A Cheng (pseudonym), a migrant worker, quarreled with his family after his girlfriend left, taking drugs and losing his job. Because his language is too intense, he can't get over it at the moment. 20 1 1 1 year 1 month committed suicide by cutting the pulse at Yantian Road and Bridge in Luogang East. Passers-by found it around 7 am and called the police. Under the organization of the street secretary, quickly mobilize fire fighting and fire fighting. At about 10: 40 in the morning, Dongjie Family Integrated Service Center was informed that the director, deputy director and administrative staff of the Family Integrated Service Center 1 1 arrived to intervene in the emergency.
Second, the case analysis
After the social worker is in place, he can quickly understand the situation, observe the emotional state of the parties, the surrounding environment and resources, and make a comprehensive analysis.
(A) the existing problems
1. The client is on the pier in the middle of Liuxi River, surrounded by water, holding a blade and shaking around the carotid artery. There was blood in many places on the ground, and people kept walking and looked excited. People are out of control and are in danger at any time.
2. Although the armed police, fire fighting forces, police stations and other resources were prepared in the upper reaches of Liuxi River for emergency use, and even light kayaks were prepared for use at any time when needed, the implementation of various schemes failed because the client was not allowed to approach, leaving all the personnel at a loss;
3. All resources can only lobby and persuade on the shore, but in any case, the parties don't believe it and ignore it.
4. The client speaks Mandarin in his hometown, and there are many languages that people can't understand. In addition, the expression is excited and the voice is unclear, which makes it difficult to understand the content of the party's language.
(2) problem analysis
1, service object status analysis:
1) The client wanted to commit suicide for a moment, and he was alone on the pier in the middle of the river. Although there are many people from all walks of life around him, no one can get close to him. From around 7: 00 am to 1 1, in this case, if the client really committed suicide, no one could stop him, but after more than four minutes, the client was there. This situation shows that the client may not have completely lost hope, or there are still some things in the world that make him care and remember. If we can calm him down and solve these problems, the client is likely to give up the idea of suicide.
2) In the process of suicide, the client tried many ways to save people, but none of them let anyone near him. In many attempts, the parties cut themselves when someone approached, which made the parties afraid to try to save people again, but it also caused the parties to shed a lot of blood. The rescue team tried to get the doctor to dress the wound first so as to save people nearby. The client thought for a moment and promised to let the doctor go to the dock to change the medicine, although in the end, due to the strict defense of the client.
3) Because of the long time, who will you serve? Question? It is still unresolved. In addition, the surrounding rescuers also took turns to persuade or try to rescue. The parties gradually lost their patience and reason, and their emotions became more and more excited. It is likely to get out of control and be in danger at any time. This requires us to calm down the parties as soon as possible before we can carry out the following rescue operations;
4) Because of drug abuse, the client has entered the police station for education many times and has a certain understanding of national laws and policies. This may also be the reason why he hopes to solve the problem through this behavior, but it may also be the reason why he tries his best not to let the rescue team approach.
2, environmental analysis:
1) The suicide site chosen by the parties made it impossible for rescuers to carry out surprise rescue;
2) Under the leadership of the street secretary, all parties are ready to rescue, and people take turns to go into battle and make various rescue attempts. This is an excellent resource environment, but it does cause great pressure to the parties, and it will also make them physically and mentally exhausted. In this case, their emotions are more likely to get out of control;
3) Using the excellent resources of the rescue team as a support, more resources can be mobilized to participate in on-site decision-making.
3. Support system:
1) family:
The family support system is unknown, only my sister is known, but it needs to be deeply understood and analyzed in the service process to make use of these resources, because she was not in the hospital at that time.
2) The rescue team organized and led by the street secretary:
The rescue team includes all the resources that the community can mobilize. If we make good use of this excellent resource as a support, we can mobilize more resources to participate and make decisions on the spot.
3) social workers:
The three social workers present are all non-Cantonese, and both of them belong to foreigners. Two of them can understand Hunan dialect and communicate easily, and both have more than eight years of social work experience. They went to Taiwan Province Province, Hongkong, Macau and Finland for social work study and exchange, and had two experiences in dealing with suicide crisis. They are old social workers with rich lives and professions.
