drug and electro-convulsive therapy.
C)​fast,direct referral into managed care facilities or state hospitals for long-term commitment.
D)reliance on police intervention.

Question 35

​One of the more puzzling aspects of therapy and one that escalates to crisis proportions is:

A)falling apart over some insignificant task after more difficult ones have been accomplished.
B)​being psychotic and then taking drugs to enhance the effect.
C)​the inability to sort out complex past family dynamics because of enmeshment.
D)having an undiscovered physical ailment that is causing the presenting psychological problem.

Question 36

In a regularly scheduled meeting with a long-term client,while discussing an employment change,your client becomes anxious and his behavior regresses dramatically.What may be happening with the client?​

A)The client has Borderline Personality Disorder.
B)​The client requires mobile crisis team services.
C)​The client is experiencing a transcrisis.
D)The client is having a psychotic break.

Question 37

Typical CIT training includes learning all of the following except:​

A)psychotropic medications and their side effects.
B)​fishbowl discussions with the mentally ill.
C)​DSM-5 diagnoses.
D)family and consumer perspectives.

Question 38

Crises may suddenly occur even when clients are successful in overcoming the crisis because they:​

A)have post traumatic personality disorder (PTSD).
B)​are experiencing intrapersonal problems in their own personal development along with the precipitating crisis.
C)​are about to be terminated from therapy.
D)experience a psychotic break caused by termination.

Question 39

Of the following strategies,which would work best with a person with borderline personality disorder?​

A)Debating with them until they are exhausted
B)​Focusing on their talents and stressing how they sabotage themselves
C)​Being firm,with clear cut rules and boundaries
D)Confronting their manipulative plans