The adverse childhood experiences (ACE) study, including long-term health implications, is reviewed, followed by an overview of community approaches to addressing ACEs by building resilience in programs and communities. The restorative integral support (RIS) model embodies social work’s person-in-environment perspective and offers a framework to understand and respond to ACEs and their consequences. Social work’s role in addressing ACEs includes the importance of cross-disciplinary, interprofessional, and community-engaged strategies to enact community and system-wide change. Policy and practice implications to foster a culture of health and well-being are emphasized.
Crisis intervention is widely understood as a response to life-threatening emergencies and therefore often limited in its application to natural disasters, severe physical violence, suicidal ideation, and similarly dangerous incidents. While crisis intervention is appropriate for these scenarios, historical definitions of crisis suggest the term and related interventions have much broader application. The ramifications of the novel coronavirus and related cultural fallout increase vulnerability and impair coping capacity in such a way that individuals are significantly more likely to enter crisis states, demanding a prompt reconsideration of the breadth of this practice technique. Successful application of crisis intervention reduces the long-term psychological implications for individuals encountering sudden loss, unexpected traumas, and other hazards that overwhelm traditional coping strategies, outcomes all made more likely by this pandemic. Crisis intervention is a structured, time-limited, problem-oriented treatment modality that is well suited to a remote practice environment because it is directive in its approach and requires few contacts at a time when client access is potentially limited. This paper examines the course of crisis with or without intervention, assessment and intervention tactics, social work values when applying crisis intervention, and the implications of the use of this modality as it relates to COVID-19.
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