Through the above analysis, the social worker thinks that the client committed suicide after a fierce quarrel with his sister for many reasons, but he did not completely lose hope or completely lose his mind. He is still waiting to see if he can solve the problem in his heart. If he can solve his own problems and concerns, he may give up the idea of suicide. Of course, the problems that customers want to solve need further observation, understanding and analysis. At the same time, with the strong support and rich experience of social workers, it is feasible to alleviate the suicide crisis of the parties concerned, so the following intervention plan is formulated.
Third, the service plan
Crisis intervention is characterized by short time and lack of resources and information. This intervention is no exception. The above analysis is only a comprehensive analysis of the observed situation, environment and time, and the time is short, that is, it is completed in a few minutes. I don't know what the customer's needs (that is, the problem he wants to solve) are, let alone how to deal with them, so the plan at that time was only a rough plan, and everything must be determined through communication, observation and analysis.
(A) service objectives
1. The client gave up suicidal thoughts and lifted the suicide crisis.
2. Track and solve practical problems, and provide counseling at the same time to enhance the ability to resist pressure, resist crisis and solve problems.
(B) service strategy
The first stage: let the parties calm down and avoid irreparable results because the parties are out of control;
Because the parties have been persuading or trying to rescue in turn for more than four hours, they have gradually lost their patience and reason and become more and more excited. They are on the verge of losing control and will be in danger at any time. At this time, it is difficult for the parties to calm down. In the absence of other information analysis, it is a relatively quick method to suddenly change the environment faced by the party, interrupt his inertial thinking, and let him not know what is behind.
The second stage: establish a professional relationship of equality and trust with customers, so as to understand the real needs of customers in communication and deal with related matters;
Social workers are non-governmental, outsiders and can understand Hunan dialect, which is easy to close the distance with the clients and is conducive to establishing professional relations.
The third stage: communicate and analyze the needs of the parties, mobilize resources to solve and alleviate the suicide crisis;
Because crisis intervention is characterized by lack of resources and information, social workers can only achieve their goals by relying on rich experience and improvisation, communicating, observing and analyzing the situation in the process, and cooperating with powerful support networks.
The fourth stage: follow up the counseling work and enhance the ability to resist stress, crisis and solve problems.
Although the above strategies have one, two, three, four and other orders. They meet without boundaries.
(C) Intervention theory and intervention model
Social workers in this case mainly pay attention to the theory of people in the situation. Intervene in crisis intervention mode.
(d) Develop a service plan
Through the above data collection and comprehensive analysis of the strategies given, social workers make the following service plans:
1. Negotiate with the leaders of rescue organizations and ask the rescue team to leave the scene, and the social workers should face the parties alone;
2. Observe, understand, explore and analyze customers' situation and establish professional relations with customers;
3. Communicate with customers, understand and analyze their needs, mobilize resources, solve their needs, and alleviate the suicide crisis;
4. Follow up and solve problems to enhance customers' ability to resist stress, crisis and solve problems.
Fourth, the service plan implementation process
The first stage:
After the social worker communicated with the leader who organized the rescue, the leader immediately approved the request, encouraged the social worker to do it with confidence, contacted at any time if he needed any support, and informed all the resources present in detail, and the social worker would support him at any time when he needed it.
(2) The second stage:
After the rescuers evacuated from the scene, the scene suddenly quieted down. When the social worker saw that the client was on the verge of losing control because of the sudden change of environment, people suddenly quieted down and looked around, as if observing what had happened, and understood why those people all backed down. At this time, the social worker walked to the river at a very slow speed. When he reached the river, he looked around the ground as if looking for something. For a long time, he found the paper cover of the land, put it underground, sat down, took out a pack of cigarettes, pulled out one, looked up and asked the client, Do you smoke?
The party replied: Yes!
The social worker didn't speak, lit a cigarette, took a deep breath, and then looked at the client. Without saying anything, the party also took out a cigarette and lit it. In this process, it is the process that social workers make the parties more calm, it is the process that intensifies the parties' eagerness to know what will happen next, and it is also the process of observing the reactions of the parties and analyzing their status again.
