Crisis and Trauma Counseling and Interventions

CRC · 18 questions

• During a vocational rehabilitation appointment, a client discloses active suicidal ideation with a specific plan and accessible means. What should the CRC do first?
• A draft safety plan for a VR client in distress lists only the instruction 'don't do it.' Which improvement best strengthens the plan?
• In session, a client expresses credible homicidal threats with intent toward a named former supervisor and describes feasible access. Beyond documenting carefully, what counselor-level response is most appropriate?
• A polytrauma veteran with TBI, lower-limb amputation, and PTSD begins public VR services focused only on 'finding any warehouse job this week.' What planning approach should the CRC favor?
• A client with polytrauma reports rapid cognitive fatigue and pain flares after two-hour unpaid work trials. How should the CRC adjust vocational exploration?
• After a hurricane, several VR clients who use powered wheelchairs and home medical devices lose electricity and accessible transport. What disability-specific disaster impact should the CRC recognize first?
• Following a mass violence event in the community, a client with a prior trauma history and mobility disability reports intensified isolation because accessible support spaces are scarce. What should the CRC understand?
• A workplace accident retraumatizes a client with preexisting PTSD during a supported employment placement. Which crisis response best fits trauma-informed rehab counseling?
• A client undergoes sudden traumatic amputation and presents in acute distress, sleep disruption, and inability to focus on job leads. What sequencing best reflects crisis intervention principles?
• A client in crisis has no accessible overnight shelter and failing medical equipment batteries, while the CRC schedules only abstract insight-oriented talk. What change is most indicated?
• A rehab agency runs fire drills that only use stairwells, with no written plan for clients who cannot evacuate by stairs. What gap should the CRC identify?
• Community emergency operations plans omit transport of durable medical equipment during evacuations. How should the CRC respond within community emergency systems?
• A client with a developmental disability shows sudden behavioral escalation, refusal to eat, and clutching the abdomen during a VR meeting. What assessment approach is most appropriate?
• A caregiver controls a VR client's disability benefits debit card and refuses accessible transport unless the client skips counseling sessions the caregiver dislikes. What should the CRC prioritize?
• A community rehab program van crashes; multiple clients are injured and families begin calling the agency. What counselor leadership action best fits acute crisis response?
• During a group session, a surprise disaster-siren test triggers flashbacks in a member with trauma history. What in-the-moment intervention should the CRC use first?
• After hours, a client with a disability experiences a psychiatric emergency, but the rehab agency's on-call tree fails to connect anyone for two hours. What system issue does this highlight?
• After a client suicide, several staff show secondary traumatic stress and the agency leadership proposes silence 'to move on.' What organizational response is most appropriate?