Six Stages of a Crisis

Stage description Need for… Behaviours Positive handling responses
1 Anxiety/Trigger Diversion, support and Low Level Low Level
reassurance. Shows signs of anxiety, hiding face Read the body language and the
in hands, bent over/under table, behaviour, intervene early,
pulling at collar or hat, rocking or communicate; ‘talk, I’ll listen’, Use
tapping, withdrawing from group, appropriate humour, display calm
refusing to speak or dismissive, body language, talk low, slow and
refusing to co-operate, adopting quietly, offer reassurance, including
defensive postures. positive physical prompts, assess the
situation, divert and distract
introducing another activity or topic.
2 Defensive/Escala Diversion, reassurance, Medium Level Medium Level
tion clear limits, boundaries Displays higher tension, belligerent Continue to use level one strategies
and choices. and abusive, making personal and + state desired behaviours clearly,
offensive remarks, talking louder, set clear, enforceable limits, offer
higher, quicker, adopting alternatives and options, offer clear
aggressive postures, changes in choices, give a get out with dignity,
eye contact, pacing around, assess the situation and consider
breaking minor rules, low level making the environment safer and
destruction, picking up objects getting help, guide the elbows
which could be used as weapons, towards safety.
challenges; ‘I will not…’ ‘you
cannot make me.’
3 Crisis Possibly for restrictive High Level High Level
intervention Shouting and screaming, crying, Continue to use level 1 and 2
appropriate for the damaging property, moving de=escalation responses + make the
service user. towards danger, fiddling with environment safer, moving furniture
electrics, climbing trees, roofs, or and removing weapon objects, guide
out of windows, tapping or assertively, hold or restrain if
threatening to break glass, moving absolutely necessary, ensure face,
towards weapons, picking up voice and posture are supportive,

become depressed. kicking. People may sit be a good time to touch as it may quietly in a hunched position. Support and monitor. give difference is they can revert to space. hurting others. support After a serious incident people can Depression positive handing and monitoring. up associated with the normal escalation in stage 2. 5 Depression Observation. 6 Follow up Listening and learning. look for signs that the person extreme violence without the build is ready to talk. hurting self. recording. punching.  What can be learned from reporting and communicating. they may not responses want to interact. . this may not anxiety stage. incident and responses  Share reports as appropriate – client’s file  Appropriate professionals meet to discuss plan/risk assessment/care and control plan. this? planning to avoid similar events in  Keep appropriate record of the future. Can easily be confused with Support and monitor. grabbing or and save face by changing face. show concern and care but do not attempt to resolve residual disciplinary issues at this stage. slapping. the provoke a reversion to crisis. use help protocol weapons. Follow up  Listen to views of client Listening and learning. respond to any signs that the person may want to communicate.. objects which can be used as not aggressive. 4 Recovery Co-ordinated letting go Recovery behaviours Recovery positive handing responses and reassurance. threatening others.