Two people glances, silently smoking a cigarette. Suddenly, the social worker said, I am not a government official or a civil servant. Like you, I am a migrant worker. Those people (referring to the rescue team) withdrew and asked me to communicate with you just because I am a social worker. As a social worker, I am willing to face all difficulties with you.
In a brief explanation, social workers observed that customers were not excluded, but were listening and thinking carefully.
It has achieved the preset goal of social work to appease the clients and establish professional relations, and confirmed the previous analysis through the responses of the clients, and found that the clients are more energetic than the original analysis.
(3) The third stage:
Because of the previous process, social workers discovered the strong vitality of the clients. After analyzing their trust in social workers, when they were thinking, they suddenly said: face your parents, face your girlfriend! I want to know, do you really want to solve the problem?
It seems that the client didn't expect the social worker to ask such a question, and blurted out: of course I want to solve the problem! Of course I want to solve the problem!
Therefore, the social worker understood the real reason of his suicide, the situation of his girlfriend leaving, and the situation of his family and social support system, obtained the consent of the client, contacted the rescue leader in time, mobilized these resources to participate gradually, and solved the needs of the client.
By observing the state of the client, we can see that the client has given up the idea of suicide at this time, but he never walks back automatically. What seems to worry about? What are you worried about? Social workers quickly reviewed the whole process and all the information, and wanted to know what customers were worried about. What are your concerns? Suddenly, the social worker picked up the phone and communicated with the leader. After the communication, the leader appeared and said to the client: Your problem has been solved, come out by yourself, and I promise not to hold you accountable. The police station and fire department were evacuated on the spot, leaving only the doctor.
The client is worried about being detained after coming out, because according to the regulations on public security management, this kind of behavior will be detained for 15 days, and the social worker's phone call is for help to get rid of the client's detention.
As a result, the party put down the knife and came out from the bottom of the bridge. A suicide crisis, from the social worker entering to communicate with the client, to the client putting down the knife and walking out on his own, took only 35 minutes and was lifted.
(4) The fourth stage:
The social worker contacted the client's girlfriend through QQ, explained the situation and analyzed the client's situation. The girlfriend was willing to give the client another chance. At the same time, social workers have reached an understanding of support through the work of the service object support system; By sharing life experiences with clients and analyzing the process of suicide, the clients are full of confidence and motivation in life and achieve the purpose of follow-up.
Effect evaluation of verb (abbreviation of verb)
From the professional perspective of social workers, we use professional skills to integrate and mobilize resources from all sides to provide services for the clients, successfully make the clients give up suicidal thoughts and relieve the suicide crisis, and make them full of confidence and motivation in life through follow-up work, thus achieving the service goals set in the early stage.
Sixth, professional reflection.
In the process of service, social workers can quickly understand the situation on the spot, quickly analyze various possibilities, grasp the key points, intervene in time, interrupt the inertia thinking of the parties by mobilizing the environment, and stimulate the parties to show more information that can be analyzed and verified from their behavior through some subtle and casual actions. At the same time, they always observe and analyze the situation of the parties, carefully verify the analysis results, carefully plan and implement them, so that their words and deeds are consistent. Every movement and time control are carefully planned, and finally the crisis is successfully lifted and the goal is achieved. This process shows the characteristics and principles of crisis intervention, and also reflects the integration of social workers' rich practical experience and life experience.
Seven. comment
Lack of resources and information, pressing time and serious results are the characteristics of crisis intervention cases; In service, it is the basic principle of crisis cases to quickly understand the situation on the spot, quickly analyze various possibilities, grasp key points and intervene in time to quickly remove or minimize the crisis. Every word and deed of social workers in the service process is very important. It is necessary to observe and analyze the situation of the clients at all times, carefully verify the analysis results and carefully plan and implement them in order to achieve the best results. In this case service, social workers are familiar with the characteristics of crisis intervention cases, follow the principles of crisis intervention, and use professional skills and rich life experience of social work. From the data collection and analysis of admission to crisis intervention, from words and deeds, time control, to resource integration and mobilization, atmosphere design, social work can do without neglecting any party, which is a professional embodiment of social work improvisation and multi-disciplinary and multi-resource integration and application.